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
section1). 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. Indicate the number of romantic partners with which you have done the following during the
PAST YEAR.
0
none,
never
1
partner
2 or 3
partners
4-7
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
8-10
partners
more than 10
partners
_____
______
______
______
______
______
______
______
_____
______
______
2. Indicate the number of romantic partners with which you have done the following during the
YOUR ENTIRE LIFETIME.
0
none,
never
1
partner
2 or 3
partners
4-7
partners

b. Held hands
d. Made out
unprotected sex
high on drugs
8-10
partners
_____
______
______
______
______
______
______
______
_____
______
______
more than 10
partners
3.
0
Never
4.
How often do you find yourself thinking a lot about sex?

1
once or twice
every few months
2
about once
a month
3
about once
a week
4
several times
a week
5
several times
a day
Are you, or do you think you would be, turned on sexually by: (circle a number for each):
not at all
1
a little
2
some
3
a lot
4
4b. Romantic Dancing
4c. Romantic pictures in magazines or books
4d. Movie or TV shows that have love scenes
4e. Songs with romantic or sexy words
4f. Dreams while you are sleeping
4g. Women without clothes on
4h. Men without clothes on
4i. Fantasies or day dreams about sex
4j. An attractive male
4k. An attractive female
4l. Literature (books/magazines) that tell stories

about sex or have sexual pictures
4m. Websites that have sexual content
4n. Chat rooms or websites where people chat about

sexual things.
4a. Looking at your own body
very much
5
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
Never
1
once or twice
every few months
2
about once
a month
3
about once
a week
4
several times
a week
5
almost every
day
6. In the LAST YEAR how many times have you had voluntary sexual intercourse?
0
none,
never
1
time
2 or 3
times
4-7
times
8-10
times
more than 10
times
IF NEVER SKIP TO QUESTION #8.

7. In the LAST YEAR how many voluntary sexual intercourse partners have you had?
0
none,
never
1
partner
2 or 3
partners
4-7
partners
8-10
partners
more than 10
partners
8. How many voluntary sexual intercourse partners have you had in your LIFETIME: (circle one):
0
none,
never
1
partner
2 or 3
partners
4-7
partners
8-10
partners
more than 10
partners

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

__12 years-old
__13 years-old
__13 years-old
__14 years-old
__14 years-old
__15 years-old
__15 years-old
__16 years-old
__16 years-old
__17 years-old
__17 years-old
__18 years-old
__18 years-old
__19 years-old
__19 years-old
__20 years-old
__20 years-old
__21 years or older
10. How likely is it that you will have sexual intercourse with someone in the next year?
1
2
3
4
5
sure it wont happen

probably wont happen
even chance (50-50) it will happen
probably will happen
sure it will happen
10a. How much do you think you would like to have sexual intercourse with someone in the
next year?
1
2
3
4
5
would dislike very much

would dislike a little
would neither like nor dislike
would like a little
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
2
3
4
5
sure I wouldnt use it

probably I wouldnt use it
even chance (50-50) I would use it
probably I would use it
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
_____
______
______
______
______
______
______
______
______
______
______
______
______
str
on
gly
dis
agr
dis
ee
agr
ee
nei
the
ra
gre
en
agr
or
ee
dis
agr
ee
str
on
gly
agr
ee
13. Choose the response that best represents how you think or feel:
13a.Masturbation doesnt hurt you
13b.It is OK for girls my age to do sexual things

because others expect them to
13c. Sex is dirty.
13d. Its okay for people my age to have sex
13e. There is a lot of pressure to go further

in sexual activity than girls really want to
13f. I wish there was no such thing

as sex.
13g. I think about sex even when I don't want to.
13h. I get frightened when I think about sex
13i. I sometimes have sexual feelings when I see

people kiss on TV or movies
13j. Thinking about sex upsets me
13k. I hope I never have to think about sex again
13l. I only have sex or plan to have sex with people

that I love.
13m. Its okay for people my age to have more than

one sexual partner at a time
13n. It is important for me to care about a person in

order to feel okay about having sex with them
def
init
el
yn
ot
pro
bab
ly n
ot
eve
nc
han
ce
pro
(50
-50
bab
)
ly y
e
s
def
init
ely
yes
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?
14a. I would be embarrassed while having sex
14b. I would lose the respect of my friends
14c. I would feel more loved and wanted by the person
14d. The person would like me more
14e. I would lose respect for myself
14f. I would worry about getting pregnant
14g. It would show the person I liked them
14h. It would hurt my health
14i. I would gain the respect of my friends
14j. I would feel more mature
15.
Are you currently trying to get pregnant? (circle one):

