Youth Empowerment Information, Data Collection, and Exploration on Avoidance of Sex (IDEAS)-Pre-Test

IDEAS Young Adult Pretest

Protocol: Survey and Debrief Topic Guide

Contents

Protocol for welcoming participants 2

Young Adult Survey with debrief prompts 7

debrief wrap-up 63

Protocol for welcoming participants

1. CHECK IN EACH PARTICIPANT

   • NOTE TIME IN IF ANYONE LATE

   • HAND OUT SURVEY PACKET, INSTRUCT THEM TO PLEASE WAIT TO OPEN THEM

   • ONCE EVERYONE HAS ARRIVED, START THE GROUP INTRODUCTION

2. GROUP INTRODUCTION: Thanks for helping us out today by sharing your opinions about our survey. My name is [NAME], and these are my colleagues, [NAMES]. We work for a company called Mathematica. Mathematica is conducting a national survey, sponsored by the U.S. Department of Health and Human Services to learn more about the views of teens age 14-18, young adults age 19-24, and parents of teens on teen sexual risk behaviors, as well as opinions and experiences about sex education.

We’re here today because we want to test out the young adult survey with you. You can help us make sure the questions are clear, and to get a sense of how long it takes to complete the survey. Your feedback will help us improve the questions we ask and the instructions we provide to people who participate in the study. We consider each of you an expert in how well our survey works for people your age and thank you again for your help.

OVERVIEW OF DAY: The pretest will take about 2 hours total today. The first step will be for you to fill out the actual survey. In the real study, people will complete the survey on the web. They will complete it in two parts.

For the pretest today, we ask that you fill out both parts. When you’re done, we’d like to take a look at your survey to see if you marked anything as confusing. That way we can ask for your feedback to make the survey better. We’ll ask for your feedback in a small group 75 minutes asking you particular questions about how easy the survey was to understand and fill out. While we will review your answers to see if you had any notes about questions, we will NOT specifically ask you to reveal any of your answers to anyone in the group.

We will be checking the time a lot today because one of our goals in running this pretest is to determine how long the different steps take. Please don’t let our checking the time make you feel rushed or under any pressure. Please take all the time you need to complete the survey.

3. Before you begin the survey, I need to tell you that your participation is completely voluntary and, I’d like to be sure you are aware of a few things before we begin.

1. First, you can skip any question you do not want to answer in the survey and you can decide not to answer any question during our discussion afterwards.

2. Second, your responses will not be shared with anyone outside of the study team.

3. Third, when we write about what we learned from you today we will NOT use your name with any of the information you provide in the survey or in our discussion.

We will be recording the group discussion and will be taking notes as a back-up. This is to ensure that we remember all of your thoughts and ideas when we make improvements to the survey. As a reminder, we will not share this recording with anyone unrelated to the project, and will destroy it once the study is finished.

Does anyone have any questions at this point?

4. USE SCRIPTED INTRODUCTION:

Now, please take the survey out of the packet, it should be marked “Part 1.” Do not begin until we tell you to. On the front page we will ask you to record the time that you begin the survey. After you complete “Part 1,” please raise your hand and someone from the team will come around to mark your completion time and collect the completed survey. We will then hand you “Part 2” of the survey, mark the start time on the front page, and ask that you complete the second survey. When you are done with “Part 2” please raise your hand so that we can help you write down the time you finished and collect your survey.

As you fill out the surveys, please use the highlighter to mark any words that you do not understand or that seem out of date. If you think using different words in a question would make it less confusing or more relatable, please write that down.

In the margins, please also leave us notes about:

-Any questions you thought were confusing.

-Anything you want to ask about how to answer a question.

When we collect your surveys, we will briefly look at them to see if we should ask some questions during the discussion. We won’t focus on your answers to individual questions. We will give your surveys back to you after we are done so that you can have them for the discussion.

We will wait until everyone completes to begin the small group discussion. If you finish before others, you can use the time to use the restroom or take a break.

You may notice that the question numbering is out of order. That was intentional, so you do not have to worry about that as you complete the survey.

This survey will later be programmed as a web survey. There are several questions that will only get asked based on answers given at prior questions and this will happen automatically in the programming of the survey. Since this pretest is on paper and we don’t have the benefit of having the computer skip automatically, we have tried to show these skips in red text at the start of some of the questions. If the red text at the start of the question fits your prior responses, you should answer the question. Otherwise, you should leave the question blank and go to the next question.

Do you have any questions before we begin?

Okay, it is [TIME]. Please write that on the front cover of Part 1 and start.

5. HAVE PARTICIPANTS BEGIN. TIME HOW LONG IT TAKES EACH PARTICIPANT TO FINISH PART 1, WRITING THE FINISH TIME ON THE FRONT COVER. HAND OUT PART 2 WHEN THEY RAISE THEIR HAND. WRITE THE START TIME ON THE FRONT COVER OF PART 2.

6. WHEN PARTICIPANT IS DONE WITH THE SURVEY, WRITE FINISH TIME ON THE FRONT COVER. COLLECT PACKET.

ASK THE RESPONDENTS FOR THEIR SURVEYS SO YOU CAN REVIEW AND RECORD COMMENTS ON THE DEBRIEF GUIDE BELOW. NOTE ANY QUESTIONS THEY MARKED/COMMENTED ON AND ANY QUESTIONS THEY LEFT BLANK THAT SHOULD HAVE BEEN ANSWERED. WHEN YOU ARE DONE, GATHER THE GROUP BACK TOGETHER AND RETURN THEIR COPIES OF THE SURVEY (JUST FOR DEBRIEF).

7. TIME DEBRIEFING. WRITE START AND FINISH TIME ON THE FRONT COVER OF THIS DEBRIEFING GUIDE, WITH DATE AND SESSION TIME. DO NOT GO OVER TIME.

BEGIN DISCUSSION. SESSIONS ARE BEING AUDIORECORDED. CHECK THAT RECORDING HAS BEGUN.

1. Some of the topics we talk about today may be things you don’t talk about a lot with your friends or family. If we ask anything that you don’t want to answer or that makes you feel uncomfortable – please just let me know and we can skip that question.

2. I will use the copy I made with notes from your surveys as a reference for the rest of our time today. Please know we are not concerned about your personal answers to the survey questions. As we go through specific questions, if you feel that you have to reveal your response in order to answer, and you do not feel comfortable doing so, you do not have to answer the question. My goal for today is to get your feedback on how these questions were worded and what your thought process was when you answered these questions, not what your actual answers were.

3. Do you have any questions before we begin?

SURVEY DEBRIEFING QUESTIONS:

We are now going to walk through section by section. I have specific questions, but please let me know as we are going through if there were questions that you had.

Before we begin, does anyone want to share their overall thoughts on the survey? Did anything stick out to you in particular? Were you comfortable answering the survey questions? How do you feel like other people your age will feel when answering this survey?

OMB Control No: 0970-0355

Expiration Date: 05/31/2021

Young Adult Instrument

Youth Empowerment IDEAS

Youth Survey Part 1

Ages 19-24

PRETEST

DEBRIEF START TIME:

THE PAPERWORK REDUCTION ACT OF 1995

Public reporting burden for this collection of information is estimated to average 120 minutes per response, including the time for reviewing instructions, gathering and maintaining the data needed, and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. The collection of this information is voluntary and responses will be kept private to the extent allowed by law. The OMB number for this information collection is 0970-0355 and the expiration date is 05/31/2021.

DEBRIEF FINISH TIME:

Part 1

SECTION A – DEMOGRAPHICS

A2. How old are you?

YEARS

A3. Are you Hispanic or Latino?

 Yes 1

 No 0

A4. What is your race?

Select one or more

 American Indian or Alaska Native 1

 Asian 2

 Black or African American 3

 Native Hawaiian or Pacific Islander 4

 White 5

A5. What sex were you assigned at birth?

