Survey - word

Form Approved
OMB No: 0920-0840
Exp. Date: 1/31/2019

Formative Tools for Addressing HIV Prevention Preferences Among Adolescent Men Who Have Sex with Men (AMSM)

(Note: this Word version of the survey taken by both populations includes the skip patterns that account for time differences)

Attachment 1c AMSM Web Survey

AMSM Web Survey-Att 1d

Public reporting burden of this collection of information is estimated to average 20 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/ATSDR Reports Clearance Officer; 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333; Attn: OMB-PRA (0920-0840)

Transgender Web Survey- Att 1e

Public reporting burden of this collection of information is estimated to average 30 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/ATSDR Reports Clearance Officer; 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333; Attn: OMB-PRA (0920-0840)

Now we would like to ask you a few questions about where you go when or if you need information about health and health related topics.

1.	Do you have a doctor or nurse that you see when you are sick or need a physical or a yearly exam?
Unique Q
	Yes
	No
	Don't Know
	Prefer not to Answer

2.	[If yes to #1] Have you ever talked to your nurse or doctor about any of the following sexual health issues? Check all that apply:
NSFG
(varies)*	How to say no to sex……………………………………………………………………………….
*modified	Sexually transmitted diseases
Answer options:	How to prevent HIV/AIDS
TALKPAR	How to use a condom
BA-4.	Methods of birth control………………………………………………………………………….
	Where to get birth control………………………………………………………………………..
	None of the above

<Q1=YES AND P_QUEX01=1>

2a. Please indicate the extent to which you agree or disagree with this statement:

CareGender The provider where I most often receive health care services is knowledgeable about health issues affecting transgender and gender nonconforming people.”

Strongly disagree…………………….

Somewhat disagree………………..

Neither agree nor disagree………

Somewhat agree…………………….

Strongly agree……………………….

<P_QUEX01=1>

2b. In the past 6 months, have you had any problems getting health or medical services because of your NeededCareGender gender identity or gender presentation?

Yes………..

No…………

3.	[If yes to #1 & yes to attraction *in screener*] How comfortable would you be talking with your doctor or nurse about attraction to males?
NSFG
RISKCHEK1	Very comfortable
KK-6a.*	Comfortable
*modified	Uncomfortable
	Very uncomfortable
	Don't Know
	Prefer not to Answer

4.	[If yes to #1] Does your doctor or nurse routinely offer you testing for HIV or other sexually transmitted infections?
C2P*
*modified	Yes
	No
	Don't Know
	Prefer not to Answer

5.	Have you used any of these sources of information to learn about dating and relationships or HIV/STD prevention? Check all that apply:
Unique Q
	Parent	HIV/STD Dating Prevention and Relationships
	Doctor or other health care provider outside the school School nurse Teacher or coach Religious leader
	Other trusted adult
	Brother or sister
	Boyfriend or girlfriend
	Friends
	Social media like Facebook, Twitter, etc.
	Internet
	Television or radio
	Other I’ve not used any of these sources Don’t Know Prefer not to answer

Now we are going to ask you a few questions about sex education you may have received at home or in school..

6a. (9.)	Which of the following topics have you talked with a parent or guardian about? Check all that apply:
NSFG
(varies)*	Abstinence…………………………………………………………………………………….. Sexual orientation and identity (that is, what it means to be gay, straight, or bisexual) ……… Gender identity and gender expression (that is, what it means to be transgender, or gender nonconforming) ………………………………………………………………..
*modified	Pregnancy, how to get pregnant, or how babies are made………………………………………………….
	Consent for sex …………………………………………………………………….
	How to say no to sex……………………………………………………………………………………….. Sexually transmitted diseases
	How to prevent HIV/AIDS
	How to use a condom Methods of birth control………………………………………………………………………………….. Where to get birth control………………………………………………………………………………..
	Getting tested for HIV
	Getting tested for STDs
	Lubricant use
	Vaginal sex
	Oral sex
	Anal sex
	Other, please specify____________________________________________ None of the above

6b. (9b.)	[if yes on condom] How old were you when you first received instruction from a parent or guardian on how to use a condom?
NSFG
SEDCONDG	Age in years [open response]
BA-15* modified

7. (10.)	Have you had any formal sex education at school?
NSFG
SEDSTD	Yes
BA-17.*	No
*modified	Don't Know

7b. (10b.)	[if yes] What grade were you in when you first received formal sex education at school?
NSFG
(varies)*	3rd grade
*modified	4th grade
	5th grade
	6th grade
	7th grade
	8th grade
	9th grade
	10th grade
	11th grade
	12th grade
	Don’t know

7c. (10c.)	[if yes] Did you receive formal sex education at school before or after the first time you had sex?
NSFG
	I have never had sex………………………… I received sex education before the first time I had sex……………………. I received sex education after the first time I had sex…………………….
(varies)* *Modified	Don’t Know ………………………………………………………………………………

7d. (10d.)	[if yes] What topics did you learn about in your formal sex education at school? Check all that apply:
NSFG	Abstinence……………………………………………………………… Sexual orientation and identity (that is, what it means to be gay, straight, or bisexual) ………
TALKPAR	Gender identity and gender expression (that is, what it means to be transgender, or gender nonconforming)………………………………………………………………..…………………………………………………………. Pregnancy, how to get pregnant, or how babies are made……………………………
BA-4.*	Consent for sex …………………………………………………………………….
*modified	How to say no to sex……………………………………………………. Sexually transmitted diseases
	How to prevent HIV/AIDS
	How to use a condom Methods of birth control………………………………………………………………………………….. Where to get birth control………………………………………………………………………………..
	Getting tested for HIV
	Getting tested for STDs
	Lubricant use
	Vaginal sex
	Oral sex
	Anal sex
	Other, please specify____________________________________________ None of the above

7e. (10e.)	[if yes] The formal sex education I received at school was useful to me.
Unique Q	Strongly Agree
	Agree
	Neither Agree nor Disagree
	Disagree
	Strongly Disagree

<P_QUEX01=0 AND GAY OR BISEXUAL IDENTIFIED IN SCREENER-complete full table below, IF QUESTIONING/UNSURE in screener, ask only Q15 (bottom row)]

For the next question, we are going to ask you about your sexual identity. Please tell us whether you strongly agree, agree, neither agree nor disagree, disagree, or strongly disagree with the following statements.

