| Male | ||
| □ 1. No sexual partners | □ 2. ……partners | □ 3. Decline to answer |
| Female | ||
| □ 1. No sexual partners | □ 2. ……partners | □ 3. Decline to answer |
| Transgender | ||
| □ 1. No sexual partners | □ 2. ……partners | □ 3. Decline to answer |
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