There are no right or wrong answers
Mark the answer that is closest to how you feel
If you are not sure of an answer, mark the "Mixed Feelings" box
Pre-Survey (Project ECHO)
| 1. What is the first letter of your mother's first name? | |
| 2. Are you male or female? | |
| 3. What is your grade level? | |
| 4. In what month were you born? | |
| 5. What day were you born? | |
| 6. In which Ohio county do you live? | |
| 7. To which racial or ethnic group do you belong? |
| Please give us your honest opinion on each of the following statements. Remember, your answers are completely confidential. | Yes Definitely |
Yes Probably |
Not Sure |
No Probably Not |
No |
| 1. The best way to avoid an out-of-wedlock pregnancy is to wait until marriage to have sex. | |||||
| 2. I can say "no" if someone tries to get me to have sex. | |||||
| 3. It is important to be married before I have sex. | |||||
| 4. Having sex before I'm married, even one time, can change my life forever. | |||||
| 5. From this day forward, I will wait to participate in sexual activity until marriage. | |||||
| 6. It is okay to have sex with someone you love before you get married. | |||||
| 7. The best way to avoid an unplanned pregnancy is to use birth control. | |||||
| 8. Saying "no" to sex as a teen can help me reach my goals as an adult. | |||||
| 9. Having sex before marriage won't change my life at all. | |||||
| 10. It is okay for me to be sexually active as long as I used birth control. | |||||
| 11. It makes a lot of sense to wait until marriage to have sex. | |||||
| 12. Once a person has sex, it is impossible to stop having sex. | |||||
| 13. Using alcohol and/or other drugs makes teens more likely to have sex. | |||||
| 14. Abstinence is choosing to stay away from behaviors that could hurt me. | |||||
| 15. Condoms provide protection from the emotional consequences of sexual activity. | |||||
| 16. A girl can get pregnant by having sex only once. |
Survey developed by:
Ohio Abstinence Campaign & Applied Research Center Miami University