Test kit triage C Do you live in West Sussex?*SelectYesNoSorry - you are not eligible for online testing because you live outside our service area. Click here to find out more about our services, or call us on 01903 285199Date of birth:* Day Month Year Tell us your gender:*SelectMaleFemaleTransYour answer indicates that you need a telephone consultation - please call 01903 285199 to book.Who do you have sex with?*SelectI only have sex with menI only have sex with womenI have sex with both men and womenYour answer indicates that you need a telephone consultation - please call 01903 285199 to book.Your answer indicates that you need a telephone consultation - please call 01903 285199 to book.Do you have any of the following symptoms of a Sexually Transmitted Infection?* A discharge from your genitals (penis, anus) A rash or spots around your penis Lumps or bumps in or around your genitals Pain when you pass urine Any sores or ulcers in or around your gentials Any other symptoms or concerns None of the above Your answer indicates that you need a telephone consultation - please call 01903 285199 to book.Do you have any of the following symptoms of a Sexually Transmitted Infection?* A change in your usual vaginal discharge Bleeding between your periods or after sex Pain Lumps or bumps in or around your genitals Pain when you pass urine Any sores or ulcers in or around your gentials Any other symptoms or concerns None of the above Do you have any of the following symptoms of a Sexually Transmitted Infection?* A change in your usual vaginal discharge Bleeding between your periods or after sex Pain with sex Lumps or bumps in or around your genitals Pain when you pass urine Any sores or ulcers in or around your gentials Any other symptoms or concerns None of the above Do you have any of the following symptoms of a Sexually Transmitted Infection?* A change in your usual vaginal discharge Bleeding between your periods or after sex Pain with sex Lumps or bumps in or around your genitals Pain when you pass urine Any sores or ulcers in or around your gentials Any other symptoms or concerns None of the above Your answer indicates that you need a telephone consultation - please call 01903 285199 to book.When was the last time you had unprotected sex/sex without a condom?*SelectLess than 2 weeks agoMore than 2 but less than 12 weeks agoMore than 12 weeks agoIf you have had unprotected sex (without a condom) in the last 2 weeks, the test for Chlamydia and Gonorrhoea may not detect the infection if you have it. We would suggest that you wait for 2 weeks from your last unprotected sex to take a test. HIV may not show up in the test until 4 weeks after a person has been infected, and syphilis may not show up for 12 weeks. We would suggest that you repeat the tests for HIV and Syphilis 4 weeks and 12 weeks respectively after your last unprotected sex if you are concerned. In the meantime you should use condoms. HIV may not show up in the test until 4 weeks after a person has been infected, and syphilis may not show up for 12 weeks. We would suggest that you repeat the tests for HIV and Syphilis 4 weeks and 12 weeks respectively after your last unprotected sex if you are concerned. In the meantime you should use condoms. When was the last time you had unprotected vaginal sex/sex without a condom?*SelectLess than 5 days agoMore than 5 days but less than 2 weeks agoMore than 2 but less than 12 weeks agoMore than 12 weeks agoIf you are not using any other form of contraception you may be at risk of pregnancy. Emergency contraception can be used to reduce the risk of unwanted pregnancy. If the unprotected sex was up to 72 hours ago, emergency contraception pills can be accessed from pharmacies, your GP and Sexual Health Services. If the unprotected sex was up to 120 hours ago, you can access emergency contraception pills from your GP or sexual health services, or you could have an IUD (coil) fitted in sexual health services and some GPs. To discuss emergency contraception from Sexual Health West Sussex you can book a telephone consultation by calling us on 01903 285199. If you have had unprotected sex (without a condom) in the last 5 days, the test for Chlamydia and Gonorrhoea may not detect the infection if you have it. We would suggest that you wait for 2 weeks from your last unprotected sex to take a test. HIV may not show up in the test until 4 weeks after a person has been infected, and syphilis may not show up for 12 weeks. We would suggest that you repeat the tests for HIV and Syphilis 4 weeks and 12 weeks respectively after your last unprotected sex if you are concerned. In the meantime you should use condoms. If you have had unprotected sex (without a condom) in the last 2 weeks, the test for Chlamydia and Gonorrhoea may not detect the infection if you have it. We would suggest that you wait for 2 weeks from your last unprotected sex to take a test. HIV may not show up in the test until 4 weeks after a person has been infected, and syphilis may not show up for 12 weeks. We would suggest that you repeat the tests for HIV and Syphilis 4 weeks and 12 weeks respectively after your last unprotected sex if you are concerned. In the meantime you should use condoms. HIV may not show up in the test until 4 weeks after a person has been infected, and syphilis may not show up for 12 weeks. We would suggest that you repeat the tests for HIV and Syphilis 4 weeks and 12 weeks respectively after your last unprotected sex if you are concerned. In the meantime you should use condoms. Have you had sex with someone who you know to have had a Sexually Transmitted Infection in the last 3 months, not including genital herpes or warts?*SelectYesNoYour answer indicates that you need a telephone consultation - please call 01903 285199 to book.Since your last sexual health check-up have you had unprotected sex with someone who is NOT from the UK or Western Europe?*SelectYesNoYour answer indicates that you need a telephone consultation - please call 01903 285199 to book.Since your last sexual health check-up have you injected drugs or had sex with someone who injects drugs?*SelectYesNoYour answer indicates that you need a telephone consultation - please call 01903 285199 to book.Since your last sexual health check-up, have you ever been paid for sex or received money, drink or drugs in exchange for sex?*SelectYesNoYour answer indicates that you need a telephone consultation - please call 01903 285199 to book.Since your last sexual health check-up, have you had sex with someone who you knew was HIV positive?*SelectYesNoYour answer indicates that you need a telephone consultation - please call 01903 285199 to book.Since your last check-up has your partner has sex with men?*SelectYesNoYour answer indicates that you need a telephone consultation - please call 01903 285199 to book.From your responses it looks like you are able to access the STI test kit online - please provide the following details to receive one through the post:From your responses it looks like you are able to access the STI test kit online - please provide the following details to receive one through the post:Your first name:* Your surname: Your full address:*Postcode:* Your mobile number:*Please provide a mobile number to receive reminders and results by text. We will not use your personal details for any other purpose or share them with any other organisation. Your first name:* Your surname:* Your full address:*Postcode:* Your mobile number:*Please provide a mobile number to receive reminders and results by text. We will not use your personal details for any other purpose or share them with any other organisation. Your ethnic origin:All demographic information submitted is held confidentially and for statistical purposes onlySelectWhite BritishWhite IrishAny other White backgroundCaribbeanAfricanAny other Black backgroundChineseIndianPakistaniBangladeshiAny other Asian backgroundWhite and Black CaribbeanWhite and Black AfricanWhite and AsianAny other mixed backgroundI do not wish to answer this questionYour country of birth: Your ethnic origin:All demographic information submitted is held confidentially and for statistical purposes onlySelectWhite BritishWhite IrishAny other White backgroundCaribbeanAfricanAny other Black backgroundChineseIndianPakistaniBangladeshiAny other Asian backgroundWhite and Black CaribbeanWhite and Black AfricanWhite and AsianAny other mixed backgroundI do not wish to answer this questionYour country of birth: How did you hear about online testing?SelectOur websiteSocial mediaGoogle/other search engineWord of mouthOther NHS serviceEvent at school/college/universityPoster/other advertisementOtherHow did you hear about online testing?SelectOur websiteSocial mediaGoogle/other search engineWord of mouthOther NHS serviceEvent at school/college/universityPoster/other advertisementOtherHiddenHide button