0
NO
1
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.
16.
How often do you use birth control when you have sex? (circle one):
1
2
3
4
5
6
I never use birth control

I hardly ever use birth control when I have sex
sometimes I use birth control when I have sex, but not very often
I use birth control about half of the time I have sex
almost every time I have sex I use birth control
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
2
3
4
5
Im sure I wouldnt use it

sure I would 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:__________________
19.
Please rate the following methods of birth control methods according to your preference
for each type of birth control.
Not
Preferred
Somewhat
Preferred
Most
Preferred
19a. Rhythm methodtiming when I have

sex according to where I am in my
menstrual cycle
19b. Make sure the other person pulls out

in time
19c. Birth control pills
19d. Sponge
19e. Spermicides and/or creams or foams
19f. Intrauterine device (e.g. IUD, coil,

loop)
19g. Monthly vaginal ring, The Ring

(e.g. NuvaRing)
19h. Diaphragm or cervical cap
19i. Condoms
19j. The Shot (e.g. Depo Provera)
19k. Implant under theskin. (e.g. Norplant)
19l. Contraceptive patch (e.g. Ortho Evra)
19m. Morning after pill
19n. None
19o. Other (explain):_________________
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
Likely
Somewhat
Likely
Most
Likely
20a. Rhythm methodtiming when I have

sex according to where I am in my menstrual
cycle
20b. Make sure the other person pulls out

in time
20d. Sponge
20f. Intrauterine device (e.g. IUD, coil,

loop)
20g. Monthly vaginal ring, The Ring

(e.g. NuvaRing)
20i. Condoms
20k. Implant under the skin. (e.g. Norplant)
20l. Contraceptive patch (e.g. Ortho Evra)
20n. None
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
21d. Sponge
21f. Intrauterine device (e.g. IUD, coil, loop)
21g. Monthly vaginal ring, The Ring (e.g. NuvaRing)
21i. Condoms
21k. Implant under the skin (e.g. Norplant)
21l. Contraceptive patch (Ortho Evra)
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
not at all
confident
1
a little
confident
2
in between
3
somewhat
confident
4
very
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
not at all
confident
1
a little
confident
2
in between
11
3
somewhat
confident
4
very
confident
24. Have you ever:

1
YES
____
0
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
0 NO
IF YES GO TO QUESTION 26.

IF NO SKIP TO QUESTION 36.
26. How many times have you been pregnant?

1
12
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
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
FIRST
TIME
SECOND
TIME
THIRD
TIME
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
FOURTH
TIME
FIFTH
TIME
SIXTH
TIME
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
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
THIRD
time
FOURTH
time
FIFTH
time
SIXTH
time
29.
How many live births have you had?

0
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
6+
31. How many abortions have you had?

0
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):
_____
_____
_____
_____
_____
_____
33.
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
6+
34. How many miscarriage or still births have you had?

0
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):_____
35.
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
never
1
time
2
times
3
times
4
times
5+
times
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
YES
0
NO
37. Have you ever had Gonorrhea?

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

years):_____
condition?
1
YES
0
NO
18
_____
38. Have you ever had Syphilis?

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

How old were you when you first knew you had this? (record age in years):
_____
_____
condition?
1
YES
0
NO
39. Have you ever had Pelvic Inflammatory Disease (PID)?

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

years):_____
condition?
1
YES
0
NO
19
_____
40. Have you ever had Genital Warts:

1
YES
0
NO
If NO SKIP TO QUESTION 41
40a. If Yes:
years):_____
40b. If Yes:
condition?
1
YES
0
NO
41. Have you ever had Genital Herpes:

1
YES
0
NO
41a. If Yes:
years):_____
41b. If Yes:
condition?
1
YES
0
NO
20
42. Have you been diagnosed with HIV:

1
YES
0
NO
42a. If Yes:
years):_____
42b. If Yes:
condition?
1
YES
0
NO
43. Have you ever had Fertility Problems:

1
YES
0
NO
43a. If Yes:
years):_____
43b. If Yes:
condition?
1
YES
0
NO
21
44. Have you ever had Hepatitis B or Hepatitis C:

1
YES
0
NO
If NO SKIP QUESTIONS 44a & 44b
44a. If Yes:
years):_____
44b. If Yes:
condition?
1
0
YES
NO
THE END
22
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
none,
never
1
1
partner
2
2 or 3
partners
3
4-7
partners

b. Held hands
d. Made out
unprotected sex
high on drugs
4
8-10
partners
5
more than 10
partners
_____
______
______
______
______
______
______
______
_____
______
______
R2. Indicate the number of romantic partners with which you have done the following during the YOUR
ENTIRE LIFETIME.
0
none,
never
1
1
partner
2
2 or 3
partners
3
4-7
partners

b. Held hands
d. Necked or made out
unprotected sex
high on drugs
R3.
0
Never
4
8-10
partners
5
more than 10
partners
_____
______
______
______
______
______
______
______
_____
______
______
How often do you find yourself thinking a lot about sex?

