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PERCEIVED PARENTAL DISCIPLINE SURVEY DIRECTIONS: This survey is not a test, there are no right or wrong answers.

You are to answers according to how you feel about the statements by encircling your answer from the choices given. Choices would be SA, A, D & SD SA Strongly Agree A -Agree D -Disagree SD- Strongly Disagree 1. My parents oblige me to bring a chaperon whenever I go out at night friends or on a date. SA A D SD 2. I wish my parents were more open with suggestions. SA A D SD 3. My parents are often busy SA A D SD 4. I am not given space by my parents to explore new things SA A D SD 5. I am free to wear anything I want to wear SA A D SD 6. I continue in making rules and regulations at home SA A D SD 7. My parents set aside time for recreational activities/leisure for my family (e.g. movies, picnics, vacations, etc) SA A D SD 8. My parents are not strict al all. They believe that I learn on best when left alone. SA A D SD 9. My parents are very strict with the way they discipline me. SA A D SD 10. I wish my parents were more understanding SA A D SD 11. My parents are pre occupied with other things, to check on my activities. SA A D SD 12. My parents give me everything I need and I want SA A D SD 13. My parents do not extent much power in disciplining me SA A D SD 14. My parents allow me to speak up or reason out SA A D SD 15. My parents are not aware of what I am doing SA A D SD

16. I am not given responsibility to make decisions on my own SA A D SD 17. I have to ask my parents permission for every thing that I do. SA A D SD 18. I wish I had more freedom to do things which I want. SA A D SD 19. My parents are always there when I need them SA A D SD 20. I am free to make decisions entirety on my own. SA A D SD 21. I should strictly follow the curfew time set by my parents. SA A D SD 22. I wish that my parents were more open-minded. SA A D SD 23. My parents give me full responsibility on what ever decisions I make. SA A D SD 24. I am one of my parents priorities. SA A D SD 25. My parents have influence over the sexual gestures or activities that I engage in SA A D SD 26. My parents give me reasonable freedom. SA A D SD 27. My parents are too busy to set rules and regulations at home SA A D SD 28. My parents make it appoint to help me when problem arise. SA A D SD 29. My parents allow me to engage in sexual behavior such as holding hands, hugging, kissing, necking, etc SA A D SD 30. The rules that my parents set are negotiable. SA A D SD 31. My parent finds time to check on my activities. SA A D SD 32. When I was young, my parents made me assignments entirely on my own. SA A D SD 33. I am free to do whatever I want to do SA A D SD 34. My parents are not to strict nor too lax in disciplining me. SA A D SD 35. MY parents do not care at all about me. SA A D SD 36 My parents decide for me.

SA A D SD 37. I am allowed to go out at night with friends on a date. SA A D SD 38. My parents does not allow negotiations with rules and regulation in the house. SA A D SD 39. My parents and I always eat dinner together. SA A D SD 40. I am allowed to be exposed to pornographic materials because they believe that restricting it would lead to ignorance and more curiosity. SA A D SD

SEXUAL BEHAVIOR CHECKLIST

This is a checklist on sexual behavior. Items in this checklist are specific sexual behavior activities taken from a survey conducted by the researchers which was based on Encyclopedia of Sexual Behavior by Albert Ellis & Albert Abarbanel (1961 ) DIRECTIONS: Answer each item by encircling the answer from the choices given. The choices are A, M. SO, SE, N. A - always M most of the time SO sometimes SE - seldom N - never 1. Manual masturbation A M SO SE N 2. Masturbation with apparatus A M SO SE N 3. French/deep kissing A M SO SE N 4. Mouth-breast contact A M SO SE N 5. Genital apposition A M SO SE N 6. Anal sex A M SO SE N 7. Manual stimulation of female genitalia A M SO SE N 8. Mutual masturbation A M SO SE N 9. Necking A M SO SE N 10. Manual manipulation of female breast A M SO SE N 11. Manual manipulation of male genitalia A M SO SE N 12. Coitus/sexual intercourse A M SO SE N 13. Oral sex A M SO SE N 14. Orgy A M SO SE N 15. Breast Fuck A M SO SE N

With whom have you done these? _________________________________ When? ________________________________ Where? ________________________________ DEFINITIONS MANUAL MASTURBATION- to manually stimulate ones own genitalia, generally orgasm. MASTURBATION WITH APPARATUS using an apparatus to stimulate ones own genitalia: female inserting something into her vagina or male inserting his genitalia into something. FRENCH/DEEP KISSING mouth to mouth contact in which the tongue of one or both partners is inserting into the mouth of the other partner. MOUTH-BREAST CONTACT manipulation of the breast with tongue and lips. GENITAL APPOSITION males place their genitalia directly against the genitalia of the females. There is no insertion, only rubbing of the genitalia ANAL SEX insertion of the male genitalia into the anus of another. MANUAL STIMULATION OF FEMALE GENITALIA - make or female, manually stimulating another females genitalia. MUTUAL MASTURBATION manual stimulation of each others genitalia by two individuals, generally to orgasm NECKING activities such as biting, kissing above the shoulder MANIPULATION OF THE FEMALE BREAST touching, rubbing or using the hands to manipulate the female breast MANUAL MANIPULATION OF THE MALE GENITALIA male or female, manually manipulating another maler genitalia COITUS/SEXUAL INTERCOURSE insertion of the male genitalia into the female genitalia ORAL SEX mouth-penis sexual union (fellatio); mouth-vagina sexual union (curnillingua ) ORGY heterosexual, homosexual or ambisexual enterprise involving 3 or more individuals simultaneously. - group sex GENITALIA- penis for males/ Vagina for females. GENITALIA

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