原始捐血問題集——
Donor questionnaire ，以下是給自己方便用的爛翻譯，科科。
Section A.
1. Ever volunteered to donate blood before?
之前有捐血的經驗嗎？如果有－在哪？哪時？
2. Ever been advised not to give blood?
之前有沒有被拒絕捐血的經驗？
3. Ever suffered from anaemia or any blood disorder?
有沒有貧血或者是有凝血障礙的問題？
4. Ever had a serious illness, operation or been admitted to hospital?
曾經有過重病、手術、住院的經驗？
5. Ever been pregnant (including miscarriage and termination of pregnancy)?
I am male
5a. If your answer is “Yes” – have you been pregnant in the last 9 months?
有懷孕的經驗（包含流產、懷孕終止）？
我是男生。
5a. 如果答案是 YES —請問妳曾在過去九個月內懷孕過。
6. Had a neurosurgical procedure involving the head, brain or spinal cord between 1972 and 1989?
曾經在 1972 - 1989 年間有過有參與過頭部、腦部或脊隨的神經外科？
7. Ever received a transplant or graft (organ, bone marrow, cornea, dura mater, bone, etc.)?
有接受過器官移植（內臟、骨髓、角膜、腦膜、骨頭⋯⋯等）？
8. Received injections of human growth hormone for short stature or human pituitary hormone for infertility prior to 1986?
曾經在 1986 年前因為矮小症接受過生長激素或者是腦下垂體來治療不孕症？
9. Ever suffered from a head injury, stroke or epilepsy?
有過頭部受傷、中風或者是癲癇？
10. Ever had a heart or blood pressure problem, chest pain, rheumatic fever or a heart murmur?
曾有心臟血管方面問題、胸痛、風濕熱、心雜音？
11. Ever had a bowel disease, stomach or duodenal problems or ulcers?
曾有過腸道疾病、胃或者是十二指腸潰瘍？
12. Ever had kidney, liver or lung problems including tuberculosis (TB)
曾有過腎、肝或肺的問題，包含肺結核？
13. Ever had diabetes, a thyroid disorder or an autoimmune disease e.g. rheumatoid arthritis or lupus?
曾有患過糖尿病、甲狀腺或者是免疫系統方面的疾病？包含類風濕關節炎或狼蒼？
14. Ever had cancer of any kind including melanoma?
曾有患過癌症包含任何一種黑色素腫瘤？
15. Ever had malaria, Ross River fever, Q fever, leptospirosis or Chagas’ disease?
曾經得過瘧疾、羅斯河病毒、 Q 型流感、鉤端螺旋體病或查加斯病？
16. Ever had jaundice (yellow eyes/skin) or hepatitis?
曾經罹患過黃疸（黃眼睛、皮膚）或肝癌？
17. Ever had treatment with the medication TIGASON (Etretinate) or NEOTIGASON (Acitretin)?
曾經服用過定康癬膠囊或新定康癬膠囊？
18. What was your country of birth?
請問您出生於哪個國家？
19. Have you ever been outside Australia? If your answer to question 19 is ‘No’ please go straight to Section B
有曾經住過澳洲以外的地方嗎？如果選 NO 請直接跳到 B 部分。
20. Have you spent a continuous period of 6 months or more outside Australia at any stage of your life?
曾經有在澳洲境外連續生活超過六個月以上？
21. Have you been outside Australia in the last 3 years?
在過去三年內有出境過澳洲？
22. Have you ever received a transfusion or injection of blood or blood products outside Australia?
曾經在澳洲境外接受過輸血或被注射過血液或相關的產物？
23. From 1 January 1980 through to 31 December 1996 inclusive, have you spent (visited or lived) a total time which adds up to 6 months or more in England, Scotland, Wales, Northern Ireland, the Channel Islands, the Isle of Man, or the Falkland Islands?
曾經在 1980年01月01日到1996年12月31日間，有超過六個月待過以下的地方：England, Scotland, Wales, Northern Ireland, the Channel Islands, the Isle of Man, or the Falkland Islands？
Section B.
1. Are you feeling healthy and well?
自覺身體狀況良好？
2. In the next 3 days, do you intend to participate in any activity which would place you or others at risk of injury if you were to become unwell after donating, such as: Driving public transport, operating heavy machinery, underwater diving, piloting a plane or other activities?
在您捐血後接下來的三天內，若感到不舒服，是否還會依照計畫進行讓別人陷入危急的情況發生？例如：駕駛公共交通運輸工具、操作重型機械、淺水活動、駕駛飛機或其他活動？
In the last week,
3. have you: Had dental work, cleaning, fillings or extractions?
在過去一星期內，您是否有從事牙科治療：洗牙、補牙、拔牙？
4. Taken any aspirin, pain killers or anti-inflammatory preparations?
在過去一星期內，您是否有服用過阿斯匹靈、止痛藥、或抗生素？
5. Had any cuts, abrasions, sores or rashes?
在過去一星期內，您是否有任何割傷、擦傷、瘡或疹？
6. Had a gastric upset, diarrhoea, abdominal pain or vomiting?
在過去一星期內，您是否有腸胃不適、腹瀉、腹痛或嘔吐？
Since your last donation, have you – or if you are a new donor, have you in the last 12 months:
7. Been unwell, or seen a doctor or any other health care practitioner, had an operation Yes No (surgical procedure) or any tests/investigation?