1
once or twice
every few months
2
about once
a month
3
about once
a week
4
several times
a week
5
several times
a day
R4.
Are you, or do you think you would be, turned on sexually by: (circle a number for each):
not at all
1
a little
2
some
3
a lot
4
R4b. Romantic Dancing
R4c. Romantic pictures in magazines or books
R4d. Movie or TV shows that have love scenes
R4e. Songs with romantic or sexy words
R4f. Dreams while you are sleeping
R4g. Women without clothes on
R4h. Men without clothes on
R4i. Fantasies or day dreams about sex
R4j. An attractive male
R4k. An attractive female
R4l. Literature (books/magazines) that tell stories

about sex or have sexual pictures
R4m. Websites that have sexual content
R4n. Chat rooms or websites where people chat about

sexual things.
R4a. Looking at your own body
very much
5
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
none,
never
1
1
time
2
2 or 3
times
3
4-7
times
4
8-10
times
5
more than 10
times

R7. In the last year how many voluntary sexual intercourse partners have you had?
0
none,
never
1
1
partner
2
2 or 3
partners
3
4-7
partners
4
8-10
partners
5
more than 10
partners
R8. How many voluntary sexual intercourse partners have you had in your LIFETIME: (circle one):
0
none,
never
1
1
partner
2
2 or 3
partners
3
4-7
partners
4
8-10
partners
5
more than 10
partners
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
02__12 years-old
03_13 years-old
04_13 years-old
05_14 years-old
06__14 years-old
07_15 years-old
08_15 years-old
09_16 years-old
10_16 years-old
11_17 years-old
12_17 years-old
13__18 years-old
14_18 years-old
15_19 years-old
16_19 years-old
17_20 years-old
18_20 years-old
19_21 years or older
R10. How likely is it that you will have sexual intercourse with someone in the next year?
1
2
3
4
5
sure it wont happen

probably wont happen
even chance (50-50) it will happen
probably will happen
sure it will happen
R10a. How much do you think you would like to have sexual intercourse with someone in the next
year?
1
2
3
4
5
would dislike very much

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

sure I would use it
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______
str
on
gly
dis
agr
ee
dis
agr
ee
nei
the
ra
gre
en
agr
or
ee
dis
agr
ee
str
on
gly
agr
ee
R13. Choose the response that best represents how you think or feel:
R13a.Masturbation doesnt hurt you
R13b.It is OK for girls my age to do sexual things

because others expect them to
R13c. Sex is dirty.
R13d. Its okay for people my age to have sex
R13e. There is a lot of pressure to go further

in sexual activity than girls really want to
R13f. I wish there was no such thing

as sex.
R13g. I think about sex even when I don't want to.
R13h. I get frightened when I think about sex
R13i. I sometimes have sexual feelings when I see

people kiss on TV or movies
R13j. Thinking about sex upsets me
R13k. I hope I never have to think about sex again
R13l. I only have sex or plan to have sex with people

that I love.
R13m. Its okay for people my age to have more than

one sexual partner at a time
R13n. It is important for me to care about a person in

order to feel okay about having sex with them
def
init
el
yn
ot
pro
bab
ly n
ot
eve
nc
han
ce
pro
(50
-50
bab
)
ly y
e
s
def
init
ely
yes
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?
R14a. I would be embarrassed while having sex
R14b. I would lose the respect of my friends
R14c. I would feel more loved and wanted by the person
R14d. The person would like me more
R14e. I would lose respect for myself
R14f. I would worry about getting pregnant
R14g. It would show the person I liked them
R14h. It would hurt my health
R14i. I would gain the respect of my friends
R14j. I would feel more mature
R15.
Are you currently trying to get pregnant? (circle one):

0
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
2
3
4
5
6
I never use birth control

