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  2. 2014
  3. February
  4. S
  5. Social Norming Survey
0%
Exit Survey
 
 
What School are you registered at?
 
Alamosa High School
 
Ombudsman
 
Other
 
 
 
 
In the last year, have you been in a dating relationship?
 
Yes
 
No
 
 
 
What is your best estimate for the average length of your relationships?
 
I've never been in a dating relationship
 
0-2 months
 
3-4 months
 
5-6 months
 
6 months to a year
 
More than a year
 
 
 
What grade are you in?
 
9
 
10
 
11
 
12
 
 
 
What is your date of birth?
 
 
 
How do you identify yourself?
 
Male
 
Transgender
 
Female
 
 
 
What is your sexual orientation?

 
What is your sexual orientation?
 
Heterosexual
 
Gay
 
Lesbian
 
Bisexual
 
Queer
 
Questioning
 
 
 
What is your race/ethnicity? (CHECK ALL THAT APPLY)
 
Hispanic/Latino/Mexican
 
Native American/American Indian, Eskimo, Aleut, Alaska Native
 
Asian or Pacific Islander
 
White/Caucasian
 
Black/African-American
 
Other
 
 
 
 
How often do you conduct surveys?
 
Not in a Relationship
 
Very Healthy
 
Healthy
 
So-So (not good not bad)
 
Unhealthy but not abusive
 
Abusive
 
 
 
List one behavior your partner does that help your relationship be healthy: