Arizona Youth Risk Behavior Survey Template Page 11
ADVERTISEMENT
1
2
3
4
5
6
7
8
9
10
11
12
13
1473.
How old were you when you had
77.
Did you drink alcohol or use drugs
sexual intercourse for the first time?
before you had sexual intercourse the
A.
I have never had sexual
last time?
intercourse
A.
I have never had sexual
B.
11 years old or younger
intercourse
C.
12 years old
B.
Yes
D.
13 years old
C.
No
E.
14 years old
The last time you had sexual
F.
15 years old
78.
G.
16 years old
intercourse, did you or your partner
H.
17 years old or older
use a condom?
A.
I have never had sexual
74.
The first time you had sexual
intercourse
intercourse, how old was your
B.
Yes
partner?
C.
No
A.
I have never had sexual
intercourse
79.
The last time you had sexual
B.
5 or more years younger
intercourse, what one method did
C.
3 to 4 years younger
you or your partner use to prevent
D.
About the same age
pregnancy? (Select only one
E.
3 to 4 years older
response.)
F.
5 or more years older
A.
I have never had sexual
G.
Not sure
intercourse
B.
No method was used to
75.
During your life, with how many
prevent pregnancy
people have you had sexual
C.
Birth control pills
intercourse?
D.
Condoms
A.
I have never had sexual
E.
An IUD (such as Mirena or
intercourse
ParaGard) or implant (such as
B.
1 person
Implanon or Nexplanon)
C.
2 people
F.
A shot (such as Depo-
D.
3 people
Provera), patch (such as
E.
4 people
Ortho Evra), or birth control
F.
5 people
ring (such as NuvaRing)
G.
6 or more people
G.
Withdrawal or some other
method
76.
During the past 3 months, with how
H.
Not sure
many people did you have sexual
intercourse?
80.
Have your parents or other adults in
A.
I have never had sexual
your family ever talked with you
intercourse
about what they expect you to do or
B.
I have had sexual intercourse,
not to do when it comes to sex?
but not during the past 3
A.
Yes
months
B.
No
C.
1 person
C.
Not sure
D.
2 people
E.
3 people
F.
4 people
G.
5 people
H.
6 or more people
-11-
2013 Arizona YRBS
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Life