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Table 1 Screening questionnaire of hepatitis C risk factors in the Gorgan prison study

From: A simple risk-based strategy for hepatitis C virus screening among incarcerated people in a low- to middle-income setting

Question Answer
1. Have you ever been tested for hepatitis C? A. Yes, I have been tested. Currently, I do not have hepatitis C.
B. Yes, I have been tested. Currently, I have hepatitis C.
C. Yes, I have been tested. Currently, I do not know whether I have hepatitis C or not.
D. No, I have not been tested.
E. I do not know.
2. Do you have a history of drug use, ever? A. Yes
B. No
3. Do you have a history of injection drug use, ever? A. Yes
B. No
4. Do you have a history of sharing injection equipment, ever? (Including needle, syringe, spoon, solvent, filter or water) A. Yes
B. No
5. Do you have a history of prior imprisonment? (Only newly admitted inmates) A. Yes
B. No