8. (13.) 9. (14.) 10. (15.)	Strongly Agree	Agree	Neither Agree nor Disagree	Disagree	Strongly Disagree
I feel that being gay/bisexual has allowed me to express a natural part of my sexual identity.
I wish I weren’t gay/bisexual.
Most people who live near where I do are tolerant of gays and bisexuals.

<P_QUEX01=1>

[IF TRANS OR 0QUEER IDENTIFIED IN SCREENER. THIS INCLUDES SELECTING BORN MALE AND IDENTIFY AS FEMALE OR BORN FEMALE AND IDENTIFY AS MALE]

For the next question, we are going to ask you about your gender identity. Please tell us whether you strongly agree, agree, neither agree nor disagree, disagree, or strongly disagree with the following statements.

	Strongly Agree	Agree	Neither Agree nor Disagree	Disagree	Strongly Disagree
8a. I feel that being transgender or gender nonconforming has allowed me to express a natural part of myself
9a. I wish I weren’t transgender or gender nonconforming.
10a. Most people who live near where I do are tolerant of transgender or gender nonconforming individuals

<P_QUEX01=1>

[IF TRANS OR GENDERQUEER IDENTIFIED IN SCREENER]

10b. The next set of questions ask about your experiences with transitioning (that is, affirming your gender). If any of the following questions are not applicable to you, please select ‘This does not apply to me.”

Have you told another person about being transgender or gender nonconforming?

Yes

No

This does not apply to me

<P_QUEX01=1>

[if yes, Parallel question and response options to outness question 56b]

56b.	Below is a list of people you may have told. Please check all that apply. Have you told:
NHBS YMSM
DM14b.1/2/3/4	Gay, lesbian, bisexual, or transgender friends
5/7*	Friends who are NOT gay, lesbian, bisexual or transgender
*modified	Your mother or the woman who raised you
	Your father or the man who raised you
	Other family members
	A teacher
	A coach
	A school guidance counselor, social worker, or psychologist
	A counselor or therapist outside of school
	A religious leader (e.g., priest, rabbi, imam, or preacher)
	A health care provider
	Don’t Know
	Prefer not to Answer

<P_QUEX01=1>

56b-b.	[if yes to mother] How did your mother or the woman who raised you respond?
NHBS YMSM
DM14b.3./3a.*	Very Positively
*modified	Positively
	Neither positively nor negatively
	Negatively
	Very Negatively
	Don’t Know
	Prefer not to Answer

<P_QUEX01=1>

56b-c.	[if yes to father] How did your father or the man who raised you respond?
NHBS YMSM
DM114b.4/4a*	Very Positively
*modified	Positively
	Neither positively nor negatively
	Negatively
	Very Negatively
	Don’t Know
	Prefer not to Answer

<P_QUEX01=1>

10b1. [if yes] How old were you when you FIRST told another person about being transgender or gender

AgeTransDisclose nonconforming?

|_____|_____|Years-old/­­­­­­­­­­­­____________________

<P_QUEX01=1>

54c. [if yes] In general, how supportive is your family of you being transgender or gender nonconforming?

FamSupportGender

1 Very supportive

2 Somewhat supportive

3 Not very supportive

4 Not at all supportive

5 This does not apply to me

<P_QUEX01=1>

10c. Have you changed your outward appearance to affirm your gender (e.g., clothing, hairstyle)?

Yes

No

This does not apply to me

<P_QUEX01=1>

SocialGenderAffirm

10d. [if yes] Do you live full-time in your identified gender?

Yes

No (Skip to MedicalGenderAffirm)

This does not apply to me

<P_QUEX01=1>

10e. [if yes] How old were you when you FIRST began living full-time in your identified gender?

AgeSocialGenderAffirm

|_____|_____| Years-old

<P_QUEX01=1>

10f. Have you taken cross-sex hormones or pubertal blockers or had any surgery to affirm your gender?

MedicalGenderAffirm

Yes

No but I plan to (Skip to LegalGenderAffirm)

No and I do not plan to (Skip to LegalGenderAffirm)

This does not apply to me

<P_QUEX01=1>

10g. [if yes] How old were you when you first sought out any form of gender-affirming medical services (i.e., cross-sex hormones, pubertal blockers, surgery to transition)?

AgeMedicalGenderAffirm

|_____|_____| Years-old

<P_QUEX01=1>

10h. [if yes] Which medical interventions have you used to affirm your gender? Check all that apply:

TypesMedicalAffirm

Pubertal blockers (to inhibit puberty)

Hormones (estrogen or testosterone)

Breast Implants (breast augmentation)

Chest Reconstruction/Mastectomy (that is, top surgery)

Breast Reduction (no mastectomy)

Facial or neck surgery (for example, nose job, cheek implants, forehead lift, tracheal shave)

Abdominal surgery (hysterectomy, oophorectomy)

Lower feminizing surgery (vaginoplasty – creation of a vagina)

Lower masculinizing surgery (metoidioplasty, phalloplasty – creation of a microphallus, phallus, or penis)

Other (Please Specify: _____________)

This does not apply to me

<P_QUEX01=1>

10i. [if yes to injection practices in AMSM survey] Have you ever injected hormones (or been injected by someone else with hormones) that were NOT given to you in a doctor's office or by a doctor or nurse?

Non-RXhormone1

1 Yes

0 No

<P_QUEX01=1>

10j. Have you legally affirmed your gender (i.e.,changed your name on your state issued ids and/or birth certificate)?

LegalGenderAffirm

1 Yes

2 No

3 This does not apply to me

The next few questions will ask about gender expression or the way in which we express our gender every day.

10k (55). A person’s appearance, style, or dress may affect the way people think of them. On average, how do you think people would describe your appearance, style, or dress? (Choose one answer)

Appear

1 Very feminine

2 Somewhat feminine

3 Equally feminine and masculine

4 Somewhat masculine

5 Very masculine

10l. A person’s mannerisms (such as the way they walk or talk) may affect the way people think of them. On

Manner average, how do you think people would describe your mannerisms? (Choose one answer)

1 Very feminine

2 Somewhat feminine

3 Equally feminine and masculine

4 Somewhat masculine

5 Very masculine

<P_QUEX01=1>

10m. People can tell I’m transgender or gender nonconforming even if I don’t tell them.

VisibleNonconform

1 Always

2 Most of the time

3 Sometimes

4 Occassionally

5 Never

6 This does not apply to me

<P_QUEX01=1>

10n. For each of the following items, please tell us how much you agree (select one option for each statement).

