SExT Performance: Student Feedback Form
School 🏫: *
Your answer
City/Community: *
Your answer
Grade *
Your answer
Age: *
Your answer
Gender: *
Your answer
Please choose how you felt about each statement BEFORE and AFTER attending a performance of SExT
My overall health and well-being are important to me *
Strongly Disagree 😔
Disagree
Neutral 😐
Agree
Strongly Agree 😀
BEFORE
AFTER
I feel confident making healthy decisions *
Strongly Disagree 😔
Disagree
Neutral 😐
Agree
Strongly Agree 😀
BEFORE
AFTER
I feel that I can talk about sexual health openly *
Strongly Disagree 😔
Disagree
Neutral 😐
Agree
Strongly Agree 😀
BEFORE
AFTER
I feel knowledgeable about sexual health *
Strongly Disagree 😔
Disagree
Neutral 😐
Agree
Strongly Agree 😀
BEFORE
AFTER
I feel knowledgeable about HIV *
Strongly Disagree 😔
Disagree
Neutral 😐
Agree
Strongly Agree 😀
BEFORE
AFTER
I know how you can get HIV *
Strongly Disagree 😔
Disagree
Neutral 😐
Agree
Strongly Agree 😀
BEFORE
AFTER
I know how to prevent HIV *
Strongly Disagree 😔
Disagree
Neutral 😐
Agree
Strongly Agree 😀
BEFORE
AFTER
I know why getting tested (for HIV and other STIs) is important *
Strongly Disagree 😔
Disagree
Neutral 😐
Agree
Strongly Agree 😀
BEFORE
AFTER
I know where to get tested (for HIV and other STIs) in my community *
Strongly Disagree 😔
Disagree
Neutral 😐
Agree
Strongly Agree 😀
BEFORE
AFTER
I consider others' perspectives (e.g. I put myself in other people's shoes) *
Strongly Disagree 😔
Disagree
Neutral 😐
Agree
Strongly Agree 😀
BEFORE
AFTER
I judge people who are different from me (e.g. race, religion, gender, sexuality) *
Strongly Disagree 😔
Disagree
Neutral 😐
Agree
Strongly Agree 😀
BEFORE
AFTER
I would support someone who is different from me (e.g. race, religion, gender, sexuality) *
Strongly Disagree 😔
Disagree
Neutral 😐
Agree
Strongly Agree 😀
BEFORE
AFTER
I would feel comfortable reaching out if I had questions or concerns about my sexual health *
Strongly Disagree 😔
Disagree
Neutral 😐
Agree
Strongly Agree 😀
BEFORE
AFTER
I would feel comfortable reaching out if I had questions or concerns about my mental health *
Strongly Disagree 😔
Disagree
Neutral 😐
Agree
Strongly Agree 😀
BEFORE
AFTER
I am interested in learning more about sexual health *
Strongly Disagree 😔
Disagree
Neutral 😐
Agree
Strongly Agree 😀
BEFORE
AFTER
I am likely to get involved in a social change activity (e.g. a play like this, a community group, etc.) *
Strongly Disagree 😔
Disagree
Neutral 😐
Agree
Strongly Agree 😀
BEFORE
AFTER
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms