IDEAS Youth Survey Part 1

OMB Control No: XXXX-XXXX

Expiration Date:

YOUTH SURVEY PART 1

Youth Empowerment IDEAS

Youth Survey Part 1

Ages 14-18

THE PAPERWORK REDUCTION ACT OF 1995

This collection of information is voluntary and will be used to provide the Administration for Children and Families with information to help refine and guide program development in the area of adolescent pregnancy prevention. Public reporting burden for this collection of information is estimated to average 20 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 OMB number and expiration date for this collection are OMB #: 0970-XXXX, Exp: XX/XX/XXX. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Caryn Blitz at [email protected].

Part 1

LANG. In what language would you like to complete the survey?

Select one only

 English 1

 Spanish 2

SECTION I – INTROduction

I1. Your parent has given permission for you to participate in an important survey. On behalf of the Administration for Children and Families (ACF) of the U.S. Department of Health and Human Services, we invite you to participate in this survey to get your thoughts and opinions about sexual behavior, sex education, and health and well-being!

The survey will take about 20 minutes.

A few things...

• This survey is voluntary. That means you can choose whether or not to take it, and you can stop taking the survey at any time. We're excited to hear what you think and we hope you answer as many questions as you can, but it is OK to leave a question blank if you choose not to answer it.

• Your answers will be kept private. Your answers will be combined with answers from other children and teens across the country. NO ONE will be told how you answered any of your questions. Your parents will not see your answers.

• There are NO wrong answers. We want you to answer truthfully and as best you can. This is a chance for you to have a voice: tell us what YOU think!

• The survey is split into two parts. After you complete Part 1, we will email you the invitation to Part 2 in about a week. Part 2 will have different questions and will also take approximately 20 minutes.

• We encourage you to take the survey at any time when you have privacy. Your answers will automatically save as you answer the questions. While it’s best to try and complete the survey at one time, you can close the survey any time and come back to it later. The survey will start where you last left off.

• [AMERISPEAK PANEL PARTICIPANTS: You will receive [FILL AMERIPOINTS]]/[NON PANEL PARTICIPANTS: a $15 Amazon gift card]] for completing Part 1 of the survey today.

If you have any questions or concerns about your participation in this study, you can contact AmeriSpeak Support at [email protected] or call (888) XXX-XXXX.

Are you willing to complete this survey?

 Yes 1

 No 0 EXIT

SECTION A – DEMOGRAPHICS

The next questions are going to ask some questions about you, your employment, your household, and your religious beliefs.

A1. How old are you?

YEARS

A2. Are you Hispanic or Latino?

 Yes 1

 No 0

A3. 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

A4a. What sex were you assigned at birth?

Select one only

 Male 1

 Female 2

 Other 3

 Prefer not to answer 4

A4b. Which of the following do you currently think of yourself as?

Select one only

 Male 1

 Female 2

 Transgender man 3

 Transgender woman 4

 Another gender identity 5

 Prefer not to answer 6

A5. People are different in their sexual attraction to other people. Which best describes your feelings?

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

 Other (please describe) 99

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.

A6. 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

 They were married to each other but one or both of my biological parents has died 4

 I don’t know 5

A7. 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 romantic 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 romantic partner, boyfriend, or girlfriend 17

 Your children or your partner’s children 18

 Any other people you are not related to 19

 No one else lives with me 20

A8. In the last 12 months, were you ever employed at a job for pay? Please include full-time, part-time, or a temporary or summer job, such as a paid internship or nannying. Do not include pay for chores done around your home or very occasional jobs.

 Yes 1 GO TO A9

 No 0 GO TO A10

A8=1

A9. In the last 12 months, did you work full-time, part-time, or some of each?

Select one only

 Full-time 1

 Part-time 2

 Some of each 3

The next questions are going to ask you about your religious views and practices.

A10. What religion, if any, do you identify with?

Select one only

 Christian-Catholic 1

 Christian-Protestant (this includes many faiths, such as Baptist, Methodist, Congregational, Presbyterian, Lutheran, Episcopal) 2

 Jewish 3

 Muslim 4

 None/I don’t identify with a religion 5

 Other (please describe) 99

 I don’t know d

A10a. Would you consider yourself conservative in your religious practices?

