Youth Empowerment Information, Data Collection, and Exploration on Avoidance of Sex (IDEAS)-Pre-Test

IDEAS Parent Pretest Protocol: Survey and Debrief Topic Guide

Contents

Protocol for welcoming participants 2

Parent Survey with debrief prompts 6

Debrief wrap-up 48

Protocol for welcoming participants

1. CHECK IN EACH PARTICIPANT

   • NOTE TIME IN IF ANYONE LATE

   • HAND OUT SURVEY PACKET, INSTRUCT THEM TO PLEASE WAIT TO OPEN THEM

   • ONCE EVERYONE HAS ARRIVED, START THE GROUP INTRODUCTION

2. GROUP INTRODUCTION: Thanks for helping us out today by sharing your opinions about our survey. My name is [NAME], and these are my colleagues, [NAMES]. We work for a company called Mathematica. Mathematica is conducting a national survey, sponsored by the U.S. Department of Health and Human Services to learn more about the views of teens age 14-18, young adults age 19-24, and parents of teens on teen sexual risk behaviors, as well as opinions and experiences about sex education.

We’re here today because we want to test out the parent survey with you. You can help us make sure the questions are clear, and to get a sense of how long it takes to complete the survey. Your feedback will help us improve the questions we ask and the instructions we provide to people who participate in the study. We consider each of you an expert in how well our survey works for people your age and thank you again for your help.

OVERVIEW OF DAY: The pretest will take about 2 hours total today. The first step will be for you to fill out the actual survey.

When you’re done, we’d like to take a look at your survey to see if you marked anything as confusing. That way we can ask for your feedback to make the survey better. We’ll ask for your feedback in a small group for about 75 minutes, asking you particular questions about how easy the survey was to understand and fill out. While we will review your answers to see if you had any notes about questions, we will NOT specifically ask you to reveal any of your answers to anyone in the group.

We will be checking the time a lot today because one of our goals in running this pretest is to determine how long the different steps take. Please don’t let our checking the time make you feel rushed or under any pressure. Please take all the time you need to complete the survey.

3. Before you begin the survey, I need to tell you that your participation is completely voluntary and, I’d like to be sure you are aware of a few things before we begin.

1. First, you can skip any question you do not want to answer in the survey and you can decide not to answer any question during our discussion afterwards.

2. Second, your responses will not be shared with anyone outside of the study team.

3. Third, when we write about what we learned from you today we will NOT use your name with any of the information you provide in the survey or in our discussion.

We will be recording the group discussion and will be taking notes as a back-up. This is to ensure that we remember all of your thoughts and ideas when we make improvements to the survey. As a reminder, we will not share this recording with anyone unrelated to the project, and will destroy it once the study is finished.

Does anyone have any questions at this point?

4. USE SCRIPTED INTRODUCTION:

Now, please take the survey out of the packet. Do not begin until we tell you to. On the front page we will ask you to record the time that you begin the survey. When you are done, please raise your hand and someone from the team will come around to mark your completion time and collect the completed survey. Throughout the survey we ask questions specific to “your child”. Please think about the child who is here completing the pretest today as you fill out the survey.

As you fill out the survey, please use the highlighter or pen to mark any words that you do not understand or that seem out of date. If you think using different words in a question would make it less confusing or more relatable, please write that down.

In the margins, please also leave us notes about:

-Any questions you thought were confusing.

-Anything you want to ask about how to answer a question.

When we collect your survey, we will briefly look at them to see if we should ask some questions during the discussion. We won’t focus on your answers to individual questions. We will give your surveys back to you after we are done so that you can have them for the discussion.

We will wait until everyone completes to begin the small group discussion. If you finish before others, you can use the time to use the restroom or take a break.

You may notice that the question numbering is out of order. That was intentional, so you do not have to worry about that as you complete the survey.

This survey will later be programmed as a web survey. There are several questions that will only get asked based on answers given at prior questions and this will happen automatically in the programming of the survey. Since this pretest is on paper and we don’t have the benefit of having the computer skip us automatically, we have tried to show these skips in red text at the start of some of the questions. If the red text at the start of the question fits your prior responses, you should answer the question. Otherwise, you should leave the question blank and go to the next question.

Do you have any questions before we begin?

Okay, it is [TIME]. Please write that on the front cover and start.

5. HAVE PARTICIPANTS BEGIN. TIME HOW LONG IT TAKES EACH PARTICIPANT TO FINISH THE SURVEY, WRITING THE FINISH TIME ON THE FRONT COVER.

6. WHEN PARTICIPANT IS DONE WITH SURVEY, WRITE FINISH TIME ON THE FRONT COVER. COLLECT PACKET.

ASK THE RESPONDENTS FOR THEIR SURVEYS SO YOU CAN REVIEW AND RECORD COMMENTS ON THE DEBRIEF GUIDE BELOW. NOTE ANY QUESTIONS THEY MARKED/COMMENTED ON AND ANY QUESTIONS THEY LEFT BLANK THAT SHOULD HAVE BEEN ANSWERED. WHEN YOU ARE DONE, GATHER THE GROUP BACK TOGETHER AND RETURN THEIR COPIES OF THE SURVEY (JUST FOR DEBRIEF).

7. TIME DEBRIEFING. WRITE START AND FINISH TIME ON THE FRONT COVER OF THIS DEBRIEFING GUIDE, WITH DATE AND SESSION TIME. DO NOT GO OVER TIME.

BEGIN DISCUSSION.

1. Some of the topics we talk about today may be things you don’t talk about a lot with your friends or family. If we ask anything that you don’t want to answer or that makes you feel uncomfortable – please just let me know and we can skip that question.

2. I will use the copy I made with notes from your surveys as a reference for the rest of our time today. Please know we are not concerned about your personal answers to the survey questions. As we go through specific questions, if you feel that you have to reveal your response in order to answer, and you do not feel comfortable doing so, you do not have to answer the question. My goal for today is to get your feedback on how these questions were worded and what your thought process was when you answered these questions, not what your actual answers were.