	Strongly agree	somewhat agree	neither agree/disagree	somewhat disagree	strongly disagree	Does not apply to me
It is important to me that my preferred name and pronouns (he, she, they) are always used at home
It is important to me that my preferred name and pronouns are always used at school
It is important to me that my preferred name and pronouns are always used at the places where I receive healthcare
It is important to me that my health care provider asks me what words I use for my body parts and describes my body using those words.

[IF SC10=MALES OR MALES AND FEMALES, CONTINUE TO Q22. ELSE SKIP TO Question 19 (questions on social media use)]
17. (22.)	Thinking about your entire life, how many male sex partners have you had?
NSFG
MALEPRTS	[numerical answer]
KJ-1.	Don't Know
	Prefer not to Answer

<P_QUEX01=1>

[IF SC10 IN [2,3,4] THEN CONTINUE TO Q17a. ELSE SKIP TO Question 19 (questions on social media use)]

17a.	Thinking about your entire life, how many sex partners have you had?
NSFG
MALEPRTS	[numerical answer]
KJ-1.	Don't Know
	Refuse to Answer

<P_QUEX01=1>

17b.

[If 17a=’1 person’ Was this person] [if respond to 17a with a number Were any of these people]:

Please check all that apply.

Male (cisgender, not transgender)

Female (cisgender, not transgender)

Trans-male (trans man, female to male, trans masculine person)

Trans-female (trans woman, male to female, trans feminine person)

12. (17.)	Thinking back to the first time you ever had any sexual experience of any kind with a male partner, how old were you?
NHBS YMSM
SX1f. M_MDBUTM* *modified	Age in years [open response]

<P_QUEX01=1>

12a.	Thinking back to the first time you ever had any sexual experience of any kind with another person, how old were you?
NHBS YMSM
SX1f. M_MDBUTM* *modified	Age in years [open response]

13. (19.)	Have you ever performed oral sex on a male, that is, put his penis in your mouth?
NSFG
GIVORALM	Yes
KH-1.	No
	Don't Know
	Prefer not to Answer

<P_QUEX01=1>

13a.	Have you ever performed oral sex on someone with a penis, that is, put their penis in your mouth?
NSFG
GIVORALM	Yes
KH-1.	No
	Don't Know
	Refuse to Answer

14. (19b.)	Has a male ever performed oral sex on you, that is, put your penis in his mouth?
NSFG
GETORALM	Yes
KH-2.	No
	Don't Know
	Prefer not to Answer

<P_QUEX01=1>

14a.	Has someone ever performed oral sex on you, that is, put their mouth on your genitals?
NSFG
GETORALM	Yes
KH-2.	No
	Don't Know
	Refuse to Answer

14c. (19c.)	[if yes oral sex] How old were you when you had oral sex with a male for the first time?
Unique Q	Age in years [open response]
	Don't Know
	Prefer not to Answer

<P_QUEX01=1>

14d.	[if yes oral sex] How old were you when you had oral sex for the first time (performed or received)?
Unique Q	Age in years [open response]
	Don't Know
	Refuse to Answer

14e. (19d.)	[if yes oral sex/Q14 (Q19)] How many males have you had oral sex with during your lifetime?
Unique Q	1 male
	2 males
	3 males
	4-5 males
	6-10 males
	11-20 males
	More than 20 males
	Don't Know

<P_QUEX01=1>

14f.	[if yes oral sex/Q14 (Q19)] How many people have you had oral sex with during your lifetime?
Unique Q	1 person
	2 people
	3 people
	4-5 people
	6-10 people
	11-20 people
	More than 20 people
	Don't Know

<P_QUEX01=1>

14g. [If 14f=’1 person’ Was this person] [if respond to 14f with a number Were any of these people]:

Please check all that apply.

Male (cisgender, not transgender)

Female (cisgender, not transgender)

Trans-male (trans man, female to male, trans masculine person)

Trans-female (trans woman, male to female, trans feminine person)

15. (20.)	Has another male ever put his penis in your anus or butt (receptive anal sex, when you were the bottom)?
NSFG
ANALSEX2	Yes
KH-3.	No
	Don't Know
	Prefer not to Answer

<P_QUEX01=1>

15a.	Has someone ever put their penis in your anus or butt (receptive anal sex, when you were the bottom)?
NSFG
ANALSEX2	Yes
KH-3.	No
	Don't Know
	Refuse to Answer

15b. (20b.)

[if yes R anal sex/Q15 (Q20)] How old were you when you had receptive anal sex, where he put his penis in your anus (butt), for the first time?

Unique Q

[Age _ _ ]

Don't Know

Prefer not to Answer

15b1.	[if yes R anal sex/Q15 (Q20)] How old were you when you had receptive anal sex, where someone put their penis in your anus (butt), for the first time?
Unique Q	[Age _ _ ]
	Don't Know
	Refuse to Answer

<P_QUEX01=1>

<P_QUEX01=1>

15c1.

[if yes R anal sex/Q15] During your lifetime, with how many people have you had receptive anal sex, where they put their penis in your anus (butt)?

1 person

2 people

3 people

4-5 people

6-10 people

11-20 people

More than 20 people

Don't Know

Refuse to Answer

15c. (20c.)	[if yes R anal sex/Q15] During your lifetime, with how many males have you had receptive anal sex with, where he put his penis in your anus (butt)?
Unique Q	1 male
	2 males
	3 males
	4-5 males
	6-10 males
	11-20 males
	More than 20 males
	Don't Know
	Prefer not to Answer

15d. (20d.)	[if yes R anal sex/Q15] Did your partner use a condom the last time you had receptive anal sex with a male?
NSFG
ANALCONDM1	Yes
KH-3b.	No
	Don't Know
	Prefer not to Answer

<P_QUEX01=1>

15e.	[if yes R anal sex/Q15] Did your partner use a condom the last time you had receptive anal sex?
NSFG
ANALCONDM1	Yes
KH-3b.	No
	Don't Know
	Refuse to Answer

16. (21.)

Have you ever put your penis in a male’s anus or butt (insertive anal sex, when you were the top)?

NSFG

ANALSEX3

Yes

KH-4.

No

Don't Know

<P_QUEX01=1>

16a.

NSFG	[FILTER out R’s with no penis, SC7=1 AND 10H=8 OR SC7=2 AND 10H NOT EQUAL TO 9]] Have you ever put your penis in someone’s anus or butt (insertive anal sex, when you were the top)?
ANALSEX3
KH-4.	Yes
	No
	Don't Know Refuse to Answer

Prefer not to Answer

16b. (21b.)	[if yes I anal sex/Q16] How old were you when you had insertive anal sex, where you put your penis in his anus (butt), for the first time?
Unique Q	[Age _ _ ]
	Don't Know
	Prefer not to Answer

<P_QUEX01=1>

16b1.	[if yes I anal sex/Q16] How old were you when you had insertive anal sex, where you put your penis in their anus (butt), for the first time?
Unique Q	[Age _ _ ]
	Don't Know
	Prefer not to Answer

16c. (21c.)	[if yes I anal sex/Q16] During your lifetime, with how many males have you had insertive anal sex, where you put your penis in his anus (butt)?
Unique Q	1 male
	2 males
	3 males
	4-5 males
	6-10 males
	11-20 males
	More than 20 males
	Don't Know
	Prefer not to Answer

<P_QUEX01=1>

16c1.	[if yes I anal sex/Q16] During your lifetime, with how many people have you had insertive anal sex, where you put your penis in their anus (butt)?
Unique Q	1 person
	2 people
	3 people
	4-5 people
	6-10 people
	11-20 people
	More than 20 people
	Don't Know
	Refuse to Answer

<P_QUEX01=1>

16c2.

[If 16c1=’1 person’ Was this person] [if respond to 16c1 with a number Were any of these people]:

Please check all that apply.

Male (cisgender, not transgender)

Female (cisgender, not transgender)

Trans-male (trans man, female to male, trans masculine person)

Trans-female (trans woman, male to female, trans feminine person)

16d. (21d.)	[if yes I anal sex/Q16] Did you use a condom the last time you had insertive anal sex with a male?
NSFG
ANALCONDM2	Yes
KH-4b.	No
	Don't Know
	Prefer not to Answer

<P_QUEX01=1>

16d1.	[if yes I anal sex/Q16] Did you use a condom the last time you had insertive anal sex?
NSFG
ANALCONDM2	Yes
KH-4b.	No
	Don't Know
	Refuse to Answer

<P_QUEX01=1>

17c. [For those who respond that they have a vagina (SC7=2 and 10h not equal to 9 OR 10h=8]

	Has someone ever put their penis in your vagina (frontal sex)?
	Yes
	No
	Don't Know
	Prefer not to Answer

<P_QUEX01=1>

17d.	[if yes R vaginal sex] How old were you when you had vaginal (frontal) sex, where someone put their penis in your vagina (front hole), for the first time?
Unique Q	[Age _ _ ]
	Don't Know
	Prefer not to Answer

<P_QUEX01=1>

17e.	[if yes R vaginal sex] During your lifetime, with how many people have you had receptive vaginal (frontal) sex with, where they put their penis in your vagina (front hole)?
Unique Q	1 person
	2 people
	3 people
	4-5 people
	6-10 people
	11-20 people
	More than 20 people
	Don't Know
	Prefer not to Answer

<P_QUEX01=1>

17f.	[if yes R vaginal sex] Did your partner use a condom the last time you had receptive vaginal (frontal) sex?
NSFG
ANALCONDM1	Yes
KH-3b.	No
	Don't Know
	Prefer not to Answer

18. (18.)	Have you ever been forced to have sexual intercourse when you did not want to?
YRBS Q20	Yes
	No

[If yes to Q18 (Q18), provide weblink to the following websites for additional resources: childwelfare.gov or another fed resource on child/abuse and neglect]

The following questions ask about how you use social media.

19. (6.)	About how often do you use social networking sites/apps (e.g., Facebook, Twitter, Instagram)? Please do not include dating sites or apps.
PEW	Several times a day………………………………………………………………………………………..
	About once a day……………………………………………………………………………………………
	4 to 6 days a week…………………………………………………………………………………………..
	1 to 3 days a week…………………………………………………………………………………………..
	Every few weeks………………………………………………………………………………………………
	Less often…………………………………………………………………………………………………………
	Never………………………………………………………………………………………………………… Don't Know
	Prefer not to Answer

19b. (6b.)	(if more than never to Q6 & yes to sexually active in screener) How many of your male sex partners have you ever met using social networking sites/apps (e.g., Facebook, Twitter, Instagram)?
	Provide actual number___
	I have never used a social media site to meet a male sex partner…………………..
	Don't Know
	Prefer not to Answer

20. (7.)	About how often do you visit dating or hook-up apps (e.g., Grindr, Tinder, Scruff)?
	Several times a day……………………………………………………………………………………………
	About once a day………………………………………………………………………………………………
	4 to 6 days a week…………………………………………………………………………………………….
	1 to 3 days a week…………………………………………………………………………………………….
	Every few weeks……………………………………………………………………………………………….
	Every few months…………………………………………………………………………………………….
	Less often…………………………………………………………………………………………………………
	Never………………………………………………………………………………………………………………..
	Don't Know
	Prefer not to Answer

20b. (7b.)	(if more than never to Q19 & yes to sexually active in screener) How many of your male sex partners have you ever met using dating or hook-up apps (e.g., Grindr, Tinder, Scruff)?
	Provide actual number___
	I have never used a a dating or hook-up app to meet a male sex partner……………… Don't Know
	Prefer not to Answer

21. (8.)	During the past 30 days, have you texted, e-mailed, or posted electronically a revealing or sexual photo of yourself to someone?
YRBS Optional Q
	Yes
	No
	Don't Know

For the following section, skip logic programmed for the following:

[If no to sexually contact in the screener, then skip to Substance Use Section]

[Continue to this section if sexually active in screener with females and/or males.]

This next section is about the last person with whom you have had sexual contact. That person might be male, female, or transgender and you might have had oral, vaginal, or anal sex with them. By oral sex, we mean putting your mouth on someone else’s penis or vagina or when your partner does this to you. By vaginal sex, we mean when a penis is inside a vagina. By anal sex, we mean when your penis is inside your partner’s anus or rectum, or your partner’s penis is inside your anus or rectum.

