We respect the information you share and will follow strict rules to protect your privacy. All individuals who work on this project are trained to protect confidential information and have signed a confidentiality pledge. 
We are not asking your full name, the research team will never know who you are, and your answers will not be shared with your teacher or anyone else. All survey responses will be reported as a group. 
Your participation in answering these questions is voluntary and you have the right to not participate at all, to skip any questions you choose not to answer or to stop answering questions as any time. If you decide not to answer the survey questions, there will be no penalty. Each section provides instructions for answering that set of questions. 

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* I understand and agree that completing this survey is voluntary.

A. Demographics. Please answer each question by writing or marking a response for each of the items.

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* A1. How old are you?

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* A2. What grade are you in?

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* A3. When you are at home or with your family, what language or languages do you usually speak? (mark all that apply)

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* A4. What is your race? (mark all that apply)

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* A5. Are you Hispanic or Latino?

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* A6. What sex were you assigned at birth, on your birth certificate?

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* A7. Are you currently...? (mark all that apply)

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* A8. On what day of the month were you born?
For example, if you were born on December 13, 2000, you would enter: 13 as your response. 

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* A9. What is the first letter of your FIRST name (not your nick name)?

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* A10. What is the first letter of your LAST name?

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* A11. What is the name of your school?

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* A12. What is your classroom teacher's name?

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* B. Expectations. Please mark a response to the right of each statement to indicate your level of agreement.

  Strongly Disagree Somewhat Disagree Neither Disagree or Agree Somewhat Agree Strongly Agree
B1. I will wait until I am a mature adult before having sex with another person.
B2. I know that I will be successful in life.
B3. What happens to me is my own doing.
B4. I see myself being a much better parent when I am older than I would be right now.
C. Risk Factors. Please answer each question by marking only one response.

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* C1. What was your grade average during the last quarter you were in school?

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* C2. How many days of school did you miss during the last 30 days?

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* C3. How many days of school have you been suspended in the last 12 months?

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* D. Knowledge. Please mark/darken the response to the right of each statement to indicate if you think the statement is true, false or if you are not sure.

  True False Not Sure
D1. There are not always physical side effects after getting an STD.
D2. Sexual risk avoidance means not engaging in behaviors that are often viewed as pleasurable but can be harmful.
D3. Avoiding sexual activity is the only way to eliminate the risk of getting pregnant.
D4. Experiencing sexual urges is a normal part of growing up.
D5. It is normal for men to have as many sex partners as possible.
D6. One danger sign for a relationship is being really attached to someone on many levels.
E. Delinquency. Please answer each question by marking only one response.

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* E1. In the past 3 months have you been in trouble with law enforcement in any way?

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* E2. In the past 3 months have any of your close friends been in trouble with law enforcement in any way?

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* F. Environment. Please mark/darken the response to the right of each state to answer.

  Yes No Not Sure
F1. Do you feel safe at school?
F2. Do you feel safe at home?
F3. Have you ever been involved with juvenile justice?

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* G. Attitudes and Beliefs. Please mark a response to the right of each statement to indicate your level of agreement.

  Strongly Disagree Somewhat Disagree Neither Disagree or Agree Somewhat Agree Strongly Agree
G1. Casual sex is no big deal if you use protection.
G2. I am comfortable having conversations about sex with parents and teachers.
G3. It doesn't matter to me if other kids think I have never had sex.
G4. "Sexting' or sending nudes is a harmless activity, especially if it is between friends.
G5. Having safe, consensual sex helps teenagers learn to be well-adjusted adults.
G6. Relationships work better when partners are always honest with each other.
G7. I am too young to have a sexual relationship.
H. Sexual Behavior. Please answer each question by marking only one response.

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* H1. During the past 3 months, with how many people did you have sexual intercourse?

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* H2. The last time you had sexual intercourse, did you or your partner use a condom?

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* I. Behaviors. Please mark a response to the right of each statement to indicate your level of agreement.

