An Online Questionnaire

Male Questionnaire

1) How Old Are You? years


2) Would you describe yourself as…

White   Black Carribean   Black African   Black UK   Indian/Pakistani/Bangladeshi
Other Asian/Oriental   Other (please specify...)


3) What is your status?

Married   Single   Co-habiting   In a Civil Partnership   Divorced   Widowed


4) What is your main occupation?    Other:


5) What is your nationality?


6) What is your sexuality?

Heterosexual   Homosexual   Bisexual   Other (please specify...)


7) At what age had you started to feel sexually attracted to girls or boys? (Age)

10 or less   11   12   13   14   15   16+


8) At what age did you first masturbate? (Age)

Never   10 or less   11   12   13   14   15   16+   Don't Know


9) At what age did you first have a wet dream?

Never   10 or less   11   12   13   14   15   16+   Don't Know


Before Age 12

10) Please state your main country of residence before the age of 12


11) What is the total number of nights you have spent in hospital before age 12 (not counting at birth)?

None   less than 5   5 to 10   11 to 20   21 to 30   more than 30


12) How many days per year do you think you spent off school due to genuine illness before age 12?

None   1 to 5   6 to 10   11 to 20   21 to 30   more than 30


13) Did you suffer any childhood illnesses before age 12? (tick as many as applicable)

Mumps   Measles   Chicken pox   Whooping Cough   Pneumonia

Other major illnesses (please specify...)


14) Before age 12 did you consider yourself to be ….

Overweight   Underweight   Average


15) For most of your childhood what was;

a. Your mother's main occupation    Other:
b. Your father's main occupation    Other:
c. If your mother or father were not your main carer, what was your carer's occupation    Other:

16) Around the time you started adolescence were you….

Living with both parents   Living only with your mother   Living only with your father
Living with a guardian/grandparent   Living with your mother and stepfather
Living with your father and stepmother   Other (please specify...)


17) Around the time before you started your adolescence was your biological father alive?

Yes   No

 If yes....

At home every night   Away 1-2 nights per week   Away 4-5 nights per week
Regularly away for a week or more   Away for periods of a month or more   Never at home


18) Around the time of your adolescence were your parents divorced/separated/widowed?

Yes   No   Unknown


19) While at school which best describes your experience of being involved in physical fighting?

Never   Less than one a year   Around one a year   Around one a month
Around one a week   Almost every day


20) Were you ever bullied at school?

Never   Occasionally   Regularly


21) Did you ever bully others at school?

Never   Occasionally   Regularly


22) What was your most common reaction when you were unhappy or upset?

Physical fighting/attacking   Ignoring people/staying in your room
Aggressive shouting/swearing/arguing/slamming doors   Moodiness/crying


23) After age 12, on average how many days per year do you think you spent off school due to genuine illness ?

None   1-5   6 to 10   11 to 20   21 to 30   >30


A few more general questions...

24) How old were you when you first had sex? (if applicable)

years or Never


25) Did you first have sex when drunk or under the influence of illegal drugs?

Yes   No   Not Applicable


26) How old were you when you first had sex without using any contraception?

years or Never


27) How many times do you know a partner used emergency contraception (e.g. the morning after pill)?

Never   1 to 2   3 to 5   6 to 10   >10   Not Applicable


28) Approximately how many sexual partners have you had in your lifetime?

None   1   2 to 5   6 to 10   11 to 20   21 to 30   31 to 50   >50


29) At what age were you when you first made someone pregnant?

years or Never


30) How old were you when you first drank alcohol?

years or Never


31) How old were you when first got drunk?

years or Never


32) How old were you when you first smoked a cigarette?

years or Never


33) How many cigarettes have you smoked in the last 30 days?

Do not smoke   None   Less than 40   40 to 200   Over 200


34) Have you ever tried an illegal drug (including cannabis)?

Yes   No

If Yes... how old were you when you first tried an illegal drug?


35) How many sexual partners have you had in the last 12 months?

None   1   2 to 5   6 to 10   More than 10  


36) How many times have you been drunk in the last 30 days?

None   1 to 5 times   6 to 10 times   11 to 20 times   More than 20 times


37) How many physical fights have you been involved in in the last 12 months?

None   1   2 to 5   6 to 10   More than 10


Thank Your For Participating. Please click the SUBMIT button below to complete the questionnaire.

NWPHO / CPH