Survey - Sexual Activity Amongst College Students

Sexual Activity Amongst College Students

1. What is your gender? (Required)
Male Female
2. What is your age? (Required)

3. What is your sexual preference?
Males Females Both Males and Females
4. How many people have you had intercourse with in the last year? (Required)
zero 1-3 4-10 more than 10
Sexually Transmitted Diseases (STDs) include, but are not limited to: HIV/AIDS, chlamydia, gonorrhea, syphilis, genital herpes, etc.

5. How many people have you had intercourse with in your lifetime? (Required)
zero 1-3 4-10 more than 10
6. How often did you use contraceptives (I.e. condoms) to prevent STDs during intercourse in the last year (Required)
always sometimes rarely never I am not sexually active.
7. How often did you use contraceptives (I.e. condoms) to prevent STDs during intercourse in your lifetime? (Required)
always sometimes rarely never I am not sexually active.
8. How likely is it that you would insist you and your partner use a condom during intercourse? (Required)
very likely somewhat likely a little likely not at all likely
9. How many sexual partners have you engaged in oral sex with in the last year? (Required)
zero 1-3 4-10 more than 10
10. How many sexual partners have you engaged in oral sex with in your lifetime?
zero 1-3 4-10 more than 10
11. How often did you use barriers (i.e. dental dams, condoms) to prevent STDs during oral sex in the last year?
always sometimes rarely never I do not engage in oral sex
12. How often did you use barriers (i.e. dental dams, condoms) to prevent STDs during oral sex in your lifetime?
always sometimes rarely never I do not engage in oral sex.
13. Do you think that oral sex is sex?
yes somewhat no
14. Have you ever been tested for any STD?
yes - only once yes - more than once no - never
15. Have you ever been treated for any STD?
yes - only once yes - more than once no - never
16. If you were to contract an STD, how likely is it that you would inform your sexual partner(s)?
very likley somewhat likely a little likely not at all likely
17. How likely is it that you would ask your sexual partner(s) if they have an STD?
verly likely somewhat likely a little likely not at all likely
18. How much do you worry that you could get an STD in your lifetime?
a great deal some a little not at all
19. Is there a cure for AIDS?
yes maybe no
20. How likely is it that someone with AIDS will die from the disease?
very likely somewhat likely a little likely not at all likely
21. How effective are condoms in preventing transmission of STDs?
very somewhat a little not at all
22. How true do you think it is that condoms are difficult and embarrassing to obtain?
very somewhat a little not at all
23. How true do you think it is that condoms reduce pleasure?
very somewhat a little not at all
24. Do you carry condoms with you?
always sometimes rarely never

1. What is your gender? (Required)

Male
Female

2. What is your age? (Required)

3. What is your sexual preference?

   Males
   Females
   Both Males and Females

4. How many people have you had intercourse with in the last year? (Required)

   zero
   1-3
   4-10
   more than 10

Sexually Transmitted Diseases (STDs) include, but are not limited to: HIV/AIDS, chlamydia, gonorrhea, syphilis, genital herpes, etc.

5. How many people have you had intercourse with in your lifetime? (Required)

   zero
   1-3
   4-10
   more than 10

6. How often did you use contraceptives (I.e. condoms) to prevent STDs during intercourse in the last year (Required)

   always
   sometimes
   rarely
   never
   I am not sexually active.

7. How often did you use contraceptives (I.e. condoms) to prevent STDs during intercourse in your lifetime? (Required)

   always
   sometimes
   rarely
   never
   I am not sexually active.

8. How likely is it that you would insist you and your partner use a condom during intercourse? (Required)

   very likely
   somewhat likely
   a little likely
   not at all likely

9. How many sexual partners have you engaged in oral sex with in the last year? (Required)

   zero
   1-3
   4-10
   more than 10

10. How many sexual partners have you engaged in oral sex with in your lifetime?

   zero
   1-3
   4-10
   more than 10

11. How often did you use barriers (i.e. dental dams, condoms) to prevent STDs during oral sex in the last year?

   always
   sometimes
   rarely
   never
   I do not engage in oral sex

12. How often did you use barriers (i.e. dental dams, condoms) to prevent STDs during oral sex in your lifetime?

   always
   sometimes
   rarely
   never
   I do not engage in oral sex.

13. Do you think that oral sex is sex?

   yes
   somewhat
   no

14. Have you ever been tested for any STD?

   yes - only once
   yes - more than once
   no - never

15. Have you ever been treated for any STD?

   yes - only once
   yes - more than once
   no - never

16. If you were to contract an STD, how likely is it that you would inform your sexual partner(s)?

   very likley
   somewhat likely
   a little likely
   not at all likely

17. How likely is it that you would ask your sexual partner(s) if they have an STD?

   verly likely
   somewhat likely
   a little likely
   not at all likely

18. How much do you worry that you could get an STD in your lifetime?

   a great deal
   some
   a little
   not at all

19. Is there a cure for AIDS?

   yes
   maybe
   no

20. How likely is it that someone with AIDS will die from the disease?

   very likely
   somewhat likely
   a little likely
   not at all likely

21. How effective are condoms in preventing transmission of STDs?

   very
   somewhat
   a little
   not at all

22. How true do you think it is that condoms are difficult and embarrassing to obtain?

   very
   somewhat
   a little
   not at all

23. How true do you think it is that condoms reduce pleasure?

   very
   somewhat
   a little
   not at all

24. Do you carry condoms with you?

   always
   sometimes
   rarely
   never