IDEAS Young Adult Survey

OMB Control No: XXXX-XXXX

Expiration Date:

YOUNG ADULT INSTRUMENT

Youth Empowerment IDEAS

Young Adult Survey

Ages 19-24

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 35 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/XXXX. 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].

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

Select one only

 English 1

 Spanish 2

SECTION I – INTROduction

I1. 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 an important survey to get your thoughts and opinions about sexual behavior, sex education, and health and well-being!

The survey will take about 35 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.

• 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!

• 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.

• You will receive [FILL AMERIPOINTS] for completing 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 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 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.

B1. 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 watched on TV or online	1 	0 
c. Video games or games you played on your phone	1 	0 
d. Your social media or internet use	1 	0 
e. What you did with friends	1 	0 
f. Who you were 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. Thinking back to when you were high school-age, or about 16 years old, where would you have most preferred 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 didn’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 

B3. 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	I didn’t do this/not applicable
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 	5 
d. What you were posting on social media such as Instagram, Facebook, Twitter, or Snapchat?	1 	2 	3 	4 	5 
e. Who you were messaging with on social media such as Instagram, Facebook, Twitter, or Snapchat?	1 	2 	3 	4 	5 

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. 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

C2. 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

C1=1 OR 2 AND C2=4

C3. 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

C1=1 OR 2 AND C2=4

C4. What grade are you currently in? If school is ungraded or homeschool, please provide the grade equivalent.

Select one only

 11th grade 1

 12th grade 2

 Other (please describe) 99

Go TO C7.

C1=1 OR 2 AND C2=1, 2 or 3

C5. 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

C1=0 AND C2=4

C6. 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 C5=2, 3 or 4

C7. 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.

C8. Are you…?

Select one only

 Married 1

 Widowed 2

 Divorced 3

 Separated, or 4

 Never been married 5

C8= 2-5

C9. Do you have a romantic partner, boyfriend, or girlfriend?

 Yes 1

 No 0

C8= 2-5

C10. 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

C8= 5

C11. Do you want to get married someday?

Select one only

 Yes 1

 No 2 GO TO C13

 I’m not sure 3 GO TO C13

C8= 5 AND C11=1

C12. Do you want to get married before you turn 30?

Select one only

 Yes 1

 No 2

 I’m not sure 3

C8= 5

C13. 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 people 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 

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 youth have had sexual intercourse by the end of their second (sophomore) year of high school?

Select one only

 More than 3/4 1

 Between 1/2 and 3/4 2

 Between 1/4 and less than 1/2 3

 Less than 1/4 4

E2. Do you think the percentage of teens having sex has been increasing, decreasing, or is about the same since your parents were teens?

Select one only

 Increasing 1

 About the same 2

 Decreasing 3

E3. Which of the following is the most effective at preventing pregnancy?

Select one only

 Not having vaginal sex 1

 Birth control pills 2

 Condoms 3

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

 I don’t know 5

EXCLUDE RESPONSE SELECTED IN E3, SKIP IF E3=5

E4. Which is the second most effective at preventing pregnancy?

Select one only

 Not having vaginal sex 1

 Birth control pills 2

 Condoms 3

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

 I don’t know 5

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.

E5. You can get an STD or STI from having oral or anal sex.

Select one only

 True 1

 False 2

 I don’t know 3

E6. An IUD (such as Mirena or ParaGard) or implant (Nexplanon) can decrease the risk of getting an STD or STI.

Select one only

 True 1

 False 2

 I don’t know 3

E7. Birth control pills can decrease the risk of getting an STD or STI.

Select one only

 True 1

 False 2

 I don’t know 3

E8. Condoms can decrease the risk of getting an STD or STI.

Select one only

 True 1

 False 2

 I 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 during your middle school and high school years. 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 or infections (also known as STDs or STIs).

F1. Have you ever had a class or series of classes in middle school or high school that taught any of the following topics?

• How pregnancy occurs

• How STDs or STIs are transmitted

• Waiting to have sex or choosing not to have sex

• Birth control methods

• Condoms

Select “yes” even if just one topic was covered.

