Sexual SAAQ Manual PDF

Manual for the
Administration and Coding of the

Sexual Activities & Attitudes Questionnaire
(SAAQ)

Noll, J.G., P.K. Trickett, and F.W. Putnam, A prospective investigation of the
impact of childhood sexual abuse on the development of sexuality. Journal
of Consulting and Clinical Psychology, 2003. 71(3): p. 575-586.

All intellectual content contained within this document is
property of Dr. Jennie G. Noll.

To request an electronic copy of the SAAQ measure contained on CD-ROM,
please contact:

Jennie G Noll
Cincinnati Childrens Hospital
Behavioral Medicine and Clinical Psychology
ML 3015
3333 Burnet Avenue
Cincinnati, OH 45229

Jennie.Noll@cchmc.org

Introduction

The SAAQ is a 44-item self report measure which assesses (I) sexual activities
as well as (II) sexual attitudes.

I. Sexual activities include
1. Age at first intercourse
2. Birth control efficacy
3. Intercourse partners
4. HIV-risk behaviors
5. STDs
6. Pregnancies
7. Sexual behaviors of peers

II. Sexual attitudes assessed include
1. Sexual preoccupation. This subscale assesses positive attitudes
toward, and high frequency of, masturbation, being turned-on by pornographic
pictures or sexual themes, and thinking about sex frequently. This scale has 15
items ( = .91) and has been shown to be correlated with teen pregnancy and
sexual abuse.
2. Sexual permissiveness. This 12-item subscale ( = .96) assesses
permissive attitudes toward a relatively normative set of desires and behaviors,
including intimate affection, light and heavy petting, and voluntary intercourse.
3. Internal and external pressure to engage in sex. This 6-item subscale
( = .70) assesses the belief that a sense of maturity and respect from friends will
be gained, that is sex is expected, and that one will feel more loved and wanted
upon having sex.
4. Negative attitude toward sex. This 10-item subscale ( = .85)
assesses attitudes that sex is dirty and embarrassing, being frightened by sex,
believing that sex results in the loss of respect for self and from friends, and
worrying about becoming pregnant.
5. Sexual Aversion. The SAAQ measures this construct by the following
equation: -1 * (permissiveness) + (negative attitude toward sex). The construct
ahs been shown to be related to childhood sexual behavior problems earlier in
development for sexually abused females.
6. Sexual Ambivalence. The SAAQ measures this construct by the
following equation: (preoccupation) + (aversion). Thus, this is a measure of
simultaneous compulsion coupled with an aversion (see preliminary studies
section
1
). This construct has been shown to be related to dissociative symptoms
earlier in development for adolescents sexually abused in childhood.

Calculating Subscales for the SAAQ:

Sexual Preoccupation:
Items 3, 4a, 4b, 4c, 4d, 4e, 4f, 4g, 4h, 4i, 4j, 4k, 4l, 4m, 4n, 5, 13a, 13i

Sexual Permissiveness:
Items 2b, 2c, 2d, 2e, 2f, 8, 10, 10a, 13d

Internal and external pressure to engage in sex:
Items 13b, 14c, 14d, 14g, 14i, 14j

Negative attitude toward sex:
Items 13c, 13f, 13h, 13j, 13k, 14a, 14b, 14e, 14f, 14h,

Sexual Aversion =(-1*permissiveness) +(negative attitude toward sex)

Sexual Ambivalence =(preoccupation) +(aversion)

Other noteworthy groupings:

Risky sexual behavior =2g, 2h, 2i, 2j, 2k

Peers exhibiting risky sexual behavior =12g, 12h, 12i, 12j, 12k, 12l, 12m

Risk for HIV contraction =24a, 24b, 24c, 24d, 24e, 24f, 24g, 24h, 24i, 24j, 24k

Intercourse ever =8

If Intercourse ever =0 then Risk for HIV contraction2 =24b, 24e, 24f, 24g

HIV Positive =62

Number of STDs =56, 57, 58, 59, 60, 61, 62, 63, 64

Sexual Attitudes and Activities Questionnaire (SAAQ)
Female V2.2

Introduction:

In this section you will answer some questions having to do with your attitudes and feelings
about sex and your sexual behavior. For each question choose the answer that best represents
how YOU feel or what YOU do.

Your answers to these questions are strictly confidential. Your name will never be associated
with any of your responses. The information that you provide is very valuable and will help us
understand how adolescents think and feel about sex so it is important that you answer honestly
and as accurately as possible.

In this section we are only interested in your behavior regarding consensual or voluntary sexual
experiences. When asked about sexual behavior, only report about situations when you agreed to
participate in sexual activity. Disregard any situations when sex was either forced on you or
when you did not give your full consent.

Now begin to answer all of the questions.

1
1. Indicate the number of romantic partners with which you have done the following during the
PAST YEAR.

0
none, 1 2 or 3 4-7 8-10 more than 10
never partner partners partners partners partners

a. Gone out on unsupervised dates _____
b. Held hands ______
c. French or tongue kissing ______
d. Made out ______
e. Felt their private parts under clothing ______
f. Had your private parts felt under clothing ______
g. Given oral sex (mouth on private parts) ______
h. Received oral sex ______
i. Had sexual intercourse in a one night stand _____
j. Had sexual intercourse without contraceptionhad
unprotected sex ______
k. Had sexual intercourse while drunk on alcohol or
high on drugs ______

2. Indicate the number of romantic partners with which you have done the following during the
YOUR ENTIRE LIFETIME.

0
none, 1 2 or 3 4-7 8-10 more than 10

d. Made out ______

2
3. How often do you find yourself thinking a lot about sex?

