Have you ever had or performed penetrative sex with a partner (sex in which there is vaginal or anal penetration)? If yes, at what age did you first have penetrative sex? Have you ever had unprotected penetrative sex (penetrative sex without a condom or dental dam)? Who do you have sex with? During the past year, how many different people have you had sex with (type in a number)? How many different partners do you foresee yourself having sex with during the next five years (Please give a specific and realistic number estimate)? How many different people have you had sex with on one and only one occasion (type in a number)? With your most recent sex partner, have you talked about what kind of sex you like and don't like? Have you ever had an HIV test? Have you ever been tested for any other type of sexually transmitted disease? Do you find some sexual matters too difficult to discuss with your partner? Have you ever been arrested? At what school age did you first try alcohol or drugs? Compared to past use, do you believe that your alcohol and/or drug use is: Indicate the extent in which alcohol or drug use has caused problems for you in the following areas
Check ALL of the following items that describe reasons for your drug and/or alcohol use: Instructions: The following items are a list of statements concerning your attitudes and experiences. Please read the statements carefully and, on the scales provided, please check the box indicating your level of agreement with each. Instructions: The following items contain a list of activities. Please read the statements carefully and, on the scales provided, please indicate how likely you would be to engage in that activity if given an opportunity. The religion that influences me the most is: (select one): I am (select all that apply): Where did you spend the majority of your childhood? (Pick one or more) How many times did you move before the age of 18? My parent's relationship type was interracial (check one): What is the highest level of education obtained by either of your parents? My original familial arrangement was: Have your parents divorced or separated? Since you answer 'yes' to question #64, please answer the following questions. Did you live with either parent while he or she was involved in a same sex relationship? If yes, for how long did you live with that parent (round to the nearest year)? Was there ever a same sex partner living in residence with your parent during that period? How old were you when you suspected that your parent was bi/homosexual? How old were you when you were certain that your parent was bi/homosexual? Instructions: The following items are a list of statements concerning your experience with having a bi/homosexual parent. Please read the statements carefully and, on the scales provided, please check the box indicating your level of agreement or disagreement with the statements. If your parent's bisexuality or homosexuality has caused difficulties or has benefited you in ways not listed above, please elaborate here. |
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