3. Do you have any questions before we begin?

SURVEY DEBRIEFING QUESTIONS

We are now going to walk through section by section. I have specific questions, but please let me know as we are going through if there were questions that you had or feedback on a particular item.

Before we begin, what were your overall thoughts on the survey?

Did anything stick out to you in particular?

OMB Control No: 0970-0355

Expiration Date: 05/31/2021

Parent Instrument

Youth Empowerment IDEAS

Parent Survey

PRETEST

THE PAPERWORK REDUCTION ACT OF 1995

Public reporting burden for this collection of information is estimated to average 120 minutes per response, including the time for reviewing instructions, gathering and maintaining the data needed, 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. The collection of this information is voluntary and responses will be kept private to the extent allowed by law. The OMB number for this information collection is 0970-0355 and the expiration date is 05/31/2021.

SECTION B – DEMOGRAPHICS OF YOUR CHILD

First, we are going to collect some demographics information for your child. For this pretest, please answer about the child who came with you today to complete the youth pretest.

B1. What is your relationship to your child?

Select one only

 Mother (biological or adopted) 1

 Female guardian (stepmother, foster mother, or other female guardian) 2

 Father (biological or adopted) 3

 Male guardian (stepfather, foster father, or other male guardian) 4

 Sister 5

 Brother 6

 Grandmother 7

 Grandfather 8

 Aunt 9

 Uncle 10

 Other relative (please describe) 11

 Other nonrelative (please describe) 12

B2. Is your child Hispanic or Latino?

 Yes 1

 No 0

B3. What race is your child?

Select one or more

 American Indian or Alaska Native 1

 Asian 2

 Black or African American 3

 Native Hawaiian or Pacific Islander 4

 White 5

B4. Is your child currently enrolled in school? If your child is homeschooled instead of attending a public or private school for some or all classes, please select “yes.”

Select one only

 Yes 1

 Yes, but the school is currently on break 2

 No 0

B5. Does your child have a high school diploma, a high school equivalency certificate (such as a GED or HiSET), both, or neither?

 High school diploma only 1

 High school equivalency certificate only 2

 Both 3

 Neither 4

ONLY ANSWER IF: YOUR CHILD IS ENROLLED IN SCHOOL AND HAS NOT GRADUATED HIGH SCHOOL

B6. What type of school is your child currently enrolled in?

 Private, Catholic 1

 Private, religious, but not Catholic 2

 Private, not religious 3

 Public school or charter school 4

 Homeschool for some or all classes 5

 Other (please describe) 6

ONLY ANSWER IF YOUR CHILD IS ENROLLED IN SCHOOL BUT NOT YET COMPLETED HIGH SCHOOL OR GED

B7. What grade is your child currently in?

Select one only

 5th grade 1

 6th grade 2

 7th grade 3

 8th grade 4

 9th grade 5

 10 grade 6

 11th grade 7

 12th grade 8

 Don’t know d

AFTER ANSWERING B7, GO TO C1.

ONLY ANSWER IF YOUR CHILD IS ENROLLED IN SCHOOL AND HAS COMPLETED HIGH SCHOOL OR GED

B8. What type of school is your child currently enrolled in?

Select one only

 Business, technical, or vocational school after high school 1

 2-year college (community or junior college) 2

 4-year college or university 3

 Other (please describe) 4

AFTER ANSWERING B8, GO TO C1.

ONLY ANSWER IF YOUR CHILD IS NOT ENROLLED IN SCHOOL AND DID NOT COMPLETE HIGH SCHOOL OR GED

B9. What is the highest grade in school that your child completed?

Select one only

 8th grade or lower 1

 9th grade 2

 10th grade 3

 11th grade 4

 12th grade (but did not graduate or receive a high school equivalency certificate) 5

SECTION C – RELATIONSHIP WITH YOUR CHILD

In the next section we are going list some topics parents might talk about with their children.

C1. In the past 12 months, how often have you discussed the following with your child?

SELECT ONE ONLY

	Never	Rarely	Sometimes	Often
a. School work or grades	1 	2 	3 	4 
b. Shows or videos they watch on TV or online	1 	2 	3 	4 
c. Video games or games they might play on their phone	1 	2 	3 	4 
d. Their social media or internet use	1 	2 	3 	4 
e. What they do with friends	1 	2 	3 	4 
f. Who they are dating	1 	2 	3 	4 
g. Their education and career goals	1 	2 	3 	4 
h. Risks of alcohol and other drug use	1 	2 	3 	4 
i. How to resist pressure to use alcohol and other drugs	1 	2 	3 	4 
j. What makes a good romantic relationship and/or marriage	1 	2 	3 	4 
k. How to resist pressure to have sex as a teen	1 	2 	3 	4 
l. Understanding reproduction, pregnancy, and birth	1 	2 	3 	4 
m. How to avoid situations that could lead to sex as a teen	1 	2 	3 	4 
n. How to get birth control such as condoms, pills, the patch, the shot, the ring, IUD, or an implant	1 	2 	3 	4 
o. Ways to be romantic or have fun in a relationship without having sex	1 	2 	3 	4 
p. Reasons for waiting until marriage to have sex	1 	2 	3 	4 
q. Ways to talk to a romantic partner about the decision to have sex	1 	2 	3 	4 
r. Reasons for not having sex as a teen	1 	2 	3 	4 

We list a lot of topics here. What were your thoughts as you read through the list?

How easy or difficult was it to pick an answer while you thought about the last 12 months?

Do you think it would be easier or harder to answer this question if we asked about the last 3 months instead of the last 12 months?

To you what does “the last 12 months” mean? What does “the last 3 months” mean?

Now let’s look at option j. What comes to mind with the term “good romantic relationship”?

• How about “healthy romantic relationship”?

• In what ways are those phrases similar or different?

• Which phrase do you think is easier or harder to understand? Why is that?

• Were any of things listed here confusing or you didn’t understand what it meant?

