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Women's Health Triangle Initiative Cervical Cancer Screening Form
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Email
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Your email
Do you give consent to have your screening by certified professionals provided by the team
Yes
No
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what age group do you belong to?
18-25
26-31
32-45
45 and above
Have you ever been screened for cervical cancer?
yes
no
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What time is most suitable for you to be at the screening venue
9:00am -10:00am
10:00am- 11:00am
11:00am-12:00noon
12:00pm-1:00pm
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