Skip to main content

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