ONLY ANSWER FOR TOPICS THAT YOU HAVE DISCUSSED AT LEAST ONCE IN PAST 12 MONTHS (YOU SELECTED RARELY, SOMETIMES OR OFTEN IN ITEM ABOVE)

C2. How comfortable are you talking to your child about…?

SELECT ONE ONLY

	Not at all comfortable	Somewhat comfortable	Comfortable		Very comfortable
a. School work or grades	1 	2 	3 	4 
b. Shows or videos they watch on TV or online	1 	2 	3 	4 
c. Video games or games they might play on their phone	1 	3 	3 	4 
d. Their social media or internet use	1 	2 	3 	4 
e. What they do with friends	1 	2 	3 	4 
f. Who they are dating	1 	2 	3 	4 
g. Their education and career goals	1 	2 	3 	4 
h. Risks of alcohol and other drug use	1 	2 	3 	4 
i. How to resist pressure to use alcohol and other drugs	1 	2 	3 	4 
j. What makes a good romantic relationship and/or marriage	1 	2 	3 	4 
k. How to resist pressure to have sex as a teen	1 	2 	3 	4 
l. Understanding reproduction, pregnancy, and birth	1 	2 	3 	4 
m. How to avoid situations that could lead to sex as a teen	1 	2 	3 	4 
n. How to get birth control such as condoms, pills, the patch, the shot, the ring, IUD, or an implant	1 	2 	3 	4 
o. Ways to be romantic or have fun in a relationship without having sex	1 	2 	3 	4 
p. Reasons for waiting until marriage to have sex	1 	2 	3 	4 
q. Ways to talk to a romantic partner about the decision to have sex	1 	2 	3 	4 
r. Reasons for not having sex as a teen	1 	2 	3 	4 

ONLY ANSWER IF YOU DID NOT DISCUSS SCHOOL WORK OR GRADES (from C2)

C3a. Why have you not discussed school work or grades with your child? If more than one reason applies, please select the most important reason to you.

• I spoke with child about this, but it was more than 12 months ago 1

• This is not something that I feel should ever be discussed between my child and me 2

• I want to wait until my child is older to discuss this with them 3

 I don’t feel that it is my role to discuss this with my child 4

 I am not comfortable talking to my child about this 5

 I don’t feel that I know enough to talk with your child about this 6

 Some other reason (please describe) 7

ONLY ANSWER IF YOU DID NOT DISCUSS Shows or videos they watch on TV or online (from C2):

C3b. Why have you not discussed shows or videos they watch on TV or online? If more than one reason applies, please select the most important reason to you.

• I spoke with child about this, but it was more than 12 months ago 1

• This is not something that I feel should ever be discussed between my child and me 2

• I want to wait until my child is older to discuss this with them 3

 I don’t feel that it is my role to discuss this with my child 4

 I am not comfortable talking to my child about this 5

 I don’t feel that I know enough to talk with your child about this 6

 Some other reason (please describe) 7

ONLY ANSWER IF YOU DID NOT DISCUSS Video games or games they might play on their phone (from C2):

C3c. Why have you not discussed video games or games they might play on their phone? If more than one reason applies, please select the most important reason to you.

• I spoke with child about this, but it was more than 12 months ago 1

• This is not something that I feel should ever be discussed between my child and me 2

• I want to wait until my child is older to discuss this with them 3

 I don’t feel that it is my role to discuss this with my child 4

 I am not comfortable talking to my child about this 5

 I don’t feel that I know enough to talk with your child about this 6

 Some other reason (please describe) 7

ONLY ANSWER IF YOU DID NOT DISCUSS their social media or internet use (from C2):

C3d. Why have you not discussed their social media or internet use? If more than one reason applies, please select the most important reason to you.

• I spoke with child about this, but it was more than 12 months ago 1

• This is not something that I feel should ever be discussed between my child and me 2

• I want to wait until my child is older to discuss this with them 3

 I don’t feel that it is my role to discuss this with my child 4

 I am not comfortable talking to my child about this 5

 I don’t feel that I know enough to talk with your child about this 6

 Some other reason (please describe) 7

ONLY ANSWER IF YOU DID NOT DISCUSS What they do with friends (from C2):

C3e. Why have you not discussed what they do with their friends? If more than one reason applies, please select the most important reason to you.

• I spoke with child about this, but it was more than 12 months ago 1

• This is not something that I feel should ever be discussed between my child and me 2

• I want to wait until my child is older to discuss this with them 3

 I don’t feel that it is my role to discuss this with my child 4

 I am not comfortable talking to my child about this 5

 I don’t feel that I know enough to talk with your child about this 6

 Some other reason (please describe) 7

ONLY ANSWER IF YOU DID NOT DISCUSS Who they are dating (from C2):

C3f. Why have you not discussed who they are dating? If more than one reason applies, please select the most important reason to you.

• I spoke with child about this, but it was more than 12 months ago 1

• This is not something that I feel should ever be discussed between my child and me 2

• I want to wait until my child is older to discuss this with them 3

 I don’t feel that it is my role to discuss this with my child 4

 I am not comfortable talking to my child about this 5

 I don’t feel that I know enough to talk with your child about this 6

 Some other reason (please describe) 7

ONLY ANSWER IF YOU DID NOT DISCUSS Their education and career goals (from C2):

C3g. Why have you not discussed their education and career goals? If more than one reason applies, please select the most important reason to you.

• I spoke with child about this, but it was more than 12 months ago 1

• This is not something that I feel should ever be discussed between my child and me 2

• I want to wait until my child is older to discuss this with them 3

 I don’t feel that it is my role to discuss this with my child 4

 I am not comfortable talking to my child about this 5

 I don’t feel that I know enough to talk with your child about this 6

 Some other reason (please describe) 7

ONLY ANSWER IF YOU DID NOT DISCUSS Risks of alcohol and other drug use (from C2):

C3h. Why have you not discussed risks of alcohol and other drug use with your child? If more than one reason applies, please select the most important reason to you.

