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Unique ID
Name
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First
Last
Age
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Gender
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Male
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Orientation
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Location
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What Country Are You From?
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Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
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Cayman Islands
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Chile
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Cook Islands
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Curaçao
Cyprus
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Côte d'Ivoire
Denmark
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Dominican Republic
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Equatorial Guinea
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Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
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France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
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Korea, Republic of
Kuwait
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Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
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Poland
Portugal
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Qatar
Romania
Russian Federation
Rwanda
Réunion
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Saint Lucia
Saint Martin
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Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
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Singapore
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Somalia
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South Sudan
Spain
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Sudan
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Switzerland
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Thailand
Timor-Leste
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Türkiye
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Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
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Zimbabwe
Åland Islands
Is this your first time having an HIV test?
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Is this your first time having an HIV rapid test?
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How did you hear about this service (please tick all that applys)
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