I hardly ever use birth control when I have sex
sometimes I use birth control when I have sex, but not very often
I use birth control about half of the time I have sex
almost every time I have sex I use birth control
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):
1
2
3
4
5

sure I would use it
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
Preferred
0
1
Somewhat
Preferred
2
3
0
0
0
0
0
1
1
1
1
1
2
2
2
2
2
3
3
3
3
3
4
4
4
4
4
Most
Preferred
5
R19a. Rhythm methodtiming when I have sex
according to where I am in my menstrual
cycle
5
R19b. Make sure the other person pulls out
in time
5
R19c. Birth control pills
5
R19d. sponge
5
R19e. Spermicides and/or creams or foams
5
R19f. Intrauterine device (e.g. IUD, coil, loop)
5
R19g. Monthly vagina ring, The Ring (e.g.
NuvaRing)
0
0
0
0
0
0
0
0
1
1
1
1
1
1
1
1
2
2
2
2
2
2
2
2
3
3
3
3
3
3
3
3
4
4
4
4
4
4
4
4
5
5
5
5
5
5
5
5
R19h.Diaphragm or cervical cap

R19i. Condoms
R19j. The Shot (e.g. Depo Provera)
R19k. Implant under the skin (e.g. Norplant)
R19l. Contraceptive patch (e.g. Ortho Evra)
R19m. Morning after pill
R19n. None
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
Likely
0
Somewhat
Likely
2
3
Most
Likely
4
0
0
0
0
1
1
1
1
2
2
2
2
3
3
3
3
4
4
4
4
0
0
0
1
1
1
2
2
2
3
3
3
4
4
4
0
0
0
0
1
1
1
1
2
2
2
2
3
3
3
3
4
4
4
4
R20a. Rhythm methodtiming when I have

sex according to where I am in my menstrual
cycle
R20b. Make sure the other person pulls out
in time
R20d. Sponge
R20f. Intrauterine device (e.g. IUD, coil,
loop)
R20g. Monthly vaginal ring, The Ring
(e.g. NuvaRing)
R20h. Diaphragm or cervical cap
R20i. Condoms
R20k. Implant under the
skin. (e.g. Norplant)
R20l. Contraceptive patch (e.g. Ortho Evra)
R20n. None
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
R21d. Sponge
R21f. Intrauterine device (e.g. IUD, coil, loop)
R21g. Monthly vaginal ring, The Ring (e.g. NuvaRing)
R21h. Diaphragm or cervical cap
R21i. Condoms
R21k. Implant under the skin (e.g. Norplant)
R21l. Contraceptive patch (Ortho Evra)
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
not at all
confident
1
a little
confident
2
in between
3
somewhat
confident
4
very
confident
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
not at all
confident
1
a little
confident
2
in between
3
somewhat
confident
4
very
confident
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.
0
NO
Have you ever been pregnant?

1
YES
IF YES GO TO QUESTION 26.

IF NO SKIP TO QUESTION 36.
R26.
How many times have you been pregnant?

1
1
2
2
3
3
4
4
5
5
6+
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
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
FIRST
TIME
SECOND
TIME
THIRD
TIME
FOURTH
TIME
FIFTH
TIME
SIXTH
TIME
R271a
R272a
R273a
R274a
R275a
R276a
R271b
R272b
R273b
R274b
R275b
R276b
R271c
R272c
R273c
R274c
R275c
R276c
R271d
R272d
R273d
R274d
R275d
R276d
R271e
R272e
R273e
R274e
R275e
R276e
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
i. Condoms
R271h
R272h
R273h
R274h
R275h
R276h
R271i
R272i
R273i
R274i
R275i
R276i
R271j
R272j
R273j
R274j
R275j
R276j
R271k
R272k
R273k
R274k
R275k
R276k
R271l
R271m
R272l
R272m
R273l
R273m
R274l
R274m
R275l
R275m
R276l
R276m
n. None
R271n
R272n
R273n
R274n
R275n
R276n
o. I dont remember or I
am unsure
p. Other (please describe)
R271o
R272o
R273o
R274o
R275o
R276o
R271p
R272p
R273p
R274p
R275p
276p
c. Birth control pills

d. Sponge
e. Spermicides and/or
creams or foams
f. Intrauterine device
(e.g. IUD, coil, loop)
j. The Shot (e.g. Depo

Provera)
k. Implant under the skin
(e.g. Norplant)
l. Contraceptive patch
(Ortho Evra)
m. Morning after pill
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
R281a
R281b
R282a
R282b
R281c
R282c
THIRD
time
FOURTH
time
FIFTH
time
SIXTH
time
a. I wanted to get pregnant.

b. I did not think I could get pregnant at the
time
c. I was not having sex, regularly.
R283a
R283b
R284a
R284b
R285a
R285b
R286a
R286b
R283c
R284c
R285c
R286c
d. I could not afford birth control.