22. (23.)	[Last sex partner] How old is the person you last had sex with?
AGE
NHBS YMSM	[Age _ _ ]
SX53.	Don't Know
AGEP2* *modified	Prefer not to Answer

23. (24.)	[Last sex partner] Please indicate this person’s race or ethnic background. Are they…? Select One. Ethnicity:
RACE
NHBS YMSM	Hispanic or Latino
SX23.	Not Hispanic or Latino
RACEP1	Don’t know………………………………………………………………………………. Prefer not to answer………………………………………………………………… Select One or More. Race: White
	Black or African American
	American Indian or Alaska Native
	Native Hawaiian or Other Pacific Islander………………………………… Asian
	Don’t Know
	Prefer not to Answer

24. (25.)	[Last sex partner] What is this person’s gender?
GENDER
NHBS YMSM	Male (cisgender, not transgender)
SX24.	Female (cisgender, not transgender)
SEXP1*	Trans-male (trans man, female to male, trans masculine person) Trans-female (trans woman, male to female, trans feminine person)
*modified
	Don’t Know
	Prefer not to Answer

25. (26.)	[Last sex partner] Which of the following best describes your relationship with the last person you had sex with?
RELATIONSHIP TYPE
REVISED FROM BAGLY	Serious …………………………………………….. Casual………………………………………………..
	Don't Know
	Prefer not to Answer

26. (27.)	[Last sex partner] At the time you first had sex with this person, how long had you known them?
LENGTH KNOWN	Did not know this person/anonymous
NHBS YMSM	Less than 1 week
SX28.	1 week to 1 month
KNOWNP1	2 to 5 months
	6 months to 11 months
	1 year or more
	Don’t Know
	Prefer not to Answer

27. (28.)	[Last sex partner] [If last sex partner serious relationship or casually dating] As far as you know, was your last sex partner having sex with other people while you were in a relationship? Would you say he/she:
CONCURRENCY
Partner
NHBS YMSM	Definitely was not
SX30.	Probably was not
	Not sure either way………………………………………………………………….
ROTHPAP1*	Probably was
*modified	Definitely was
	Don’t Know
	Prefer not to Answer

28. (29.)	[Last sex partner] During your last sexual relationship, did you have sex with people other than your main partner?
CONCURRENCY
Self	Yes
NHBS YMSM	No
SX30.	Don’t Know
ROTHPAP1* *modified	Prefer not to Answer

29. (30.)	[Last sex partner] The last time you had sex with this person, did you know their HIV status?
HIV STATUS
Known1
NHBS YMSM	Yes
SX34.	No
KNOHIVP1	Don’t Know
	Prefer not to Answer

30. (31.)		[if yes HIV status] What was this person’s HIV status?
HIV STATUS
	Known2	Negative, that is no, this person does not have HIV
	NHBS YMSM	Positive, that is yes, this person does have HIV
	SX35.	I don’t know
	HIVSTP1* *modified	Prefer not to Answer

31.	[If Q22/Q17a=0 skip to Q32] Now, thinking about all of the people you have ever had sex with, did any of them overlap in time? In other words, did you start a new sexual relationship before ending a previous sexual relationship?
NATSAL	Yes
	No
	Don’t know
	Prefer not to Answer

Some people your age report drinking alcohol or using other drugs. We have some questions about whether you have ever drank or used drugs. Please answer as accurately as you can. Remember that your answers are confidential.

32. (32.)	During your life, on how many days have you had at least one drink of alcohol?
YRBSS Q41
	A. 0 days
	B. 1 or 2 days
	C. 3 to 9 days
	D. 10 to 19 days
	E. 20 to 39 days
	F. 40 to 99 days
	G. 100 or more days If you have concerns or questions about your alcohol or drug use, more information can be found here: https://teens.drugabuse.gov/have-a-drug-problem-need-help.

[If response to Q32 is over 0 then continue to Q32b. Else Skip to Q33]

32b. (32b.)	During the past 30 days, on how many days, if any, did you have at least one drink of alcohol?
YRBSS Q43
	0 days
	1 or 2 days
	3 to 5 days
	6 to 9 days
	10 to 19 days
	20 to 29 days
	All 30 days

32c. (32c.)	[if yes] During the past 30 days, on how many days did you have 5 or more drinks of alcohol in a row, that is, within a couple of hours?
YRBSS Q44
	0 days
	1 day
	2 days
	3 to 5 days
	6 to 9 days
	10 to 19 days
	20 to 29 days…………………………………………………………………………… All 30 days

33. (33.)	During your life, how many times have you used marijuana? (Marijuana is also called grass, pot, weed, or reefer)
YRBSS Q48
	A. 0 times
	B. 1 or 2 times
	C. 3 to 9 times
	D. 10 to 19 times
	E. 20 to 39 times
	F. 40 to 99 times
	G. 100 or more times If you have concerns or questions about your alcohol or drug use, more information can be found here: https://teens.drugabuse.gov/have-a-drug-problem-need-help.

33b. (33b.)	[if >0] During the past 30 days, how many times did you use marijuana?
YRBSS Q49
	0 times
	1 or 2 times
	3 to 9 times
	10 to 19 times
	20 to 39 times
	40 or more times

34. (34.) During your life, how many times have you used any of the following substances?
Prescription drugs without a doctor’s prescription (such as OxyContin, Percocet, Vicodin, Codeine, Adderall, Ritalin, or Xanax)	0 times, 1 or 2 times, 3-9 times, 10-19 times, 20-39 times, 40 or more times.
Methamphetamines ( also called speed, crystal meth, ice)	0 times, 1 or 2 times, 3-9 times, 10-19 times, 20-39 times, 40 or more times.
Cocaine (also called powder, crack, or freebase)	0 times, 1 or 2 times, 3-9 times, 10-19 times, 20-39 times, 40 or more times.
Ecstasy (also called molly, MDMA)	0 times, 1 or 2 times, 3-9 times, 10-19 times, 20-39 times, 40 or more times.
Heroin (also called smack, junk, or China White)	0 times, 1 or 2 times, 3-9 times, 10-19 times, 20-39 times, 40 or more times.

If you have concerns or questions about your alcohol or drug use, more information can be found here: https://teens.drugabuse.gov/have-a-drug-problem-need-help.

35. (35.)	During your life, how many times, if any, did you use a needle to inject something into your body that wasn’t prescribed to you (steroids, heroin or other drugs, peptides, silicone, someone else’s hormones)?
YRBSS Q58*
*modified	0 times
	1 or 2 times
	3 to 9 times
	10 to 19 times
	20 to 39 times
	40 or more times

35b. (35b.)	[if yes needle] If you used a needle to inject something into your body during the past 6 months, did you share a needle or works with anyone?
YRBSS
	Yes
	No

Next, we are going to ask you about your experience with testing for conditions such as HIV. While these questions can be sensitive, we ask that you do the best you can to answer them.