 Yes 1 GO TO F2

 No 0 GO TO F10

F1=1

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

Select one or more

 A teacher from your school (such as a health teacher, biology teacher or physical education (PE) 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

 I don't know d

F1=1

F3. When did you have sex education class or classes in school?

Select one or more

 Elementary school 1

 Middle school 2

 High school 3

F3=2

F3a. Did you receive sex education class or classes in more than one grade in middle school?

Select one only

 Yes 1

 No 2

 I don’t know 3

F3=3

F3b. Did you receive sex education class or classes in more than one grade in high school?

Select one only

 Yes 1

 No 2

 I don’t know 3

F1=1

F4. Did any of the sex education classes you took in school discuss the following topics?

	SELECT ONE ONLY
	Yes	No	I Don’t Remember
a. Education about forms of 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. Reproductive biology and anatomy (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. Developing healthy relationships (dating and marriage)	1 	0 	d 
l. Developing communication skills	1 	0 	d 
m. Possible consequences of having sex as a teen	1 	0 	d 
n. Possible consequences of pregnancy as a teen	1 	0 	d 
o. Waiting to have sex until after graduating from high school	1 	0 	d 
p. Waiting to have sex until marriage	1 	0 	d 
q. How to say no to sex without losing the relationship	1 	0 	d 
r. Strategies for avoiding sex	1 	0 	d 
s. How to talk to your partner about sex and using birth control	1 	0 	d 
t. How to talk to your parents about sex	1 	0 	d 
u. How alcohol or drugs might affect decisions about having sex	1 	0 	d 
v. Setting goals and making plans for your future	1 	0 	d 
w. The importance of consent (both partners agreeing) before engaging in sex	1 	0 	d 
x. The laws regarding consent in my state	1 	0 	d 
y. How to identify unhealthy relationships	1 	0 	d 
z. How to get out of unhealthy relationships	1 	0 	d 
aa. Having sex as a teen is okay	1 	0 	d 
bb. How avoiding unhealthy risks, including sex and alcohol, can help you reach your future goals	1 	0 	d 
cc. Laws around sharing information online or through text messages	1 	0 	d 
dd. Other topic (please describe)	1 	0 	d 

FOR EACH F4a-dd=0

F5. Would you have liked to discuss [FILL TOPIC FOR EACH F4a-dd=0] in your school sex education class or classes?

	SELECT ONE ONLY
	Yes	No
a. Education about forms of birth control, such as condoms, birth control pills, the patch, the shot, the ring, IUD, or an implant	1 	0 
b. Effectiveness of birth control for preventing HIV/AIDS and other STDs or STIs	1 	0 
c. Effectiveness of birth control for preventing pregnancy	1 	0 
d. Where or how to get birth control	1 	0 
e. How to use a condom	1 	0 
f. How to use other methods of birth control	1 	0 
g. Reproductive biology and anatomy (including information about sex organs and the menstrual cycle or period)	1 	0 
h. How pregnancy occurs	1 	0 
i. How to avoid pregnancy	1 	0 
j. How to avoid getting HIV/AIDS and other STDs or STIs	1 	0 
k. Developing healthy relationships (dating and marriage)	1 	0 
l. Developing communication skills	1 	0 
m. Possible consequences of having sex as a teen	1 	0 
n. Possible consequences of pregnancy as a teen	1 	0 
o. Waiting to have sex until after graduating from high school	1 	0 
p. Waiting to have sex until marriage	1 	0 
q. How to say no to sex without losing the relationship	1 	0 
r. Strategies for avoiding sex	1 	0 
s. How to talk to your partner about sex and using birth control	1 	0 
t. How to talk to your parents about sex	1 	0 
u. How alcohol or drugs might affect decisions about having sex	1 	0 
v. Setting goals and making plans for your future	1 	0 
w. The importance of consent (both partners agreeing) before engaging in sex	1 	0 
x. The laws regarding consent in my state	1 	0 
y. How to identify unhealthy relationships	1 	0 
z. How to get out of unhealthy relationships	1 	0 
aa. Having sex as a teen is okay	1 	0 
bb. How avoiding unhealthy risks, including sex and alcohol, can help you reach your future goals	1 	0 
cc. Laws around sharing information online or through text messages	1 	0 
dd. Other topic (please describe)	1 	0 

F3=2

F6. Which of the following best describes the main focus of your middle school sex education class or classes?