Select one only

 Yes 1

 No 2

 I don’t know d

A11. 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

A12. Currently how important is religion in your daily life?

Select one only

 Very important 1

 Somewhat important 2

 Not important 3

A13. In which state do you live?

STATE

A14. In which town or city do you live?

TOWN OR CITY

A15. 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 talk about with your parent(s) or guardian(s) with whom you live. We use the term “parent(s)” to refer to both parent(s) and guardian(s). These can include biological, step, foster, or adoptive parents.

B1. Have you ever discussed 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 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, tobacco, vaping, and other drug use	1 	0 
i. How to resist pressure to use alcohol, tobacco, vaping products, and other drugs	1 	0 
j. What makes a healthy relationship 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 get birth control such as condoms, pills, the patch, the shot, the ring, IUD, or an implant	1 	0 
n. Sexually transmitted diseases (STDs) or infections (STIs)	1 	0 
o. Ways to have a healthy relationship without having sex	1 	0 
p. Reasons for waiting to have sex	1 	0 
q. How to talk to your partner about whether to have sex	1 	0 
r. Sexual violence, assault, stalking, and harassment	1 	0 

B2. Where would you most prefer to learn about the following? You may select up to three in each row.

SELECT NO MORE THAN THREE ON EACH ROW

	Parent/ guardian	Friends/ peers	Brother(s)/ sister(s)	Other relatives/ other trusted adults	Teachers or other adults at school	Place of worship	Online	TV, magazines and/or books	Doctor/nurse/ other health care professional	I don’t want to learn about this
a. Risks of alcohol, tobacco, vaping, and other drug use	1 	2 	3 	4 	5 	6 	7 	8 	9 	10 
b. How to resist pressure to use alcohol, tobacco, vaping products, and other drugs	1 	2 	3 	4 	5 	6 	7 	8 	9 	10 
c. What makes a healthy relationship	1 	2 	3 	4 	5 	6 	7 	8 	9 	10 
d. How to resist pressure to have sex as a teen	1 	2 	3 	4 	5 	6 	7 	8 	9 	10 
e. Understanding reproduction, pregnancy, and birth	1 	2 	3 	4 	5 	6 	7 	8 	9 	10 
f. 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 	9 	10 
g. Sexually transmitted diseases (STDs) or infections (STIs)	1 	2 	3 	4 	5 	6 	7 	8 	9 	10 
h. Ways to have a healthy relationship without having sex	1 	2 	3 	4 	5 	6 	7 	8 	9 	10 
i. Reasons for waiting to have sex	1 	2 	3 	4 	5 	6 	7 	8 	9 	10 
j. How to talk to a partner about whether to have sex	1 	2 	3 	4 	5 	6 	7 	8 	9 	10 
k. Sexual violence, assault, stalking, and harassment	1 	2 	3 	4 	5 	6 	7 	8 	9 	10 

The next questions are about how much your parents know about what you do in your free time.

B3. How often do your parents know…

SELECT ONE ONLY

	Never	Sometimes	Often	Always	I don’t do this/not applicable
a. Where you are when you are away from home in your free time?	1 	2 	3 	4 
b. Who you are with when you are away from home in your free time?	1 	2 	3 	4 
c. What you watch on television or online?	1 	2 	3 	4 	NA 
d. What you are posting on social media such as Instagram, Facebook, Twitter, or Snapchat?	1 	2 	3 	4 	NA 
e. Who you are messaging with on social media such as Instagram, Facebook, Twitter, or Snapchat?	1 	2 	3 	4 	NA 

B4. In general, 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

B5. 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

B6. 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

B7. 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

The following questions are about work, education, and relationships.

C1. I plan to graduate from high school before getting a full-time job.

Select one only

 Strongly agree 1

 Agree 2

 Neither agree nor disagree 3

 Disagree 4

 Strongly disagree 5

C2. I plan to get a full-time job before getting married.

Select one only

 Strongly agree 1

 Agree 2

 Neither agree nor disagree 3

 Disagree 4

 Strongly disagree 5

C3. I plan to have children before getting a full-time job.