• I spoke with child about this, but it was more than 12 months ago 1

• This is not something that I feel should ever be discussed between my child and me 2

• I want to wait until my child is older to discuss this with them 3

 I don’t feel that it is my role to discuss this with my child 4

 I am not comfortable talking to my child about this 5

 I don’t feel that I know enough to talk with your child about this 6

 Some other reason (please describe) 7

ONLY ANSWER IF YOU DID NOT DISCUSS How to resist pressure to use alcohol and other drugs (from C2):

C3i. Why have you not discussed how to resist pressure to use alcohol and other drugs with your child? If more than one reason applies, please select the most important reason to you.

• I spoke with child about this, but it was more than 12 months ago 1

• This is not something that I feel should ever be discussed between my child and me 2

• I want to wait until my child is older to discuss this with them 3

 I don’t feel that it is my role to discuss this with my child 4

 I am not comfortable talking to my child about this 5

 I don’t feel that I know enough to talk with your child about this 6

 Some other reason (please describe) 7

ONLY ANSWER IF YOU DID NOT DISCUSS What makes a good romantic relationship and/or marriage (from C2):

C3j. Why have you not discussed what makes a good romantic relationship and/or marriage with your child? If more than one reason applies, please select the most important reason to you.

• I spoke with child about this, but it was more than 12 months ago 1

• This is not something that I feel should ever be discussed between my child and me 2

• I want to wait until my child is older to discuss this with them 3

 I don’t feel that it is my role to discuss this with my child 4

 I am not comfortable talking to my child about this 5

 I don’t feel that I know enough to talk with your child about this 6

 Some other reason (please describe) 7

ONLY ANSWER IF YOU DID NOT DISCUSS How to resist pressure to have sex as a teen (from C2):

C3k. Why have you not discussed how to resist pressure to have sex as a teen with your child? If more than one reason applies, please select the most important reason to you.

• I spoke with child about this, but it was more than 12 months ago 1

• This is not something that I feel should ever be discussed between my child and me 2

• I want to wait until my child is older to discuss this with them 3

 I don’t feel that it is my role to discuss this with my child 4

 I am not comfortable talking to my child about this 5

 I don’t feel that I know enough to talk with your child about this 6

 Some other reason (please describe) 7

ONLY ANSWER IF YOU DID NOT DISCUSS reproduction, pregnancy, and birth (from C2):

C3l. Why have you not discussed reproduction, pregnancy, and birth with your child? If more than one reason applies, please select the most important reason to you.

• I spoke with child about this, but it was more than 12 months ago 1

• This is not something that I feel should ever be discussed between my child and me 2

• I want to wait until my child is older to discuss this with them 3

 I don’t feel that it is my role to discuss this with my child 4

 I am not comfortable talking to my child about this 5

 I don’t feel that I know enough to talk with your child about this 6

 Some other reason (please describe) 7

ONLY ANSWER IF YOU DID NOT DISCUSS How to avoid situations that could lead to sex as a teen (from C2):

C3m. Why have you not discussed how to avoid situations that could lead to sex as a teen with your child? If more than one reason applies, please select the most important reason to you.

• I spoke with child about this, but it was more than 12 months ago 1

• This is not something that I feel should ever be discussed between my child and me 2

• I want to wait until my child is older to discuss this with them 3

 I don’t feel that it is my role to discuss this with my child 4

 I am not comfortable talking to my child about this 5

 I don’t feel that I know enough to talk with your child about this 6

 Some other reason (please describe) 7

ONLY ANSWER IF YOU DID NOT DISCUSS How to get birth control (from C2):

C3n. Why have you not discussed how to get birth control with your child? If more than one reason applies, please select the most important reason to you.

• I spoke with child about this, but it was more than 12 months ago 1

• This is not something that I feel should ever be discussed between my child and me 2

• I want to wait until my child is older to discuss this with them 3

 I don’t feel that it is my role to discuss this with my child 4

 I am not comfortable talking to my child about this 5

 I don’t feel that I know enough to talk with your child about this 6

 Some other reason (please describe) 7

ONLY ANSWER IF YOU DID NOT DISCUSS Ways to be romantic or have fun in a relationship without having sex (from C2):

C3o. Why have you not discussed ways to be romantic or have fun in a relationship without having sex with your child? If more than one reason applies, please select the most important reason to you.

• I spoke with child about this, but it was more than 12 months ago 1

• This is not something that I feel should ever be discussed between my child and me 2

• I want to wait until my child is older to discuss this with them 3

 I don’t feel that it is my role to discuss this with my child 4

 I am not comfortable talking to my child about this 5

 I don’t feel that I know enough to talk with your child about this 6

 Some other reason (please describe) 7

ONLY ANSWER IF YOU DID NOT DISCUSS Reasons for waiting until marriage to have sex (from C2):

C3p. Why have you not discussed reasons for waiting until marriage to have sex with your child? If more than one reason applies, please select the most important reason to you.

• I spoke with child about this, but it was more than 12 months ago 1

• This is not something that I feel should ever be discussed between my child and me 2

• I want to wait until my child is older to discuss this with them 3

 I don’t feel that it is my role to discuss this with my child 4

 I am not comfortable talking to my child about this 5

 I don’t feel that I know enough to talk with your child about this 6

 Some other reason (please describe) 7

ONLY ANSWER IF YOU DID NOT DISCUSS Ways to talk to a romantic partner about the decision to have sex (from C2):

C3q. Why have you not discussed ways to talk to a romantic partner about the decision to have sex with your child? If more than one reason applies, please select the most important reason to you.

• I spoke with child about this, but it was more than 12 months ago 1

• This is not something that I feel should ever be discussed between my child and me 2

• I want to wait until my child is older to discuss this with them 3

 I don’t feel that it is my role to discuss this with my child 4

 I am not comfortable talking to my child about this 5

 I don’t feel that I know enough to talk with your child about this 6

 Some other reason (please describe) 7

ONLY ANSWER IF YOU DID NOT DISCUSS Reasons for not having sex as a teen (from C2):

C3r. Why have you not discussed reasons for not having sex as a teen with your child? If more than one reason applies, please select the most important reason to you.