繼上次捐完血後或者是如果您是第一次捐血，在過去的十二個月內，有沒有因為身體不舒服而去看醫生或者是其他保健從業人員，是否進行手術或者是任何檢查？
8. Had chest pain/angina or an irregular heartbeat?
繼上次捐完血後或者是如果您是第一次捐血，在過去的十二個月內，有胸痛或者是心跳不規律的情況發生？
9. Taken tablets for acne or a skin condition?
繼上次捐完血後或者是如果您是第一次捐血，在過去的十二個月內，有服用任何治療瘡或皮膚病的藥品？
10. Taken any other medication, including regular or clinical trial medication?
繼上次捐完血後或者是如果您是第一次捐血，在過去的十二個月內，有服用任何藥物或者是經常服用的藥品或者是臨床實驗用？
11. Worked in an abattoir?
繼上次捐完血後或者是如果您是第一次捐血，在過去的十二個月內，曾經在屠宰場工作過？
12. Had a sexually transmitted infection e.g. gonorrhoea, syphilis or genital herpes?
繼上次捐完血後或者是如果您是第一次捐血，在過去的十二個月內，曾經感染性病，例如：淋病、梅毒或皰疹等。
13. Had any immunisations/vaccinations including as part of a clinical trial?
繼上次捐完血後或者是如果您是第一次捐血，在過去的十二個月內，有過任何免疫或接種疫苗，包含臨床試驗。
14. Had shingles or chickenpox?
繼上次捐完血後或者是如果您是第一次捐血，在過去的十二個月內，兄弟姊妹有得過水痘？
15. Do you know of anyone in your family who had or has:
Creutzfeldt-Jakob disease (CJD)?
Gerstmann-Straussler-Scheinker syndrome (GSS)? •
Fatal familial insomnia (FFI)?
繼上次捐完血後或者是如果您是第一次捐血，在過去的十二個月內， 家族內是否有人得過以下疾病：庫賈氏病、新類型庫賈氏病、致死性家族失眠症。
Since your last donation, have you:
16. Been pregnant (including miscarriage and termination of pregnancy)?
I am male
If your answer is “Yes” – have you been pregnant in the last 9 months?
我是男生。
繼上次捐完血之後，請您曾懷孕嗎？（包含流產跟終止懷孕）？
如答 YES 的話，請問您在過去的九個月內有懷孕嗎？
17. Been outside Australia?
繼上次捐完血之後，有出境過澳洲嗎？
18. If your answer to question 17 is ‘No’ please go to Section C
如果第 17 題答案是 NO ，請直接跳到 C 部分。
19. Received a transfusion or injection of blood or blood products outside Australia?
繼上次捐完血之後，有在澳洲境外接受輸血或者是注射血液相關的產品嗎？
Section C.
To the best of your knowledge, have you EVER:
1. Thought you could be infected with HIV or have AIDS?
據自己所知道的，曾經懷疑過自己可能感染愛滋病毒 HIV 、 AIDS ？
2. “Used drugs” by injection or been injected, even once, with drugs not prescribed by a doctor or dentist?
據自己所知道的，曾經使用過 “ 他人使用或注射過 ” 的藥物，而這些藥物是沒有經過正式管道取得的。
3. Had treatment with clotting factors such as factor VIII or factor IX?
據自己所知道的，曾經使用過凝血因子進行過治療？例如 factor VIII or factor IX 。
4. Had a test which showed you had hepatitis B, hepatitis C, HIV or HTLV?
據自己所知道的，曾經有檢測結果顯示有換過乙型肝炎、丙型肝炎、HIV 或 HTLV ？
In the last 12 months have you:
5. Had an illness with both a rash AND swollen glands, with or without a fever?
在過去的 12 個月中，您有同時因為疹子跟淋巴結感到不舒服，無論是否有發燒？
6. Engaged in sexual activity with someone you might think would answer “yes” to any of questions 1-5?
在過去的 12 個月中，您可能有跟 “如上問題 1 至 5 ”有可能答案是 YES 的人發生過性行為？
7. Had sexual activity with a new partner who currently lives or has previously lived overseas?
在過去的 12 個月中，您的新性伴侶目前或者是之前是住在澳洲境外的？
8. Had sex (with or without a condom) with a man who you think may have had oral or anal sex with another man?
在過去的 12 個月中，有跟男性有過性行為是透過口交或肛交且並沒有使用保險套？
9. Had male to male sex (that is, oral or anal sex) with or I am female without a condom?
在過去的 12 個月中，曾有口交或肛交性行為與另一名男性，或者是我是女性但是沒有使用保險套。
10. Been a male or female sex worker (e.g. received payment for sex in money, gifts or drugs)?
在過去的 12 個月中，曾從事男性或是女性的性工作者（包含收取金額、禮物或是藥品）？
11. Engaged in sexual activity with a male or female sex worker?
在過去的 12 個月中，曾經與性工作者有過性行為（無論男性還是女性）？
12. Been imprisoned in a prison or been held in a lock-up or detention centre?
在過去的 12 個月中，曾經是矯正機關收容人？
13. Had a blood transfusion?
在過去的 12 個月中，曾經接受過輸血？
14. Had (yellow) jaundice or hepatitis or been in contact with someone who has?
在過去的 12 個月中，曾經接觸過有黃疸或肝癌患者？
In the last 6 months have you:
15. Been injured with a used needle (needlestick)?
在過去的 6 個月中，曾經被使用過的針頭刺傷過？
16. Had a blood/body fluid splash to eyes, mouth, nose or to broken skin?
在過去的 6 個月中，曾經有接觸血液或體液在眼睛、嘴巴、鼻子或者是開放性傷口？
17. Had a tattoo (including cosmetic tattooing), body and/or ear piercing, electrolysis or acupuncture (including dry-needling)?
在過去的 6 個月中，有刺青過（包含美容紋身），身體或穿耳洞、紋繡、針灸（包含乾針）。