Select one only

 Mostly taught the information and skills to avoid having sex as a teen 1

 Mostly taught information and skills to use birth control 2

 An equal emphasis on information and skills to avoid sex as a teen and to use birth control 3

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

 I don’t remember 5

F3=3

F7. Which of the following best describes the main focus of your high school sex education class or classes?

Select one only

 Mostly teach/taught the information and skills to avoid having sex as a teen 1

 Mostly teach/taught information and skills to use birth control 2

 An equal emphasis on information and skills to avoid sex as a teen and to use birth control 3

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

 I don’t remember 5

F1=1

F8. In discussing healthy relationships in your sex education class or classes, did they cover the following topics?

	SELECT ONE ONLY
	Yes	No	I don’t remember
a. Characteristics of healthy relationships	1 	0 	2 
b. Treating one another with respect	1 	0 	2 
c. Resolving disagreements	1 	0 	2 
d. Having interest in the other person’s life	1 	0 	2 
e. Importance of giving/receiving consent for sex	1 	0 	2 
f. Attraction and infatuation	1 	0 	2 
g. Respecting one another’s personal boundaries	1 	0 	2 
h. Shared trust	1 	0 	2 
i. Open and honest communication	1 	0 	2 
j. Skills for ending relationships	1 	0 	2 
k. Recognizing warning signs in an unhealthy or dangerous relationship	1 	0 	2 
l. Agreement about the use of contraception before sex	1 	0 	2 
m. Other topic (please describe)	1 	0 

IF ALL F8a-m=0, GO TO F10.

DISPLAY ONLY F8a-m=1

F9. Of the healthy relationship topics covered, which topic was emphasized the most?

Select one only

 Characteristics of healthy relationships 1

 Treating one another with respect 2

 Resolving disagreements 3

 Having interest in the other person’s life 4

 Importance of giving/receiving consent for sex 5

 Attraction and infatuation 6

 Respecting one another’s personal boundaries 7

 Shared trust 8

 Open and honest communication 9

 Skills for ending relationships 10

 Recognizing warning signs in an unhealthy or dangerous relationship 11

 Agreement about the use of contraception before sex 12

 Other topic 13

 I don’t remember 14

F10. Sex education can include a variety of topics. For each of the following topics, do you think the topic is appropriate for schools to teach middle school students, high school students, 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 and high school students	I don’t have an opinion
a. Education about forms of birth control, such as condoms, birth control pills, the patch, the shot, the ring, IUD, or an implant	1 	2 	3 	4 	5 
b. Effectiveness of birth control for preventing HIV/AIDS and other STDs or STIs	1 	2 	3 	4 	5 
c. Effectiveness of birth control for preventing pregnancy	1 	2 	3 	4 	5 
d. Where or how to get birth control	1 	2 	3 	4 	5 
e. How to use a condom	1 	2 	3 	4 	5 
f. How to use other methods of birth control	1 	2 	3 	4 	5
g. Reproductive biology and anatomy (including information about sex organs and the menstrual cycle or period).	1 	2 	3 	4 	5 
h. How pregnancy occurs	1 	2 	3 	4 	5 
i. How to avoid pregnancy	1 	2 	3 	4 	5 
j. How to avoid getting HIV/AIDS and other STDs or STIs	1 	2 	3 	4 	5 
k. Developing healthy relationships (dating and marriage)	1 	2 	3 	4 	5 
l. Developing communication skills	1 	2 	3 	4 	5 
m. Possible consequences of having sex as a teen	1 	2 	3 	4 	5 
n. Possible consequences of pregnancy as a teen	1 	2 	3 	4 	5 
o. Waiting to have sex until after graduating from high school	1 	2 	3 	4 	5 
p. Waiting to have sex until marriage	1 	2 	3 	4 	5 
q. How to say no to sex without losing the relationship	1 	2 	3 	4 	5 
r. Strategies for avoiding sex	1 	2 	3 	4 	5 
s. How to talk to your partner about sex and using birth control	1 	2 	3 	4 	5 
t. How to talk to your parents about sex	1 	2 	3 	4 	5 
u. How alcohol or drugs might affect decisions about having sex	1 	2 	3 	4 	5 
v. Setting goals and making plans for your future	1 	2 	3 	4 	5 
w. The importance of consent (both partners agreeing) before engaging in sex	1 	2 	3 	4 	5 
x. The laws regarding age of consent in my state	1 	2 	3 	4 	5 
y. How to identify unhealthy relationships	1 	2 	3 	4 	5 
z. How to get out of unhealthy relationships	1 	2 	3 	4 	5 
aa. Having sex as a teen is okay	1 	2 	3 	4 	5 
bb. How avoiding unhealthy risks, including sex and alcohol, can help them reach their future goals	1 	2 	3 	4 	5 
cc. Laws around sharing information online or through text messages	1 	2 	3 	4 	5 
dd. Other topic (please describe)	1 	2 	3 	4 	5 