• I spoke with child about this, but it was more than 12 months ago 1

• This is not something that I feel should ever be discussed between my child and me 2

• I want to wait until my child is older to discuss this with them 3

 I don’t feel that it is my role to discuss this with my child 4

 I am not comfortable talking to my child about this 5

 I don’t feel that I know enough to talk with your child about this 6

 Some other reason (please describe) 7

C4. Where would you most prefer your child learns about the following?

SELECT ONE ONLY

	Myself	Another Parent/ Guardian	Friends	Brother(s)/ Sister(s)	School	Place of Worship	Online	Doctor/ Nurse/ Other Health Care Professional	I Don’t Want Them To Learn About This At This Age	I Don’t Want Them To Ever Learn About This
a. Risks of alcohol and other drug use	1 	2 	3 	4 	5 	6 	7 	8 	9 	10 
b. How to resist pressure to use alcohol and other drugs	1 	2 	3 	4 	5 	6 	7 	8 	9 	10 
c. What makes a good romantic relationship and/or marriage	1 	2 	3 	4 	5 	6 	7 	8 	9 	10 
d. How to resist pressure to have sex as a teen	1 	2 	3 	4 	5 	6 	7 	8 	9 	10 
e. Understanding reproduction, pregnancy, and birth	1 	2 	3 	4 	5 	6 	7 	8 	9 	10 
f. How to avoid situations that could lead to sex as a teen	1 	2 	3 	4 	5 	6 	7 	8 	9 	10 
g. How to get birth control such as condoms, pills, the patch, the shot, the ring, IUD, or an implant	1 	2 	3 	4 	5 	6 	7 	8 	9 	10 
h. Ways to be romantic or have fun in a relationship without having sex	1 	2 	3 	4 	5 	6 	7 	8 	9 	10 
i. Reasons for waiting until marriage to have sex	1 	2 	3 	4 	5 	6 	7 	8 	9 	10 
j. Ways to talk to a romantic partner about the decision to have sex	1 	2 	3 	4 	5 	6 	7 	8 	9 	10 
k. Reasons for not having sex as a teen	1 	2 	3 	4 	5 	6 	7 	8 	9 	10 

What were your thoughts as you answered? Was there anything missing or that made this difficult to answer?

ONLY ANSWER IF YOU DISCUSSED A TOPIC RELATED TO SEX WITH YOUR CHILD IN THE PAST 12 MONTHS

C5. Thinking about the discussions you have had with your child, how much of an influence do you think they will have on your child’s decisions about sex?

Select one only

 A lot 1

 Some 2

 Not much 3

 No influence 4

The next questions are about how much you know about what your child does in [HIS/HER] free time.

C6. How often do you know…

SELECT ONE ONLY

	Never	Sometimes	Often	Always
a. Where your child is when they are away from home in their free time?	1 	2 	3 	4 
b. Who your child is with when they are away from home in their free time?	1 	2 	3 	4 
c. What your child watches on television or online?	1 	2 	3 	4 
d. About what your child is posting on social media such as Instagram, Facebook, Twitter, or Snapchat?	1 	2 	3 	4 
e. Who your child is messaging with on social media such as Instagram, Facebook, Twitter, or Snapchat?	1 	2 	3 	4 

C7. In general, how close do you feel you are with your child?

Select one only

 Not at all close 1

 A little close 2

 Close 3

 Very close 4

SECTION D – YOUR OPINIONS ABOUT WORK, EDUCATION, AND RELATIONSHIPS

How much do you agree or disagree with each of the following statements?

D1. It is better to graduate from high school before getting a full-time job.

Select one only

 Strongly agree 1

 Agree 2

 Disagree 3

 Strongly disagree 4

D2. It is better to get a full-time job before getting married.

Select one only

 Strongly agree 1

 Agree 2

 Disagree 3

 Strongly disagree 4

D3. It is better to have children before getting a full-time job.

Select one only

 Strongly agree 1

 Agree 2

 Disagree 3

 Strongly disagree 4

D4. It is better to get married before having children.

Select one only

 Strongly agree 1

 Agree 2

 Disagree 3

 Strongly disagree 4

D5. A couple should not live together unless they are married.

Select one only

 Strongly agree 1

 Agree 2

 Disagree 3

 Strongly disagree 4

What were your thoughts as you read through D1-D5? Were you comfortable answering?

D6. Do you think that types of birth control that are effective for long periods of time, like an IUD or an implant, are easy for teens to get?

Select one only

 Yes 1

 No 2

 Not sure 3

D7. Do you think that types of birth control that are effective for long periods of time, like an IUD or an implant, make teens more likely to have sex?

Select one only

 Yes 1

 No 2

 Not sure 3

SECTION E – EXPOSURE AND OPINIONS ABOUT SEX EDUCATION

The next questions are about your opinions on sex education and about any classes, sessions, or programs your child may have had on sex education. These are classes that cover things like pregnancy, waiting to have sex, birth control, (such as condoms, pills, the patch, the shot, the ring, IUD, or an implant), and sexually transmitted diseases (also known as STDs or STIs).

What were your thoughts about this section? How easy or hard was it to answer this section?

PROBE ON HOW MUCH THEY KNOW ABOUT THE SEX EDUCATION THEIR CHILD RECEIVED

E1. Has your child ever had sex education as part of a class or program in school?

 Yes 1 GO TO E2

 No 0 GO TO E3

 Don’t know d GO TO E3

ONLY ANSWER IF YOUR CHILD HAS EVER HAD SEX EDUCATION

E2. In what grade(s) did your child take sex education in school?

Select one or more

 5th grade or below 1

 6th grade 2

 7th grade 3

 8th grade 4

 9th grade 5

 10th grade 6

 11th grade 7

 12th grade 8

 Don’t know d

E3. Have you ever declined to allow your child to participate in sex education in school?

 Yes 1

If your child has not taken sex education, or you don’t know if they have, please skip to E11.

