My Choice Education Online Survey

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For participants of the MCE Online Curriculum

Today's Date *

YYYY

Location/School *

Name of your classroom teacher (i.e. Mrs. Smith) *

Which Curriculum did you watch? *

Holistic Health

Relationship Education

Child Development

Advanced Health

Required

Gender *

Male

Female

Other:

After viewing the curriculum, which of the following statements best reflects my position? *

I am sexually active and will continue to be

I am sexually active but will reconsider the impact sexual activity has on me

I am not sexually active and I intend to save sexual activity for a lifelong committed relationship, such as marriage

I am not currently sexually active, but I am undecided

Any comments about the videos or content?

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