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* 1. Were you offered a chlamydia test today?

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* 2. If so, were you given clear information about how to complete the form, use the test and receive the results?

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* 3. Did you know about the C Card (free condoms) service before today?

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* 4. Were you given information on where to pick up free condoms in Buckinghamshire?

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* 5. How would you rate your overall experience today?

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* 6. Would you recommend this service to a friend?

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* 7. What is your gender?

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* 8. What is your ethnicity?

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* 9. What is your age?

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* 10. What district do you live in?

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