Talk About Sex Video Series: Registration + Survey

Which SexEd topic(s) are you already talking to your child about? (Select all that apply)*

On a scale from 1 (Very poor) to 5 (Very good), please rate your knowledge on the following topics:*

	Very poor 1	2	3	4	Very good 5
Differences between boys & girls
Body safety
Love & attraction
Puberty
Sexual reproduction
Pornography
Masturbation
Sexual orientation

On a scale from 1 (Very poor) to 5 (Very good), please rate your readiness to communicate with your child on the following topics:*

	Very poor 1	2	3	4	Very good 5
Differences between boys & girls
Body safety
Love & attraction
Puberty
Sexual reproduction
Pornography
Masturbation
Sexual orientation

What are your top hurdles in talking with your child about sex and sexuality?(Select up to three options)*

Fear of what I’d find outFear of what my child may askUnsure of where to startUnsure of how to answer my child’s questionsUnsure of where my spouse and I stand in terms of teaching values and boundariesDo not think that my child is ready to learn about it yetMy child has not asked me any questions about sex and sexualityOthers (please specify):

(Pre) Knowledge Score

(Pre) Readiness to Communicate Score

(Pre) Overall Score