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Questions marked with a * are required Exit Survey
 
 
* What is your age  (Select all that apply)?
 
18-20
 
21-25
 
26-30
 
31-35

 
 
 
*  What is your gender? (Select all that apply)?
 
Female
 
Male

 
 
 
*  Religious group you identify with (Select all that apply.)?
 
 
Christian
 
Muslim
 
Atheist
 
Agnostic
 
Jewish
 
Other(Please Specify)

 
 
 
*  What is your race (Select all that apply)?
 
Black or African American
 
Asian
 
White
 
Haitian
 
Haitian American
 
Jamaican
 
Mixed(Other please specify)

 
 
 
* Which of the following topics were covered in your sexual education program or class (Select all that apply)?
 
STI's
 
Condoms
 
Birth Control
 
Abstinence
 
Gender Spectrum
 
Sexuality
 
Pregnancy(Birth)
 
I have never received formal sexual education
 
Other(Please Specify)

 
 
 
* In what context have you received sexual education (Select all that apply)?
 
Religion based school
 
Public School
 
Networking Event
 
Planned Parenthood
 
Parents/Guardians
 
Church or Religious Group
 
TV/Media
 
I learned it on my own
 
I have never received formal sexual education

 
 
 
*  When have you first received sexual education(Select all that apply)?
 
In Elementary school
 
In Middleschool
 
In Junior-High school
 
In High-school
 
In College
 
I have never received sexual education

 
 
 
* I have healthy talks about Sex with Immediate family and Haitian relatives (Select all that apply)?
 
Not at all
 
Extremely Likely
 
Somewhat Likely
 
Likely
 
Very Likely

 
 
 
* Please share any concerns, experiences about your formal sexual education. Comments/Suggestions:
   
 
 
 
* Explain How Haitian Culture contributes to Knowledge or no Knowledge on Sex.