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Exit Survey »
 
 
1. Where did you first learn about sex and where babies come from?
 
school class
 
friends/peers
 
siblings
 
parents
 
other family members
 
priest/rabbi/religious figure
 
pediatrician/other doctor
 
movies/television
 
internet
 
book/magazine
 
don’t remember
 
Other
 
 
 
2. Where did you first learn how to prevent pregnancy?
 
school class
 
friends/peers
 
siblings
 
parents
 
other family members
 
priest/rabbi/religious figure
 
pediatrician/other doctor
 
movies/television
 
internet
 
book/magazine
 
don’t remember
 
Other
 
 
 
3. Have you had sex?
 
Yes
 
No
 
 
4. If you found out you were pregnant or you got someone pregnant, who would you tell? Select all that apply.
 
sexual partner
 
friends/peers
 
siblings
 
parents
 
other family members
 
priest/rabbi/religious figure
 
pediatrician/other doctor
 
Other
 

 
 
5. What would you do about the pregnancy, if the decision were up to you?
 
have a baby and be a parent
 
have the baby and have a family member raise it
 
find adoptive parents
 
have an abortion
 
don’t know
 
 
6. Where would you get more information about pregnancy, adoption or abortion? Select all that apply.
 
friends
 
siblings
 
parents
 
other family members
 
at school from teacher, nurse or counselor
 
internet
 
book/magazine
 
doctor
 
religious figure
 
Other
 

 
 
7. Where did you first learn about abortion?
 
school class
 
friends/peers
 
siblings
 
parents
 
other family members
 
priest/rabbi/religious figure
 
pediatrician/other doctor
 
movies/television
 
internet
 
book/magazine
 
don’t remember
 
have not learned
 
Other
 
 
 
8. What has influenced the way you feel about abortion the most?
 
school class
 
friends/peers
 
siblings
 
parents
 
other family members
 
priest/rabbi/religious figure
 
pediatrician/other doctor
 
movies/television
 
internet
 
book/magazine
 
 
9. If your views about abortion have changed since you first learned about it, what has influenced this change the most?

 
personal experience
 
another person's experience
 
movie or book
 
changing religious views
 
personal research
 
views have not changed
 
Other
 
 
 
10. Please share your thoughts how the survey can be improved, questions you'd add/change/delete, reactions to it, length, etc. If you have have additional comments after the survey is complete, please email [email protected]
   
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