1. Have you visited a GUM clinic in the past?

Yes, between 1 and 3 times

Yes, 3 visits or more

No

2. Have you consulted your GP with a sexual health problem?

Yes, between 1 and 3 times

Yes, on over 3 occasions

No

3. How did you hear about the SHIP-SHAPE website

From a poster or other leaflet at GP Surgery

From a poster or leaflet at GUM clinic

From a beer mat

Searching for help on the Internet

From the newspaper

Listening to a radio programme

From a friend

Other

4. Did the website or its links answer your questions?

Yes

No

5. What sex are you?

Female

Male

6. How old are you?

13 - 18

19 - 24

25 - 35

36 - 50

Over 50

7. What is your ethnic group?

Caucasian

Asian - Indo/Pakistan

Chinese

Black African

8. Would you prefer to talk to a person on the telephone about where to find help?

Yes

No

9. Do you have any suggestions about this website?

10. Do you define yourself as

Heterosexual

Bisexual

Homosexual

11. Do you live in: