This free survey is powered by
QUESTIONPRO.COM
Create a Survey
Surveys
2012
October
T
Teen Pregnancy
Teen Pregnancy
0%
Exit Survey »
How old are you?
12
13
14
15
Are you a male or female?
male
female
Are you eligible for or do you:
received a free lunch
reduced lunch
neither
Who works in your family (choose all that apply)?
mom
dad
guardian
How often do you attend a religious service?
Weekly
Monthly
Occasionally
Very Seldom
Never
Are you actively involved in activites at school?
Always
Most of the time
Occasionally
Seldom
Never
Have you ever had any form of physical contact with the opposite gender?
yes
no
Loading...
close
Loading...
Close
staticapp1.questionpro.net