Skip to content

Sexual Behavior

  1. During the past year in school, how often did you get help with confidential issues like birth control, condoms, or STDs?
    1. Always
    2. Sometimes
    3. Never
    4. Don’t know/remember
    5. Didn’t need care
  2. The last time you had sexual intercourse, did you or your partner use a condom?
    1. Never had sexual intercourse
    2. No
    3. Yes
  3. Have you ever been forced to have sexual intercourse when you did not want to?
    1. No
    2. Yes
    3. Don’t know
  4. How much do you agree/disagree that for teens your age, abstinence is a better choice than having sexual intercourse?
    1. Strongly agree
    2. Agree
    3. Disagree
    4. Strongly disagree
    5. Don’t know
  5. Have you ever talked with a parent, guardian, or another adult in your family about sex?
    1. No
    2. Yes
  6. Who would you most likely talk to or get advice/information from about dating/relationships?
    1. Friend
    2. Brother/Sister
    3. Parent/Guardian
    4. Teacher/Counselor
    5. Other Adult
    6. Internet
    7. Hotline/Agency
    8. Other

    Please note: the questions listed are those that have been used in various custom modules to-date. These questions are intended to be used as guides only, as WestEd does not make claims to their utility. Clients wishing to develop a custom module should do so in consultation with their Cal-SCHLS Regional Center.

    © 2017 WestEd. All rights reserved.

    730 Harrison Street, San Francisco, CA 94107 | Toll free 888.841.7536 | Fax 415.565.3012