A variety of factors interact to determine your risk of contracting a sexually transmitted disease (STD). This inventory is intended to provide you with an estimate of your level of risk.
Circle the number in each row that best characterizes you. Enter that number on the line at the end of the row (points). After assigning yourself a number in each row, total the number appearing in the points column. Your total points will allow you to interpret your risk for contracting an STD.
|
Age |
Points |
|
1 |
3 |
4 |
5 |
3 |
2 |
_____ |
|
0-9 |
10-14 |
15-19 |
20-29 |
30-34 |
35+ |
|
|
Sexual Practices |
|
0 |
1 |
2 |
4 |
6 |
8 |
_____ |
|
Never engage in sex |
One sex partner |
More than one sex partner but never more than one at a time |
Two to five sex partners |
Five to ten sex partners |
Ten or more sex partners |
|
|
Sexual Attitudes |
|
0 |
1 |
8 |
1 |
7 |
8 |
_____ |
|
Will not engage in non-marital sex |
Premarital sex is okay if it is with future spouse |
Any kind of premarital sex is okay |
Extramarital sex is not for me |
Extramarital sex is okay |
Believe in complete sexual freedom |
|
|
Attitudes toward Contraception |
|
1 |
1 |
6 |
5 |
4 |
8 |
_____ |
|
Would use condom to prevent pregnancy |
Would use condom to prevent STDs |
Would never use a condom |
Would use the birth control pill |
Would use other contraceptive measures |
Would not use anything |
|
|
Attitudes toward STD |
|
3 |
3 |
4 |
6 |
6 |
6 |
_____ |
|
Am not sexually active so I do not worry |
Would be able to talk about STD with my partner |
Would check an infection to be sure |
Would be afraid to check out an infection |
Can't even talk about an infection |
STDs are no problem - easily cured |
|
|
Total Points |
_____ |
Having taken this Personal Assessment, were you surprised at your level of risk? What is the primary reason for this level? How concerned are you and your classmates and friends about contracting an STD?