36. (36.)	Have you ever been tested for HIV, the virus that causes AIDS?
NSFG (Male)
Section C	Yes
HIVTEST, IF-2.* *modified	No
	Don't Know

36b-yes. (36b_yes.)	[if yes] Have you been tested for HIV, the virus that causes AIDS, during the past 12 months?
Unique Q
3/16 discussions	Yes
	No Don't Know

36c-yes. (36c_yes.)	[if yes] Last time you were tested, where did you get tested for HIV, the virus that causes AIDS?
Unique Q	Private doctor’s office or HMO
3/16 discussions	Community health clinic, community clinic, public health clinic,
	Family planning or Planned Parenthood clinic Your employer or company clinic
	Parent’s employer or company clinic
	School or school-based clinic
	Hospital outpatient clinic
	Hospital emergency room
	Urgent care center, urgi-care, or walk-in facility
	Sexually transmitted disease (STD) clinic
	Your home
	Mobile testing or community testing site
	Drug, alcohol or rehabilitation treatment center
	Don’t know
	Other location [please explain] ………………………………………………………………………………..

36b-no. (36b_no)

Phillips et al. 2015

[if never tested for HIV] There are many reasons why people do not get tested for HIV. For each of the following items, please tell us how much you agree. Select one option for each statement.

	Strongly agree	somewhat agree	neither agree/disagree	somewhat disagree	strongly disagree
I don’t have a way to get to the testing site/the site is too far away
I don’t know where to get tested
I don’t think the people who work at the testing site are friendly to LGBT
I might run into people I know at the testing site
I don’t want people I know (like parents or friends) to find out I was tested
I hate needles
I would rather not know if I have HIV
I’m not at risk for HIV
I’m young—testing is something people do when they are older

Other (write in)

Don’t know

Refuse

36d-yes. (36d_yes.)	[if yes test] The last time you got tested for HIV, why was it that you got tested? Check all that apply:
NHBS YMSM
HT4e.	Because I thought I had symptoms of a recent HIV infection
	Because it was time for my regularly scheduled HIV test
	Because I did something risky
	Because a sexual partner disclosed they were HIV positive
	Because I had an STD
	Because I read something about HIV testing online
	Because an organization approached me to take a test
	Because I was starting a new relationship
	Because I wanted to stop using condoms Because my doctor offered me the test
	OTHER, please explain [__________________]

36e-yes. (36e_yes.)	[if yes test] What was the result of your most recent HIV test?
NHBS YMSM
HT4b.	Negative, that is no, I do not have HIV
	Positive, that is yes, I do have HIV
	Never obtained results
	Don't Know
	Refused to answer

36f-yes-pos. (36f_yespos.)	[if test positive, yes I do have HIV] When did you first test positive? Please identify the month and year below
NHBS YMSM
HT7a.	mm/yyyy
	Don't Know
	Refused to answer

36g-yes-pos. (36g_yespos.)	[if test positive, yes I do have HIV] Have you ever been seen by a doctor, nurse or other health care provider for a medical evaluation or care related to your HIV infection?
NHBS YMSM
HT7f.	Yes
	No
	Don't Know
	Refused to answer

36h-yes-pos. (36h_yespos.)	[if test positive, yes I do have HIV] Are you currently taking antiretroviral medicines to treat your HIV infection?
NHBS YMSM
HT8.	Yes
	No
	Don't Know
	Refused to answer

36i-yes-pos. (36i_yespos.)	[If yes, I am currently taking medicine to treat HIV] How often do you take your medication the way the doctor tells you or as you are supposed to take them?
Unique Q
3/16 discussions	All the time
	Most of the time
	Some of the time
	Never
	Don't Know
	Refused to answer

36j-yes-neg. (36j_yesneg.)		[if tested negative, not obtained results, never tested, or don’t know} Which of these settings would be your preferred location or locations to be tested for HIV infection? Select all that apply.
Unique Q
3/16 discussions
Private doctor's office or HMO
Community health clinic, community clinic, public health clinic
Family planning or Planned Parenthood clinic
Parent’s employer or company clinic
Your employer or company clinic
School or school-based clinic
Hospital outpatient clinic
Hospital emergency room
Hospital regular room
Urgent care center, urgi-care, or walk-in facility
Sexually transmitted disease (STD) clinic
Your home
Mobile testing or community testing site
Drug, alcohol or rehabilitation treatment center
Some other place

36k-yes-neg. (36k_yesneg.)	Of the ones you selected, please select the one you most prefer? (logic to only show the ones selected)
Unique Q	[AUTOFILL OPTIONS SELECTED “YES” FROM 35j]
3/16 discussions	Private doctor's office or HMO
	Community health clinic, community clinic, Public health clinic
	Family planning or Planned Parenthood clinic
	Parent’s employer or company clinic Your employer or company clinic
	School or school-based clinic
	Hospital outpatient clinic
	Hospital emergency room
	Hospital regular room
	Urgent care center, urgi-care, or walk-in facility
	Sexually transmitted disease (STD) clinic
	Your home
	Mobile testing or community testing site Drug, alcohol, or rehabilitation treatment center Some other place

36l-yes-neg. (36l_yesneg.)	[for tested negative, never tested, or don’t know] How much do you agree or disagree with the following statement: “I am more likely to get tested somewhere a counselor speaks to me privately about how to use condoms and other ways to prevent HIV compared to a site that just offers me a test.”
Unique Q
3/16 discussions	Strongly agree
	Somewhat agree
	Neither agree nor disagree
	Somewhat disagree
	Strongly disagree
	Don't Know
	Refused to answer

36m. (Q36m_yesneg.)

Project Connect [for tested negative, never tested, or don’t know] How likely is it that you will get tested for HIV in the next 12 months?

I’m sure it won’t happen………………………………………………………………………………..

It probably won’t happen………………………………………………………………………………

Even chance (50-50) that it will happen…………………………………………………………

It probably will happen………………………………………………………………………………….

I’m sure it will happen…………………………………………………………………………………..

