Implied Consent
San Francisco State University
Implied Consent to Participate in a Research Study
(Sexual Esteem)
The information gathered from this survey will be used for research on sexual esteem. The survey questions will be about self-esteem related to sexuality. You will also be asked some demographic questions. You have been invited to participate because you are an adult aged 18 or older.
There are minimal risks to you in participating in this survey. Some of the questions could be considered sensitive and cause discomfort for some people. At any time, you can stop taking the survey. You may choose to participate or not. You may answer only the questions you feel comfortable answering, and you may stop at any time. If you do not wish to participate, you may simply close the survey window, with no penalty to yourself. If you do participate, completion and submission of the survey indicates your consent to the above conditions.
At the end of the survey, you may be asked to provide an email address IF you are interested in participating in further research. If you give your email address, both your email and your survey responses will be assigned a random number that will be used to connect your future survey responses to the survey you take today. Your email address will NOT be in the survey data and will not be connected to your survey answers. You may enter a raffle to win a $40 Visa gift card at the end of the survey. Your contact info for the raffle will not be linked to your responses.
The survey should take approximately 30-40 minutes to complete. Any questions or concerns should be directed to the principal investigator, Kat Scoggin, at researcherkat@gmail.com or the research advisor, Dr. Ryan Howell at rhowell@sfsu.edu.
Referral List
The questions in this survey are about your thoughts, feelings, and beliefs about things related to sexuality. This page has a list of websites and resources that might help if you start to feel uncomfortable or have a negative reaction. Please print this page so you can refer to this list if you decide not to complete the survey.
Information and Questions Answered About Sex and Sexuality:
www.plannedparenthood.com Informational web site, directory to local clinics
www.positive.org Informational web site, email support primarily aimed at youth.
www.sfsi.org Email/Phone support
community.livejournal.com/vaginapagina (for women) Online community about everything related to womens sexual health. A great place to ask is this normal? questions.
Pregnancy/Contraception/Abortion
www.americanpregnancy.org Informational web site
www.abortionclinic.org Directory of abortion clinics
www.ec-help.org/ - Informational web site, directory of pharmacies that provide access to Emergency Contraception
www.goaskalice.com Informational web site with email question support
Queer Identity Support
www.pflag.org Informational/support web site, directory of local chapters
http://www.susans.org/ - directory of all kinds of transgender resources
Rape/Sexual Violence
www.rainn.org Rape Abuse Incest National Network
1-800-656-HOPE Sexual Assault National Helpline
Mental Health
www.suicidehotlines.com - directory of state suicide crisis lines
1-800-273-TALK (8255) national suicide hotline
www.psychologytoday.com directory of psychologist organized by location, specialty, therapy style, cost, and insurance availability
Demographics
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Ethnicity: A few popular American ethnic identities are listed below. Please feel free to write in your own answer.
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Socio-Economic Status: Socio-Economics status is a combined measure of you and/or your family's economic and social position compared to other people. It is based on either your or your household's overall income, level of education, and job. If you are a college student, think about the household you grew up when answering this question.
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Relationship style: (this might or might not reflect your current relationship status)
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How much do you agree with the following statement: I have high self-esteem.
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Read each statement carefully. Think about how the statement applies to you and choose how strongly you agree or disagree with the statement. If you are not sure what a statement really means or have a problem with one of the statements, please copy the statement and add your comments in the box at the end of the page.
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I have no problems initiating sex.
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I worry that I won't be able to stop something I don't want in a sexual situation.
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I can talk to my partner about what I want when it comes to sexual activity.
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It would bother me if a sexual partner neglected my sexual needs and desires.
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In a sexual situation, I know what I want but don't know how to get it.
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I feel okay about saying "no" in a sexual situation.
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I feel I can easily be talked into sexual activities I don't want.
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I don't know how to deal with pressure for sex from my partner.
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I feel I can control the situation when a partner pressures me for sex that I don't want.
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I would not hesitate to ask for what I want sexually from a partner.
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Sometimes I do things sexually because I feel like I have to just to fit in or be normal.
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I feel good about my ability to directly voice my sexual desires.
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I would expect a sexual partner to be responsive to my sexual needs and feelings.
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There's a lot of pressure about sex, but I feel like I make my decisions about sex based only on what I want and need.
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I am able to ask a partner to provide the sexual stimulation I need.
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I am in control of and am responsible for the sexual aspects of my life.
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My sexual behaviors are largely determined by others (my partner, parents, family, friends, etc).