0 1 2 3 4 5
Never once or twice about once about once several times several times
every few months a month a week a week a day

4. Are you, or do you think you would be, turned on sexually by: (circle a number for each):

not at all a little some a lot very much
4a. Looking at your own body 1 2 3 4 5
4b. Romantic Dancing 1 2 3 4 5
4c. Romantic pictures in magazines or books 1 2 3 4 5
4d. Movie or TV shows that have love scenes 1 2 3 4 5
4e. Songs with romantic or sexy words 1 2 3 4 5
4f. Dreams while you are sleeping 1 2 3 4 5
4g. Women without clothes on 1 2 3 4 5
4h. Men without clothes on 1 2 3 4 5
4i. Fantasies or day dreams about sex 1 2 3 4 5
4j. An attractive male 1 2 3 4 5
4k. An attractive female 1 2 3 4 5
4l. Literature (books/magazines) that tell stories 1 2 3 4 5
about sex or have sexual pictures
4m. Websites that have sexual content 1 2 3 4 5
4n. Chat rooms or websites where people chat about 1 2 3 4 5
sexual things.

5. Some people sometimes masturbate, or play with their private parts to have a good feeling.
How often have you done this? (circle one):

0 1 2 3 4 5
Never once or twice about once about once several times almost every
every few months a month a week a week day

3

6. In the LAST YEAR how many times have you had voluntary sexual intercourse?

0
none, 1 2 or 3 4-7 8-10 more than 10
never time times times times times

IF NEVER SKIP TO QUESTION #8.

7. In the LAST YEAR how many voluntary sexual intercourse partners have you had?

0
none, 1 2 or 3 4-7 8-10 more than 10

8. How many voluntary sexual intercourse partners have you had in your LIFETIME: (circle one):

0
none, 1 2 or 3 4-7 8-10 more than 10


9. As best you can recall, how old were you the first time you had consensual intercourse? (Please place
a check in front of your answer.)

__younger than age 12 __15 years-old __18 years-old __21 years or older
__12 years-old __15 years-old __18 years-old

10. How likely is it that you will have sexual intercourse with someone in the next year?

1 sure it wont happen
2 probably wont happen
3 even chance (50-50) it will happen
4 probably will happen
5 sure it will happen

4
10a. How much do you think you would like to have sexual intercourse with someone in the
next year?

1 would dislike very much
2 would dislike a little
3 would neither like nor dislike
4 would like a little
5 would like very much

11. If you were to have sexual intercourse with someone in the next year, how likely is it that
you would use birth control?

1 sure I wouldnt use it
2 probably I wouldnt use it
3 even chance (50-50) I would use it
4 probably I would use it
5 sure I would use it

12. Please indicate whether or not you think your best friend has done each of the following
with a romantic partner.

1=definitely no
2=probably no
3=I dont really know
4=probably yes
5 =definitely yes

12a. Gone out on unsupervised dates _____
12b. Held hands with a partner ______
12c. French or tongue kissed a partner ______
12d. Necked or made-out with a partner ______
12e. Felt a partners private parts under clothes or without clothes ______
12f. Had private parts felt under clothes or without clothes ______
12g. Given oral sex (mouth on private parts) ______
12h. Received oral sex (mouth on private parts) ______
12i. Had sexual intercourse ______
12j. Had sexual intercourse with more than one partner within a few weeks ______
12k. Had sexual intercourse in a one night stand ______
12l. Had sexual intercourse while drunk or high on drugs ______
12m. Had sexual intercourse without contraceptionhad unprotected sex ______

5
13. Choose the response that best represents how you think or feel:

s
t
r
o
n
g
l
y

d
i
s
a
g
r
e
e
d
i
s
a
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a
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n
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d
i
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e
a
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r
e
e
s
t
r
o
n
g
l
y

a
g
r
e
e

13a.Masturbation doesnt hurt you 1 2 3 4 5

13b.It is OK for girls my age to do sexual things 1 2 3 4 5
because others expect them to

13c. Sex is dirty. 1 2 3 4 5

13d. Its okay for people my age to have sex 1 2 3 4 5

13e. There is a lot of pressure to go further 1 2 3 4 5
in sexual activity than girls really want to

13f. I wish there was no such thing 1 2 3 4 5
as sex.

13g. I think about sex even when I don't want to. 1 2 3 4 5

13h. I get frightened when I think about sex 1 2 3 4 5

13i. I sometimes have sexual feelings when I see 1 2 3 4 5
people kiss on TV or movies

13j. Thinking about sex upsets me 1 2 3 4 5

13k. I hope I never have to think about sex again 1 2 3 4 5

13l. I only have sex or plan to have sex with people 1 2 3 4 5
that I love.

13m. Its okay for people my age to have more than 1 2 3 4 5
one sexual partner at a time

13n. It is important for me to care about a person in 1 2 3 4 5
order to feel okay about having sex with them
6
14. If you were to have sex next month with someone you know well, how likely do you think
it is that each thing would happen to you?

d
e
f
i
n
i
t
e
l
y

n
o
t
p
r
o
b
a
b
l
y

n
o
t
e
v
e
n

c
h
a
n
c
e

(
5
0
-
5
0
)
p
r
o
b
a
b
l
y

y
e
s
d
e
f
i
n
i
t
e
l
y

y
e
s

14a. I would be embarrassed while having sex 1 2 3 4 5

14b. I would lose the respect of my friends 1 2 3 4 5

14c. I would feel more loved and wanted by the person 1 2 3 4 5

14d. The person would like me more 1 2 3 4 5

14e. I would lose respect for myself 1 2 3 4 5

14f. I would worry about getting pregnant 1 2 3 4 5

14g. It would show the person I liked them 1 2 3 4 5

14h. It would hurt my health 1 2 3 4 5

14i. I would gain the respect of my friends 1 2 3 4 5

14j. I would feel more mature 1 2 3 4 5

15. Are you currently trying to get pregnant? (circle one):

0 1
NO YES

IF YOU HAVE NEVER HAD
VOLUNTARY SEXUAL
INTERCOURSE, PLEASE SKIP
TO QUESTION # 17.

IF YES PLEASE ANSWER THE
FOLLOWING QUESTIONS WITH
RESPECT TO A TIME WHEN YOU
WERE NOT TRYING TO GET
PREGNANT.

