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Your
doctor may ask you the following questions to assess your
risk of having acquired hepatitis B and C. You may want to
print out this list, answer the questions, and bring it with
you when you visit your doctor.
1.
Have you had a blood transfusion prior to 1975 (for hepatitis
B) or 1992 (for hepatitis C)?
 Yes
No
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2.
Currently or in the past, have you:
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Experienced chronic fatigue or tiredness for which your
doctor was unable to find an explanation? |
| |
Had surgery, including oral surgery? |
|
Had
a Cesarean section or other obstetric or gynecological
surgery? |
|
Been
diagnosed as HIV-positive? |
|
Had
kidney dialysis? |
|
Had
an elevated liver enzyme test (ALT)? |
|
Been
diagnosed with hepatitis B or C? |
3.
Currently or in the past, have you:
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Had
a tattoo? |
|
Had
body piercing? |
|
Served
in the military? |
|
Changed
sex partners frequently? |
|
Inhaled
cocaine? |
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Been
in prison? |
|
Injected
drugs? |
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Had
a problem with alcoholism? |
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Had
unprotected sex with anybody who would fit the above descriptions? |
4.
Do any of the previous categories apply to a member of your
immediate family, or has a member of your immediate family
been diagnosed with hepatitis B or C?
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