37. (37.)	Have you ever been tested for other sexually transmitted diseases (STDs) such as as gonorrhea, chlamydia, genital herpes, syphilis, or genital warts?
Unique Q
3/16 discussions	Yes
	No
	Don't Know

38. (38.)	[if yes test] How many times have you been tested for other sexually transmitted disease (STD) such as genital herpes, chlamydia, syphilis, or genital warts during your lifetime? If you are unsure, please enter your best guess.
Unique Q
3/16 discussions	[open response]

38b. (38b.) [if yes test] Have you ever been told by a doctor or nurse that you had a sexually transmitted disease (STD) such as gonorrhea, chlamydia, genital herpes, syphilis, or genital warts?
Yes
No
Don't Know

<P_QUEX01=1>

38c. When you have received HIV prevention services or programs, how specific were they to your needs PreventionTrans as a transgender or gender nonconforming person?

1 Very specific to transgender and gender nonconforming people

2 Mostly specific to transgender and gender nonconforming people

3 Somewhat specific to transgender and gender nonconforming people

4 Not at all specific to transgender and gender nonconforming people

5 Never received HIV prevention services or programs

[IF TESTED POSITIVE FOR HIV, SKIP TO Q44]

The next set of questions ask you about different ways that people try to prevent infection with HIV.

PrEP (pre-exposure prophylaxis) is when a person is given medicine called Truvada before being exposed to HIV (like when they expect that they will be having unprotected sex with an infected partner) to prevent them from becoming infected. Typically, PrEP is one pill taken daily for an extended period of time.

39. (39.)	Before today, had you heard of PrEP or Truvada?
CAANHS
110*	Yes
*modified	No
	Don't Know
	Prefer not to Answer

39b. (39b.)	[if yes] Where have you heard about PrEP or Truvada? Check all that apply:
Unique Q
	Friend
	Commercial or ad for Truvada/PrEP
	Medical provider
	Sex partner
	Internet or online search
	On a TV show or movie
	Social media…………………………………………………………………………..
	Parent……………………………………………………………………………………
	School or adult at school………………………………………………………..
	Other, specify
	Don't Know
	Prefer not to Answer

39c. (39c.)	[if yes] Have you ever used PrEP before?
CAANHS
111*	Yes
*modified	No
	Don't Know
	Prefer not to Answer

39d. (39d.)	[if yes used] Are you currently taking PrEP?
Unique Q
	Yes
	No
	Don't Know
	Prefer not to Answer

39e. (39e.)	[if yes taking] Over the past 7 days, on how many days did you take PrEP?
Unique Q	[note: answer options will be a slide bar from 0 to 7]
	7 days
	6 days
	5 days
	4 days
	3 days
	2 days
	1 day
	Not at all
	Don't Know
	Prefer not to Answer

39no. (39_no.)	[if never used PrEP before or not currently taking] How likely would you be to use PrEP, that is, to take an anti-HIV medicine every day to lower your chances of getting HIV?
Unique Q
	Very likely
	Somewhat likely
	Neither likely nor unlikely
	Somewhat unlikely
	Very unlikely
	Need more information
	Don't Know
	Prefer not to Answer

39no-b. (39_nob.)	[if neither likely…, somewhat unlikely, very unlikely, or need more information] Which of the following are reasons that you do not wish to take PrEP? Check all that apply:
Project PrEPare
PrepBeliefReasons*	I am concerned about side effects from the pills
*Modified	I can avoid HIV in other ways
	I don't like taking pills
	I am concerned that people will think that I am HIV positive because I am taking PrEP
	I am concerned that people will know that I have sex with men and/or trans people because I am taking PrEP
	I fear developing resistance to HIV medications if I become positive
	I don't want to take a pill everyday
	I’m worried about what would happen if my parents found out
	Costs of medicine or going to the doctor to get it
	I don’t know where to get it
	Transportation
	Other, please specify [verbatim response option]
	Don't Know
	Refused to Answer

39no-c. (39_noc.)	[if no taking] Researchers are working on ways to change the medicine in PrEP so that it doesn’t have to be taken every day. One of the alternatives they are working on is one or more injections (shots) taken several times a year. If PrEP were available like this, how likely would you be to take it?
Unique Q
	Very likely
	Somewhat likely
	Neither likely nor unlikely
	Somewhat unlikely
	Very unlikely
	Need more information
	Don't Know
	Prefer not to Answer

nPEP or PEP (post-exposure prophylaxis) is when a person is given medicine right after getting exposed to HIV (like after unprotected sex with an infected partner) to prevent becoming infected. Typically, nPEP is one or more pills taken daily right after the exposure and for the next 30 days.

40. (40.)	Before today, had you heard of nPEP (sometimes just called PEP)?
CAANHS
114*	Yes
*modified	No
	Don't Know
	Prefer not to Answer

40b. (40b.)	[if yes] Where have you heard about nPEP (sometimes just called PEP)? Check all that apply:
Unique Q
	Friend
	Commercial or ad for nPEP
	Medical provider
	Sex partner
	Internet or online search
	On a TV show or movie Social media…………………………………………………………………………..
	Parent……………………………………………………………………………………
	School or adult at school………………………………………………………..
	Other, specify
	Don't Know
	Prefer not to Answer

40c. (40c.)	[if yes] Have you ever used nPEP (sometimes just called PEP) before?
CAANHS
115*	Yes
*modified	No
	Don't Know
	Prefer not to Answer

40no. (40_no.)	[if no taking] How likely would you be to use nPEP (sometimes just called PEP) if you knew you were exposed to HIV (and not already taking PrEP)?
Unique Q
	Very likely
	Somewhat likely
	Neither likely nor unlikely
	Somewhat unlikely
	Very unlikely
	Need more information
	Don't Know
	Prefer not to Answer

40no-b. (40_nob.)	[if neither likely…somewhat unlikely, very unlikely, or need more information] Why are you not willing to use PEP?
Unique Q
	Verbatim type-in___________

Research is also being done to develop a gel or lubricant that can be put in the butt to prevent someone from getting HIV. This is called a rectal microbicide. It would likely be put in before someone has anal or butt sex.

41. (41.)	Before today, had you heard of a rectal microbicide?
CAANHS
120	Yes
	No
	Don't Know
	Prefer not to Answer

41b. (41b.)	[if yes] Where have you heard about a rectal microbicide? Check all that apply:
Unique Q
	Friend
	Commercial or ad for rectal microbicide
	Medical provider
	Sex partner
	Internet or online search
	On a TV show or movie………………………………………………………………………….. Social media…………………………………………………………………………..
	Parent……………………………………………………………………………………
	School or adult at school………………………………………………………..
	Other, specify
	Don't Know
	Prefer not to Answer

42. (42.)	How likely would you be to use a rectal microbicide that could significantly decrease your risk to get HIV?
Unique Q
	Very Likely
	Somewhat likely
	Neither likely nor unlikely
	Somewhat unlikely
	Very unlikely
	Need more information
	Don't Know
	Prefer not to Answer

42b. (42b.)	[if neither likely…somewhat unlikely, very unlikely] Why are you not willing to use a rectal microbicide?
Unique Q
	Verbatim type-in___________

We now have a few final questions just to help us understand a little more about who you are.