F11a. If sex education is taught in middle school, do you think parents should have the opportunity to decide whether or not their child participates?

Select one only

 Yes 1

 No 2

 Not sure 3

F11b. If sex education is taught in high school, do you think parents should have the opportunity to decide whether or not their child participates?

Select one only

 Yes 1

 No 2

 Not sure 3

F12. Do you think teaching how to use types of birth control that are effective for long periods of time, like an IUD or an implant, makes it more likely for teens to have sex?

Select one only

 Yes 1

 No 2

 Not sure 3

F13. 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, a 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 three types of sexual behaviors. We ask questions about oral, anal, and vaginal sex. Oral sex is when someone stimulates another’s genitals with the mouth. Vaginal sex is when someone puts a penis into another's vagina. Anal sex is when someone puts a penis into 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 

G1a, G1b, OR G1c=1

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

Select one only

 1 person 1

 2 people 2

 3 people 3

 4 people 4

 5 people 5

 6 or more people 6

G1a=1

G3. When you have oral sex how often do you or your partner use condoms or dental dams?

Select one only

 All of the time 1

 Most of the time 2

 Some of the time 3

 Never 4

G1b=1

G4. When you have vaginal sex how often do you or your partner use condoms?

Select one only

 All of the time 1

 Most of the time 2

 Some of the time 3

 Never 4

G1c=1

G5. When you have anal sex how often do you or your partner use condoms?

Select one only

 All of the time 1

 Most of the time 2

 Some of the time 3

 Never 4

G4 OR G5=2, 3, OR 4

G5a. Below are some reasons people may not use condoms. What are the reasons that you or your partner 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 where you can get condoms 3

 You don’t know how to use condoms 4

 You don’t think sex feels as good when a condom is used 5

 Your partner did not want to use one 6

 It is too hard to stop “in the moment” to use a condom 7

 Condoms are too expensive 8

 You or your partner didn’t have one with you 9

 You did not feel comfortable asking your partner to use one 10

 You are having sex with just one partner 11

 You or your partner(s) are using other birth control 12

 You and/or your partner(s) have been tested for STD/STIs 13

 Something else (please describe) 14

G1b=1

G6. When you have sex how often do you or your partner 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

 I don’t know 5

SUM (G1a, b, c) > 1

G7. 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

G1a, G1b, OR G1c=1

G8. 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

G1a, G1b, OR G1c=1

G9. 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

 In a casual relationship 5

 Just friends 6

 Someone I did not really know well 7

 Something else (please describe) 99

G1a, G1b, OR G1c=1

G9a. 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

G1a, G1b, OR G1c=1

G9b. 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

G1a, G1b, OR G1c=1

G10. 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	A little	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 knowledgeable about birth control and ways to reduce the risk of getting STDs/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 
m. Peer pressure	1 	2 	3 	4 
n. You wanted to have sex	1 	2 	3 	4 
o. Easy access to birth control	1 	2 	3 	4 

G1b=1

G11. The first time you had vaginal sex, what method(s) 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 (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

 Tracking the menstrual cycle, also known as natural family planning or fertility awareness 7

 Some other method 8

 Not sure or don’t remember 9

The next few questions are about the last 6 months.

