You are invited to participate in a research project about sexually transmitted diseases (STDs) in Bell County. Questions will be about sexual risk behaviors, sexual history, and basic demographic information. This survey is anonymous which means no information will be asked which can identify an individual. In the event that you have any questions please contact Bell County Public Health District at 254-773-4457. Once Submitted the survey cannot be withdrawn. Any partially completed surveys will be deleted and the data not submitted for inclusion - so please answer each question asked. You may stop at anytime you want, but if you do not complete the survey, the answers you have provided will be deleted and not included. Participation is voluntary, and responses will be kept anonymous. All data is protected and stored by survey monkey (information about their data protection procedures can be found here:https// and analysis will be conducted on Health district computers which are password protected. Your name and other identifying information will not be required. If you have any questions about the survey please contact Lacey Sanders, Epidemiologist, at These results will be shared with the STD Taskforce in Bell County and may also be shared with the public.

* 1. In what ZIP code is your home located? (enter 5-digit ZIP code; for example, 00544 or 94305)

* 2. What is your age?

* 3. What is your sex?

* 4. What is your marital status?

* 5. Have you been seen for an STD before?

* 6. Where would you go for STD testing in Bell County?

* 7. What was the reason for you visiting an STD clinic?

* 8. Have you had sexual intercourse (vaginal, oral, or anal intercourse) in the last 6 months?

* 9. When with a new or non-steady partner, do you use a condom or barrier?

* 10. With a steady partner do you use a condom or barrier?

* 11. Have you ever been told by a healthcare professional that you were positive for:

* 12. When you visit your doctor for a physical, regardless of marital status, has your doctor discussed getting tested for HIV/STD's

* 13. Have you ever exchanged drugs/money for sex?

* 14. Have you utilized social media sites for anonymous sex? 

* 15. Have you used these social sites for anonymous sex:

* 16. Have you had sex with (select one)

* 17. Have you had sex with someone you know injects recreational drugs?

* 18. Have you had sex with someone you know has an STD/HIV?

* 19. If you are a parent of a child 14-24 years of age, have you spoke to them about prevention and protection from STD/HIV?

* 20. If you are uncomfortable speaking to your child/teenager about sex, do you know sites or resources to point them to?

* 21. Whose responsibility do you believe it is for conducting STD/HIV education?

* 22. What is your race/ethnicity?

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