Community-based, free and confidential HIV/STI testing

Dear client,

We are happy to welcome you at Legebitra Checkpoint. By accessing our testing service you declare and confirm that your decision to get tested is entirely voluntary and that information given to us during pre-test or post-test counselling is accurate. Please fill out this questionnaire which will help our counsellor to perform the counselling.

Privacy and data protection
Legebitra is dedicated to the protection of your data. We treat your personal data with great care and in compliance with current data protection legislation in force in the Republic of Slovenia, above all with the Personal Data Protection Act and the European General Data Protection Regulation. Processing of data is performed by authorized persons only.

Purpose of data processing
Legebitra collects your data for the following purposes: to use them during pre- and post-test counselling; for statistical purposes in aggregated form (used in preparation of reports for the Ministry of Health and Municipality of Ljubljana); research purposes (reporting to European network of community-based testing points – Cobatest Network); reporting to National Institute of Public Health; cooperation in national and international projects. Information from the questionnaires helps us to improve and upgrade our services and programmes and to cooperate in development of national HIV/STI strategies.

Data transmission
To verify linkage to care in case of a reactive HIV or Gonorrhea test result, your date of birth will be transmitted to the Institute of Microbiology and Immunology (an institution which is part of the Faculty of Medicine of Ljubljana University and performs laboratory analysis of biological samples collected at our testing). According to contracts, national legislation and EU regulations, we can transmit data to authorized persons and competent authorities, who are authorized by law to collect and process data.

Storage of data
Your data is stored for the duration of the prescribed time period or until the achievement of the purpose for which they were collected. When you are notified of the test results and the electronic entry with your code in the digital program has been processed, your phone number is automatically deleted. Data from this questionnaire is stored in electronic version on German server Contabo GmbH. The data collected during the previous year is destroyed on the last working day of January. Until it is destroyed, the data is kept in locked cabinets and in password protected files.

Data protection officer
Legebitra will treat all information with great care and in compliance with relevant legislation and the European General Data Protection Regulation. If you have any questions regarding our privacy policy, data protection or processing of your personal data, you can contact our Data Protection Officer at vop@cnvos.si By filling out this questionnaire and giving it to the counsellor, you consent to the use of information from the questionnaire in aggregated form for research and statistical purposes. If you do not agree with these terms and conditions, you can withdraw from testing at any time.

Consent to the collection of personal data
I agree that DIC Legebitra collects my personal data (phone number) for the purpose of communicating the test results. The data is used exclusively for the purpose of communicating test results and is in no form passed on to other persons. Terms and method of storage: The data is stored in accordance with the prescribed retention periods or until the purpose for which it was obtained is fulfilled. The telephone number is destroyed immediately after the call or no later than 15 days from the date of obtaining the data. The telephone number is stored in electronic form in a separate database, which is not linked with your questionnaire, your unique code or other personal data. Only test consultants have access to your phone number, and the information is protected by two-step verification. Data Protection Officer: DIC Legebitra will handle all data carefully and responsibly and in accordance with the General Data Protection Regulation (GDPR) and other relevant applicable legislation. If you have any questions regarding our privacy policy and the protection of personal data or the processing of your personal data, you can at any time contact our authorized person for data protection, at the e-mail address vop@cnvos.si

PLEASE READ CAREFULLY!

We will not test you for HIV or hepatitis B if you were already diagnosed with any of these two infections in the past, because the test results would invariably be positive. So please tell your counsellor if you already had HIV or hepatitis B. We also ask you to tell the counsellor if you were ever diagnosed with syphilis or hepatitis C, as this may affect the choice of tests for these two infections.

HIV

HIV test detects antibodies which the body produces after becoming infected with HIV. These antibodies remain for life. If you are living with HIV and are on treatment with an undetectable viral load, you still have HIV antibodies and you will test positive. This test can not be used for checking your viral load.

Syphilis

If you were ever diagnosed with syphilis in the past, ask your testing counsellor about possibilities of testing for syphilis.

Hepatitis B

There is no point in testing for hepatitis B virus (HBV) if you were infected with HBV at any time in the past because the test will always be positive. People who recovered from HBV infection in the past are immune against reinfection.

Hepatitis C

If you were ever diagnosed with hepatitis C in the past, ask your testing counsellor about possibilities of testing for hepatitis C

If you ever had any of these infections, please inform the counsellor during the pre-test counselling.

REASONS FOR TESTING

Why would you like to get tested today?* (Multiple choice possible)

RISK FACTORS

How do you identify yourself as?*

Who did you have sex with?* (Multiple choice possible)

PEP AND PREP

DRUG USE

Which methods did you use for consuming drugs in the last 12 months? (Multiple choice possible)*