Select one only

 Male 1

 Female 2

 Don’t know 3

 Prefer not to answer 4

A6. Which of the following do you currently think of yourself as?

Select one only

 Male 1

 Female 2

 Something else 3

 Prefer not to answer 4

A7. People are different in their sexual attraction to other people. Which best describes your feelings? Are you . . .

Select one only

 Only attracted to females 1

 Mostly attracted to females 2

 Equally attracted to females and males 3

 Mostly attracted to males 4

 Only attracted to males 5

 Questioning/not sure 6

These next few questions are about the people you live with now. When answering these questions, please think about the place you consider to be your main home right now, the place where you spend the most time. If you spend about equal time in two homes, such as with each of your parents who do not live together, answer about the home you consider to be your main one.

A8. Which of the following best describes the relationship between your biological mother and biological father?

Select one only

 They are married to each other 1

 They were married to each other but are now separated or divorced 2

 They were never married to each other 3

 One or both of my biological parents has died 4

 Don’t know 5

NO RESPONSE M

A9. Who lives with you in your home?

Select one or more

 Your biological mother 1

 Your biological father 2

 An adoptive mother 3

 A stepmother 4

 A foster mother 5

 A second mother 6

 An adoptive father 7

 A stepfather 8

 A foster father 9

 A second father 10

 Your parent’s partner, boyfriend, or girlfriend 11

 Any grandmothers 12

 Any grandfathers 13

 Any brothers or sisters 14

 Any aunts, uncles, or other relatives 15

 Your spouse 16

 Your boyfriend or girlfriend 17

 Your children or your partner’s children 18

 Any other people you are not related to 19

A10. In the last 12 months, were you ever employed at a job for pay? Please include full time, part time, and a temporary or summer job.

 Yes 1 GO TO A11

 No 0 GO TO A12a

What kinds of jobs did you think about when you answered this question?

Do you think people will think about a current job they are working at and include it when they are asked about “the last 12 months”? Why or Why not?

ONLY ANSWER IF YOU WERE EMPLOYED AT A JOB FOR PAY IN THE PAST 12 MONTHS

A11. In the last 12 months, did you work all full-time, all part-time, or some of each?

Select one only

 All full time 1

 All part time 2

 Some of each 3

A12a. The next questions are about religion. What religion are you now, if any?

Select one only

 None 0

 Atheist 1

 Agnostic 2

 Catholic 3

 Jewish 4

 Southern Baptist 5

 Baptist 6

 Methodist or African Methodist 7

 Lutheran 8

 Presbyterian 9

 Episcopal or Anglican 10

 Church of Jesus Christ of Latter Day Saints (LDS/Mormon) 11

 Other 99

ONLY ANSWER IF YOU SELECTED “OTHER” FOR THE RELIGION YOU ARE NOW AT A12a

A12b. What religion are you now?

Select one only

 Assemblies of God 12

 Church of Nazarene 13

 The Church of God 14

 The Church of God (Cleveland, TN) 15

 The Church of God in Christ 16

 7th Day Adventist 17

 United Pentecostal Church 18

 Pentecostal Assemblies 19

 Jehovah’s Witness 20

 Christian, another denomination not listed 21

 Christian, no specific denomination 22

 Unitarian Universalist 23

 Greek Orthodox 24

 Other Orthodox 25

 Muslim 26

 Buddhist 27

 Hindu 28

 Other (Please describe) 99

A13. About how often do you attend religious services?

Select one only

 More than once a week 1

 Once a week 2

 2-3 times a month 3

 Once a month (about 12 times a year) 4

 3-11 times a year 5

 Once or twice a year 6

 Never 7

A14. Currently how important is religion in your daily life?

Select one only

 Very important 1

 Somewhat important 2

 Not important 3

A15. In which state do you live?

STATE

A16. In which town or city do you live?

TOWN OR CITY

A17. What is your current ZIP Code?

ZIP CODE

 Don’t know d

SECTION B – RELATIONSHIP WITH PARENTS

In the next section we are going to list some topics you might have talked about with your parent(s) or guardian(s) when you were high school-age, or about 16 years old. We use the term “parent(s)” to refer to both parent(s) and guardian(s). These can include biological, step, foster, or adoptive parents.

B5. Thinking back to when you were high school-age, or about 16 years old, did you ever discuss any of the following with your parent(s)?

SELECT ONE ONLY

	Yes	No
a. School work or grades	1 	0 
b. Shows or videos you watch on TV or online	1 	0 
c. Video games or games you might play on your phone	1 	0 
d. Your social media or internet use	1 	0 
e. What you do with friends	1 	0 
f. Who you are dating	1 	0 
g. Your education and career goals	1 	0 
h. Risks of alcohol and other drug use	1 	0 
i. How to resist pressure to use alcohol and other drugs	1 	0 
j. What makes a good romantic relationship and/or marriage	1 	0 
k. How to resist pressure to have sex as a teen	1 	0 
l. Understanding reproduction, pregnancy, and birth	1 	0 
m. How to avoid situations that could lead to sex as a teen	1 	0 
n. How to get birth control such as condoms, pills, the patch, the shot, the ring, IUD, or an implant	1 	0 
o. Ways to be romantic or have fun in a relationship without having sex	1 	0 
p. Reasons for waiting until marriage to have sex	1 	0 
q. Ways to talk to a romantic partner about the decision to have sex	1 	0 
r. Reasons for not having sex as a teen	1 	0 

What were you picturing when you read “when you were high school-age, or about 16 years old”?

• Do you think it was easier or harder to think about when you were 16 compared to just saying “when you were high school-age”? Why is that?

• Were there any challenges remembering back to high-school age/16 years old? Describe for me how you remembered back to this period of your life as you selected your responses.

• Now let’s look at option j. What comes to mind with the term “good romantic relationship”?

• How about “healthy romantic relationship”?

• In what ways are those phrases similar or different?

• Which phrase do you think is easier or harder to understand? Why is that?

• What is the difference between “rarely” and “sometimes” in the answer scale? How did you decide which one to answer?

• Were any of things listed here confusing or you didn’t understand what it meant?

• Now let’s look at option l. Can you share what this means, in your own words?

• What situations come to mind when reading option m?

• What does option p mean to you? What are some reasons you may discuss with your parents?

• What about option r? For you, are the reasons in option p different than in r? Do you see these as two different conversations with your parents?

B6. Thinking back to when you were high school-age, or about 16 years old, where would you have most preferred to learn about…?

SELECT ONE ONLY

	Parent/ Guardian	Friends	Brother(s)/ Sister(s)	School	Place of Worship	Online	Doctor/Nurse/ Other Health Care Professional	I Didn’t Want to Learn About That
a. Risks of alcohol and other drug use	1 	2 	3 	4 	5 	6 	7 	8 
b. How to resist pressure to use alcohol and other drugs	1 	2 	3 	4 	5 	6 	7 	8 
c. What makes a good romantic relationship and/or marriage	1 	2 	3 	4 	5 	6 	7 	8 
d. How to resist pressure to have sex as a teen	1 	2 	3 	4 	5 	6 	7 	8 
e. Understanding reproduction, pregnancy, and birth	1 	2 	3 	4 	5 	6 	7 	8 
f. How to avoid situations that could lead to sex as a teen	1 	2 	3 	4 	5 	6 	7 	8 
g. How to get birth control such as condoms, pills, the patch, the shot, the ring, IUD, or an implant	1 	2 	3 	4 	5 	6 	7 	8 
h. Ways to be romantic or have fun in a relationship without having sex	1 	2 	3 	4 	5 	6 	7 	8 
i. Reasons for waiting until marriage to have sex	1 	2 	3 	4 	5 	6 	7 	8 
j. Ways to talk to a romantic partner about the decision to have sex	1 	2 	3 	4 	5 	6 	7 	8 
k. Reasons for not having sex as a teen	1 	2 	3 	4 	5 	6 	7 	8 

Are there any people or places where you would prefer to learn about some of these topics that we were missing?