 No 0

ONLY ANSWER IF YOUR CHILD HAD SEX EDUCATION IN SCHOOL

E4. Did your child ever have any sex education in school that covered abstinence, or not having sex?

 Yes 1 GO TO E5

 No 0 GO TO E6

 Don’t know d GO TO E6

ONLY ANSWER IF YOUR CHILD’S SEX EDUCATION COVERED ABSTINENCE.

E5. In what grade(s) did your child receive sex education that covered abstinence?

Select one or more

 5th grade or below 1

 6th grade 2

 7th grade 3

 8th grade 4

 9th grade 5

 10th grade 6

 11th grade 7

 12th grade 8

 Don’t know d

ONLY ANSWER IF YOUR CHILD HAD SEX EDUCATION IN SCHOOL

E6. Did your child ever have any sex education in school that covered birth control, such as condoms, pills, the patch, the shot, the ring, IUD, or an implant?

 Yes 1 GO TO E7

 No 0 GO TO E8

 Don’t know d GO TO E8

ONLY ANSWER IF: YOUR CHILD’S SEX EDUCATION COVERED BIRTH CONTROL

E7. In what grade(s) did your child receive sex education that covered birth control?

Select one or more

 5th grade or below 1

 6th grade 2

 7th grade 3

 8th grade 4

 9th grade 5

 10th grade 6

 11th grade 7

 12th grade 8

 Don’t know d

ONLY ANSWER IF YOUR CHILD HAD SEX EDUCATION IN SCHOOL

E8. Overall, do you think your child's schooling spends or spent too little time, too much time, or the right amount of time on teaching abstinence?

Select one only

 Too little time 1

 Too much time 2

 The right amount of time 3

 Don’t know d

ONLY ANSWER IF YOUR CHILD HAD SEX EDUCATION IN SCHOOL

E9. Overall, do you think your child's schooling spends or spent too little time, too much time, or the right amount of time teaching about birth control?

Select one only

 Too little time 1

 Too much time 2

 The right amount of time 3

 Don’t know d

ONLY ANSWER IF YOUR CHILD HAD SEX EDUCATION IN SCHOOL

E10. How much do you agree or disagree with the following statement? The sex education your child had in school or as part of home schooling prepared them to make good decisions about sex.

Select one only

 Strongly agree 1

 Agree 2

 Disagree 3

 Strongly disagree 4

How easy or hard was it for you to answer this item?

How did the answer choices fit or not fit with the way you wanted to answer this question?

ALL RESPONDENTS ANSWER E11-E16

E11. Has your child ever had or are they currently taking any sex education outside of school or homeschool? This could be at a place of worship, community center, after school program at school, a clinic, or some other place outside of the normal school day.

 Yes 1

 No 0

E12. How important do you think it is to have sex education as part of the middle school curriculum?

Select one only

 Very important 1

 Somewhat important 2

 Not too important 3

 Not at all important 4

E13. If sex education is taught in middle school, do you think it should be required for students, or should it be optional?

Select one only

 Required 1

 Optional 2

E14. How important do you think it is to have sex education as part of the high school curriculum?

Select one only

 Very important 1

 Somewhat important 2

 Not too important 3

 Not at all important 4

E15. If sex education is taught in high school, do you think it should be required for students, or should it be optional?

Select one only

 Required 1

 Optional 2

E16. Sex education can include a variety of topics. For each of the following topics, do you think the topic is appropriate for middle school students – that is, grades 6 through 8 – high school students – that is, grades 9 through 12 – both age groups, or neither age group?

SELECT ONE ONLY

	Appropriate for middle school students	Appropriate for high school students	Appropriate for both middle and high school students	Not appropriate for middle or high school students
a. Birth control, such as condoms, birth control pills, the patch, the shot, the ring, IUD, or an implant	1 	2 	3 	4 
b. Effectiveness of birth control for preventing HIV/AIDS and other STDs or STIs	1 	2 	3 	4 
c. Effectiveness of birth control for preventing pregnancy	1 	2 	3 	4 
d. Where or how to get birth control	1 	2 	3 	4 
e. How to use a condom	1 	2 	3 	4 
f. How to use other methods of birth control	1 	2 	3 	4 
g. Female and male reproductive systems (including information about sex organs and the menstrual cycle or period)	1 	2 	3 	4 
h. How pregnancy occurs	1 	2 	3 	4 
i. How to avoid pregnancy	1 	2 	3 	4 
j. How to avoid getting HIV/AIDS and other STDs or STIs	1 	2 	3 	4 
k. Having healthy romantic relationships (dating and marriage)	1 	2 	3 	4 
l. Developing communication skills	1 	2 	3 	4 
m. Consequences of having sex as a teen	1 	2 	3 	4 
n. Consequences of pregnancy as a teen	1 	2 	3 	4 
o. Waiting to have sex until after graduating from high school	1 	2 	3 	4 
p. Waiting to have sex until marriage	1 	2 	3 	4 
q. How to say no to sex	1 	2 	3 	4 
r. Strategies for avoiding unwanted sex	1 	2 	3 	4 
s. How to make sex pleasurable	1 	2 	3 	4 
t. How to talk to your partner about sex and using birth control	1 	2 	3 	4 
u. How to talk to your parents about sex	1 	2 	3 	4 
v. How alcohol or drugs might affect decisions about having sex	1 	2 	3 	4 
w. Setting goals and making plans for the future	1 	2 	3 	4 
x. The importance of consent (both partners agreeing) before engaging in sex	1 	2 	3 	4 
y. How to get out of unhealthy romantic relationships	1 	2 	3 	4 
z. Having sex as a teen is okay	1 	2 	3 	4 
aa. Other topic (please describe)	1 	2 	3 	4 

What were your thoughts on the topics listed?

SECTION F – ATTITUDES AND BELIEFS ABOUT YOUTH SEXUAL BEHAVIOR

The following questions are about your attitudes and beliefs about youth sexual behaviors. Sexual behaviors, or “sex,” can include vaginal, anal, or oral sex.

What were your thoughts about this section? How easy or hard was it to answer this section?