7
16. How often do you use birth control when you have sex? (circle one):

1 I never use birth control
2 I hardly ever use birth control when I have sex
3 sometimes I use birth control when I have sex, but not very often
4 I use birth control about half of the time I have sex
5 almost every time I have sex I use birth control
6 for sure every time I have sex I use birth control

17. If you were to have sexual intercourse with someone in the near future, how likely is it
that you would use birth control? (circle one):

1 Im sure I wouldnt use it

18. Indicate if you learned about birth control methods in any of the following ways:

Rate each in the following ways:

0 =NO, never learned this way
1 =YES learned this way but found it to be NOT VERY EFFECTIVE in teaching me about birth
control methods
2 =YES learned this way but found it to be ONLY SOMEWHAT EFFECTIVE in teaching me
about birth control methods
3 =YES learned this way and found it to be ADEQUATELY EFFECTIVE in teaching me about
birth control methods
4 =YES learned this way and found it to be VERY EFFECTIVE in teaching me about birth
control methods

18a. _____ Learned from an older brother or sister
18b. _____ Learned from my mother (or mother figure)
18c. _____ Learned from my father (or father figure)
18d. _____ Learned from another relative (Aunt, Uncle, Cousin, Grandparent)
18e. _____ Learned from a friend
18f. _____ Learned from a boyfriend or romantic partner
18g. _____ Learned from my Doctor
18h. _____ Learned in a program at my school
18i. _____ Learned on my own
18j. _____ Other explain:__________________

8
19. Please rate the following methods of birth control methods according to your preference
for each type of birth control.

Not Somewhat Most
Preferred Preferred Preferred

0 1 2 3 4 5 19a. Rhythm methodtiming when I have
sex according to where I am in my
menstrual cycle

0 1 2 3 4 5 19b. Make sure the other person pulls out
in time

0 1 2 3 4 5 19c. Birth control pills

0 1 2 3 4 5 19d. Sponge

0 1 2 3 4 5 19e. Spermicides and/or creams or foams

0 1 2 3 4 5 19f. Intrauterine device (e.g. IUD, coil,
loop)

0 1 2 3 4 5 19g. Monthly vaginal ring, The Ring
(e.g. NuvaRing)

0 1 2 3 4 5 19h. Diaphragm or cervical cap

0 1 2 3 4 5 19i. Condoms

0 1 2 3 4 5 19j. The Shot (e.g. Depo Provera)

0 1 2 3 4 5 19k. Implant under theskin. (e.g. Norplant)

0 1 2 3 4 5 19l. Contraceptive patch (e.g. Ortho Evra)

0 1 2 3 4 5 19m. Morning after pill

0 1 2 3 4 5 19n. None

0 1 2 3 4 5 19o. Other (explain):_________________

9

20. Please rate how likely you are to use the following methods of birth control if you choose to
have sexual intercourse in the future.

Least Somewhat Most
Likely Likely Likely

0 1 2 3 4 20a. Rhythm methodtiming when I have
sex according to where I am in my menstrual
cycle

0 1 2 3 4 20b. Make sure the other person pulls out
in time

0 1 2 3 4 20c. Birth control pills

0 1 2 3 4 20d. Sponge

0 1 2 3 4 20e. Spermicides and/or creams or foams

0 1 2 3 4 20f. Intrauterine device (e.g. IUD, coil,
loop)

0 1 2 3 4 20g. Monthly vaginal ring, The Ring
(e.g. NuvaRing)

0 1 2 3 4 20h. Diaphragm or cervical cap

0 1 2 3 4 20i. Condoms

0 1 2 3 4 20j. The Shot (e.g. Depo Provera)

0 1 2 3 4 20k. Implant under the skin. (e.g. Norplant)

0 1 2 3 4 20l. Contraceptive patch (e.g. Ortho Evra)

0 1 2 3 4 20m. Morning after pill

0 1 2 3 4 20n. None

0 1 2 3 4 20o. Other (explain):_________________

10

IF YOU HAVE NEVER HAD VOLUNTARY SEXUAL INTERCOURSE, SKIP TO
QUESTION #22

21. What types or types of birth control did you use the LAST time you had sexual intercourse?

1 0
YES NO
____ ____ 21a. Rhythm methodtiming when I have sex according to where I
am in my menstrual cycle
____ ____ 21b. Make sure the other person pulls out in time
____ ____ 21c. Birth control pills
____ ____ 21d. Sponge
____ ____ 21e. Spermicides and/or creams or foams
____ ____ 21f. Intrauterine device (e.g. IUD, coil, loop)
____ ____ 21g. Monthly vaginal ring, The Ring (e.g. NuvaRing)
____ ____ 21h. Diaphragm or cervical cap
____ ____ 21i. Condoms
____ ____ 21j. The Shot (e.g. Depo Provera)
____ ____ 21k. Implant under the skin (e.g. Norplant)
____ ____ 21l. Contraceptive patch (Ortho Evra)
____ ____ 21m. Morning after pill
____ ____ 21n. none
____ ____ 21o. I dont remember or I am unsure
____ ____ 21p. other (explain):_______________________________________

22. How confident are you that your preferred method(s) of birth control would be effective at
preventing pregnancy?

0 1 2 3 4
not at all a little in between somewhat very
confident confident confident confident

23. How confident are you that your preferred the method(s) of birth control would be effective
at preventing the spread of sexually transmitted diseases?

0 1 2 3 4

11
12
24. Have you ever:

1 0
YES NO
____ ____ 24a. had sexual intercourse without a condom
____ ____ 24b. engaged in oral sex without a condom or dental dam
____ ____ 24c. had a condom fall off or break during sexual intercourse
____ ____ 24d. had sexual intercourse or oral sex with an intravenous (IV) drug user
____ ____ 24e. used intravenous (IV) drugs (e.g., injected heroine)
____ ____ 24f. shared hypodermic needles with others
____ ____ 24g. had sexual intercourse or oral sex with someone who is bisexual
____ ____ 24h. had sexual intercourse with a homosexual male
____ ____ 24i. had sexual intercourse with someone who was also sexually involved with
others during that same
____ ____ 24j. had sexual intercourse in a one night stand relationship
____ ____ 24k. had sexual intercourse while drunk on alcohol or high on drugs

The following questions are about pregnancy:

25. Have you ever been pregnant?

1 YES IF YES GO TO QUESTION 26.
0 NO IF NO SKIP TO QUESTION 36.

26. How many times have you been pregnant?

1 2 3 4 5 6+

27. What type or types of birth control were you using when you conceived the
(If you have only been pregnant once, just fill out the first column, if youve been pregnant twice, please fill out
the first column for the first pregnancy and the second column for the second pregnancy, and so on.)