Were there any challenges remembering back to high-school age/16 years old? Describe for me how you remembered back to this period of your life as you selected your responses.

B7. Thinking back to when you were high school-age, or about 16 years old, would you have liked more information about…?

SELECT ONE ONLY

	Yes	No
a. Risks of alcohol and other drug use	1 	0 
b. How to resist pressure to use alcohol and other drugs	1 	0 
c. What makes a good romantic relationship and/or marriage	1 	0 
d. How to resist pressure to have sex as a teen	1 	0 
e. Understanding reproduction, pregnancy, and birth	1 	0 
f. How to avoid situations that could lead to sex as a teen	1 	0 
g. How to get birth control such as condoms, pills, the patch, the shot, the ring, IUD, or an implant	1 	0 
h. Ways to be romantic or have fun in a relationship without having sex	1 	0 
i. Reasons for waiting until marriage to have sex	1 	0 
j. Ways to talk to a romantic partner about the decision to have sex	1 	0 
k. Reasons for not having sex as a teen	1 	0 
l. Any other topic (Please describe)	1 	0 

What sources of information were you thinking of as you answered this?

Did anyone have any issues at this item, anything that wasn’t clear or that we could say better?

The next questions are about how much your parents know about what you did in your free time when you were high school-age, or about 16 years old.

B8. Thinking back to when you were high school-age, or about 16 years old, how often did your parent(s) know…

SELECT ONE ONLY

	Never	Sometimes	Often	Always
a. Where you were when you were away from home in your free time?	1 	2 	3 	4 
b. Who you were with when you were away from home in your free time?	1 	2 	3 	4 
c. What you watched on television or online?	1 	2 	3 	4 
d. About what you were posting on social media such as Instagram, Facebook, Twitter, or Snapchat?	1 	2 	3 	4 
e. Who you were messaging with on social media such as Instagram, Facebook, Twitter, or Snapchat?	1 	2 	3 	4 

Tell me about how you remembered back to high school age/age 16 to answer these questions. Can you give me some examples of what you were thinking about during that time that led you to choose your answers at this item? Was it easy or difficult to remember back to this time period about these topics?

B9. At this time, how close do you feel to your parent(s)?

Select one only

 Not at all close 1

 A little close 2

 Close 3

 Very close 4

B10. In the past month, how often did you feel like you could count on at least one of your parent(s) to be there when you needed them?

Select one only

 None of the time 1

 Some of the time 2

 Most of the time 3

 All of the time 4

B11. In the past month, how often did you feel like you could talk with your parent(s) about things that really matter?

Select one only

 None of the time 1

 Some of the time 2

 Most of the time 3

 All of the time 4

B12. In the past month, how often did you feel like you could share your thoughts and feelings with your parent(s)?

Select one only

 None of the time 1

 Some of the time 2

 Most of the time 3

 All of the time 4

SECTION C – ATTITUDES AND OPINIONS ABOUT WORK, EDUCATION, AND RELATIONSHIPS

How much do you agree or disagree with each of the following statements?

C1. It is better to graduate from high school before getting a full-time job.

Select one only

 Strongly agree 1

 Agree 2

 Disagree 3

 Strongly disagree 4

C2. It is better to get a full-time job before getting married.

Select one only

 Strongly agree 1

 Agree 2

 Disagree 3

 Strongly disagree 4

C3. It is better to have children before getting a full-time job.

Select one only

 Strongly agree 1

 Agree 2

 Disagree 3

 Strongly disagree 4

INTERVIEWER: CHECK THIS RESPONSE-DID THEY SEEM TO NOTICE THE DIRECTION CHANGED?

C4. It is better to get married before having children.

Select one only

 Strongly agree 1

 Agree 2

 Disagree 3

 Strongly disagree 4

Let’s take a few minutes to look at items C1-C4. What were your thoughts as you completed this section?

How do you think other people your age would answer these?

C5. A couple should not live together unless they are married.

Select one only

 Strongly agree 1

 Agree 2

 Disagree 3

 Strongly disagree 4

C6. Do you think that types of birth control that are effective for long periods of time, like an IUD or an implant, are easy for teens to get?

Select one only

 Yes 1

 No 2

 Not sure 3

Have you all heard of an IUD or implant?

Do you think other people your age have? Do you think it varies by gender?

C7. Do you think that types of birth control that are effective for long periods of time, like an IUD or an implant, make teens more likely to have sex?

Select one only

 Yes 1

 No 2

 Not sure 3

Tell me your thoughts about this question. Was it hard or easy to answer?

Will people your age be able to understand this question?

C8. These next questions are about your education. Are you currently enrolled in school? If you are homeschooled instead of attending a public or private school for some or all classes, please select “yes.”

Select one only

 Yes 1

 Yes, but my school is currently on break 2

 No 0

C9. Do you have a high school diploma, a high school equivalency certificate (such as a GED or HiSET), both, or neither?

 High school diploma only 1

 High school equivalency only 2

 Both 3

 Neither 4

ONLY ANSWER IF YOU ARE CURRENTLY IN SCHOOL AND HAVE NOT COMPLETED HIGH SCHOOL/GED

C10. What type of school are you currently enrolled in?

 Private, Catholic 1

 Private, religious, but not Catholic 2

 Private, not religious 3

 Public or charter school 4

 Homeschool for some or all classes 5

 Other (Please describe) 99

ONLY ANSWER IF YOU ARE CURRENTLY IN SCHOOL AND HAVE NOT COMPLETED HIGH SCHOOL/GED

C11. What grade are you currently in?

Select one only

 5th grade 1

 6th grade 2

 7th grade 3

 8th grade 4

 9th grade 5

 10th grade 6

 11th grade 7

 12th grade 8

IF YOU ARE CURRENTLY IN SCHOOL AND HAVE NOT COMPLETED HIGH SCHOOL SKIP TO C14

ONLY ANSWER IF YOU ARE CURRENTLY ENROLLED IN SCHOOL AND HAVE COMPLETED HIGH SCHOOL/GED

C12. Which type of school are you currently enrolled in?

Select one only

 Business, technical, or vocational school after high school 1

 2-year college (community or junior college) 2

 4-year college or university 3

 Graduate or professional school (for example MA or PhD program, or medical or law school) 4

 Other (Please describe) 99

ONLY ANSWER IF YOU ARE NOT CURRENTLY ENROLLED AND HAVE NOT COMPLETED HIGH SCHOOL/GED

C13. What is the highest grade in school that you have completed?

Select one only

 8th grade or lower 1

 9th grade 2

 10th grade 3

 11th grade 4

 12th grade (but did not graduate or receive a high school equivalency certificate or alternative certificate) 5

SKIP THIS ITEM IF YOU ARE CURRENTLY ENROLLED IN A 2-YEAR OR 4-YEAR COLLEGE

C14. How likely is it that you will go to college? By college we mean a 2-year college or 4-year college/university.

Select one only

 Definitely will not 1

 Unlikely to go 2

 Likely to go 3

 Definitely will go 4

C15. Are you married, widowed, divorced, separated, or have you never been married?

Select one only

 Married 1 GO TO C18

 Widowed 2 GO TO C16

 Divorced 3 GO TO C16

 Separated 4 GO TO C16

 Never been married 5 GO TO C16

SKIP THIS ITEM IF YOU ARE MARRIED

C16. Do you have a boyfriend or girlfriend?

 Yes 1 GO TO C17

 No 0 GO TO C18

ONLY ANSWER IF YOU HAVE A BOYFRIEND OR GIRLFRIEND

C17. Are you currently living with your boyfriend or girlfriend?

 Yes 1 GO TO C19

 No 0 GO TO C18

ONLY ANSWER IF YOU ARE MARRIED OR IF YOU ARE NOT CURRENTLY LIVING WITH A BOYFRIEND OR GIRLFRIEND

C18. Have you ever lived with a boyfriend or girlfriend?

