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  5. Human Sexuality Survey
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Hello: You are invited to participate in this survey For my Human Sexuality Research Assignment. In this survey, approximately 10 Haitian/ Haitian- American college students will be asked to complete a survey that asks questions about their Sexual education recieved throughoout their life. It will take approximately 5-7 minutes to complete the questionnaire. Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions. Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact Nathalie Eugene by email at [email protected]. Thank you very much for your time and support. Please start with the survey now by clicking on the Continue button below.
 
 
 
 
* What is your age? (Select all that apply)?
 
18-20
 
21-25
 
25-30
 
30-34

 
 
 
* What is your gender?
 
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 reiceved formal sexual education
 
Other( Please Specify)

 
 
 
*  when  have you first recieved sexual education? Select all that apply.)?
 
I have never recieved sexual education
 
In Elementary school
 
In Middle school
 
In Junior high school
 
in Highschool
 
in College
 
 
 
In what context have you recieved this 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 recieved formal education

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