Youth Risk Behavior Questionnaire Template Page 11
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1475.
Did you drink alcohol or use drugs
79.
During your life, from whom did you
before you had sexual intercourse the
receive the most information about
last time?
sexual activity? (Select only one
A.
I have never had sexual
response.)
intercourse
A.
Your parents
B.
Yes
B.
A brother or sister
C.
No
C.
Another family member
D.
Your friends
76.
The last time you had sexual
E.
A health teacher, school
intercourse, did you or your partner
nurse, counselor, or some
use a condom?
other adult at school
A.
I have never had sexual
F.
The media, including
intercourse
television, movies, the
B.
Yes
Internet, magazines, and
C.
No
books
77.
The last time you had sexual
80.
Which of the following best
intercourse, what one method did
describes you?
you or your partner use to prevent
A.
Heterosexual (straight)
pregnancy? (Select only one
B.
Gay or lesbian
response.)
C.
Bisexual
A.
I have never had sexual
D.
Not sure
intercourse
B.
No method was used to
The next 5 questions ask about body
prevent pregnancy
weight.
C.
Birth control pills
How do you describe your weight?
D.
Condoms
81.
E.
An IUD (such as Mirena or
A.
Very underweight
ParaGard) or implant (such as
B.
Slightly underweight
Implanon or Nexplanon)
C.
About the right weight
F.
A shot (such as Depo-
D.
Slightly overweight
Provera), patch (such as
E.
Very overweight
Ortho Evra), or birth control
ring (such as NuvaRing)
82.
Which of the following are you
G.
Withdrawal or some other
trying to do about your weight?
method
A.
Lose weight
Gain weight
H.
Not sure
B.
C.
Stay the same weight
78.
Have your parents or other adults in
D.
I am not trying to do
your family ever talked with you
anything about my weight
about what they expect you to do or
not to do when it comes to sex?
83.
During the past 30 days, did you go
A.
Yes
without eating for 24 hours or
B.
No
more (also called fasting) to lose
C.
Not sure
weight or to keep from gaining
weight?
A.
Yes
B.
No
11
2015 Arizona HS YRBS
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