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Sex Education Survey Form Template

Gather Valuable Insights with This Survey Template

Finding out how effective your sex education program is can be challenging. This template helps teachers, parents, and health professionals collect crucial feedback from students about their experiences and understanding of sex education. With this customizable questionnaire, you can assess knowledge gaps, identify areas for improvement, and ensure your program meets students' needs-all while adhering to privacy and accessibility standards with WCAG-aligned labels. Start using this live template to make informed decisions that enhance learning outcomes.

Do you consent to take part in this anonymous survey?
Yes
No
How old are you?
Under 18
18-24
25-34
35-44
45-54
55-64
65+
What is your role?
Student
Parent or guardian
Educator
Healthcare professional
Youth worker or counselor
Community or religious leader
Prefer not to say
Other
Please Specify:
If you prefer to self-describe your gender, please specify.
Which country or region do you live in?
What is your gender?
Woman
Man
Non-binary
Prefer to self-describe
Prefer not to say
Where have you received sex education or sexual health information? Select all that apply.
Please Specify:
Which topics were covered in your sex education? Select all that apply.
How satisfied were you with the overall quality of your sex education?
Very dissatisfied
Dissatisfied
Neutral
Satisfied
Very satisfied
How inclusive was your sex education of diverse identities and experiences?
Poor
Below average
Average
Good
Exceptional
How easy is it for you to find trustworthy sexual health information when you need it?
Very difficult
Difficult
Somewhat difficult
Neither easy nor difficult
Somewhat easy
Easy
Very easy
In the past 12 months, have you accessed sexual health services (for example, testing, vaccination, or counseling)?
Yes
No
Prefer not to say
I understand how to prevent sexually transmitted infections (STIs).
Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
I know how to use condoms correctly.
Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
I understand consent and how to communicate boundaries.
Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
I know where to access local sexual health services.
Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
I feel comfortable discussing sexual health with a healthcare professional.
Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
What barriers, if any, make it hard for you or your community to access sex education or services? Select all that apply.
Please Specify:
Which formats do you prefer for learning about sexual health? Select all that apply.
Please Specify:
Which topics would you like more information on? Select all that apply.
Please Specify:
Overall, how satisfied are you with the sex education resources available to you?
Very dissatisfied
Dissatisfied
Neutral
Satisfied
Very satisfied
What is one improvement that would make sex education more helpful for you or your community?
Is there anything else you would like to share?
How likely are you to recommend these sex education resources to a friend or peer?
0 Not at all likely
1
2
3
4
5 Extremely likely
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Paper art illustration depicting a sex education survey form with engaging design elements for FormCreatorAI article.

When to use this form

Use this survey before or after a health class, a district curriculum pilot, or a youth workshop to measure what students know, what they need, and how safe they feel asking questions. Teachers, counselors, and program leads gain clear data to spot gaps in consent, STI prevention, and healthy relationships, then refine lessons. Segment results by grade or schooling using the Education level survey form. Track community outcomes over time alongside the Teenage pregnancy survey form. If you are reviewing a specific unit, pair responses with the Sample course evaluation form to capture feedback on teaching methods and materials.

Must Ask Sex Education Survey Questions

  1. Which grade or age range best describes you?

    This helps you segment results and tailor the content to the right level. Age-appropriate analysis makes your next lessons safer and more relevant.

  2. How confident are you in understanding consent, boundaries, STI prevention, and contraception?

    Confidence ratings highlight where students need clearer instruction or practice. You can compare trends with the Academic performance questionnaire form to see if understanding aligns with overall study skills.

  3. Which topics would you like more instruction on?

    This prioritizes your next unit and ensures limited time addresses real needs. It also surfaces topics students may hesitate to raise aloud.

  4. Where do you usually get sexual health information (class, family, clinic, online, other)?

    Knowing the most trusted sources helps you reinforce reliable channels and correct myths. It also guides partnerships with nurses, counselors, or local clinics.

  5. After this course, what actions do you feel prepared to take to manage your sexual health?

    Action-oriented responses show real-world readiness beyond knowledge checks. Pair this with the Course completion form to track completion and confidence gains together.

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