 Yes 1 GO TO C19

 No 0 GO TO C20

ONLY ANSWER IF YOU ARE CURRENTLY LIVING OR HAVE EVER LIVED WITH A BOYFRIEND OR GIRLFRIEND

C19. Thinking about the most recent boyfriend or girlfriend you live or lived with, which statement is closest to the way you feel or felt about the level of commitment in that relationship compared to what you expect is the level of commitment in a marriage?

Select one only

 My level of commitment in that relationship is or was the same as the level of commitment I’d have in a marriage 1

 My level of commitment in that relationship is or was less than the level of commitment I’d have in a marriage 2

 My level of commitment in that relationship is or was more than the level of commitment I’d have in a marriage 3

Now let’s talk about C19. Before re-reading this question, I am curious if you had an expectation about the level of commitment in a future marriage? Have you thought about that?

What does commitment mean to you?

ONLY ANSWER IF YOU ARE NOT CURRENTLY LIVING WITH A BOYFRIEND/GIRLFRIEND

C20. In the future, how likely is it that you will live with a boyfriend or girlfriend?

Select one only

 Definitely will not 1

 Unlikely 2

 Likely 3

 Definitely will 4

SKIP THIS ITEM IF YOU ARE MARRIED

C21. In the future, how likely is it that you will live with a boyfriend or girlfriend that you intend to marry?

Select one only

 Definitely will not 1

 Unlikely 2

 Likely 3

 Definitely will 4

ONLY ANSWER IF YOU HAVE NEVER BEEN MARRIED

C22a. The next few questions are about marriage. How likely is it that you will ever get married?

Select one only

 Definitely will not 1

 Unlikely 2

 Likely 3

 Definitely will 4

ONLY ANSWER IF YOU HAVE NEVER BEEN MARRIED

C22b. Do you want to get married someday?

Select one only

 Yes 1

 No 2

 I’m not sure 3

ONLY ANSWER IF YOU HAVE NEVER BEEN MARRIED AND YOU THINK IT IS LIKELY YOU WILL GET MARRIED OR YOU DEFINITELY WILL GET MARRIED

C23. How likely is it that you will get married before you turn 30?

Select one only

 Definitely will not 1

 Unlikely 2

 Likely 3

 Definitely will 4

ONLY ANSWER IF YOU ARE CURRENTLY LIVING WITH A BOYFRIEND/GIRLFRIEND

C24. How likely is it that you and the partner you currently live with will marry each other?

Select one only

 Definitely will not 1

 Unlikely 2

 Likely 3

 Definitely will 4

C25. How likely is it that you will have a child or father a child without being married?

Select one only

 Definitely will not 1

 Unlikely 2

 Likely 3

 Definitely will 4

SECTION D – ATTITUDES AND BELIEFS ABOUT YOUTH SEXUAL BEHAVIOR

The following questions are about your attitudes and beliefs about youth sexual behaviors. Sexual behaviors, or “sex,” can include:

Vaginal sex: when a male puts his penis into a female's vagina.

Anal sex: when a male puts his penis in another’s anus, butt, or rectum.

Oral sex: when someone stimulates another’s genitals with the mouth.

D1. Which of the following statements is closest to your view about people your age having sex?

Select one only

 It is okay for people my age to have sex if both people agree and use protection against pregnancy and STDs/STIs 1

 It is not okay for people my age to have sex even if both people agree and use protection against pregnancy and STDs/STIs 2

What were your thoughts as you answered this question? Was it difficult or easy for you to select a response?

Was there anything else you wanted to see in one of the response options? Anything you think we are missing?

D2. Which of the following statements is closest to your view about sex and marriage?

Select one only

 It is okay for people to have sex before they are married 1

 Having sex is something only married people should do 2

How much do you agree or disagree with each of the following statements?

D3. After teens have had sex it is possible to later decide to abstain from sex (not have sex).

Select one only

 Strongly agree 1

 Agree 2

 Disagree 3

 Strongly disagree 4

Can you please tell me what this item means, in your own words?

D4. Oral sex is not as big of a deal as vaginal sex.

Select one only

 Strongly agree 1

 Agree 2

 Disagree 3

 Strongly disagree 4

D5. It is okay for people your age to have sex if both partners think they are ready.

Select one only

 Strongly agree 1

 Agree 2

 Disagree 3

 Strongly disagree 4

D6. At your age right now, having sex would be okay if you have been dating one person for a long time.

Select one only

 Strongly agree 1

 Agree 2

 Disagree 3

 Strongly disagree 4

D7. At your age right now, having sex is okay if you or your partner are using birth control.

Select one only

 Strongly agree 1

 Agree 2

 Disagree 3

 Strongly disagree 4

D8. How common or typical do you think it is for teens to…

SELECT ONE ONLY

	Very common	Somewhat common	Not common
a. Smoke cigarettes or vape?	1 	2 	3 
b. Drink beer or other alcohol?	1 	2 	3 
c. Use marijuana?	1 	2 	3 
d. Use other drugs?	1 	2 	3 
e. Have sex?	1 	2 	3 

ONLY ANSWER IF YOU THINK Having sex is very OR SOMEWHAT common IN D8E

D9. Which of the following makes you think that having sex is common for teens?

Select one or more

 Movies or television 1

 Music 2

 Books or magazines 3

 Social media, such as Instagram, Facebook, Twitter, or Snapchat 4

 Pornography 5

 Sexting 6

 Websites designed to answer teens’ questions about sex 7

 A sex education class 8

 Condom demonstrations, where someone is showing how a condom is used 9

 Condom distribution, where condoms are offered to people my age for free 10

 Other places (Please describe) 11

 Friends and peers 12

 Boyfriend or girlfriend 13

 My parents 14

 Brothers or sisters 15

 Other adults (not my parents) (Please describe) 16

 None of these 17

Take a look at option 6. What does the term “Sexting” mean to you?

Now let’s look at option 7. Websites designed to answer teens’ questions about sex. Tell me what that means to you.

Is there anything we are missing from the list or that seems out of place here?

D10. Which of the following statements is closest to your view about people your age having sex?

Select one only

 It’s okay for someone my age to have sex with someone they do not really know well 1

 It’s okay for someone my age to have sex only if they are in a committed relationship or exclusively dating someone 2

 It’s not okay for someone my age to have sex 3

Is there anything missing from the responses here? How easy or difficult was this to answer?

THANK YOU!

You have reached the end of the survey.

Please let the survey administrator know you are finished.

OMB Control No: 0970-0355

Expiration Date: XX/XX/XXXX

Youth Empowerment IDEAS

Youth Survey Part 2

Ages 19-24

PRETEST

Part 2

SECTION E – KNOWLEDGE OF YOUTH SEXUAL RISK BEHAVIORS

In this part of the survey we will ask questions about knowledge about youth sexual risk behaviors, attitudes and opinions related to sex education classes and questions about your own experiences. The first section is about your knowledge of youth sexual risk behaviors.

These questions ask about sexual activity, pregnancy, birth control, such as condoms, pills, the patch, the shot, the ring, IUD, or an implant, and HIV/AIDS and other sexually transmitted diseases (also known as STDs or STIs).

E1. About how many high school age youth do you think have had sex?

Select one only

 More than 3/4 1

 Between 1/2 and 3/4 2

 Between 1/4 and 1/2 3

 Less than 1/4 4

Without looking at the response options, in your own words, how many high school age youth do you think have had sex?

Did our response options make it easier or harder to answer?

How did you define sex in this question?

E2. What do you think is true about teen sex today, compared to teen sex 25 years ago?

Select one only

 A larger percentage of teens are having sex today compared to 25 years ago 1

 About the same percentage of teens are having sex today compared to 25 years ago 2

 A smaller percentage of teens are having sex today compared to 25 years ago 3

I’m interested to hear more about how you came to your answer at this question. Can you talk me through what you were thinking and how you decided on a response?

