05B. SIG PRE-TEST (HD Edition)

Instructions
Please complete this form as honestly and thoroughly as possible. The following questions ask demographic information about you. Circle your responses as necessary.
Participant ID
Today's Date
Survey Questions
1. How old are you?*
Please enter a number from 13 to 19.
2. What is your race?*
American Indian or Alaskan Native Asian Black Native Hawaiian or other Pacific Islander White Hispanic, Lation/a or Spanish Origin
3. What is your biological sex?*
- Male
- Female
4. What is the highest grade of school that you have complted?
No formal schooling Less than a high school diploma A high school doploma Some college or a 2-year degree 4-year college degree or graduate work
5. If you are dating, how long have you been dating your partner?
Less Than One Month One to Three Months Up to Six Months Six Months to a Year 1-2 Years 2-5 Years Over 5 Years
6. If you are sexually active, can you discuss condom use with your main partner?
Definitely Not Probably Not Probably Yes Definitely Yes
7. If you are sexually active, can you insist on condom use if your main partner does not want to use one?
Definitely Not Probably Not Probably Yes Definitely Yes
8. If you are sexually active, can you stop and look for condoms when you are sexually aroused?
Definitely Not Probably Not Probably Yes Definitely Yes
9. How comfortable are you discussing sex with an adult?
Very comfortable Comfortable Uncomfortable Extremely uncomfortable
10. How often do you think about sex?*
Always Sometimes Never
11. How often do you discuss sex with your peers?
Always Sometimes Never
12. How much information do you know about HIV, AIDs, and other STDs and STIs?
A lot A little None at all

05B. SIG PRE-TEST (HD Edition)

Instructions

Survey Questions

GET IN TOUCH WITH THE YUNION TO BEGIN MAKING A DIFFERENCE.