  Strongly Disagree Somewhat Disagree Neither Disagree or Agree Somewhat Agree Strongly Agree
I1. I follow my friends even if I think they are wrong.
I2. I tell people "no" if they want me to do something I think is wrong.
I3. I usually keep going until a task is done.
I4. I often have important tasks that I never complete.
I5. I am friendly to people I am attracted to even if they are not attracted to me.
I6. I send or receive nudes and/or sexts with my friends.

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* J. Sexual Coercion and Violence. Please answer each question by marking only one response.

  0 times 1 time 2 or 3 times 4 or 5 times 6 or more times
J1. During the past 3 months, how many times did anyone force you to do sexual things that you did not want to do?

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  I did not date or go out with anyone during the past 12 months 0 times 1 time 2 or 3 times 4 or 5 times 6 or more times
J2. During the past 3 months, how many times did someone you were dating or going out with force you to do sexual things that you did not want to do?
J3. During the past 3 months, how many times did someone you were dating or going out with physically hurt you on purpose?

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* K. Life Circumstances. Please mark a response to the right of each statement to indicate your level of agreement.

  Strongly Disagree Somewhat Disagree Neither Disagree or Agree Somewhat Agree Strongly Agree
K1. I have someone to go to about a problem, even it is about sex.
K2. I feel awful when I look at some of the things I have done in my life.
K3. My friends are not sexually active.
L. Class Learning. Please read each question and mark the answer that best describes your experience in the Love Notes education classes.

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* L1. Were you given enough time to offer input during the Love Notes education classes?

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* L2. Did you receive information during the Love Notes education classes that applied to your life?

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* L3. Were you given different ways to join in activities at the Love Notes education classes?

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* L4. Were you given clear learning goals at each Love Notes education class?

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* L5. Did you receive help from staff before, during, or after the Love Notes education classes when trying to use information?

M. Class Supports. Please read each question and mark the answer that best describes your experience in the Love Notes education classes.

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* M1. Were you treated with respect by your Love Notes education class instructor(s)?

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* M2. Were you made to feel welcome at each meeting of the Love Notes education classes?

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* M3. Did your Love Notes education class instructor(s) show interest in your concerns before, during , or after classes?

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* M4. Did your Love Notes education class instructor(s) make you feel it was okay to make mistakes when using new information?

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* M5. Did your Love Notes education class instructor(s) encourage you to test yourself by moving beyond your comfort zone when using new information?

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* N. Program Experiences. The next questions ask about your experiences in the program that you just completed. Think about all the Love Notes sessions or classes that you attended.

  All of the Time Most of the Time Some of the Time None of the Time
N1. Even if you didn't attend all of the sessions or classes in this program, how often in this program did you feel interested in program sessions and classes?
N2. Even if you didn't attend all of the sessions or classes in this program, how often in this program did you feel the materials presented was clear?
N3. Even if you didn't attend all of the sessions or classes in this program, how often in this program did discussions or activities help you to learn program lessons?
N4. Even if you didn't attend all of the sessions or classes in this program, how often in this program did you have a chance to ask questions about topics or issues that came up in the program?
N5. Even if you didn't attend all of the sessions or classes in this program, how often in this program did you feel represented as a person?
O. Satisfaction. Please respond to each question below about your satisfaction with the Love Notes education classes.

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* O1. Would you recommend the Love Notes education classes to someone you know?

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* On a scale of 1 to 5, where "1" is least and "5" is most, please mark the number that best describes the extent to which the Love Notes education classes:

  Not at all
1
2 Somewhat
3
4 Very
5
O2. Instructor was helpful when addressing your needs.
O3. Instructor was knowledgeable about Love Notes education topics.
O4. Instructor was respectful toward all participants.

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* O5. What would you like to change about the Love Notes education classes you attended?

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* O6. What did you like best about the Love Notes education classes you attended?

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* O7. During the past 6 months, where have you received information about avoiding sexual risks? Mark all that apply.

You have now completed this survey.
Thank you for taking time to give us your opinions.

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