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Discovering the causes of cancer and the means of prevention

Costa Rica - Sexual History HPV Testing Questionnaire

The following questionnaire segment contains questions that have been used as part of DCEG or other epidemiologic studies. This segment has not necessarily been reviewed or analyzed by the Technical Evaluation Committee. Please view it as a starting point that can be adapted or improved upon as appropriate. Learn more about DCEG Questionnaire Development Resources.

Questionnaire Topic: 

Sexual History 

Study Title: 

Guanacaste Project 


Costa Rica, HPV, human papillomavirus infection, cervical cancer 

Principal Investigator(s): 

M. Schiffman 

Type of Questionnaire: 


Last Year of Data Collection: 


Short/Long Form: 

Short Form 


Herrero R, Hildesheim A, Bratti C, et al. Population-based study of human papillomavirus infection and cervical neoplasia in rural Costa Rica. J Natl Cancer Inst. 2000;92(6):464-74. 

Schiffman M. HPV DNA testing in cervical cancer screening: results from women in a high-risk province of Costa Rica. JAMA 2000;283(1):87-93. 

Download Costa-Rica_Sexual_History_HPV_Testing_questionnaire (Word, 18 KB)

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Learn more about DCEG Questionnaire Development Resources