Section 1:  Opinions & Feelings About Relationships

1. On a scale of one (least) to ten (most), how important to you are your relationships with people of the opposite sex?      1  2  3  4  5  6  7  8  9  10




2. Are you currently in a sexual relationship?      Yes   No




3. Would you like to be married someday?      Yes   No
   
   Why? (or Why Not?)
   1. _____________________________________
   
   
   
   2. _____________________________________
   
   
   
   3. _____________________________________



4. Would your boyfriend/girlfriend like to be married someday?      Yes   No
   
   Why? (or Why Not?)
   1. _____________________________________
   
   
   
   2. _____________________________________
   
   
   
   3. _____________________________________



5. How important is it to you that your boyfriend/girlfriend is involved physically and emotionally with you only?      1  2  3  4  5  6  7  8  9  10




6. If you marry, how important will it be that your husband/wife is completely faithful to you?      1  2  3  4  5  6  7  8  9  10




7. How committed will you be to complete faithfulness to your husband/wife?
   1  2  3  4  5  6  7  8  9  10




8. If you knew your future husband/wife right now, would you want him/her to have sexual relationships with other women/men?      1  2  3  4  5  6  7  8  9  10




9. If your future husband/wife knew you right now, how concerned might he/she be about your premarital sexual activity?      1  2  3  4  5  6  7  8  9  10




10. Does the risk of getting a sexually transmitted disease affect your choices about sexual activity?      1  2  3  4  5  6  7  8  9  10




11. How concerned are you about getting pregnant right now?      1  2  3  4  5  6  7  8  9  10




12. What would be your three biggest problems with a premarital pregnancy?
    1. _____________________________________
    
    
    
    2. _____________________________________
    
    
    
    3. _____________________________________



13. What are your personal beliefs about sex?
    1. OK in marriage
    2. OK in a serious relationship
    3. OK anytime, as long as both partners agree



14. Have you ever felt guilt as a result of your sexual activity?      Yes   No




15. What does this guilt mean to you?   _____________________________________




16. What are your personal beliefs about God?
    1. I don't believe in God.
    2. I think there's a God, but I'm not really sure.
    3. I believe in God and know what he wants.



17. What are your parents' beliefs about sex?
    1. OK in marriage
    2. OK in a serious relationship
    3. OK anytime, as long as both partners agree



18. What are your parents' beliefs about God?
    1. They don't believe in God.
    2. They think there's a God, but they are not sure.
    3. They believe in God and know what he wants.



19. Finally, list three things you want to accomplish in the future. (For example: a college education, a particular career, a happy marriage, children, a nice home, etc.)
    1. _____________________________________
    
    
    
    2. _____________________________________
    
    
    
    3. _____________________________________

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