INTERVIEWER: IF NOT BROUGHT UP, ASK—What age group were you thinking about?

E3. Which of the following methods of birth control is the most effective at preventing pregnancy, if it is used consistently and correctly? Your best guess is fine.

Select one only

 Not having vaginal sex (abstinence) 1

 Birth control pills 2

 Condoms 3

 An IUD (such as Mirena or ParaGard) or implant (Nexplanon) 4

PLEASE EXCLUDE RESPONSE SELECTED IN E3

E4. Which is the second most effective method at preventing pregnancy, if used consistently and correctly? Your best guess is fine.

Select one only

 Not having vaginal sex (abstinence) 1

 Birth control pills 2

 Condoms 3

 An IUD (such as Mirena or ParaGard) or implant (Nexplanon) 4

PLEASE EXCLUDE RESPONSES SELECTED IN E3 AND E4

E5. Which is the third most effective method at preventing pregnancy, if used consistently and correctly? Your best guess is fine.

Select one only

 Not having vaginal sex (abstinence) 1

 Birth control pills 2

 Condoms 3

 An IUD (such as Mirena or ParaGard) or implant (Nexplanon) 4

Was this question understandable? Was there anything you were confused or wondering about?

IF NOT UNDERSTANDABLE: Do you have any ideas on how we could ask this more clearly?

How confident do you feel in your responses here? (OR, How easy or hard to you think this will be for people your age to answer?)

The next statements are about sexually transmitted diseases, also known as STDs or STIs, including HIV/AIDS.

Please select whether you think the following statements are true, false, or you don’t know.

E6. You can get an STD or STI from having oral or anal sex.

Select one only

 True 1

 False 2

 Don’t Know 3

E7. An IUD (such as Mirena or ParaGard) or implant (Nexplanon) can reduce the risk of getting an STD or STI.

Select one only

 True 1

 False 2

 Don’t know 3

E8. Birth control pills can decrease the risk of STDs or STIs.

Select one only

 True 1

 False 2

 Don’t know 3

E9. Condoms can decrease the risk of STDs or STIs.

Select one only

 True 1

 False 2

 Don’t know 3

SECTION F – EXPOSURE AND OPINIONS ABOUT SEX EDUCATION

The next questions are about any classes, sessions, or programs you may have had on sex education. These are classes that cover things like pregnancy, waiting to have sex, birth control, such as condoms, pills, the patch, the shot, the ring, IUD, or an implant, and sexually transmitted diseases (also known as STDs or STIs).

F1. Did you ever have sex education as part of a class or program in school?

 Yes 1

 No 0

I want to hear more about how you came up with your answer at this question. Tell me what you thought about when you answered this question.

Was it easy or difficult to remember these types of classes and the topics covered? Walk me through how you remembered the topics covered.

IF YOU HAVE NEVER HAD SEX EDUCATION IN SCHOOL

GO TO F9.

ONLY ANSWER IF YOU HAD SEX EDUCATION IN SCHOOL

F2. Who led or taught the sex education class or program in school?

Select one or more

 A teacher from your school (such as a health teacher, biology teacher or gym teacher) 1

 A school counselor or school nurse 2

 An adult who is not a teacher at your school 3

 A student who was trained to lead or teach the class 4

 Don't know d

ONLY ANSWER IF YOU HAD SEX EDUCATION IN SCHOOL

F3. In what grades did you have sex education in school?

Select one or more

 5th grade or below 1

 6th grade 2

 7th grade 3

 8th grade 4

 9th grade 5

 10th grade 6

 11th grade 7

 12th grade 8

How easy or difficult was it to answer this question?

Did you need to guess?

ONLY ANSWER IF YOU HAD SEX EDUCATION IN SCHOOL

F4. How much do you agree or disagree with the following statement? The sex education I had in school prepared me to make good decisions about sex.

Select one only

 Strongly agree 1

 Agree 2

 Disagree 3

 Strongly disagree 4

Can you talk me through how you came up with your answer to this one?

ONLY ANSWER IF YOU HAD SEX EDUCATION IN SCHOOL

F5. Did the sex education you had in school discuss any of the following topics?

	SELECT ONE ONLY
	Yes	No	Don’t Remember
a. Birth control, such as condoms, birth control pills, the patch, the shot, the ring, IUD, or an implant	1 	0 	d 
b. Effectiveness of birth control for preventing HIV/AIDS and other STDs or STIs	1 	0 	d 
c. Effectiveness of birth control for preventing pregnancy	1 	0 	d 
d. Where or how to get birth control	1 	0 	d 
e. How to use a condom	1 	0 	d 
f. How to use other methods of birth control	1 	0 	d 
g. Female and male reproductive systems (including information about sex organs and the menstrual cycle or period)	1 	0 	d 
h. How pregnancy occurs	1 	0 	d 
i. How to avoid pregnancy	1 	0 	d 
j. How to avoid getting HIV/AIDS and other STDs or STIs	1 	0 	d 
k. Having healthy romantic relationships (dating and marriage)	1 	0 	d 
l. Developing communication skills	1 	0 	d 
m. Consequences of having sex as a teen	1 	0 	d 
n. Consequences of pregnancy as a teen	1 	0 	d 
o. Waiting to have sex until after you graduate from high school	1 	0 	d 
p. Waiting to have sex until you are married	1 	0 	d 
q. How to say no to sex	1 	0 	d 
r. Strategies for avoiding unwanted sex	1 	0 	d 
s. How to make sex pleasurable	1 	0 	d 
t. How to talk to your partner about sex and using birth control	1 	0 	d 
u. How to talk to your parents about sex	1 	0 	d 
v. How alcohol or drugs might affect decisions about having sex	1 	0 	d 
w. Setting goals and making plans for your future	1 	0 	d 
x. The importance of consent (both partners agreeing) before engaging in sex	1 	0 	d 
y. How to get out of unhealthy romantic relationships	1 	0 	d 
z. Having sex as a teen is okay	1 	0 	d 
aa. Other topic (Please describe)	1 	0 	d 

How easy or difficult was it to answer this question?

In your own words, without looking over the list, what did you discuss in sex education classes?

Were there any responses in this list that seemed odd to you or that you had trouble understanding?

Let’s look at options g & h. What do you see as the difference between these responses?

Now let’s look at option m. Did you think about pregnancy when you responded to m? Anything else?

F6. Thinking back to the sex education you received in school, did you hear any of the following messages?

SELECT ONE ONLY

	Yes	No	Don’t Remember
a. Avoiding sex as a teen can help you reach your goals	1 	0 	d 
b. Avoiding sex as a teen is best, but if you do decide to have sex, birth control and protection from STDs/STIs should be used	1 	0 	d 
c. Having sex as a teen can be a positive thing	1 	0 	d 

Thinking back to the sex education you received, were there other main messages that we are missing here?

What does “messages” mean to you?

ONLY ANSWER IF YOU HAD SEX EDUCATION IN MIDDLE SCHOOL GRADES (5th-8th)

F7. Some sex education classes in middle schools teach about abstinence (not having sex), some teach about birth control and sexually transmitted diseases, and some teach about both. Which of the following best describes the main focus of your middle school sex education class or classes?

 Teaching you to abstain from sex (not have sex) 1

 Teaching you about birth control and sexually transmitted diseases 2

 A combination of teaching you to abstain from having sex and teaching you about birth control and sexually transmitted diseases 3

 Something else was the main focus of the sex education class 4

 Don’t remember 5

ONLY ANSWER IF YOU HAD SEX EDUCATION IN HIGH SCHOOL GRADES (9th-12th)

F8. Some sex education classes in high schools teach about abstinence (not having sex), some teach about birth control and sexually transmitted diseases, and some teach about both. Which of the following best describes the main focus of your high school sex education class or classes?