Please make a mark or a check in the box(es) that apply, you may mark more than one.

Type of Birth
Control
FIRST
TIME
SECOND
TIME
THIRD
TIME
FOURTH
TIME
FIFTH
TIME
SIXTH
TIME
a. Rhythm method
timing when I have
sex according to
where I am in my
menstrual cycle

b. Make sure the
other person pulls
out in time

c. Birth control pills
d. Sponge
e. Spermicides
and/or creams or
foams

f. Intrauterine device
(e.g. IUD, coil, loop)

g. Monthly vaginal
ring, The Ring (e.g.
NuvaRing)

h. Diaphragm or
cervical cap

i. Condoms
j. The Shot (e.g.
Depo Provera)

k. Implant under the
skin (e.g. Norplant)

l. Contraceptive
patch (Ortho Evra)

m. Morning after
pill

n. None
o. I dont remember
or I am unsure

p. Other (please
describe)

13
28. If you answered None (meaning you were using NO birth control) for any of
the times you have gotten pregnant, please answer why you were not using birth
control at this time.
(Please mark the reason in the same column you answered None for above)

Reason for no Birth Control FIRST
time
SECOND
time
THIRD
time
FOURTH
time
FIFTH
time
SIXTH
time
1. I wanted to get pregnant.
2. I did not think I could get pregnant
at the time

3. I was not having sex, regularly.
4. I could not afford birth control.
5. I had my tubes tied.
6. I did not believe in birth control.
7. My partner did not want me to use
birth control.

8. I did not know how to get birth
control.

9. I did not know where to find out
about birth control

10. Other (please describe):

14
29. How many live births have you had?

0 1 2 3 4 5 6+

IF 0 PLEASE SKIP AHEAD TO QUESTION 31

29. Please record your age at the birth of each child (e.g., if you circled 1 record
your age at the birth of the child, if you circled 2 record your age at the birth of
the first child as well as your age at the birth of the second child and so on).

29a. Age at first birth (record age in years): _____
29b. Age at second birth (record age in years):_____
29c. Age at third birth (record age in years): _____
29d. Age at fourth birth (record age in years):_____
29e. Age at fifth birth (record age in years): _____
29f. Age at sixth birth (record age in years): _____

30. How did you know you were pregnant or how was this pregnancy
confirmed?

1=I missed my period.
2=I felt ill.
3=I took an over-the-counter pregnancy test.
4=The pregnancy was confirmed by a doctor.
5=Other: explain ____________________.
6=The pregnancy was never formally confirmed.
7=I dont know/dont remember

30a. Method of confirmation at first birth (choose 1-7 from above):______
30b. Method of confirmation at second birth (choose 1-7 from above):______
30c. Method of confirmation at third birth (choose 1-7 from above):______
30d Method of confirmation at fourth birth (choose 1-7 from above):______
30e. Method of confirmation at fifth birth (choose 1-7 from above):______
30f. Method of confirmation at sixth birth (choose 1-7 from above):______

15

31. How many abortions have you had?

0 1 2 3 4 5 6+

IF 0 SKIP AHEAD TO QUESTION 34.

32. Please record your age at each abortion (e.g., if you circled 1 record your age
at the first abortion, if you circled 2 record your age at the second abortion and
so on).

32a. Age at first abortion (record age in years): _____
32b. Age at second abortion (record age in years): _____
32c. Age at third abortion (record age in years): _____
32d. Age at fourth abortion (record age in years): _____
32e. Age at fifth abortion (record age in years): _____
32f. Age at sixth abortion (record age in years): _____

confirmed?

2=I felt ill.
5=Other: explain ____________________.

33a. Method of confirmation at first abortion (choose 1-7 from above):______
33b. Method of confirmation at second abortion (choose 1-7 from above):______
33c. Method of confirmation at third abortion (choose 1-7 from above):______
33d. Method of confirmation at fourth abortion (choose 1-7 from above):______
33e. Method of confirmation at fifth abortion (choose 1-7 from above):______
33f. Method of confirmation at sixth abortion (choose 1-7 from above):______

16

34. How many miscarriage or still births have you had?

0 1 2 3 4 5 6+

IF 0 SKIP TO QUESTION 36.

34. Please record your age at each miscarriage (e.g., if you circled 1 record your
age at the first miscarriage, if you circled 2 record your age at the second
miscarriage and so on).

34a. Age at first miscarriage (record age in years): _____
34b. Age at second miscarriage (record age in years):_____
34c. Age at third miscarriage (record age in years): _____
34d. Age at fourth miscarriage (record age in years):_____
34e. Age at fifth miscarriage (record age in years): _____
34f. Age at sixth miscarriage (record age in years):_____

confirmed?

2=I felt ill.
5=Other: explain ____________________.

35a. Method of confirmation at first miscarriage (choose 1-7 from above):______
35b. Method of confirmation at second miscarriage (choose 1-7 from above):______
35c. Method of confirmation at third miscarriage (choose 1-7 from above):______
35d. Method of confirmation at fourth miscarriage (choose 1-7 from above):______
35e. Method of confirmation at fifth miscarriage (choose 1-7 from above):______
35f. Method of confirmation at sixth miscarriage (choose 1-7 from above):______

17
The following sets of questions are about Sexually
Transmitted Diseases (STDs):

36. Have you ever had Chlamydia?

0 1 2 3 4 5+

If NEVER SKIP TO QUESTION 37

36a. If 1 or greater:
How old were you when you first knew you had this? (record age in
years):_____

36b. If 2 or greater:
How old were you the last time you had this? (record age in years): _____

36c. If 1 or greater:
Have you ever received treatment from a doctor or a clinic for this
condition?

1 0
YES NO

37. Have you ever had Gonorrhea?

0 1 2 3 4 5+
never times times times times times


years):_____


condition?

1 0
YES NO
18
38. Have you ever had Syphilis?

