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Table 1 Study-specific patient questionnaire

From: Prevalence and associated factors of viral hepatitis and transferrin elevations in 5036 patients admitted to the emergency room of a Swiss university hospital: cross-sectional study

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: