1. Grade Your School

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Hey! What’s up? Tell us what you’re learning in school and what you want to learn. We’ll post the results. Compare your school to others across New York State and then TAKE ACTION to make sure you and your friends get the information you need to stay safe and healthy,

1. For statistical purposes…

For statistical purposes… What is your zip code?
What is the name of your school?
What grade are you in?

2. In what grade was your most recent health class?


Grade/Class	In what grade was your most recent health class? Grade/Class

3. Think back to what you learned in your health class. Did you learn:

	Yes	No
About HIV/AIDS?	Think back to what you learned in your health class. Did you learn: About HIV/AIDS? Yes	No
How HIV/AIDS is transmitted?	How HIV/AIDS is transmitted? Yes	No
How to protect yourself from getting HIV/AIDS?	How to protect yourself from getting HIV/AIDS? Yes	No

4. Does your school offer a separate sex education class such as human sexuality?

Does your school offer a separate sex education class such as human sexuality? No

If yes, in what grade(s)?

5. Was sex education part of your health class?

Was sex education part of your health class? No

If yes, in what grade(s)?

6. Please check below what you recall learning in either a health class or a sex education class.

Please check below what you recall learning in either a health class or a sex education class. The human body and puberty

Healthy relationships and relationship abuse

How to prevent unwanted sexual advances and how not to make unwanted sexual advances

Reasons to delay having sex

How to talk to your partner about sex

Tips on how to abstain from having sex

Information about oral or anal sex

Risks of unprotected sexual activity

Information about pregnancy risks, sexually transmitted infections (STIs) and HIV/AIDS

Information about the best ways to prevent unintended pregnancy and STIs

Information about forms of birth control and contraception

Information about condoms

How to use a condom correctly

Where to find health services if you think you have contracted an STI or if you think you might be pregnant

7. Do you think you received enough information about these topics? If not, which topics would you like more information about?

Do you think you received enough information about these topics? If not, which topics would you like more information about? I received enough information

The human body and puberty

Healthy relationships and relationship abuse

How to prevent unwanted sexual advances and how not to make unwanted sexual advances

Reasons to delay having sex

How to talk to your partner about sex

Tips on how to abstain from having sex

Information about oral or anal sex

Risks of unprotected sexual activity

Information about pregnancy risks, sexually transmitted infections (STIs) and HIV/AIDS

Information about the best ways to prevent unintended pregnancy and STIs

Information about forms of birth control and contraception

Information about condoms

How to use a condom correctly

Where to find health services if you think you have contracted an STI or if you think you might be pregnant

8. When you learned these topics...

When you learned these topics... your teacher provided instruction.

If an outside presenter, who?

9. Do you have any other information you’d like to share with us? Write it here:

Do you have any other information you’d like to share with us? Write it here:

10. Would you like to get more involved in helping bring sex education to your school?

Would you like to get more involved in helping bring sex education to your school? No

Yes, my email is