0 1 2 3 4 5+


How old were you when you first knew you had this? (record age in years):
_____


condition?

1 0
YES NO

39. Have you ever had Pelvic Inflammatory Disease (PID)?

0 1 2 3 4 5+


years):_____


condition?

1 0
YES NO

19

40. Have you ever had Genital Warts:

1 0
YES NO If NO SKIP TO QUESTION 41

40a. If Yes:
years):_____

40b. If Yes:
condition?

1 0
YES NO

41. Have you ever had Genital Herpes:

1 0

41a. If Yes:
years):_____

41b. If Yes:
condition?

1 0
YES NO

20

42. Have you been diagnosed with HIV:

1 0

42a. If Yes:
years):_____

42b. If Yes:
condition?

1 0
YES NO

43. Have you ever had Fertility Problems:

1 0

43a. If Yes:
years):_____

43b. If Yes:
condition?

1 0
YES NO

21
22

44. Have you ever had Hepatitis B or Hepatitis C:

1 0
YES NO If NO SKIP QUESTIONS 44a & 44b

44a. If Yes:
years):_____

44b. If Yes:
condition?
1 0
YES NO

THE END
Sexual Attitudes and Activities Questionnaire (SAAQ)
Female V2.2

Female / English

RESEARCHER INDICATE THE FOLLOWING:

ID
FAMID
VISIT

Introduction:

In this section you will hear some questions having to do with your attitudes and feelings about sex and
your sexual behavior. For each question choose the answer that best represents how YOU feel or what
YOU do.

Your answers to these questions are strictly confidential. Your responses will go directly into the
computer and no one will ever know how you, personally answer these questions. Your name will
never be associated with any of your responses. The information that you provide is very valuable and
will help us understand how adolescents think and feel about sex so it is important that you answer
honestly and as accurately as possible.

In this section we are only interested in your behavior regarding consensual or voluntary sexual
experiences. When asked about sexual behavior, only report about situations when you agreed to
participate in sexual activity. Disregard any situations when sex was either forced on you or when you
did not give your full consent.

Now begin to answer all of the questions.

R1. Indicate the number of romantic partners with which you have done the following during the PAST
YEAR.

0 1 2 3 4 5
none, 1 2 or 3 4-7 8-10 more than 10

d. Made out ______

R2. Indicate the number of romantic partners with which you have done the following during the YOUR
ENTIRE LIFETIME.

0 1 2 3 4 5
none, 1 2 or 3 4-7 8-10 more than 10

d. Necked or made out ______

R3. How often do you find yourself thinking a lot about sex?

0 1 2 3 4 5
Never once or twice about once about once several times several times
every few months a month a week a week a day

R4. Are you, or do you think you would be, turned on sexually by: (circle a number for each):

not at all a little some a lot very much
R4a. Looking at your own body 1 2 3 4 5
R4b. Romantic Dancing 1 2 3 4 5
R4c. Romantic pictures in magazines or books 1 2 3 4 5
R4d. Movie or TV shows that have love scenes 1 2 3 4 5
R4e. Songs with romantic or sexy words 1 2 3 4 5
R4f. Dreams while you are sleeping 1 2 3 4 5
R4g. Women without clothes on 1 2 3 4 5
R4h. Men without clothes on 1 2 3 4 5
R4i. Fantasies or day dreams about sex 1 2 3 4 5
R4j. An attractive male 1 2 3 4 5
R4k. An attractive female 1 2 3 4 5
R4l. Literature (books/magazines) that tell stories 1 2 3 4 5
about sex or have sexual pictures
R4m. Websites that have sexual content 1 2 3 4 5
R4n. Chat rooms or websites where people chat about 1 2 3 4 5
sexual things.

R5. Some people sometimes masturbate, or play with their private parts to have a good feeling. How
often have you done this? (circle one)
0 1 2 3 4 5
Never once or twice about once about once several times almost every
every few months a month a week a week day

R6. In the last year how many times have you had voluntary sexual intercourse?

0 1 2 3 4 5
none, 1 2 or 3 4-7 8-10 more than 10


R7. In the last year how many voluntary sexual intercourse partners have you had?

0 1 2 3 4 5
none, 1 2 or 3 4-7 8-10 more than 10

R8. How many voluntary sexual intercourse partners have you had in your LIFETIME: (circle one):

0 1 2 3 4 5
none, 1 2 or 3 4-7 8-10 more than 10

IF NEVER SKIP TO QUESTION 10. IF SUBJECT ANSWERS NEVER TO QUESTION 8,
THEY SHOULD ALSO SKIP 9, 15, 16, 21, 24A, 24C, 24D, 24H, 24I, 24J AND 24K.

R9. As best you can recall, how old were you the first time you had consensual intercourse?

01_younger than age 12 07_15 years-old 13__18 years-old 19_21 years or older
02__12 years-old 08_15 years-old 14_18 years-old
03_13 years-old 09_16 years-old 15_19 years-old
06__14 years-old 12_17 years-old 18_20 years-old

R10. How likely is it that you will have sexual intercourse with someone in the next year?

1 sure it wont happen
2 probably wont happen
3 even chance (50-50) it will happen
4 probably will happen
5 sure it will happen

R10a. How much do you think you would like to have sexual intercourse with someone in the next
year?

1 would dislike very much
2 would dislike a little
3 would neither like nor dislike
4 would like a little
5 would like very much

R11. If you were to have sexual intercourse with someone in the next year, how likely is it that you
would use birth control?


R12. Please indicate whether or not you think your best friend has done each of the following with a
romantic partner.

