Please take this survey! Pleasepleaseplease. I need this for a course, so answer honestly.
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Sexual Health Survey
Your age: 18-24 25-34 35-44 45-54 55-64 65+
Your sex: Male Female
Health assessment
Please check the box which applies.
1. Are you sexually active?
No Yes
2. Have you had more than one sexual partner in your life?
No Yes
3. Do you use condoms when you have sex?
Yes, every time
Yes, most of the time
Every now and then
Rarely
Never
4. Have you or someone you know ever been diagnosed with a sexually transmitted disease (STD)?
No Yes
5. Sexually transmitted diseases (STDs) are a serious problem in the United States.
Strongly Disagree
Disagree
Neither Agree nor Disagree
Agree
Strongly Agree
6. Using condoms reduces the risk of getting a sexually transmitted disease (STD).
Strongly Disagree
Disagree
Neither Agree nor Disagree
Agree
Strongly Agree
7. How do you receive your health information? (any that apply)
Doctor
TV
Internet
Magazines
Health workshops
Gym/health club
Other: _____________



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