Questions | Answer options |
---|---|
Have you been vaccinated against hepatitis B ? | Yes/No/I don't know |
Do you have any known hepatitis B infection ? | Yes/No |
Do you have any known hepatitis C infection ? | Yes/No |
Have you ever had a yellowing of the skin (known as jaundice) ? | Yes/No |
Have you ever had a blood transfusion ? | Yes/No, if yes until/after 1990 ? |
Do you have a tattoo ? | Yes/No |
Do you have any piercing ? | Yes/No |
Do you drink alcohol ? | Never/1–10/>10 glasses/week |
Have you ever taken illegal intravenous drugs ? | Yes/No |
Do you live with a partner in a steady relationship ? | Yes/No |
Do you work in the public health services with patient contact ? | Yes/No |
Have you been suffering from stomach aches without clear cause ? | Yes/No |
Have you been suffering from tiredness without clear cause ? | Yes/No |
Have you been suffering from muscle pains without clear cause ? | Yes/No |
Have you been suffering from joint pains without clear cause ? | Yes/No |
What is your ethnic origin ? | White/Black/Asiatic/other, mixed |
Were you born in Switzerland ? | Yes/No, if no specifiy: |
Do you permanently reside in Switzerland ? | Yes/No, if no specifiy: |