1=definitely no
2=probably no
3=I dont really know
4=probably yes
5 =definitely yes

R12a. Gone out on unsupervised dates _____
R12b. Held hands with a partner ______
R12c. French or tongue kissed a partner ______
R12d. Necked or made-out with a partner ______
R12e. Felt a partners private parts under clothes or without clothes ______
R12f. Had private parts felt under clothes or without clothes ______
R12g. Given oral sex (mouth on private parts) ______
R12h. Received oral sex (mouth on private parts) ______
R12i. Had sexual intercourse ______
R12j. Had sexual intercourse with more than one partner within a few weeks______
R12k. Had sexual intercourse in a one night stand ______
R12l. Had sexual intercourse while drunk or high on drugs ______
R12m. Had sexual intercourse without contraceptionhad unprotected sex______

R13. Choose the response that best represents how you think or feel:

s
t
r
o
n
g
l
y

d
i
s
a
g
r
e
e
d
i
s
a
g
r
e
e
n
e
i
t
h
e
r

a
g
r
e
e

n
o
r

d
i
s
a
g
r
e
e
a
g
r
e
e
s
t
r
o
n
g
l
y

a
g
r
e
e

R13a.Masturbation doesnt hurt you 1 2 3 4 5

R13b.It is OK for girls my age to do sexual things 1 2 3 4 5
because others expect them to

R13c. Sex is dirty. 1 2 3 4 5

R13d. Its okay for people my age to have sex 1 2 3 4 5

R13e. There is a lot of pressure to go further 1 2 3 4 5
in sexual activity than girls really want to

R13f. I wish there was no such thing 1 2 3 4 5
as sex.

R13g. I think about sex even when I don't want to. 1 2 3 4 5

R13h. I get frightened when I think about sex 1 2 3 4 5

R13i. I sometimes have sexual feelings when I see 1 2 3 4 5
people kiss on TV or movies

R13j. Thinking about sex upsets me 1 2 3 4 5

R13k. I hope I never have to think about sex again 1 2 3 4 5

R13l. I only have sex or plan to have sex with people 1 2 3 4 5
that I love.

R13m. Its okay for people my age to have more than 1 2 3 4 5
one sexual partner at a time

R13n. It is important for me to care about a person in 1 2 3 4 5
order to feel okay about having sex with them

R14. If you were to have sex next month with someone you know well, how likely do you think it is
that each thing would happen to you?

d
e
f
i
n
i
t
e
l
y

n
o
t
p
r
o
b
a
b
l
y

n
o
t
e
v
e
n

c
h
a
n
c
e

(
5
0
-
5
0
)
p
r
o
b
a
b
l
y

y
e
s
d
e
f
i
n
i
t
e
l
y

y
e
s

R14a. I would be embarrassed while having sex 1 2 3 4 5

R14b. I would lose the respect of my friends 1 2 3 4 5

R14c. I would feel more loved and wanted by the person 1 2 3 4 5

R14d. The person would like me more 1 2 3 4 5

R14e. I would lose respect for myself 1 2 3 4 5

R14f. I would worry about getting pregnant 1 2 3 4 5

R14g. It would show the person I liked them 1 2 3 4 5

R14h. It would hurt my health 1 2 3 4 5

R14i. I would gain the respect of my friends 1 2 3 4 5

R14j. I would feel more mature 1 2 3 4 5

R15. Are you currently trying to get pregnant? (circle one):

0 1
NO YES

IF YES PLEASE ANSWER THE FOLLOWING QUESTIONS WITH RESPECT TO A TIME
WHEN YOU WERE NOT TRYING TO GET PREGNANT. ** SUBJECTS WHO ANSWERED
NONE/NEVER TO QUESTION 8 WILL SKIP QUESTIONS 16.**

R16. How often do you use birth control when you have sex? (circle one):

1 I never use birth control
2 I hardly ever use birth control when I have sex
3 sometimes I use birth control when I have sex, but not very often
4 I use birth control about half of the time I have sex
5 almost every time I have sex I use birth control
6 for sure every time I have sex I use birth control

R17. If you were to have sexual intercourse with someone in the near future, how likely is it that you
would use birth control? (circle one):


R18. Indicate if you learned about birth control methods in any of the following ways:

Rate each in the following ways:

0 =NO, never learned this way
1 =YES learned this way but found it to be NOT VERY EFFECTIVE in teaching me about birth
control methods
2 =YES learned this way but found it to be ONLY SOMEWHAT EFFECTIVE in teaching me about
birth control methods
3 =YES learned this way and found it to be ADEQUATELY EFFECTIVE in teaching me about birth
control methods
4 =YES learned this way and found it to be VERY EFFECTIVE in teaching me about birth control
methods

R18a. _____ Learned from an older brother or sister
R18b. _____ Learned from my mother (or mother figure)
R18c. _____ Learned from my father (or father figure)
R18d. _____ Learned from another relative (Aunt, Uncle, Cousin, Grandparent)
R18e. _____ Learned from a friend
R18f. _____ Learned from a boyfriend or romantic partner
R18g. _____ Learned from my Doctor
R18h. _____ Learned in a program at my school
R18i. _____ Learned on my own
R18j. _____ Other explain:__________________

R19. Please rate the following methods of birth control methods according to your preference for each
type of birth control?

Not Somewhat Most
Preferred Preferred Preferred
0 1 2 3 4 5 R19a. Rhythm methodtiming when I have sex
according to where I am in my menstrual
cycle
0 1 2 3 4 5 R19b. Make sure the other person pulls out
in time
0 1 2 3 4 5 R19c. Birth control pills
0 1 2 3 4 5 R19d. sponge
0 1 2 3 4 5 R19e. Spermicides and/or creams or foams
0 1 2 3 4 5 R19f. Intrauterine device (e.g. IUD, coil, loop)
0 1 2 3 4 5 R19g. Monthly vagina ring, The Ring (e.g.
NuvaRing)
0 1 2 3 4 5 R19h.Diaphragm or cervical cap
0 1 2 3 4 5 R19i. Condoms
0 1 2 3 4 5 R19j. The Shot (e.g. Depo Provera)
0 1 2 3 4 5 R19k. Implant under the skin (e.g. Norplant)
0 1 2 3 4 5 R19l. Contraceptive patch (e.g. Ortho Evra)
0 1 2 3 4 5 R19m. Morning after pill
0 1 2 3 4 5 R19n. None
0 1 2 3 4 5 R19o. Other (explain):_________________

ONLY SUBJECTS WHO ANSWERED NONE, NEVER FOR QUESTION #8 SHOULD
ANSWER QUESTION #20.

R20. Please rate how likely you are to use the following methods of birth control if you choose to have
sexual intercourse in the future.