Did you have trouble answering any of these? Or want other response options?

F1. Which of the following statements is closest to your view about people your child’s age having sex?

Select one only

 It is okay for people your child’s age to have sex if both people agree and use protection against pregnancy and STDs/STIs 1

 It is not okay for people your child’s age to have sex even if both people agree and use protection against pregnancy and STDs/STIs 2

How easy or hard was it for you to answer this item?

F2. Which of the following statements is closest to your view about sex and marriage?

Select one only

 It is okay for people to have sex before they are married 1

 Having sex is something only married people should do 2

How much do you agree or disagree with each of the following statements?

F3. After teens have had sex it is possible to later decide to abstain from sex (not have sex).

Select one only

 Strongly agree 1

 Agree 2

 Disagree 3

 Strongly disagree 4

How easy or hard was it for you to answer this item?

How did the answer choices fit or not fit with the way you wanted to answer this question?

F4. Oral sex is not as big of a deal as vaginal sex.

Select one only

 Strongly agree 1

 Agree 2

 Disagree 3

 Strongly disagree 4

F5. It is okay for teens your child’s age to have sex if both partners think they are ready.

Select one only

 Strongly agree 1

 Agree 2

 Disagree 3

 Strongly disagree 4

F6. At your child’s age right now, having sex would be okay if they have been dating one person for a long time.

Select one only

 Strongly agree 1

 Agree 2

 Disagree 3

 Strongly disagree 4

F7. At your child’s age right now, having sex is okay if they are using birth control.

Select one only

 Strongly agree 1

 Agree 2

 Disagree 3

 Strongly disagree 4

F8. I can have a big influence on my child’s decisions about sex.

Select one only

 Strongly agree 1

 Agree 2

 Disagree 3

 Strongly disagree 4

F9. Teens should be able to get birth control that requires a prescription, such as birth control pills, without permission from parents.

Select one only

 Strongly agree 1

 Agree 2

 Disagree 3

 Strongly disagree 4

F10. How common or typical do you think it is for teens to…

SELECT ONE ONLY

	Very common	Somewhat common	Not common
a. Smoke cigarettes or vape?	1 	2 	3 
b. Drink beer or other alcohol?	1 	2 	3 
c. Use marijuana?	1 	2 	3 
d. Use other drugs?	1 	2 	3 
e. Have sex?	1 	2 	3 

F11. Which factors do you think contribute to teens having sex?

Select one or more

 Movies or television 1

 Music 2

 Books or magazines 3

 Social media, such as Instagram, Facebook, Twitter, or Snapchat 4

 Pornography 5

 Sexting 6

 Websites designed to answer teens’ questions about sex 7

 A sex education class 8

 Condom demonstrations, where someone is showing how a condom is used 9

 Condom distribution, where condoms are offered to teens for free 10

 Their friends and peers 11

 Their boyfriend or girlfriends 12

 Their parents 13

 Their brothers or sisters 14

 Other factor (please describe) 15

 None of these 16

What do you think about this list? Anything seem out of place or confusing?

F12. Which of the following statements is closest to your view about people your child’s age having sex?

Select one only

 It’s okay for someone your child’s age to have sex with someone they do not really know well 1

 It’s okay for someone your child’s age to have sex only if they are in a committed relationship or exclusively dating someone 2

 It’s not okay for someone your child’s age to have sex 3

F13. Parents have different views on teens having sex at your child’s age. How important is each of these considerations to you for your expectations for your child?

SELECT ONE ONLY

	Not important at all	Somewhat important	Very important	Extremely important
a. Risk of pregnancy	1 	2 	3 	4 
b. Risk of STDs/STIs	1 	2 	3 	4 
c. They are not emotionally ready for sex	1 	2 	3 	4 
d. It is immoral or against religious teachings	1 	2 	3 	4 
e. Sex will get in the way of achieving their goals	1 	2 	3 	4 

SECTION G – KNOWLEDGE OF YOUTH SEXUAL RISK BEHAVIORS

G1. About how many high school age youth do you think have had sex?

Select one only

 More than 3/4 1

 Between 1/2 and 3/4 2

 Between 1/4 and 1/2 3

 Less than 1/4 4

Without looking at the response options, in your own words, how many high school age youth do you think have had sex?

Did our response options make it easier or harder to answer?

How did you define sex in this question?

G2. What do you think is true about teen sex today, compared to teen sex 25 years ago?

Select one only

 A larger percentage of teens are having sex today compared to 25 years ago 1

 About the same percentage of teens are having sex today compared to 25 years ago 2

 A smaller percentage of teens are having sex today compared to 25 years ago 3

G3. Do you think your child has ever had oral sex, vaginal sex, or anal sex?

 Yes 1

 No 0

 Don't know d

G4. How confident are you in your response?

Select one only

 Not at all confident 1

 Not too confident 2

 Somewhat confident 3

 Very confident 4

SECTION H – DEMOGRAPHICS

H1. Are you Hispanic or Latino?

 Yes 1

 No 0

H2. What is your race?

Select one or more

 American Indian or Alaska Native 1

 Asian 2

 Black or African American 3

 Native Hawaiian or Pacific Islander 4

 White 5

H3. What sex were you assigned at birth?

Select one only

 Male 1

 Female 2

 Don’t know 3

 Prefer not to answer 4

H4. What is the highest degree or level of school that you have completed?

Select one only

 8th grade or less 1

 9th grade 2

 10th grade 3

 11th grade 4

 12th grade - no diploma 5

 Regular high school diploma, high school equivalency certificate, or other alternative credential 6

 Business, technical, or vocational certificate 7

• Some college credit, but no degree 8

 Associate’s degree (AA, AS) 9

 Bachelor’s degree (BA, BS) 10

 Some graduate or professional school credit, but no degree 11

 Graduate or professional degree (MA, PhD, MD, JD) 12

H5. Are you married, widowed, divorced, separated, or have you never been married?

