During a Routine Health Examination, to Obtain Effective Information Relating

During a routine health examination, to obtain effective information relating to common health problems, the question the nurse could ask a 24-year-old patient that can introduce further assessments is:

A) "Are you sexually active?"
B) "Have you noticed a change in your vision or hearing?"
C) "Do you experience chest pain when exercising?"
D) "Have you ever had the flu or pneumonia immunizations?"