Least Somewhat Most
Likely Likely Likely
0 1 2 3 4 R20a. Rhythm methodtiming when I have
sex according to where I am in my menstrual
cycle
0 1 2 3 4 R20b. Make sure the other person pulls out
in time
0 1 2 3 4 R20c. Birth control pills
0 1 2 3 4 R20d. Sponge
0 1 2 3 4 R20e. Spermicides and/or creams or foams
0 1 2 3 4 R20f. Intrauterine device (e.g. IUD, coil,
loop)
0 1 2 3 4 R20g. Monthly vaginal ring, The Ring
(e.g. NuvaRing)
0 1 2 3 4 R20h. Diaphragm or cervical cap
0 1 2 3 4 R20i. Condoms
0 1 2 3 4 R20j. The Shot (e.g. Depo Provera)

0 1 2 3 4 R20k. Implant under the
skin. (e.g. Norplant)
0 1 2 3 4 R20l. Contraceptive patch (e.g. Ortho Evra)
0 1 2 3 4 R20m. Morning after pill
0 1 2 3 4 R20n. None
0 1 2 3 4 R20o. Other (explain):_________________

SUBJECTS WHO ANSWERED NONE/NEVER FOR QUESTION # 8 SHOULD SKIP
QUESTION #21.

R21. What types or types of birth control did you use the LAST time you had sexual intercourse?

1 0
YES NO
____ ____ R21a. Rhythm methodtiming when I have sex according to where I
am in my menstrual cycle
____ ____ R21b. Make sure the other person pulls out in time
____ ____ R21c. Birth control pills
____ ____ R21d. Sponge
____ ____ R21e. Spermicides and/or creams or foams
____ ____ R21f. Intrauterine device (e.g. IUD, coil, loop)
R21g. Monthly vaginal ring, The Ring (e.g. NuvaRing)
____ ____ R21h. Diaphragm or cervical cap
____ ____ R21i. Condoms
____ ____ R21j. The Shot (e.g. Depo Provera)
____ ____ R21k. Implant under the skin (e.g. Norplant)
____ ____ R21l. Contraceptive patch (Ortho Evra)
____ ____ R21m. Morning after pill
____ ____ R21n. none
____ ____ R21o. I dont remember or I am unsure
____ ____ R21p. other (explain):________________________________________

R22. How confident are you that your preferred method(s) of birth control would be effective at
preventing pregnancy?

0 1 2 3 4

R23. How confident are you that your preferred the method(s) of birth control would be effective at
preventing the spread of sexually transmitted diseases?

0 1 2 3 4

R24. Have you ever:
1 0
YES NO
____ ____ R24a. had sexual intercourse without a condom ** (Subjects who answered
NONE/NEVER to question 8 will skip this question)
____ ____ R24b. engaged in oral sex without a condom or dental dam
____ ____ R24c. had a condom fall off or break during sexual intercourse ** (Subjects who
answered NONE/NEVER to question 8 will skip this question)

____ ____ R24d. had sexual intercourse or oral sex with an intravenous (IV) drug user ** (Subjects
who answered NONE/NEVER to question 8 will skip this question)

____ ____ R24e. used intravenous (IV) drugs (e.g., injected heroine)
____ ____ R24f. shared hypodermic needles with others
____ ____ R24g. had sexual intercourse or oral sex with someone who is bisexual
____ ____ R24h. had sexual intercourse with a homosexual male ** (Subjects who answered
NONE/NEVER to question 8 will skip this question)

____ ____ R24i. had sexual intercourse with someone who was also sexually involved with
others during that same period ** (Subjects who answered NONE/NEVER to question 8 will
skip this question)

____ ____ R24j. had sexual intercourse in a one night stand relationship ** (Subjects who
answered NONE/NEVER to question 8 will skip this question)

____ ____ R24k. had sexual intercourse while drunk on alcohol or high on drugs may want to
separate out ** (Subjects who answered NONE/NEVER to question 8 will skip this question)

R25. Have you ever been pregnant?
0 1
NO YES

IF YES GO TO QUESTION 26.
IF NO SKIP TO QUESTION 36.

R26. How many times have you been pregnant?

1 2 3 4 5 6+
1 2 3 4 5 6

R27. What type or types of birth control were you using when you conceived the
(If you have only been pregnant once, just fill out the first column, if youve been pregnant twice, please fill out
the first column for the first pregnancy and the second column for the second pregnancy, and so on.)

Please make a mark or a check in the box(es) that apply, you may mark more than one.

Type of Birth Control FIRST
TIME
SECOND
TIME
THIRD
TIME
FOURTH
TIME
FIFTH
TIME
SIXTH
TIME
a. Rhythm method
timing when I have sex
according to where I am
in my menstrual cycle

R271a

R272a

R273a

R274a

R275a

R276a
b. Make sure the other
person pulls out in time
R271b R272b R273b R274b R275b R276b
c. Birth control pills R271c R272c R273c R274c R275c R276c

d. Sponge
R271d

R272d

R273d

R274d

R275d

R276d
e. Spermicides and/or
creams or foams

R271e

R272e

R273e

R274e

R275e

R276e
f. Intrauterine device
(e.g. IUD, coil, loop)

R271f

R272f

R273f

R274f

R275f

R276f
g. Monthly vaginal ring,
The Ring (e.g.
NuvaRing)

R271g

R272g

R273g

R274g

R275g

R276g
h. Diaphragm or cervical
cap

R271h

R272h

R273h

R274h

R275h

R276h
i. Condoms
R271i

R272i

R273i

R274i

R275i

R276i
j. The Shot (e.g. Depo
Provera)

R271j

R272j

R273j

R274j

R275j

R276j
k. Implant under the skin
(e.g. Norplant)

R271k

R272k

R273k

R274k

R275k

R276k
l. Contraceptive patch
(Ortho Evra)

R271l

R272l

R273l

R274l

R275l

R276l
m. Morning after pill R271m R272m R273m R274m R275m R276m
n. None R271n R272n R273n R274n R275n R276n
o. I dont remember or I
am unsure
R271o R272o R273o R274o R275o R276o
p. Other (please describe) R271p R272p R273p R274p R275p 276p

R28. If you answered None (meaning you were using NO birth control) for any of the times you
have gotten pregnant, please answer why you were not using birth control at this time.
(Please mark the reason in the same column you answered None for above)

Reason for no Birth Control FIRST
time
SECOND
time
THIRD
time
FOURTH
time
FIFTH
time
SIXTH
time
a. I wanted to get pregnant.
R281a

R282a

R283a

R284a

R285a

R286a
b. I did not think I could get pregnant at the
time
R281b R282b R283b R284b R285b R286b
c. I was not having sex, regularly. R281c R282c R283c R284c R285c R286c

d. I could not afford birth control.
R281d

R282d

R283d

R284d

R285d

R286d
e. I had my tubes tied.
R281e

R282e

R283e

R284e

R285e

R286e
f. I did not believe in birth control.
R281f

R282f

R283f

R284f

R285f

R286f
g. My partner did not want me to use birth
control.

