Sexuality and HIV/STD Prevention Education

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Parent/Community Sex Education Survey

The                                    school district is in the process of reviewing the sex education/reproductive health education program so that it better meets the needs of students as well as the standards of the community.  Thank you for taking a few minutes to complete the following survey and share your thoughts with us.

1. Should the school district include a set of lessons on sex education/reproductive health at the:  (Please circle one response for each level)

Elementary Level  Middle School Level  High School Level
Yes No  Yes  No  Yes No

2. If a set of lessons were offered at the age-appropriate grade level, would you allow your child to participate?  (Please circle one response)

            Yes            No            I don’t have a child currently enrolled in the school district

3.At what grade should each of the following sex education/reproductive health topics first be taught?  (Please check one grade for each of the following topics)

Topics Elementary       Middle High
K 1 2 3 4 5 6 7 8 9 10 11 12

1.

 Reproductive Anatomy:
Describes the reproductive body parts of the male and female, and how they work.		                          
2.

Physical and Social Growth Changes Associated with Puberty and Adolescence:
Teaches boys and girls about the physical, emotional, and social changes of puberty and adolescence.

                          
3.

Positive Communication with Family:
 Develops expressing feelings, listening, empathy, problem solving, limit setting skills; recognizing parents as a resource.

                         
4.

Positive Friendships:
 Characteristics of positive friends; initiating, maintaining and ending friendships.

                          
5.

Healthy Intimate Relationships:
 Recognizing healthy and unhealthy relationships, differentiating between emotional and sexual intimacy, positive characteristics of partners.

                          
6.

Sexual Decision Making:
 Includes developing skills such as communication, assertiveness, refusal and negotiation skills for sexual decision making.

                          
7.

Pregnancy and Childbirth:
 Explains how pregnancy occurs, the importance of prenatal care, and the birth of babies.

                          
8.

Parenting Responsibilities:
 Explores physical, emotional, social and economic responsibilities of parenting and impact on future goals

                          
9.

Abstinence:
Discusses reasons for not having sexual intercourse and develops skills for being abstinent.

                          
10.

Sexually Transmitted Diseases (including HIV/AIDS):
Includes information about the transmission, symptoms, treatment and prevention of sexually transmitted diseases such as HIV/AIDS, herpes and syphilis.

                          
11.

Contraception:
 Provides information about contraceptive methods such as the birth control pill, condoms and natural family planning and their roles in preventing pregnancy

                          
12.

Sexual Abuse, Rape and Sexual Assault:
 Provides information about forced sexual activity and ways to prevent it, the laws, and where to go for help

                          
13. Other                          

4. Which topics, if any, do you believe the school district should not cover in a sex education/reproductive health set of lessons?

5. Please feel free to make any additional comments you wish to make.  Thank you.

Topics and definitions are adapted from Journal of School Health, May, 1998

        This page last last updated on: 12/20/01
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