R281d
R282d
R283d
R284d
R285d
R286d
R281e
R282e
R283e
R284e
R285e
R286e
R281f
R282f
R283f
R284f
R285f
R286f
R281g
R282g
R283g
R284g
R285g
R286g
R281h
R282h
R283h
R284h
R285h
R286h
R281i
R282i
R283i
R284i
R285i
R286i
R281j
R282j
R283j
R284j
R285j
R286j
e. I had my tubes tied.

f. I did not believe in birth control.
g. My partner did not want me to use birth
control.
h. I did not know how to get birth control.
i. I did not know where to find out about birth
control
j. Other (please describe):
R29. How many live births have you had?

0
0
1
1
2
2
3
3
4
4
5
5
6+
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
0
1
1
2
2
3
3
4
4
5
5
6+
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):_____
R33.
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
0
1
1
2
2
3
3
4
4
5
5
6+
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):_____
R35.
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
never
1
1
time
2
2
times
3
3
times
4
4
times
5
5+
times

R36a. If 1 or greater:
_____
R36b. If 2 or greater:
How old were you the last time you had this? (record age in years): _____
R36c. If 1 or greater:
Have you ever received treatment from a doctor or a clinic for this condition?
1
YES
0
NO
R37. Have you ever had Gonorrhea?

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

_____
1
YES
0
NO
R38. Have you ever had Syphilis?

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

_____
1
YES
0
NO
R39. Have you ever had Pelvic Inflammatory Disease (PID)?

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

_____
1
YES
0
NO
R40. Have you ever had Genital Warts:

1
YES
0
NO
R40a. If Yes:
_____
R40b. If Yes:
1
YES
0
NO
R41. Have you ever had Genital Herpes:

1
YES
0
NO
R41a. If Yes:
_____
R41b. If Yes:
1
YES
0
NO
R42. Have you been diagnosed with HIV:

1
YES
0
NO
R42a. If Yes:
_____
R42b. If Yes:
1
YES
0
NO
R43. Have you ever had Fertility Problems:

1
YES
0
NO
R43a. If Yes:
_____
R43b. If Yes:
1
YES
0
NO
R44. Have you ever had Hepatitis B or Hepatitis C:

1
YES
0
NO If NO SKIP QUESTIONS 44a & 44b
R44a. If Yes:
_____
R44b. If Yes:
1
0
YES
NO
THE END

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Sexual SAAQ Manual PDF

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Manual for the

Administration and Coding of the

Sexual Activities & Attitudes Questionnaire

All intellectual content contained within this document is

Calculating Subscales for the SAAQ:

Other noteworthy groupings:

Sexual Attitudes and Activities Questionnaire (SAAQ)

a. Gone out on unsupervised dates

a. Gone out on unsupervised dates

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

4b. Romantic Dancing

4c. Romantic pictures in magazines or books

4d. Movie or TV shows that have love scenes

4e. Songs with romantic or sexy words

4f. Dreams while you are sleeping

4g. Women without clothes on

4h. Men without clothes on

4i. Fantasies or day dreams about sex

4j. An attractive male

4k. An attractive female

4l. Literature (books/magazines) that tell stories

4m. Websites that have sexual content

4n. Chat rooms or websites where people chat about

4a. Looking at your own body

IF NEVER SKIP TO QUESTION #8.

IF NEVER SKIP TO QUESTION #10.

__younger than age 12

__21 years or older

sure it wont happen

would dislike very much

sure I wouldnt use it

13a.Masturbation doesnt hurt you

13b.It is OK for girls my age to do sexual things

13c. Sex is dirty.

13d. Its okay for people my age to have sex

13e. There is a lot of pressure to go further

13f. I wish there was no such thing

13g. I think about sex even when I don't want to.

13h. I get frightened when I think about sex

13i. I sometimes have sexual feelings when I see

13j. Thinking about sex upsets me

13k. I hope I never have to think about sex again

13l. I only have sex or plan to have sex with people

13m. Its okay for people my age to have more than

13n. It is important for me to care about a person in

14a. I would be embarrassed while having sex

14b. I would lose the respect of my friends

14c. I would feel more loved and wanted by the person

14d. The person would like me more

14e. I would lose respect for myself

14f. I would worry about getting pregnant

14g. It would show the person I liked them

14h. It would hurt my health

14i. I would gain the respect of my friends

14j. I would feel more mature

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

IF YOU HAVE NEVER HAD

IF YES PLEASE ANSWER THE

I never use birth control