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  • Jhouse

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    Andrew Vickers
    6 views1 page
    This document is a form asking for contact information and sexual behavior questions. It requests the person's name, address, date, phone number and email, and asks if they identify as a man who has sex with men, bisexual, or like oral sex, with yes or no answer options.

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    Original Title

    JH

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    This document is a form asking for contact information and sexual behavior questions. It requests the person's name, address, date, phone number and email, and asks if they identify as a man who has sex with men, bisexual, or like oral sex, with yes or no answer options.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    6 views1 page

    Jhouse

    Uploaded by

    Andrew Vickers
    This document is a form asking for contact information and sexual behavior questions. It requests the person's name, address, date, phone number and email, and asks if they identify as a man who has sex with men, bisexual, or like oral sex, with yes or no answer options.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    JHOUSE

    Name: _____________________________________________
    Address: ___________________________________________
    Date: ___________________ Telephone #: ________________
    Email: ______________________________________________
    Are you a MSM?

    Yes ______

    No ______

    Are you bisexual? Yes ______

    No ______

    Do you like oral sex?

    Yes ______

    No ______

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