This free survey is powered by
QUESTIONPRO.COM
Create a Survey
Surveys
2012
September
U
UNTHSC Sexual Activity Survey
UNTHSC Sexual Activity Survey
0%
Exit Survey »
Hello:
You are invited to participate in our survey :UNTHSC Sexual Activity and STI study. In this survey, approximately 100 people will be asked to complete a survey that asks questions about sexual activity and STIs. It will take approximately 2 minutes to complete the questionnaire.
Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions.
Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact XXX at 000-000-000 or by email at the email address specified below.
Thank you very much for your time and support. Please start with the survey now by clicking on the
Continue
button below.
What is your gender?
Male
Female
What is your age?
18-21
22-25
25-35
35-40
40-50
50-60
60+
Other
What program are you enrolled in at UNTHSC?
SPH
GSBS
PA
PT
TCOM
What is your marital Status?
Single
Married
Widowed
In a Relationship
Other
Do birth control pills prevent Sexually transmitted Infections(STIs)?
Yes
No
Do you abstain from pre-marital sex?
No
Yes, for health concerns
Yes, due to religious or cultural standards
Other
Would you describe yourself as sexually active?
Yes
No
Do you use protection(condoms)?
Yes
No
How often do you use condoms or other protection?
Always
Often
Sometimes
Never
Other
Have you ever contracted an STI?
Yes
No
I'd rather not answer
Loading...
close
Loading...
Close
qpweb1.questionpro.net