Safe-Sex Knowledge, Sexual Behavior, and Drug Use A thesis
Safe-Sex Knowledge, Sexual Behavior, and Drug Use A thesis
Safe-Sex Knowledge, Sexual Behavior, and Drug Use A thesis
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Appendix A: Survey Instrument<br />
1. What is your gender?<br />
Male___ Female___ Transgender___ Other___<br />
If “Other,” please<br />
explain:_______________________________________<br />
2. Do you identify as:<br />
Gay___ Bisexual___ Straight___ Other___(what?_________) Not<br />
Sure___<br />
3. Do you consider yourself either Hispanic <strong>and</strong>/or Latino?<br />
Yes___ No___ Don’t Know___ Not Sure___<br />
4. What is your race? (check all that apply)<br />
Black or African American ___<br />
Asian<br />
___<br />
Hawaiian or Pacific Isl<strong>and</strong>er ___<br />
Alaska Native<br />
___<br />
White<br />
___<br />
American Indian<br />
___<br />
Don’t Know<br />
___<br />
5. As of this week, are you working…<br />
Full-time___ Part-time___ Not working now___ On Disability___<br />
Retired___<br />
6. Are you currently a student? Yes___ No___<br />
If Yes, where: High School___ College___ Other<br />
(where?_______________)<br />
7. What is the highest level of education you have completed?<br />
Highest grade completed____<br />
High school diploma or GED____<br />
Some college classes taken, but no degree yet____<br />
Associate’s degree (AA, etc.) ____<br />
Bachelors’s degree (BA, BA, etc.) ____<br />
Advanced degree (MA, MS, MD, MBA, JD, EdD, PhD, etc.) ____<br />
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