16 Saving Chasity – PRE-TEST Saving Chastity Pre-course Questionnaire1.Please indicate how much you agree or disagree with each statementa) I believe people my age should wait until they are older to have sexStrongly DisagreeDisagreeNeither agree nor disagreeAgreeStrongly Agreeb) I believe having sex before marriage is wrongStrongly DisagreeDisagreeNeither agree nor disagreeAgreeStrongly Agreec) It is important for me to wait until marriage to have sexStrongly DisagreeDisagreeNeither agree nor disagreeAgreeStrongly Agreed) Even if I am physically mature, that does not mean I am ready to have sexStrongly DisagreeDisagreeNeither agree nor disagreeAgreeStrongly Agreee) Most of my friends believe people should wait until they are older before they have sexStrongly DisagreeDisagreeNeither agree nor disagreeAgreeStrongly Agreef) My parent or parents believe people my age should wait until they are older before they have sexStrongly DisagreeDisagreeNeither agree nor disagreeAgreeStrongly Agreeg) Before I act, I think about how my actions reflect my characterStrongly DisagreeDisagreeNeither agree nor disagreeAgreeStrongly Agreeh) I have plans for my futureStrongly DisagreeDisagreeNeither agree nor disagreeAgreeStrongly Agree2 How confident do you currently feel that you can…?a. Use nonviolent strategies to manage or resolve conflictStrongly DisagreeDisagreeUncertainAgreeStrongly Agreeb. Be aware of my ability to practice healthy behaviorsStrongly DisagreeDisagreeUncertainAgreeStrongly Agreec. Set my own personal health goals and track my progress towards the achievementStrongly DisagreeDisagreeUncertainAgreeStrongly Agreed. Talking with your parent(s) about sexStrongly DisagreeDisagreeUncertainAgreeStrongly Agreee. Handle peer pressure from friends to have sexStrongly DisagreeDisagreeUncertainAgreeStrongly Agreef. Reach out to someone when I am feeling pressured to have sexStrongly DisagreeDisagreeUncertainAgreeStrongly Agree3. Knowledgea. Would having a child make it harder for teens to continue their education after high school?YesNob. Would having a child make it harder for teens to pay for things like food, clothing, and rent?YesNoc. Would setting personal goals help avoid STDs and pregnancyYesNo4. When is it okay for people to start having sex?When they graduate high schoolWhen they have been going out a long timeWhen they can support a babyWhen they are married5. How likely is it that you might have sex…?a. In the next year?NO! Not At All LikelyNo, Not LikelyYes, LikelyYES! Very Likelyb. Before graduating from high school?NO! Not At All LikelyNo, Not LikelyYes, LikelyYES! Very Likelyc. Before marriage?NO! Not At All LikelyNo, Not LikelyYes, LikelyYES! Very Likelyd. After marriage?NO! Not At All LikelyNo, Not LikelyYes, LikelyYES! Very Likely6. Traumatic Experiencesa. Have you yourself ever experienced any frightening, dangerous, or violent event that created a threat to your life or body?YesNob. Has anyone in your family ever experienced any frightening, dangerous, or violent event that created a threat to their life or body?YesNoc. Has anyone in your family ever experienced a mental health problem?YesNod. Have you yourself ever experienced a mental health problem?YesNo7. Have you ever been in a class or program that talked about any of the following things?a. Puberty and growthNoYesb. AbstinenceNoYesc. PregnancyNoYesd. Ways to avoid getting pregnant or getting someone else pregnantNoYese. STIsNoYesf. How to say “no” to sexNoYesg. How to talk with your parent(s) about sex and other difficultNoYesh. How to resist peer pressure to do things you don’t want to doNoYesi. Healthy relationshipsNoYesActions TakenIn the last 6 months, have you used social media or YouTube to learn about sex?NeverOnceA few timesMany timesIn the last 6 months, have you had to do any of the following for a friend or sibling (check all that applies)? Spent time listening to their problem Helped to calm them down Talked to them about handling peer pressure to have sex Recommended they seek professional help Recommended self-help strategies Gave them information about goal setting Gave them information about local resources or programs Referred them to books or websites about sex Referred them to books or websites about peer pressure Other, please specify
