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2017
March
H
Human Sexuality Survey
Human Sexuality Survey
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Hello: You are invited to participate in this survey For my Human Sexuality Research Assignment. In this survey, approximately 10 Haitian/ Haitian- American college students will be asked to complete a survey that asks questions about their Sexual education recieved throughoout their life. It will take approximately 5-7 minutes to complete the questionnaire. Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions. Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact Nathalie Eugene by email at
[email protected]
. Thank you very much for your time and support. Please start with the survey now by clicking on the
Continue
button below.
I Agree
*
What is your age? (Select all that apply)?
18-20
21-25
25-30
30-34
*
What is your gender?
Female
Male
Religious group you identify with (Select all that apply)?
Christian
Muslim
Atheist
Agnostic
Jewish
Other( please specify)
*
What is your race (Select all that apply)?
Black or African American
Asian
White
Haitian
Haitian- American
Jamaican
Mixed/Other(Please Specify)
*
Which of the following topics were covered in your sexual education program or class (Select all that apply)?
STI's
Condoms
Birth Control
Abstinence
Gender Spectrum
Sexuality
Pregnancy/Birth
I have never reiceved formal sexual education
Other( Please Specify)
*
when have you first recieved sexual education? Select all that apply.)?
I have never recieved sexual education
In Elementary school
In Middle school
In Junior high school
in Highschool
in College
In what context have you recieved this education (Select all that apply)?
Religion based school
Public School
Networking Event
Planned Parenthood
Parents/Guardians
Church or Religious Group
TV/Media
I learned it on my own
I have never recieved formal education
*
Please share any concerns, experiences about your formal sexual education. Comments/Suggestions:
*
Explain How Haitian Culture contributes to Knowledge or no Knowledge on Sex.
Human Sexuality Survey
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