Select one only

 Teaching you to abstain from sex (not have sex) 1

 Teaching you about birth control and sexually transmitted diseases 2

 A combination of teaching you to abstain from having sex and teaching you about birth control and sexually transmitted diseases 3

 Something else was the main focus of the sex education class 4

 Don’t remember 5

For F7 & F8, how easy or hard was it for you to remember the main focus of your sex education?

F9. Sex education can include a variety of topics. For each of the following topics, do you think the topic is appropriate for middle school students – that is, grades 6 through 8 – high school students – that is, grades 9 through 12 – both age groups, or neither age group?

SELECT ONE ONLY

	Appropriate for middle school students	Appropriate for high school students	Appropriate for both middle and high school students	Not appropriate for middle or high school students
a. Birth control, such as condoms, birth control pills, the patch, the shot, the ring, IUD, or an implant	1 	2 	3 	4 
b. Effectiveness of birth control for preventing HIV/AIDS and other STDs or STIs	1 	2 	3 	4 
c. Effectiveness of birth control for preventing pregnancy	1 	2 	3 	4 
d. Where or how to get birth control	1 	2 	3 	4 
e. How to use a condom	1 	2 	3 	4 
f. How to use other methods of birth control	1 	2 	3 	4 
g. Female and male reproductive systems (including information about sex organs and the menstrual cycle or period)	1 	2 	3 	4 
h. How pregnancy occurs	1 	2 	3 	4 
i. How to avoid pregnancy	1 	2 	3 	4 
j. How to avoid getting HIV/AIDS and other STDs or STIs	1 	2 	3 	4 
k. Having healthy romantic relationships (dating and marriage)	1 	2 	3 	4 
l. Developing communication skills	1 	2 	3 	4 
m. Consequences of having sex as a teen	1 	2 	3 	4 
n. Consequences of pregnancy as a teen	1 	2 	3 	4 
o. Waiting to have sex until after you graduate from high school	1 	2 	3 	4 
p. Waiting to have sex until you are married	1 	2 	3 	4 
q. How to say no to sex	1 	2 	3 	4 
r. Strategies for avoiding unwanted sex	1 	2 	3 	4 
s. How to make sex pleasurable	1 	2 	3 	4 
t. How to talk to your partner about sex and using birth control	1 	2 	3 	4 
u. How to talk to your parents about sex	1 	2 	3 	4 
v. How alcohol or drugs might affect decisions about having sex	1 	2 	3 	4 
w. Setting goals and making plans for your future	1 	2 	3 	4 
x. The importance of consent (both partners agreeing) before engaging in sex	1 	2 	3 	4 
y. How to get out of unhealthy romantic relationships	1 	2 	3 	4 
z. Having sex as a teen is okay	1 	2 	3 	4 
aa. Other topic (Please describe)	1 	2 	3 	4 

A number of topics are covered in this question.

Do any topics seem like they don’t belong?

Can you think of any topics that are missing?

F10. Did you ever have or are you currently taking any sex education outside of school? This could be at a place of worship, community center, after school program at school, clinic or some other place outside of the normal school day.

 Yes 1

 No 0

SECTION G – SEXUAL RISK BEHAVIORS

The following questions are about sex. Oral sex is when someone stimulates another’s genitals with the mouth. Vaginal sex is when a male puts his penis into a female's vagina. Anal sex is when a male puts his penis in another’s anus, butt, or rectum.

Please remember that these questions are for research purposes only and that no one, including your parents, will ever see your answers.

G1. Have you ever had sex? By sex we mean oral sex, vaginal sex, or anal sex.

SELECT ONE ONLY

	Yes	No
a. Oral sex	1 	0 
b. Vaginal sex	1 	0 
c. Anal sex	1 	0 

IF YOU SAID NO TO ALL TYPES IN G1a-c GO TO G22.

DO NOT ANSWER G2 THROUGH G21.

IF YOU SAID YES TO ANY G1a-c, GO TO G2.

ONLY ANSWER IF YOU EVER HAD ANY KIND OF SEX

G2. During your life, with how many people have you had oral, vaginal, or anal sex with?

YOUR RESPONSE CAN BE FOR ANY OF THE TYPES OF SEX YOU SAID “YES” TO AT G1

Select one only

 1 person 1

 2 people 2

 3 people 3

 4 people 4

 5 people 5

 6 or more people 6

ONLY ANSWER IF YOU EVER HAD ANY KIND OF SEX

G3. When you have sex how often do you use condoms?

Select one only

 All of the time 1

 Most of the time 2

 Some of the time 3

 Never 4

ONLY ANSWER IF WHEN YOU HAVE SEX YOU USE CONDOMS MOST OF THE TIME SOME OF THE TIME OR NEVER

G3a. Below are some reasons people may not use condoms. What are the reasons that you have not used condoms when having sex?

Select one or more

 Condoms are against your personal values or religious beliefs to use 1

 Condoms are embarrassing to buy 2

 You don’t know how to use condoms 3

 You don’t think sex feels as good when a condom is used 4

 Your partner did not want to use one 5

 It is too hard to stop “in the moment” to use a condom 6

 Condoms are too expensive 7

 You or your partner didn’t have one with you 8

 You did not feel comfortable asking your partner to use one 9

 You are having sex with just one partner 10

 You or your partner(s) are using other birth control 11

 You and/or your partner(s) have been tested for STD/STIs 12

 You or your partner(s) are using other birth control 13

 Something else (Please describe) 14

ONLY ANSWER IF YOU HAVE HAD VAGINAL SEX

G4. When you have sex how often do you use other forms of birth control, not including condoms?

Select one only

 All of the time 1

 Most of the time 2

 Some of the time 3

 Never 4

ONLY ANSWER IF YOU HAVE HAD MORE THAN ONE KIND OF SEX (ORAL, VAGINAL, OR ANAL)

G5. Thinking back to the first time you had sex, what kind of sex did you have?

Select one or more

 Oral sex 1

 Vaginal sex 2

 Anal sex 3

ONLY ANSWER IF YOU HAVE EVER HAD ANY KIND OF SEX (ORAL, VAGINAL, OR ANAL)

G6. How old were you when you had sex for the first time?

Select one only

 14 years old or younger 1

 15 years old 2

 16 years old 3

 17 years old 4

 18 years old 5

 19 years old 6

 20 years old 7

 21 years old 8

 22 years old 9

 23 years old 10

 24 years old 11

ONLY ANSWER IF YOU HAVE EVER HAD ANY KIND OF SEX (ORAL, VAGINAL, OR ANAL)

G7. The first time you had sex, how would you describe your relationship with the other person?

Select one only

 Married 1

 Engaged 2

 Living together, but not engaged 3

 In a committed relationship or exclusively dating someone 4

 Going out with the person once in a while 5

 Just friends 6

 Someone I did not really know well 7

 Something else 99

Let’s take a look at these response options.

Which ones were the hardest to understand?

• Why is that?

• Can you think of another way to describe that kind of relationship?

• How about the fourth option, “in a committed relationship or exclusively dating someone”? What does that phrase mean to you?

ONLY ANSWER IF YOU HAVE EVER HAD ANY KIND OF SEX (ORAL, VAGINAL, OR ANAL)

G8a. Which would you say comes closest to describing how much you wanted that first sexual experience to happen?

Select one only

 I really didn’t want it to happen at that time 1

 I had mixed feelings - part of me wanted it to happen at that time and part of me didn't 2

 I really wanted it to happen at that time 3

ONLY ANSWER IF YOU HAVE EVER HAD ANY KIND OF SEX (ORAL, VAGINAL, OR ANAL)

G8b. Thinking back to the first time you had sex, which comes closest to how you feel about it now?

Select one only

 I wish I had waited longer 1

 It was the right time to have sex 2

 I wish I had had sex earlier 3

ONLY ANSWER IF YOU HAVE EVER HAD ANY KIND OF SEX (ORAL, VAGINAL, OR ANAL)

G9. Thinking about the first time you had sex, how much influence did each of the following have on your decision to have sex?

