First Name:  * Middle Initial (if no MI enter NMN)  * Last Name:  * Please indicate your response to the following questions by clicking the appropriate button. 1. What is your age? 10-11 12-13 14-15 16-17 18-19 20 plus 2. What is your sex? Male Female 3. What school grade are you currently in? 6th 7th 8th 9th 10th 11th 12th 4. What is your racial background? White Black Asian Hispanic Other 5. With whom do you think it is all right to have sexual intercourse? a. Sexual intercourse before marriage is forbidden. b. It is proper to have sexual intercourse before marriage after the age of 18. c. It is proper to have sexual intercourse before marriage regardless of age. 6. With whom do you think it is all right to have sexual intercourse? a. Only with one's spouse after marriage. b. With a fiancé whom one is about to marry. c. With a steady girl/boy friend. d. With a nice girl/boy friend when you feel like it. e. It doesn't matter with whom. It depends on the sexual drive and desire. 7. How often do you go out on dates? a. Never b. Rarely c. Once a month d. Two to three times per month e. Once a week f. Twice a week g. Almost every evening 8. Where do you usually go? a. To vist a friend. b. To a theater or concert. c. To a youth center. d. To a movie. e. To a party. f. To a youth movement activity. g. To the mall. h. To just walk around. i. Other (indicate where) 9. When you go out with whom are you usually with? a. Only with a girl/boy friend (of the opposite sex) b. With a good friend (same sex) c. With a group of couples d. With a group of friends (same sex) e. With a mixed group (friends of both sexes) Please indicate your response to the following questions by clicking the button to the abbreviated answers you most agree with. Strongly Disagree = SD Disagree = D Not Sure = NS Agree = A Strongly Agree = SA 10. It is important to me not to have sex before I get married? SD D NS A SA 11. It is unrealistice to expect young people to not have sex while they are teenagers? SD D NS A SA 12. It is against my values for me to have sexual intercourse while I am an unmarried teenager? SD D NS A SA 13. Having sexual intercourse should be treated as just a normal and expected part of teenage dating and relationships. SD D NS A SA 14. Having sex before marriage is against my own personal standards of what is right and wrong. SD D NS A SA 15. Having sex with a boyfriend or girlfriend is a good way to show how much you care for them. SD D NS A SA 16. A teen who has had sex outside of marriage would be better off to stop having sex and wait until marriage. SD D NS A SA 17. Teens who have been dating for a long time should be willing to have sexual intercourse if their partner wants to. SD D NS A SA 18. Even if there is no pregnancy having sex can cause a lot of problems for unmarried teenagers. SD D NS A SA 19. It is all right for teenagers to have sex before marriage if they are in love. SD D NS A SA 20. The best way for young people to avoid an unwanted pregnancy or a sexually transmitted disease is to wait until they are married before having sex. SD D NS A SA 21. I think it is OK for unmarried teenagers to have sexual intercourse if they use birth control. SD D NS A SA 22. With all the problems of a possible pregnancy and the dangers of AIDS and other sexually transmitted diseases it just does not make sense for teenagers to have sex before they are married. SD D NS A SA Security code:   * Do not enter anything in this field: