STD Survey Question Title * 1. As a parent or guardian how frequently do you discuss alcohol, tobacco, illegal or prescription drug use, and teen sexual activity with your child? Once per year Twice per year Four times a year As often as possible Never Question Title * 2. As a parent or guardian which of these behaviors concerns you the most regarding your child? (Select all that apply) Alcohol Tobacco Illegal or Prescription Drugs Early Sexual Activity None Question Title * 3. As a parent or guardian which consequence of early sexual activity concerns you the most? (Select all that apply) Teen Pregnancy Sexually Transmitted Disease (STD) Risk to Emotional Health None Question Title * 4. Other than you as the parent or guardian, does your child receive any other information concerning the risk of using alcohol, tobacco, illegal or prescription drugs, and early sexual activity? (Select all that apply) Yes, at school Yes, at church Yes, at the doctor's office Not Sure No they do not Question Title * 5. As a parent or guardian, would you like more information concerning the risky behaviors teens are experimenting with? (Select all that apply) Yes, I would be interested in listening to radio shows with this information Yes, I would be interested in reading this information Yes, I would be interested in attending an informational session at my child's school No, I am not interested Question Title * 6. Please provide any addtional thoughts you may have on this subject. Done