SELECT ONE ONLY

	A lot	Some	Not much	No influence
a. You were curious about what sex was like	1 	2 	3 	4 
b. You hoped it would make your relationship stronger	1 	2 	3 	4 
c. The other person wanted to	1 	2 	3 	4 
d. Many of your friends had already done it	1 	2 	3 	4 
e. You were drinking or using other drugs at the time	1 	2 	3 	4 
f. You were in love with the person	1 	2 	3 	4 
g. You were/are planning to marry the person	1 	2 	3 	4 
h. Sex you had seen on TV, the internet, or the movies	1 	2 	3 	4 
i. You felt prepared and knowledgeable about birth control and protection from STIs	1 	2 	3 	4 
j. You wanted to get it over with	1 	2 	3 	4 
k. You did it to make someone else jealous or angry	1 	2 	3 	4 
l. You were married	1 	2 	3 	4 

If someone your age had engaged in more than one type of sex, what kind or kinds of sex do you think they would consider when answering this question? Why is that?

In your own words, what do you think “influence” means in this question? Can you think of a word or phrase that would be easier to understand?

What do you think about the “not much” answer choice? What if it were “a little” instead? How does that change the meaning for you, if at all? Which one do you think is easier to understand?

ONLY ANSWER IF YOU HAVE HAD VAGINAL SEX

G10. The first time you had vaginal sex, what method did you or the other person use to prevent pregnancy, if any?

Select one or more

 No method was used 1

 Birth control pills 2

 Condoms 3

 An IUD (such as Mirena or ParaGard) or implant (such as Nexplanon) 4

 A shot (such as Depo-Provera), a patch (such as Ortho Evra), or birth control ring (such as NuvaRing) 5

 Withdrawal or pulling out 6

 Natural family planning or fertility awareness methods 7

 Some other method 8

 Not sure or don’t remember 9

Now let’s look at option 7. What does “natural family planning” mean to you?

How about “fertility awareness methods”?

What do you think the term “timing based on the menstrual cycle” means?

How about “the calendar or rhythm method”?

What words or phrases would be easiest to understand for option 7? Why is that?

ONLY ANSWER IF YOU EVER HAD ANY KIND OF SEX (ORAL, VAGINAL, OR ANAL); SKIP IF YOU ARE CURRENTLY MARRIED, WIDOWED, DIVORCED OR SEPARATED

G11. Do your parents know you have had sex?

 Yes 1 GO TO G12

 No 0 GO TO G13

 Don’t know d GO TO G13

ONLY ANSWER IF PARENTS KNOW YOU HAVE HAD SEX

G12. What do your parents think about the fact that you have had sex?

Select one only

 Strongly approve 1

 Approve 2

 Neither approve nor disapprove 3

 Disapprove 4

 Strongly disapprove 5

 Don’t know d

How easy or hard do you it would be for people your age to answer this?

ONLY ANSWER IF YOU HAVE HAD VAGINAL SEX

G13. Have you ever had a baby or fathered any children?

 Yes 1

 No 0

 Don’t know d

The next few questions are about the last 6 months.

ONLY ANSWER IF YOU HAVE HAD ANY KIND OF SEX (ORAL, VAGINAL, OR ANAL)

G14. Have you had oral sex, vaginal sex, or anal sex in the last 6 months?

 Yes 1 GO TO G17

 No 0 GO TO G15

ONLY ANSWER IF YOU HAVE HAD ANY KIND OF SEX, BUT NOT IN LAST 6 MONTHS

G15. Which of the following best describes why you did not have sex in the last 6 months?

 You decided you did not want to have sex, even if you had the chance 1 GO TO G16a

 You would have liked to have had sex, but did not have the chance 2 GO TO G21

How easy or hard do you think it would be for someone your age to answer this question?

IF YOU ANSWERED G15=2, SKIP To G21.

DO NOT ANSWER G16-G20.

ONLY ANSWER IF YOU DECIDED YOU DID NOT WANT TO HAVE SEX, EVEN IF YOU HAD THE CHANCE

G16a. How important to you is each of the following reasons why you have not had sex in the last 6 months?

SELECT ONE ONLY

	Not important at all	Not too important	Somewhat important	Very important
a. My family’s values or religious beliefs	1 	2 	3 	4 
b. My own personal values or religious beliefs	1 	2 	3 	4 
c. It would make me feel bad about myself	1 	2 	3 	4 
d. Because I want to wait until I am in a long-term relationship	1 	2 	3 	4 
e. Because I want to wait until marriage	1 	2 	3 	4 
f. I don't want to be judged negatively by my peers	1 	2 	3 	4 
g I feel I am too young to have sex	1 	2 	3 	4 
h. I feel that sex gets in the way of achieving the goals I have for myself	1 	2 	3 	4 
i. I don't want to get pregnant or get my partner pregnant	1 	2 	3 	4 
j. I don't want to get an STD or STI	1 	2 	3 	4 
k. I’m in a relationship, but we are not ready yet	1 	2 	3 	4 
l. I had a bad experience with sex	1 	2 	3 	4 
m. I haven’t found the right person yet	1 	2 	3 	4 
n. I didn’t like sex	1 	2 	3 	4 
o. I wish I had waited longer to have sex	1 	2 	3 	4 
p. I am not ready for the emotions involved with having sex	1 	2 	3 	4 
q. Other reason (Please describe)	1 	2 	3 	4 

Let’s look at response option p. What does this mean to you?

Were there any response options in this list of reasons to not have sex that stood out to you? Why is that? Do you think we should phrase anything differently to make the question easier to answer?

ONLY ANSWER IF YOU SELECTED ANY REASONS IN G16A WERE “SOMEWHAT IMPORTANT” OR “VERY IMPORTANT”; SKIP IF ALL YOUR RESPONSES AT G16A ARE NOT IMPORTANT AT ALL

G16b. Which is the most important reason to you for not having sex?

Select one only

 My family’s values or religious beliefs 1

 My own personal values or religious beliefs 2

 It would make me feel bad about myself 3

 Because I want to wait until I am in a long-term relationship 4

 Because I want to wait until marriage 5

 I don't want to be judged negatively by my peers 6

 I feel I am too young to have sex 7

 I feel that sex gets in the way of achieving the goals I have for myself 8

 I don't want to get pregnant or get my partner pregnant 9

 I don't want to get an STD or STI 10

 I’m in a relationship, but we are not ready yet 11

 I have had a bad experience with sex 12

 I haven’t found the right person yet 13

 I didn’t like sex 14

 I wish I had waited longer to have sex 15

 I am not ready for the emotions involved with having sex 16

 Something else (Please describe) 99

AFTER ANSWERING G16b, SKIP TO G21

ONLY ANSWER G17 IF YOU HAVE HAD SEX IN LAST 6 MONTHS

ONLY ANSWER IF YOU HAVE HAD ANY KIND OF SEX IN THE LAST 6 MONTHS (ORAL, VAGINAL, OR ANAL)

G17. Thinking back to the most recent time you had sex, what kind of sex did you have?

Select all that apply

 Oral sex 1

 Vaginal sex 2

 Anal sex 3

ONLY ANSWER IF YOU HAVE HAD ANY KIND OF SEX IN THE LAST 6 MONTHS (ORAL, VAGINAL, OR ANAL)

G18. The most recent time you had sex, how would you describe your relationship with the other person?

Select one only

 Married 1

 Engaged 2

 Living together, but not engaged 3

 In a committed relationship or going steady 4

 Going out with the person once in a while 5

 Just friends 6

 Someone I did not really know 7

 Something else (Please describe) 99

ONLY ANSWER IF YOU HAVE HAD ANY KIND OF SEX IN THE LAST 6 MONTHS (ORAL, VAGINAL, OR ANAL)

G19. Which would you say comes closest to describing how much you wanted your most recent sexual experience to happen?

