ALCOHOL AND SEXUAL RELATIONS

1. ARE YOU MALE OR FEMALE? (Required)

MALE    FEMALE

2. What year are you in? (Required)

10    11    12

3. Have you ever consumed an alcoholic beverage?

Yes    No

4. If no skip to Q 6 How old were you when you tried this?

5. What influenced you to try alcohol?

Peer pressure    Family problems    Celebration    Enjoyment    Cultural factors

6. Do any of your friends drink? if no skip to question 8

Yes    No

7. What type of alcoholic beverages do they drink?

Wines    Beer    Spirits    Mixed drinks - cruisers etc    Cocktails

8. Do you think binge drinking is associated with todays culture?

Yes    No

9. If yes why?

10. What do you consider as binge drinking?

3 or more drinks in 2 hours    5 or more drinks in 2 hours    over 5 drinks in a day    Drinking to get drunk

11. Do you know the effects of binge drinking on a person?

Yes    No

12. If yes what are they? if no skip to 14

Hangovers    Nausea    Shakiness    Vomiting and memory loss    Injury to yourself

13. Have you or your friends experienced any of these side effects?

Yes    No

14. What is the legal age for males and females to start sexual relations?

16 for males    18 for males    20 for males    16 for women    18 for women    20 for women

15. Have you ever engaged in physical relations with another person?

Yes    No

16. If yes How old were you and what influenced you to do this?

17. Are you aware of the consequences of sexual relations?

Yes    No

18. What are they?

Unwanted pregnancy    Sexually transmitted illness    Loss of self esteem    Unwanted contact

19. Do you think that education influences ones decision on sexual relations?

Yes    No

20. How effective do you believe condoms are?

Excellent    Good    Average    Poor

21. What if they are used properly/ contraceptive pill and all other protective measures?

Perfect    Highly effective but no form of contraception is perfect    Average, the condom renders the pill useless    Non effective

22. Why do you believe sexual relations are an increasing problem in todays society?

23. Do you believe alcohol and sexual relations can affect eachother? why?