Questions to ask after assuring the patient about confidentiality:
Are you having or have you ever had sex with women, men, or both?
In the past year, how many persons have you had sex with?
Does your current partner (or do your current partners) have sex with someone other than you?
Have you ever been pregnant? If so, how many times?
How many living biologic children do you have? Any miscarriages or abortions?
Do you have oral sex? Vaginal sex? Anal sex? Other types of sex?
Do you use barrier protection such as condoms, gloves, or dental dams?
Are there times you do not use barrier protection?
Do you use another method of birth control? (if sexually active with men)
Do you (or does your partner) have any plans to conceive in the next 12 months?
Have you ever had a sexually transmitted infection?
Do you ever have sex with strangers or people you do not know well?
Do you have a support system, including family and close friends?
Do you have any concerns about your sexual practices that I have not asked about?
Does your partner:
	Physically hurt you?
	Insult or talk down to you fairly often?
	Threaten you with harm?
	Scream or curse at you fairly often?20