What county do you live in?

What grade are you in?

What was your assigned sex at birth?

Have you ever been sexually active?

List the age of any recent or past sexual partner or partners. If you had sex with more than one partner, please list all ages.

Do you plan to be sexually active in the next six months?

Sexual consent must be given without feeling pressured and in a clear state of mind (not under the influence of drugs, alcohol or unable to respond). 

National Sexual Assault Hotline (800) 656-4673

If you use birth control, click which type you use. 

You can choose more than one answer

If you are sexually active and you DO NOT use birth control, why not? You can choose as many reasons you want:

Condoms are included as a birth control.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          Telehealth is having a visit with a doctor by phone or by video.                                                                                                                          Examples of telehealth include:                                                                                                                                                                                    * Phone call with or without video                                                          * Laptop                                                                                                      * Computer                                                                                                * Any use of video call app (Facetime, Duo, Zoom, etc.)

If you or your partner use birth control/condoms, where do you get them?

You can choose more than one answer

Put the choices in order where you would like to get birth control or condoms. This may be different than where you get your birth control. 

Drag the place where you would most want to get birth control to the top of the list. Your least favorite place would be at the bottom of the list.

Is there another place you would rather get birth control or condoms that is not already on the list

Where do you get information about sex and birth control?

You can choose more than one answer

Rank the following in the order that you would be more comfortable learning about sex and birth control.

Move buttons up and down to put in order. #1 being your first choice to learn about sex and birth control.

Is there another place you would rather learn about sex and birth control that is not already on the list

We are almost done.......Hang in there!

Is it important for you to use condoms against sexually transmitted infections?

Out of the choices, what is the least effective method of birth control?

The least effective birth control method from the choices is the withdrawal or pulling out method.                                                                                                    

However, withdrawal or pulling out is more effective than some other forms of birth control. 20 out of 100 people become pregnant when using withdrawal/pulling out. 28 out of 100 become pregnant when using spermicide. 24 out of 100 become pregnant when using Fertility Awareness or when using the sponge.

Out of the choices, what is the most effective type of birth control?

The most effective birth control out of the choices is the implant (Nexplanon).

Less than one person out of 100 people who use the Implant or the IUD become pregnant. 8 people out of 100 become pregnant with use of the pill. 9 people out of 100 become pregnant with use of the patch. 13 people out of 100 become pregnant with use of condom.