G1a, G1b, OR G1c=1

G12. Have you had oral sex, vaginal sex, or anal sex in the last 6 months?

 Yes 1 GO TO G14

 No 0 GO TO G13

G13=0

G13. 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 G13a

 You would have liked to have had sex, but did not have the chance 2 GO TO G18

G13=1

G13a. 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	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	1 	2 	3 
l. I had a bad experience with sex	1 	2 	3 
m. I haven’t found the right person	1 	2 	3 
n. I didn’t like sex	1 	2 	3 
o. I wish I had waited longer to have sex	1 	2 	3 
p. I am not ready for the emotions I may have after having sex	1 	2 	3 
q. Other reason (please describe)	1 	2 	3 

G13A a-q=2 OR 3.

G13b. Which is the most important reason to you for not having sex in the last 6 months?

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 11

 I had a bad experience with sex 12

 I haven’t found the right person 13

 I didn’t like sex 14

 I wish I had waited longer to have sex 15

 I am not ready for the emotions I may have after sex 16

 Something else (please describe) 99

IF G12=0, GO TO G18.

G12=1

G14. Now we want you to think about the most recent time you had sex. What kind of sex did you have?

Select one or more

 Oral sex 1

 Vaginal sex 2

 Anal sex 3

G12=1

G15. 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 exclusively dating someone 4

 In a casual relationship 5

 Just friends 6

 Someone I did not really know 7

 Something else (please describe) 99

G12=1

G16. 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

G1b=1 AND G12=1

G17. The most recent time you had vaginal sex, what method(s) 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 (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

 Tracking the menstrual cycle, also known as natural family planning or fertility awareness 7

 Some other method 8

 Not sure or don’t remember 9

G1a, b OR C=1 AND G9 NE 7 AND G15 NE 7

G18. Have you ever had sex with someone you did not really know well?

Select one only

 Yes 1

 No 0

G12=0

G19. How likely is it that you will have oral, vaginal, or anal sex in the next year?

Select one only

 Very unlikely 1

 Unlikely 2

 Likely 3

 Very likely 4

G1a, G1b, AND G1c=0

G20. 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 G21

 You would like to have had sex, but have not had the chance 2 GO TO G23

G20=1

G21. 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	1 	2 	3 
l. I had a bad experience being intimate with someone	1 	2 	3 
m. I haven’t found the right person	1 	2 	3 
n. I am not ready for the emotions I may have after having sex	1 	2 	3 
o. Other reason (please describe)	1 	2 	3 

ANY G21a-o=2 OR 3

G22. 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 11

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

 I haven’t found the right person 13

 I am not ready for the emotions I may have after sex 14

 Something else (please describe) 99

G1a, G1b, AND G1c=0

G23. How likely is it that you will have oral, vaginal, or anal sex in the next year?

Select one only

 Very unlikely 1

 Unlikely 2

 Likely 3

 Very likely 4

C4=1 OR 2 AND G1a, G1b, AND G1c=0

G24. How likely is it that you will have oral, vaginal, or anal sex before you finish high school?

Select one only

 Very unlikely 1

 Unlikely 2

 Likely 3

 Very likely 4

C8=5 AND G1a, G1b, AND G1c=0

G25. How likely is it that you will wait until you are married before you have oral, vaginal, or anal sex?

Select one only

 Very unlikely 1

 Unlikely 2

 Likely 3

 Very likely 4

G1a, G1b, AND G1c=0

G26. 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

G1a, G1b, AND G1c=0

G27. 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

G28. In the past 6 months, have you sexted with someone?

 Yes 1

 No 0

ALL

G29. In the past 6 months, have you watched pornographic videos?

 Yes 1

 No 0

ALL

G30. Currently, how much of an influence is each of the following on your decision about whether you engage in sex or not?

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 romantic partner, 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. 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 

THANK YOU FOR TAKING TIME TO COMPLETE THIS SURVEY!

File Type	application/vnd.openxmlformats-officedocument.wordprocessingml.document
File Title	TP3 Baseline Pretest debriefing protocol
Author	MATHEMATICA
File Modified	0000-00-00
File Created	2021-01-13