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Exit Survey
 
 
What grade level are you in?
 
9
 
10
 
11
 
12
 
 
 
What gender are you?
 
Male
 
Female
 
 
 
Have you ever been in a relationship?
 
Yes
 
No
 
 
 
What is the farthest you have gone in a relationship?
 
Kissing
 
Bodily Contact
 
Oral Sex
 
Sexual Intercourse
 
Other
 
 
 
 
How many times have you practiced unsafe sex?
 
0
 
1-2
 
3-5
 
6 or more
 
 
 
How many pregnancy scares have you had?
 
0
 
1-2
 
3-5
 
6 or more
 
 
 
How many times have you gotten pregnant or gotten someone pregnant?
 
0
 
1
 
2
 
3 or more
 
 
 
Have you ever had a sexually transmitted disease?
 
Yes
 
No
 
I thought I had one
 
 
 
What do you think about teen pregnancy in North High School?