R281g

R282g

R283g

R284g

R285g

R286g
h. I did not know how to get birth control.
R281h

R282h

R283h

R284h

R285h

R286h
i. I did not know where to find out about birth
control

R281i

R282i

R283i

R284i

R285i

R286i
j. Other (please describe):
R281j

R282j

R283j

R284j

R285j

R286j

R29. How many live births have you had?

0 1 2 3 4 5 6+
0 1 2 3 4 5 6

R29. Please record your age at the birth of each child (e.g., if you circled 1 record your
age at the birth of the child, if you circled 2 record your age at the birth of the first child
as well as your age at the birth of the second child and so on).

R29a. Age at first birth (record age in years): _____
R29b. Age at second birth (record age in years):_____
R29c. Age at third birth (record age in years): _____
R29d. Age at fourth birth (record age in years):_____
R29e. Age at fifth birth (record age in years): _____
R29f. Age at sixth birth (record age in years):____

R30. How did you know you were pregnant or how was this pregnancy confirmed?

2=I felt ill.
5=Other: explain ____________________.

R30a. Method of confirmation at first birth (choose 1-7 from above):______
R30b. Method of confirmation at second birth(choose 1-7 from above):______
R30c. Method of confirmation at third birth (choose 1-7 from above):______
R30d Method of confirmation at fourth birth (choose 1-7 from above):______
R30e. Method of confirmation at fifth birth (choose 1-7 from above):______
R30f. Method of confirmation at sixth birth (choose 1-7 from above):______

R31. How many abortions have you had?

0 1 2 3 4 5 6+
0 1 2 3 4 5 6


R32. Please record your age at each abortion (e.g., if you circled 1 record your age at the
first abortion, if you circled 2 record your age at the second abortion and so on).

R32a. Age at first abortion (record age in years): _____
R32b. Age at second abortion (record age in years):_____
R32c. Age at third abortion (record age in years): _____
R32d. Age at fourth abortion (record age in years):_____
R32e. Age at fifth abortion (record age in years): _____
R32f. Age at sixth abortion (record age in years):_____


2=I felt ill.
5=Other: explain ____________________.

R33a. Method of confirmation at first abortion (choose 1-7 from above):______
R33b. Method of confirmation at second abortion(choose 1-7 from above):______
R33c. Method of confirmation at third abortion (choose 1-7 from above):______
R33d. Method of confirmation at fourth abortion (choose 1-7 from above):______
R33e. Method of confirmation at fifth abortion (choose 1-7 from above):______
R33f. Method of confirmation at sixth abortion (choose 1-7 from above):______

R34. How many miscarriage or still births have you had?

0 1 2 3 4 5 6+
0 1 2 3 4 5 6


R34. Please record your age at each miscarriage (e.g., if you circled 1 record your age at
the first miscarriage, if you circled 2 record your age at the second miscarriage and so
on).

R34a. Age at first miscarriage (record age in years): _____
R34b. Age at second miscarriage (record age in years):_____
R34c. Age at third miscarriage (record age in years): _____
R34d. Age at fourth miscarriage (record age in years):_____
R34e. Age at fifth miscarriage (record age in years): _____
R34f. Age at sixth miscarriage (record age in years):_____


2=I felt ill.
5=Other: explain ____________________.

R35a. Method of confirmation at first miscarriage (choose 1-7 from above):______
R35b. Method of confirmation at second miscarriage(choose 1-7 from above):______
R35c. Method of confirmation at third miscarriage (choose 1-7 from above):______
R35d. Method of confirmation at fourth miscarriage (choose 1-7 from above):______
R35e. Method of confirmation at fifth miscarriage (choose 1-7 from above):______
R35f. Method of confirmation at sixth miscarriage (choose 1-7 from above):______

R36. Have you ever had Chlamydia?

0 1 2 3 4 5
never 1 2 3 4 5+
time times times times times


R36a. If 1 or greater:
_____

R36b. If 2 or greater:

R36c. If 1 or greater:
Have you ever received treatment from a doctor or a clinic for this condition?

1 0
YES NO

R37. Have you ever had Gonorrhea?

0 1 2 3 4 5
never 1 2 3 4 5+


_____



1 0
YES NO

R38. Have you ever had Syphilis?

0 1 2 3 4 5
never 1 2 3 4 5+


_____



1 0
YES NO

R39. Have you ever had Pelvic Inflammatory Disease (PID)?

0 1 2 3 4 5
never 1 2 3 4 5+


_____



1 0
YES NO

R40. Have you ever had Genital Warts:

1 0

R40a. If Yes:
_____

R40b. If Yes:

1 0
YES NO

R41. Have you ever had Genital Herpes:

1 0

R41a. If Yes:
_____

R41b. If Yes:

1 0
YES NO

R42. Have you been diagnosed with HIV:

1 0

R42a. If Yes:
_____

R42b. If Yes:

1 0
YES NO
R43. Have you ever had Fertility Problems:

1 0

R43a. If Yes:
_____

R43b. If Yes:

1 0
YES NO

R44. Have you ever had Hepatitis B or Hepatitis C:

1 0
YES NO If NO SKIP QUESTIONS 44a & 44b

R44a. If Yes:
_____

R44b. If Yes:
1 0
YES NO

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