Select one only

 Married 1 GO TO H7

 Widowed 2 GO TO H6

 Divorced 3 GO TO H6

 Separated 4 GO TO H6

 Never been married 5 GO TO H6

ONLY ANSWER IF YOU ARE WIDOWED, DIVORCED, SEPARATED, OR HAVE NEVER BEEN MARRIED

H6. Is there a second parent or guardian living in this household?

Select one only

 Yes 1 GO TO H7

 No 2 GO TO H8

ONLY ANSWER IF YOU ARE MARRIED OR THERE IS A SECOND PARENT OR GUARDIAN LIVING IN YOUR HOUSEHOLD

H7. [H5=1: How is the person you are married to related to your child?] Is this person your child’s…

Select one only

 Biological parent 1

 Adoptive parent 2

 Stepparent 3

 Foster parent 4

 Grandparent 5

 Other (please describe) 6

These next few questions are about the people you live with now. When answering these questions, please think about the place you consider to be your main home right now, the place where you spend the most time.

H8. Including yourself, how many adults age 18 or older currently live in your home?

ADULTS AGE 18 OR OLDER

H9. How many people younger than 18 years old currently live in your home?

PEOPLE YOUNGER THAN 18 YEARS OLD

H10. How many older brothers or sisters does your child have? Please include biological, adopted, step, and half siblings. If your child has a sibling that is their same age, please count them here.

NUMBER OF OLDER BROTHERS OR SISTERS

H11. Thinking of your child’s older brothers or sisters, how many currently live in this same home with you, either part or full-time? This may include older siblings who are at college and come home to living during breaks, or siblings that may live some of the time with one parent at a different home and some of the time in the same home you live.

OLDER BROTHERS OR SISTERS LIVING IN HOME

H12. How many younger brothers or sisters does your child have? Please include biological, adopted, step, and half siblings.

NUMBER OF YOUNGER BROTHERS OR SISTERS

H13. Thinking of your child’s younger brothers or sisters, how many currently live in this same home with you, either part or full-time? This may include younger siblings who are at college and come home to living during breaks, or siblings that may live some of the time with one parent at a different home and some of the time in the same home you live.

YOUNGER BROTHERS OR SISTERS LIVING IN HOME

H14. Who lives with you in your home?

Select one or more

 Your spouse 1

 Biological child/children 2

 Adopted child/children 3

 Step child/children 4

 Foster child/children 5

 Your partner, boyfriend, or girlfriend 6

 Your mother 7

 Your father 8

 Any of your brothers or sisters 9

 Any other children you are related to 10

 Any other adults you are related to 11

 Any other people you are not related to 12

H15. Are you currently employed? “Employed” means any job for pay that was regularly scheduled, that you were expected to perform. Please include full-time, part-time, and a temporary or summer job.

 Yes 1 GO TO H18

 No 0 GO TO H16

ONLY ANSWER IF YOU ARE NOT CURRENTLY EMPLOYED

H16. In the last 12 months, were you ever employed at a job for pay?

 Yes 1 GO TO H17

 No 0 GO TO H19

ONLY ANSWER IF YOU HAVE BEEN EMPLOYED IN THE LAST 12 MONTHS

H17. In the last 12 months, did you work all full-time, all part-time, or some of each?

Select one only

 All full time 1

 All part time 2

 Some of each 3

ONLY ANSWER IF YOU ARE CURRENTLY EMPLOYED

H18. Do you currently work all full-time, all part-time, or some of each?

Select one only

 All full time 1

 All part time 2

 Some of each 3

H19. Last year, that is in 2018, what was your household or family’s total income from all sources before taxes?

Select one only

 Less than $10,000 1

 $10,000 to under $20,000 2

 $20,000 to under $30,000 3

 $30,000 to under $40,000 4

 $40,000 to under $50,000 5

 $50,000 to under $75,000 6

 $75,000 to under $100,000 7

 $100,000 or more 8

H20a. The next questions are about religion. What religion are you now, if any?

Select one only

 None 0

 Atheist 1

 Agnostic 2

 Catholic 3

 Jewish 4

 Southern Baptist 5

 Baptist 6

 Methodist or African Methodist 7

 Lutheran 8

 Presbyterian 9

 Episcopal or Anglican 10

 Church of Jesus Christ of Latter Day Saints (LDS/Mormon) 11

 Other 99

ONLY ANSWER IF: YOU ANSWERED “OTHER” AT H20a ABOVE

H20b. What religion are you now?

 Assemblies of God 12

 Church of Nazarene 13

 The Church of God 14

 The Church of God (Cleveland, TN) 15

 The Church of God in Christ 16

 7th Day Adventist 17

 United Pentecostal Church 18

 Pentecostal Assemblies 19

 Jehovah’s Witness 20

 Christian, another denomination not listed 21

 Christian, no specific denomination 22

 Unitarian Universalist 23

 Greek Orthodox 24

 Other Orthodox 25

 Muslim 26

 Buddhist 27

 Hindu 28

 Other (please describe) 99

H21. About how often do you attend religious services?

Select one only

 More than once a week 1

 Once a week 2

 2-3 times a month 3

 Once a month (about 12 times a year) 4

 3-11 times a year 5

 Once or twice a year 6

 Never 7

H22. Currently how important is religion in your daily life?

Select one only

 Very important 1

 Somewhat important 2

 Not important 3

H23. Here is a seven-point scale on which the political views that people might hold are arranged from extremely liberal to extremely conservative. Where would you place yourself on this scale, or haven’t you thought much about this?

Select one only

 Extremely liberal 1

 Liberal 2

 Slightly liberal 3

 Moderate, middle of the road 4

 Slightly conservative 5

 Conservative 6

 Extremely conservative 7

 Don’t know/Haven’t thought about it d

H24. In which state do you live?

STATE

H25. In which town or city do you live?

TOWN OR CITY

H26. What is your current ZIP Code?

ZIP CODE

 Don’t know d

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Debrief Wrap-up:

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1. When you are done with the discussion, collect all materials from the participantS.

2. Return the participantS to the main meeting place. ensure they check out with a staff member to receive their GIFT card. thank them for their time and participation.