What do you know about Teen Health?
Circle your answer(s)
Gender: male female
Age: 14 15 16 17 18 19+
Where do you prefer to find information about sexuality and reproduction?
Friends Parents Doctor TV Internet School
Other(explain) _______Are you in or have you taken a Family Living course in high school? Yes No
How much do you think you know about sex and reproduction?
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(Nothing)......................................(Everything) |
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How important is the prevention of pregnancy to you?
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(Not important)................(Very Important) |
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How much do you think you know about preventing pregnancy?
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(Nothing)......................................(Everything) |
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How easy would it be to talk to a partner about preventing pregnancy?
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(Difficult)................................................(Easy) |
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How important is the prevention of STDs (sexually transmitted diseases) to you?
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(Not important)..................(Very Important) |
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How much do you think you know about preventing STDs?
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(Nothing)......................................(Everything) |
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How easy would it be to talk to a partner about preventing STDs?
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(Difficult)................................................(Easy) |
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There are more than 20 sexually transmitted diseases. List as many as you can:
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Answer T for true and F for false for the following statements: |
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It would be easy to talk to a partner about preventing pregnancy |
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It would be easy to talk to a partner about preventing STDs |
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Some STDs cause warts to grow on the sex organs |
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You can always tell if you or someone else has an STD |
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A person who has an STD will always tell their partner about the STD |
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It would be easy to tell past sexual partners that you have an STD and that they may have it too |
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Some STDs cause a discharge from your sex organs |
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If you use a condom, you can still get an STD |
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Both partners are responsible for preventing pregnancy |
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Condoms are 100% effective in stopping STDs and pregnancy |
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A person can get an STD from oral sex |
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All STDs can be cured |
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Some STDs cause a rash on the face or hands |
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The birth control pill can prevent STDs and pregnancy |
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A pregnancy can only happen if the partners are in love |
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Birth control pills can stop working when taking an antibiotic |
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Some STDs cause redness in the eyes |
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It is possible to get an STD the first time a person has skin to skin contact with a partner |
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This survey has helped me realize that I need to know more about preventing pregnancy and STDs |