NOW SCORE US!
Questions marked with an asterisk (*) are mandatory.
1
* How helpful or useful was the information you received from the Peer Educator?
Very helpful or useful
Somewhat helpful or useful
A little helpful or useful
Not at all helpful or useful
2
* Was the information from the Peer Educator new to you?
It was a little new to me
It was somewhat new to me
It was fairly new to me
It was totally new to me
3
* Please indicate which of the information and/or materials you received from the Peer Educator. Please check all that apply
Information/Materials about Birth Control
Information/Materials about Sexually Transmitted Diseases
Information/Materials about Condoms
Information/Materials about Relationships
Information/Materials about Emergency Contraception
Information/Materials about Sexual Health Care Services for Teens
Other; Please Specify
4
* Have you used the information or materials yet?
Yes
No not yet, but will when I need to
No, I am not likley to
5
* How likely are you to seek Planned Parenthood services (such as getting birth control), if you need them?
Definitely likely
Considerably likely
Somewhat likely
Not at all likely