This postal test is ONLY for those young people:

• Under 25 years of age (if you are over 25 please go instead to your GP or sexual health service)
• Living in Cambridgeshire and Peterborough (If you live outside this area please find the details of your local Chlamydia screening programme at www.chlamydiascreening.nhs.uk/ys/index.html
• With no symptoms (if you have any pain or unusual discharge see your GP or local sexual health services)

Name:

Address:

Postcode:

Gender:

Please select Male Female

Age

Date of birth:

Email address:

Where did you hear about this service:

Please select Radio Posters Card Word of mouth Magazine A screening talk Other (please write below)

Other