MEC Interview Hand Card

Attachment 3f

Mobile Exam Center (MEC) Interview

Hand Cards

2021-22

SXQ1

1. Lesbian or gay

2. Straight, that is, not lesbian or gay

3. Bisexual

4. Something else

5. I don’t know the answer

SXQ2

1. Gay

2. Straight, that is, not gay

3. Bisexual

4. Something else

5. I don’t know the answer

DPQ1

Not at all

Several days

More than half the days

Nearly every day

Pregnancy
Breastfeeding
Total or Partial Hysterectomy (Surgery to Remove Uterus/Womb)
Menopause / Change of Life	Night sweats Hot flashes Loss of libido Sleep issues symptoms Mood swings Vaginal dryness
Other Reasons	Medical conditions, like cancer Medical treatments, like chemotherapy Birth control Excessive exercise Low body weight Something else?

12 ounces of beer
5 ounces of wine
1.5 ounces of hard liquor

3