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To be sexual, I have to conform to other people's ideas of sexuality.
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It is okay for me to meet my own sexual needs through self-masturbation.
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If a partner were to ignore my sexual needs and desires, I'd feel hurt or be upset.
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Read each statement carefully. Think about how the statement applies to you and choose how strongly you agree or disagree with the statement. If you are not sure what a statement really means or have a problem with one of the statements, please copy the statement and add your comments in the box at the end of the page.
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I feel guilty after performing a sexual act for my partner.
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I feel comfortable with my sexual orientation.
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When I feel sexually aroused, I feel ashamed.
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I feel there is nothing wrong with my sexual desires.
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I feel guilty after I have an orgasm.
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I like who I am as a sexual person.
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I feel like my sexual desires are wrong.
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I feel humiliated when someone hits on me in a public space.
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I feel anxious when I think about the sexual aspects of my life.
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I do not feel guilty about my sexual fantasies.
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I am uncomfortable with my sexuality.
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My sexual behaviors are in line with my moral values.
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Read each statement carefully. Think about how the statement applies to you and choose how strongly you agree or disagree with the statement. If you are not sure what a statement really means or have a problem with one of the statements, please copy the statement and add your comments in the box at the end of the page.
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My family accepts my sexuality.
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I think society is generally accepting of the sexual behaviors and beliefs that make up my sexuality.
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I have to hide aspects of my sexuality from people I am close to.
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I feel disappointed with my sex life.
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I cannot tell my partner all my sexual desires because I am afraid my partner will not accept them or even feel disgusted.
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My partner accepts my sexuality.
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There are people in my life who understand my sexuality and accept it.
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Overall, I feel I have high self-esteem when it comes to sexuality.
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My friends accept my sexuality.
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People are okay with my sexuality where I live, but most places would not accept my sexuality.
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I am not satisfied with my current sex life, but overall, I still feel good about myself as a sexual person.
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Right now my sex life is pretty good, but I still don't feel very good about my sexuality.
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I would feel more comfortable with the sexual part of my life if I lived somewhere that was more accepting.
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Why did you choose to participate in this study and take this survey?
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Read each statement carefully. Think about how the statement applies to you and choose how strongly you agree or disagree with the statement. If you are not sure what a statement really means or have a problem with one of the statements, please copy the statement and add your comments in the box at the end of the page.
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I am afraid of losing control sexually.
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Sometimes I give in to a sexual desires even though I had decided it wasn't something I wanted to do.
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When it comes to sex, I know what I want overall, but sometimes what I want in the moment wins out.
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I know what kinds of sexual activity I'm okay with doing, but when I'm with a partner, I get confused and sometimes do things I end up regretting.
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Sometimes my head and my body feel different things when it comes to sex, but I am happy with the decisions I make.
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I feel good about how I manage my sexual needs, worries, and desires.
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Sometimes I avoid sexual activity altogether because I'm afraid of one thing leading to another and doing something I know I don't want to do and I know I'll regret later.
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I am where I want to be sexually, at this point in my life.
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I feel good about the place of sex in my life.
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Sometimes I wish I could forget about sex.
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I find my own sexuality a bit scary.
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The "sexual me" is not the "real me."
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I wish sex were less a part of my life.
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I like what I have learned about myself from my sexual experiences.
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Being sexual is just another part of who I am.
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My sexuality is an important aspect of my identity.
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If I tried to not be a sexual person, I would feel like I wasn't really being myself.
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I try to ignore my sexuality as much as possible.
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Demographics & Life Satisfaction
Please fill out the demographic questions below. These answers cannot be used to connect you to your survey responses or used to identify you.
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Describe the neighborhood where you grew up. The projects? Suburban neighborhood? Urban environment? Inner city? Ghetto? Small town? Rural farm/ranch?
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Describe the neighborhood where you live now. The projects? Suburban neighborhood? Urban environment? Inner city? Ghetto? Small town? Rural farm/ranch?
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Ability status: Below are areas where having different abilities may cause impairment or handicap in social interactions. Please choose any or all areas that apply to you.
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Who lives with you in your home?
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Sexual experience: Please choose how you would describe your level of sexual experience.
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Sexual partners: How many sexual partners have you had in your life-time?
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Short-term partners: How many of your sexual relationships lasted 3 months or less?
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How much do you agree with the following statements? In most ways, my life is close to my ideal.
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The conditions of my life are excellent.
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I am satisfied with my life.
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So far, I have gotten the important things I want in life.
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If I could live my life over, I would change almost nothing.
