Self-examination

1. Have you ever had sex?
A. No sexual experience
B. Rarely
C. Occasionally
D. Regularly
E. Frequently

2. How often you receive cervical screening test?
A. Not applicable (No sexual experience)
B. Every year
C. Every two to three years
D. Never

3. Is your partner infected or has been infected with HPV?
A. Uninfected
B. Do not know
C. Was infected
D. Being infected

4. Do you have abnormal vaginal discharge?
A. No
B. Feeling discomfort and pain
C. Unusual lumps or discharge
D. Unusual lumps and discharge

Score Calculation

Choice	A	B	C	D	E
Point	0	1	2	3	4

Score Analysis

Score 0-4 – Result (1), Score 5-6 – Result (2), Score7 or above – Result (3)

Result (1):
No imminent need for gynecological examinations. As some gynecological diseases have no obvious symptoms at early stage, we recommend that you receive checkup at least once a year, please contact our doctors to follow up.

Result (2):
You may not be suffering from gynecological diseases or the symptoms have not yet appeared. As some gynecological diseases have no obvious symptoms at early stage, we recommend that you contact our doctors for examination.

Result (3):
You may have a higher chance of suffering from gynecological diseases, please contact our doctors for examination soon.

*This questionnaire is for reference only and should not be used for medical diagnosis. We recommend that you contact our doctors for detailed examination as soon as possible.