Human Sexuality Survey

Name:
I identify sexually as:
Heterosexual
Homosexual
Bisexual
Pansexual
Asexual
My first sexual experience was at age:
My first sexual experience was with:
A boyfriend or girlfriend
A stranger
A family member
A family friend
Multiple people
My first sexual experience was with:
the opposite sex
the same sex
both
I masturbate
Multiple times a day
Multiple times a week
Multiple times a month
Less than once a month
Never
I have used random objects to masturbate with (ie: hairbrush handle)
True
False
My classroom crush is: (if bisexual, pansexual, pick 2 if needed. If asexual write "n/a")
I wish there was more _______ in this class.
Paring off / teamwork
one on one with teacher
physical examples
descriptions
Homework
Other (Use ext block)
If you chose "Other" previously, what is it.
Why should Mr. Rountrey reconsider your final grade?
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