Select one only

 I really didn’t want it to happen at that time 1

 I had mixed feelings - part of me wanted it to happen at that time and part of me didn't 2

 I really wanted it to happen at that time 3

ONLY ANSWER IF YOU HAVE HAD VAGINAL SEX IN THE LAST 6 MONTHS

G20. The most recent time you had vaginal sex, what method did you or the other person use to prevent pregnancy, if any?

Select one or more

 No method was used 1

 Birth control pills 2

 Condoms 3

 An IUD (such as Mirena or ParaGard) or implant (such as Nexplanon) 4

 A shot (such as Depo-Provera), a patch (such as Ortho Evra), or birth control ring (such as NuvaRing) 5

 Withdrawal or pulling out 6

 Natural family planning or fertility awareness methods 7

 Some other method 8

 Not sure or don’t remember 9

G21. Have you ever had sex with someone you did not really know well?

Select one only

 Yes 1

 No 0

ONLY ANSWER IF YOU HAVE HAD SEX, BUT NOT IN THE LAST 6 MONTHS

G21a. How likely is it that you will have sex in the next year?

Select one only

 Very unlikely 1

 Unlikely 2

 Likely 3

 Very likely 4

IF YOU HAVE EVER HAD ANY KIND OF SEX (ORAL, VAGINAL, OR ANAL), GO TO QUESTION G30.

DO NOT ANSWER G22 THROUGH G29.

ONLY ANSWER IF YOU HAVE NEVER HAD SEX

G22. People have different reasons for not having sex. Which of the following is true for you?

 You decided you don’t want to have sex, even if you had the chance 1 GO TO G23

 You would like to have had sex, but have not had the chance 2 GO TO G25

ONLY ANSWER IF YOU HAVE NEVER HAD SEX AND YOU DO NOT WANT TO

G23. How important to you is each of the following reasons for not having sex?

SELECT ONE ONLY

	Not at all important	Somewhat important	Very important
a. My family’s values or religious beliefs	1 	2 	3 
b. My own personal values or religious beliefs	1 	2 	3 
c. It would make me feel bad about myself	1 	2 	3 
d. Because I want to wait until I am in a long-term relationship	1 	2 	3 
e. Because I want to wait until marriage	1 	2 	3 
f. I don't want to be judged negatively by my peers	1 	2 	3 
g. I feel I am too young to have sex	1 	2 	3 
h. I feel that sex gets in the way of achieving the goals I have for myself	1 	2 	3 
i. I don't want to get pregnant or get my partner pregnant	1 	2 	3 
j. I don't want to get an STD or STI	1 	2 	3 
k. I’m in a relationship, but we are not ready yet	1 	2 	3 
l. I have had a bad experience being intimate with someone	1 	2 	3 
m. I haven’t found the right person yet	1 	2 	3 
n. I am not ready for the emotions involved with having sex	1 	2 	3 
o. Other reason (Please describe)	1 	2 	3 

ONLY ANSWER IF YOU SELECTED “SOMEWHAT IMPORTANT OR VERY IMPORTANT” TO ANY CHOICES AT G23; SKIP IF ALL YOUR ANSWERS AT G23 ARE NOT IMPORTANT AT ALL

G24. Which is the most important reason to you for not having sex?

Select one only

 My family’s values or religious beliefs 1

 My own personal values or religious beliefs 2

 It would make me feel bad about myself 3

 Because I want to wait until I am in a long-term relationship 4

 Because I want to wait until marriage 5

 I don't want to be judged negatively by my peers 6

 I feel I am too young to have sex 7

 I feel that sex gets in the way of achieving the goals I have for myself 8

 I don't want to get pregnant or get my partner pregnant 9

 I don't want to get an STD or STI 10

 I’m in a relationship, but we are not ready yet 11

 I have had a bad experience being intimate with someone 12

 I haven’t found the right person yet 13

 I am not ready for the emotions involved with having sex 14

 Something else (Please describe) 99

ONLY ANSWER IF YOU HAVE NEVER HAD SEX

G25. How likely is it that you will have sex in the next year?

Select one only

 Very unlikely 1

 Unlikely 2

 Likely 3

 Very likely 4

What type or types of sex—oral, anal, vaginal, or all—do you think people your age think about when answering this question?

ONLY ANSWER IF YOU ARE CURRENTLY ENROLLED IN GRADES 5-10 AND HAVE NEVER HAD SEX

G26. How likely is it that you will have sex before you finish high school?

Select one only

 Very unlikely 1

 Unlikely 2

 Likely 3

 Very likely 4

ONLY ANSWER IF YOU HAVE NEVER BEEN MARRIED AND NEVER HAD SEX

G27. How likely is it that you will wait until you are married before you have sex?

Select one only

 Very unlikely 1

 Unlikely 2

 Likely 3

 Very likely 4

ONLY ANSWER IF YOU HAVE NEVER HAD ANY KIND OF SEX

G28. In the past 6 months, have you touched someone’s private parts? Private parts are the parts of the body covered by underwear or a bra.

 Yes 1

 No 0

ONLY ANSWER IF YOU HAVE NEVER HAD ANY KIND OF SEX

G29. In the past 6 months, other than a doctor or a nurse, have you let someone touch your private parts?

 Yes 1

 No 0

ALL RESPONDENTS ANSWER G30-G33

G30. In the past 6 months, have you sent messages with nude, sexually suggestive, or explicit pictures to someone?

 Yes 1

 No 0

G31. In the past 6 months, have you requested messages with nude, sexually suggestive, or explicit pictures from others?

 Yes 1

 No 0

Can you please rephrase questions G30 and G31 in your own words?

In questions G30 and G31, do you think the term “sexting” would be easier or harder to understand?

Why is that?

G32. In the past 6 months, have you watched or looked at pictures of sex online?

 Yes 1

 No 0

In your own words, what does this question mean to you?

How easy or difficult was it for you to understand the question?

Can you think of a way to ask this question that could be easier for people your age to understand?

G33. How much of an influence has each of the following on your decisions about sexual activity?

SELECT ONE ONLY

	A lot	Some	Not much	No influence	Does not apply to my life
a. Your parent(s)/guardian(s)	1 	2 	3 	4 	na 
b. Your friends	1 	2 	3 	4 	na 
c. Your brother(s)/sister(s)	1 	2 	3 	4 	na 
d. Your boyfriend or girlfriend	1 	2 	3 	4 	na 
e. A teacher or counselor	1 	2 	3 	4 	na 
f. Your religious leader	1 	2 	3 	4 	na 
g. Some other adult you think of as a role model	1 	2 	3 	4 	na 
h. Pictures or videos about sex you watched online or on TV	1 	2 	3 	4 	na 
i. Sex education in school	1 	2 	3 	4 	na 
j. Your own beliefs and values	1 	2 	3 	4 	na 

What did you consider when you read the term “sexual activity” in this question?

What if the question used the term “sex” instead of sexual activity?

What is the same or different between the two terms?

Do you think the question would be easier or harder to answer if it ask about “decisions about sex”? Why is that?

Option f says “your religious leader.” Who came to mind when you read that option?

Can you think of a different way of asking about that person that would be easier to understand?

GENERAL QUESTIONS

This survey ends with some questions about sex. How do you think young adults who take this survey will feel with these questions being the last ones asked in the survey? Why is that?

What would you do differently, if anything?

This survey uses terms like “sex,” “having sex,” or “sexual activity” in many questions. Sometimes the type of sex, for example, oral, vaginal, or anal sex, was specified. As you were reading and answering the questions, what kinds of sex came to mind?

Were you not sure how to answer some of the questions? Which ones, and why?

How do you think the questions should be asked so that they are easier to understand?

Debrief Wrap-up:

Please take a moment to look back through the survey. During our discussion we did not go over every question. Do you have any additional comments about questions we did not talk about? Did we miss anything in our discussion that you would like to mention now?

1. When you are done with the discussion, collect all materials from the participantS.

2. Return the participantS to the main meeting place. ensure they check out with a staff member to receive their debit card. thank them for their time and participation.

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