Select one only

 Strongly agree 1

 Agree 2

 Neither agree nor disagree 3

 Disagree 4

 Strongly disagree 5

C4. I plan to get married before having children.

Select one only

 Strongly agree 1

 Agree 2

 Neither agree nor disagree 3

 Disagree 4

 Strongly disagree 5

C5. These next questions are about your education. Are you currently enrolled in school or college? 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

C6. Do you have a high school diploma, a high school equivalency certificate (such as a GED or HiSET), both, or neither?

Select one only

 High school diploma only 1

 High school equivalency certificate only 2

 Both 3

 Neither 4

C5=1 OR 2 AND C6=4

C7. What type of school are you currently enrolled in?

Select one only

 Private, religious 1

 Private, not religious 2

 Public school or charter school 3

 Homeschool for some or all classes 4

 Other (please describe) 99

C5=1 OR 2 AND C6=4

C8. What grade are you currently in? If school is ungraded or homeschool, please provide the grade equivalent.

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

Go TO C11.

C5=1 OR 2 AND C6=1, 2, OR 3

C9. 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

C5=0 AND C6=4

C10. 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 IF C9=2, 3, OR 4

C11. 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 go 1

 Unlikely to go 2

 Likely to go 3

 Definitely will go 4

The next few questions are about marriage and relationships.

C12. Do you have a romantic partner, boyfriend, or girlfriend?

 Yes 1

 No 0

C13. In the future, how likely is it that you will live with a romantic partner, boyfriend, or girlfriend?

Select one only

 Definitely will not 1

 Unlikely 2

 Likely 3

 Definitely will 4

C14. Do you want to get married someday?

Select one only

 Yes 1

 No 2 GO TO C16

 I’m not sure 3 GO TO C16

C14=1

C15. Do you want to get married before you turn 30?

Select one only

 Yes 1

 No 2

 I’m not sure 3

C16. When you think of your future, what do you think are the chances that you will have a child without being married?

Select one only

 Almost no chance 1

 Some chance but probably not 2

 A 50-50 chance 3

 A good chance 4

 Almost certain 5

 I already have one or more children 6

 I don’t think I want to have a child 7

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 someone puts a penis into another's vagina.

Anal sex: when someone puts a penis into 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

 Neither of these is closest to my view 3

 I have no opinion 4

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

 Neither of these is closest to my view 3

 I have no opinion 4

D3. Which of the following statements do you feel most strongly about people your age having sex?

Select one only

 It’s okay for someone my age to have sex without any commitments 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 okay for someone my age to have sex with someone they know well, but are not in a relationship with 3

 It’s not okay for someone my age to have sex 4

 None of these are closest to my view 5

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

D4. After teens have had sex, they can choose to stop having sex in the future.

Select one only

 Strongly agree 1

 Agree 2

 Neither agree nor disagree 3

 Disagree 4

 Strongly disagree 5

D5. Oral sex is not as big of a deal as vaginal sex.

Select one only

 Strongly agree 1

 Agree 2

 Neither agree nor disagree 3

 Disagree 4

 Strongly disagree 5

D6. It is okay for teens your age to have sex if both partners think they are ready.

Select one only

 Strongly agree 1

 Agree 2

 Neither agree nor disagree 3

 Disagree 4

 Strongly disagree 5

D7. At your age right now, having sex is okay if you or your partner are using protection against pregnancy and STDs/STIs.

Select one only

 Strongly agree 1

 Agree 2

 Neither agree nor disagree 3

 Disagree 4

 Strongly disagree 5

D8. Do you think any of these factors send the message that teen sex is common?

Select one or more

 Movies or television 1

 Music 2

 Books or magazines 3

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

 Pornography 5

 Sexting 6

 Websites that provide information about birth control and where to get it 7

 A sex education class 8

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

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

 Friends and peers 11

 Romantic partners, boyfriends, or girlfriends 12

 My parents 13

 Brothers or sisters 14

 Other adults (not my parents) (please describe) 15

 Other factor (please describe) 16

 None of these 17

D9. 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 

THANK YOU FOR TAKING TIME TO COMPLETE THIS SURVEY!

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File Created	2021-01-13