Instructions for Rouse-Pattison Sexual Behavior Survey

Demographic Questions:

Are you Male or Female?

Female
Male

What is your age? years.

What is the highest level of education you have completed?

Ethnicity

Annual Income
Under $20,000
$20,000-$50,000 
$50,000-$80,000
$80,000-$110,000
$110,000-$140,000
$140,000-170,000
$170,000-200,000
Greater than $200,000

Instructions for the Sexual behavior survey:

Click on the corresponding circle that best describes the frequency of your overall sexual behavior.

(For questions 4-25)  Also, please indicate in the provided space the estimated number of partners that have participated in each behavior with you.

(For questions 26-32)  Also, please indicate in the provided space the estimated number of times that you have participated in each behavior.


Behavior Never Once or twice in a lifetime Every few years Every few months Once a month More than once a month Once a week More than once a week Once per day More than once per day Estimated Number of Partners
1. handholding  
2. hugging  
3. masturbation  
4. french-kissing
5. manual stimulation given to another person
6. manual stimulation received from another person
7. under the clothes fondling above the waist
8. over the clothes fondling above the waist
9. over the clothes grinding (dry humping)
Behavior Never Once or twice in a lifetime Every few years Every few months Once a month More than once a month Once a week More than once a week Once per day More than once per day Estimated Number of Partners
10. over the clothes fondling below the waist
11. under the clothes fondling below the waist
12. closed mouth kissing
13. oral stimulation given to another person with STD protection
14. oral stimulation received from another person with STD protection
15. oral stimulation given to another person without STD protection
16. oral stimulation received from another person without STD protection
17. vaginal intercourse with pregnancy prevention
Behavior Never Once or twice in a lifetime Every few years Every few months Once a month More than once a month Once a week More than once a week Once per day More than once per day Estimated Number of Partners
18. vaginal intercourse without pregnancy protection
19. vaginal intercourse with STD protection
20. vaginal intercourse without STD protection
21. anal intercourse given to another person with a condom
22. anal intercourse received from another person with a condom
23. anal intercourse given to another person without a condom
24. anal intercourse received from another person without a condom
25. mutual masturbation
Behavior Never Once or twice in a lifetime Every few years Every few months Once a month More than once a month Once a week More than once a week Once per day More than once per day Estimated Number of Times
26. group sex
27. cyber sex (talking dirty to someone online)
28. phone sex (talking dirty to someone over the phone)
29. sexual daydreaming
30. cheating on significant other
31. dressing with intent to attract sexual attention
32. viewing pornography

Instructions for the Sexual acceptance survey:

 On the scale below, please rate your perception of the general acceptance of each behavior by clicking the appropriate circle for each of the four different groups.  

Handholding:

Your parents:   
            No acceptance at all Complete acceptance

Your peers:      
            No acceptance at all Complete acceptance

  The media (TV, movies, magazines, music, etc)
            No acceptance at all Complete acceptance

Your past sexual education classes: 
            No acceptance at all Complete acceptance

Hugging:

Parents:            No acceptance at all Complete acceptance

Peers:               No acceptance at all Complete acceptance

Media:              No acceptance at all Complete acceptance

Sex ed classes:  No acceptance at all Complete acceptance

Masturbation:

Parents:             No acceptance at all Complete acceptance

Peers:                No acceptance at all Complete acceptance

Media:               No acceptance at all Complete acceptance

Sex ed classes:  No acceptance at all Complete acceptance

French-kissing:

Parents:            No acceptance at all Complete acceptance

Peers:               No acceptance at all Complete acceptance

Media:              No acceptance at all Complete acceptance

Sex ed classes:  No acceptance at all Complete acceptance

Manual stimulation given to another person:

Parents:            No acceptance at all Complete acceptance

Peers:               No acceptance at all Complete acceptance

Media:              No acceptance at all Complete acceptance

Sex ed classes:  No acceptance at all Complete acceptance

Manual stimulation received from another person:

Parents:            No acceptance at all Complete acceptance

Peers:               No acceptance at all Complete acceptance

Media:              No acceptance at all Complete acceptance

Sex ed classes:  No acceptance at all Complete acceptance

Under the clothes fondling above the waist:

Parents:            No acceptance at all Complete acceptance

Peers:               No acceptance at all Complete acceptance

Media:              No acceptance at all Complete acceptance

Sex ed classes:  No acceptance at all Complete acceptance

Over the clothes fondling above the waist:

Parents:            No acceptance at all Complete acceptance

Peers:               No acceptance at all Complete acceptance

Media:              No acceptance at all Complete acceptance

Sex ed classes:  No acceptance at all Complete acceptance

Over the clothes grinding (dry humping):

Parents:            No acceptance at all Complete acceptance

Peers:               No acceptance at all Complete acceptance

Media:              No acceptance at all Complete acceptance

Sex ed classes:  No acceptance at all Complete acceptance

Over the clothes fondling below the waist:

Parents:            No acceptance at all Complete acceptance

Peers:               No acceptance at all Complete acceptance

Media:              No acceptance at all Complete acceptance

Sex ed classes:  No acceptance at all Complete acceptance

Under the clothes fondling below the waist:

Parents:            No acceptance at all Complete acceptance

Peers:               No acceptance at all Complete acceptance

Media:              No acceptance at all Complete acceptance

Sex ed classes:  No acceptance at all Complete acceptance

Closed-mouth kissing:

