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What is your sex?
 
Male
 
Female
 
Other
 
 
 
What is your age?
 
 
I am currently...
 
... a high school/secondary school student.
 
... a student at a two-year university.
 
... a student at a four-year university.
 
... a student at a vocational school.
 
... not enrolled in school.
 
 
Have you received sex education in some form?
 
Yes
 
No
 
I don't know
 
 
Was sex ed taught in your high school (either as a stand-alone class, or as part of a Health class)?
 
Yes
 
No
 
 
What is your sexual orientation, in a sentence or less?
   
 
 
Are you sexually active?
 
Yes
 
No
 
 
If "yes" to the previous question, how many sexual partners have you had?
 
1-3
 
4-6
 
7-9
 
10+
 
I am not sure.
 
I am not sexually active.
 
 
What method(s) of birth control do you practice, if any?
   
 
 
Do you have children?
 
Yes
 
No
 
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