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Read each statement carefully. Think about how the statement applies to you and choose how strongly you agree or disagree with the statement. If you are not sure what a statement really means or have a problem with one of the statements, please copy the statement and add your comments in the box at the end of the page.
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I feel good about my ability to perform sexually.
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I wish I were better at sex.
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I have a hard time meeting people I'm interested in sexually.
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It is not hard for me to find sexual partners.
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I often get too nervous or scared to ask someone I like for a date.
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I have a hard time meeting people who are sexually interested in me.
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I know a lot about sexual pleasure.
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I feel good about my understanding of my own sexual anatomy.
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I feel like I don't really understand how my partner's sexual anatomy works.
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I am confident that I can give my partner sexual pleasure.
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I worry that my partner is "faking it" or doesn't enjoy sex with me as much as s/he acts like s/he does.
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I feel I have many sexual skills to pleasure a partner.
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I am confident about myself as a sexual partner.
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Sometimes I worry that I don't really please my partner sexually.
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I am sure that I can bring my partner to orgasm.
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I am a sexually talented person.
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I am confident in my ability to feel pleasure when I'm with a partner.
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My body doesn't react very much to sexual stimulation.
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I feel good about my ability to become aroused.
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I don't really enjoy sex or masturbation.
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I feel okay about my ability to reach orgasm.
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I am confident about my ability to reach orgasm with a partner.
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I feel good about my ability to meet my own sexual needs through masturbation.
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Read each statement carefully. Think about how the statement applies to you and choose how strongly you agree or disagree with the statement. If you are not sure what a statement really means or have a problem with one of the statements, please copy the statement and add your comments in the box at the end of the page.
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I only feel comfortable enough to have sex if it is dark so that my partner cannot clearly see my body.
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I would feel very nervous if a partner were to explore my body before or after having sex.
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My partner thinks I'm sexy.
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No one finds me attractive.
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During sexual activity it is difficult not to think about how unattractive my body is.
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I worry that some parts of my body would be disgusting to a sexual partner.
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It bothers me that I'm not better looking.
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I am confident that a romantic partner would find me sexually attractive.
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I am confident that others will find me sexually desirable.
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These items describe different aspects of identity. Please read each item carefully and consider how it applies to you and your sense of who you are.
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Not important to my sense of who I am. |
Slightly important to my sense of who I am. |
Somewhat important to my sense of who I am. |
Very important to my sense of who I am. |
Extremely important to my sense of who I am. |
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My personal values and moral standards. |
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My popularity with other people. |
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Being a part of many generations of my family. |
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My dreams and imagination. |
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The ways in which other people react to what I saw and do. |
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My ability to perform sexually: to reach orgasm and please a partner. |
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My personal goals and hopes for the future. |
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My physical appearance: my height, my weight, and the shape of my body. |
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My emotions and feelings. |
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My commitment to being a concerned relationship partner. |
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My reputation, what others think. |
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Places where I live or where I was raised. |
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My attractiveness to other people. |
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The ways I deal with my fears or anxieties. |
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My sex, being a male or female. |
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My feeling of being a unique person, being distinct from others. |
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My gender identity: how other people see my femininity or masculinity. |
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My social class, the economic group I belong to, whether lower, middle, or upper class. |
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Knowing that I continue to be essentially the same inside even though life involves many external changes. |
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Connecting on an intimate level with another person. |
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My gestures and mannerisms, the impression I make on others. |
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My feeling of belonging to my community. |
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My self-knowledge, my ideas about what kind of person I really am. |
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My desire to understand the true thoughts and feelings of my best friend or romantic partner. |
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My social behavior, such as the way I act when meeting people. |
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My feeling of pride in my country, being proud to be a citizen. |
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My personal self-evaluation, the private opinion I have of myself. |
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My commitments on political issues and my political activities. |
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My language, such as my regional accent or dialect or a second language I know. |
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My sexual orientation, whether heterosexual, homosexual, or bisexual. |
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My race or ethnic background. |
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My romantic relationships: whether or not I'm in a relationship and my relationship style. |
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Thank you
This survey is now complete. Thank you for participating! Please click the button below to enter the $40 Visa giftcard raffle. The raffle will ask you for some contact information. That information will not be connected to your survey responses in any way.
If you are interested in participating in follow up research to this study or you would like to receive the results of this study, please enter your email address below. Your email address will NOT be connected to your survey answers. Your survey responses will stay confidential.
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Do you want to hear about the results of this research or participate in follow up research to this study?
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