Parents:            No acceptance at all Complete acceptance

Peers:               No acceptance at all Complete acceptance

Media:              No acceptance at all Complete acceptance

Sex ed classes:  No acceptance at all Complete acceptance

Oral stimulation given to another person with STD protection:

Parents:            No acceptance at all Complete acceptance

Peers:               No acceptance at all Complete acceptance

Media:              No acceptance at all Complete acceptance

Sex ed classes:  No acceptance at all Complete acceptance

Oral stimulation received from another person with STD protection:

Parents:            No acceptance at all Complete acceptance

Peers:               No acceptance at all Complete acceptance

Media:              No acceptance at all Complete acceptance

Sex ed classes:  No acceptance at all Complete acceptance

Oral stimulation given to another person without STD protection:

Parents:             No acceptance at all Complete acceptance

Peers:                No acceptance at all Complete acceptance

Media               No acceptance at all Complete acceptance

Sex ed classes:  No acceptance at all Complete acceptance

Oral stimulation received from another person without STD protection:

Parents:            No acceptance at all Complete acceptance

Peers:               No acceptance at all Complete acceptance

Media:              No acceptance at all Complete acceptance

Sex ed classes:  No acceptance at all Complete acceptance

Vaginal intercourse with pregnancy prevention:

Parents:            No acceptance at all Complete acceptance

Peers:               No acceptance at all Complete acceptance

Media:              No acceptance at all Complete acceptance

Sex ed classes:  No acceptance at all Complete acceptance

Vaginal intercourse without pregnancy prevention:

Parents:            No acceptance at all Complete acceptance

Peers:               No acceptance at all Complete acceptance

Media:              No acceptance at all Complete acceptance

Sex ed classes:  No acceptance at all Complete acceptance

Vaginal intercourse with STD protection:

Parents:            No acceptance at all Complete acceptance

Peers:               No acceptance at all Complete acceptance

Media:              No acceptance at all Complete acceptance

Sex ed classes:  No acceptance at all Complete acceptance

Vaginal intercourse without STD protection:

Parents:            No acceptance at all Complete acceptance

Peers:               No acceptance at all Complete acceptance

Media:              No acceptance at all Complete acceptance

Sex ed classes:  No acceptance at all Complete acceptance

Anal intercourse given to another person with a condom:

Parents:            No acceptance at all Complete acceptance

Peers:               No acceptance at all Complete acceptance

Media:              No acceptance at all Complete acceptance

Sex ed classes:  No acceptance at all Complete acceptance

Anal intercourse received from another person with a condom:

Parents:            No acceptance at all Complete acceptance

Peers:               No acceptance at all Complete acceptance

Media:              No acceptance at all Complete acceptance

Sex ed classes:  No acceptance at all Complete acceptance

Anal intercourse given to another person without a condom:

Parents:            No acceptance at all Complete acceptance

Peers:               No acceptance at all Complete acceptance

Media:              No acceptance at all Complete acceptance

Sex ed classes:  No acceptance at all Complete acceptance

Anal intercourse received from another person without a condom:

Parents:            No acceptance at all Complete acceptance

Peers:               No acceptance at all Complete acceptance

Media:              No acceptance at all Complete acceptance

Sex ed classes:  No acceptance at all Complete acceptance

Mutual masturbation:

Parents:            No acceptance at all Complete acceptance

Peers:               No acceptance at all Complete acceptance

Media:              No acceptance at all Complete acceptance

Sex ed classes:  No acceptance at all Complete acceptance

Group sex:

Parents:            No acceptance at all Complete acceptance

Peers:               No acceptance at all Complete acceptance

Media:              No acceptance at all Complete acceptance

Sex ed classes:  No acceptance at all Complete acceptance

Cyber sex (talking dirty to someone online):

Parents:            No acceptance at all Complete acceptance

Peers:               No acceptance at all Complete acceptance

Media:              No acceptance at all Complete acceptance

Sex ed classes:  No acceptance at all Complete acceptance

Phone sex (talking dirty to someone over the phone):

Parents:            No acceptance at all Complete acceptance

Peers:               No acceptance at all Complete acceptance

Media:              No acceptance at all Complete acceptance

Sex ed classes:  No acceptance at all Complete acceptance

sexual daydreaming:

Parents:            No acceptance at all Complete acceptance

Peers:               No acceptance at all Complete acceptance

Media:              No acceptance at all Complete acceptance

Sex ed classes:  No acceptance at all Complete acceptance

Cheating on significant other:

Parents:            No acceptance at all Complete acceptance

Peers:               No acceptance at all Complete acceptance

Media:              No acceptance at all Complete acceptance

Sex ed classes:  No acceptance at all Complete acceptance

Dressing with intent to attract sexual attention:

Parents:            No acceptance at all Complete acceptance

Peers:               No acceptance at all Complete acceptance

Media:              No acceptance at all Complete acceptance

Sex ed classes:  No acceptance at all Complete acceptance

Viewing pornography:

Parents:            No acceptance at all Complete acceptance

Peers:               No acceptance at all Complete acceptance

Media:              No acceptance at all Complete acceptance

Sex ed classes:  No acceptance at all Complete acceptance


195. COMMENTS:

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Thank You!