risk test

How old are you? mandatory

Where were you born (country)? mandatory

Are you male and do you have sex with men?

Yes

No

mandatory

This website is meant for men who have sex with men. It contains relevant information about the risk factors for acute hepatitis C infection (i.e. recent infection).

I understand

mandatory

What is your HIV status?

HIV-positive (I have HIV)

HIV-negative (I do not have HIV); I was tested less than 6 months ago

I don’t know; my last HIV test was more than 6 months ago

I don’t know; I have never been tested for HIV

mandatory

Do you take PrEP?

Yes

No

mandatory

Have you ever been tested for hepatitis C?

Yes

Yes, in the context of my PrEP use

No, never

I don't know

mandatory

When was your last hepatitis C test?

within the past 3 months

3-6 months ago

6-12 months ago

more than 12 months ago

mandatory

Have you ever been diagnosed with hepatitis C?

Yes

No

mandatory

Are you now cured of that infection?

Yes

No

mandatory

Has a sex partner warned you that he has hepatitis C?

Yes

No

mandatory

Have you been fucked without a condom anytime in the past 6 months?

Yes

No

mandatory

Have you shared sex toys with your sex partner(s) anytime in the past 6 months?

Yes

No

mandatory

Have you been fisted without gloves anytime in the past 6 months, or fisted someone else without gloves in the same period?

Yes

No

mandatory

Have you had LGV, syphilis or genital herpes (= herpes on your penis or anus) anytime in the past 12 months?

Yes

No

mandatory

Have you shared straws or any other snorting equipment anytime in the past 12 months?

Yes

No

mandatory

Have you injected drugs (“slammed”) with a needle into your veins or under the skin anytime in the past 12 months?

Yes

No

mandatory

You have now completed the questionnaire. To help us evaluate NoMoreC.nl, we would like to ask you 5 more questions. Is that okay with you?

Yes

No

mandatory

How well informed are you about hepatitis C?

Very well informed

Fairly well informed

Neither well nor badly informed

Badly informed

Very badly informed

mandatory

How well informed are you about reducing the risk of hepatitis C?

Very well informed

Fairly well informed

Neither well nor badly informed

Badly informed

Very badly informed

mandatory

Are you worried about getting hepatitis C?

Yes, very worried

Yes, somewhat worried

Only a little bit worried

No, not too worried

No, not at all worried

mandatory

How capable are you of protecting yourself against hepatitis C?

Very capable

Fairly capable

Neither capable nor incapable

Incapable

Very incapable

I don't know

mandatory

How would you rate your likelihood of getting hepatitis C in the next 3 months?

Very likely

Fairly likely

Neither likely nor unlikely

Unlikely

Very unlikely

I don’t know

mandatory

I give permission to process the data entered by me anonomously for research purposes. I have read, understood and agree with the information in Privacy. You have not yet agreed to the conditions

You have forgotten one or more questions

Should I get tested

Questionnaire