44. (44.)	[if SC4=Yes] What grade are you currently in?
NHBS YMSM
DM5c.*	Less than grade 6
*modified	Grade 6
	Grade 7
	Grade 8
	Grade 9
	Grade 10
	Grade 11
	Grade 12
	Technical/vocational school
	GED program
	College
	Post-graduate program Not currently in school
	Don’t Know
	Prefer not to Answer

45. (45.)	[if SC4=Yes] During the past 12 months, how would you describe your grades in school?
YRBSS
Q89 (2015)	Mostly A’s
	Mostly B’s
	Mostly C’s
	Mostly D’s
	Mostly F’s
	None of these grades
	Not sure

46. (46.)	What is the highest level of education that either of your parents or guardians completed?
NHBS YMSM
DM5d.	Less than high school graduate
	High school graduate
	Technical/vocational school
	Some college
	Associate Degree Bachelor’s Degree Master’s Degree
	Professional Degree beyond a Bachelor’s Degree Doctorate Degree
	Don't Know
	Not Applicable
	Prefer not to Answer

47. (48.) [if, in grades 6-12]Please answer the following statements by selecting the option that best represents how you feel:

	Strongly Agree	Agree	Neither Agree nor Disagree	Disagree	Strongly Disagree
I feel like I am part of my school.
The students at my school are prejudiced.
I am happy to be at my school.
The teachers at my school treat students fairly.
I feel safe in my school.

48. (49.)	Where are you currently living or staying most of the time?
ATN130
DemWhere	At your parents' house or apartment
LiveNow*	At another family member's house or apartment
*modified	At a non-family member's house or apartment
	Your own house or apartment
	Foster home or group home
	In a rooming, boarding halfway house, or a shelter/welfare hotel
	On the street(s) (vacant lot, abandoned building, park, etc.)
	Some other place not mentioned (Please Specify:______)

49. (50.)	[if ethnicity=Latino *in screener*] What language are you most comfortable speaking with your family and friends?
NHBS YMSM
DM3b.*	English
*modified	Spanish
	Creole
	Portuguese
	Other, please specify (______________)

50. (51.)	In the past 12 months, was there a time where there wasn’t enough money in your house or apartment for rent, food, or utilities such as gas, electric, or phone?
NHBS YMSM
DM9	Yes
	No
	Don't Know
	Prefer not to Answer

51. (52.)	Do you currently have health care coverage of any kind, government or private?
NHBS YMSM
DM11.*	Yes
Modified	No
	Don't Know
	Prefer not to Answer

51b. (52b.)	[if yes] What kind of health insurance or coverage do you currently have?
NHBS YMSM
Dm11a. * Modified with FoodNet options	Private insurance, such as an HMO, PPO, or a managed care plan
	Public insurance, such as Medicaid, Medicare, or state assistance program
	A combination of private and public insurance
	Don't Know
	Prefer not to Answer

52. (53.)	During the past 12 months, where did you most often receive your health care services? If you routinely receive services from a doctor at a community health clinic, please categorize this under community health clinic/community clinic/public health center.
NHBS YMSM
	Private doctor’s office or HMO
DM11b.	Community health clinic, community clinic, public health clinic
SRCCAREA*	Family planning or Planned Parenthood clinic
*modified	Employer or company clinic
	Parent’s employer or company clinic School or school-based clinic
	Hospital outpatient clinic
	Hospital emergency room
	Hospital regular room
	Urgent care center, urgi-care, or walk-in facility
	Sexually transmitted disease (STD) clinic
	Your home
	Some other place
	Don't seek healthcare

53. (54.)		During the past 12 months, was there any time when you needed medical care but didn't get it because it costs too much money?
NHBS YMSM
DM12c.*		Yes
*modified		No
		Don't Know
		Prefer not to Answer
54b. (56b.) NHBS YMSM DM14b.1/2/3/4	[IF SC9 IN (3,4,5) OR SC10 IN (3,4)] Which of the following people have you told that you are attracted to or have sex with males? Please check all that apply:
	I have not told anyone……………………………………………………………………………………… Gay, lesbian, or bisexual friends
5/7*	Friends who are NOT gay, lesbian, or bisexual
*modified	Your mother or the woman who raised you
	Your father or the man who raised you
	Other family members
	A teacher
	A coach
	A school guidance counselor, social worker, or psychologist
	A counselor or therapist outside of school
	A religious leader (e.g., priest, rabbi, imam, or preacher)
	A health care provider
	Don’t Know
	Prefer not to Answer

54b-b. (56b_b.)	[if yes to mother] How did your mother or the woman who raised you respond?
NHBS YMSM
DM14b.3./3a.*	Very Positively
*modified	Positively
	Neither positively nor negatively
	Negatively
	Very Negatively
	Don’t Know
	Prefer not to Answer

54b-c. (56b_c.)	[if yes to father] How did your father or the man who raised you respond?
NHBS YMSM
DM114b.4/4a*	Very Positively
*modified	Positively
	Neither positively nor negatively
	Negatively
	Very Negatively
	Don’t Know
	Prefer not to Answer

55. (57.) [if, lives with parent or other family member] Please answer the following statements by selecting the option that best represents how you feel:

Per Chris, 3/28 requested edits	Always	Most of the time	Sometimes	Rarely	Never
When I go out at night, my parents/guardians know where I am.
I talk with my parents/guardians about the plans I have with my friends.
When I go out, my parents/guardians ask me where I am going.

56. (58.)	In general, how is your health? Would you say it is...?
NSFG
GENHEALT KA-4	Excellent
	Very good
	Good
	Fair
	Poor

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This is the end of the survey.

Thank you very much for your time and effort.

If you would like information regarding counseling or treatment resources, please visit the following CDC webpage: http://www.cdc.gov/lgbthealth/youth-resources.htm.

If you would like more information about the study, please call 1-877-346-7151 or send an email to teen-health@norc.org. If you have questions about your rights as a survey participant, you may call the NORC Institutional Review Board Administrator (toll-free) at 1-866-309-0542.