Survey: Teen/Adolescent Love

1

Are you male or female?
- Male
- Female
2

How old are you?
- 11
- 12
- 13
- 14
- 15
- 16
- 17
3

Have you ever been on a date?
- Yes
- No
4

At what age did you go on your first date?
- 11
- 12
- 13
- 14
- 15
- 16
- 17
- Not applicable because I haven't been on a date yet.
5

Are you currently in a relationship?
- Yes
- No
6

Since age 11, how many boyfriends/girlfriends have you had?
- None
- 1
- 2
- 3
- 4
- 5+
7

Do you feel pressured by your peers to be in a relationship?
- Yes
- No
8

Do you currently want to be in a relationship?
- Yes
- No
- I'm currently in a relationship
9

Have you ever been in love?
- Yes
- No
- Not sure
10

Do you even believe true love exists?
- Yes
- No
- Not sure
11

Does the thought of love frighten/scare you?
- Yes
- No
12

Do you think you will ever fall in love?
- Yes I will someday
- No
- Yes, because I'm currently in love
- Not sure
13

Do you think you are currently mature enough to be in a committed relationship?
- Yes
- No
- Not sure
14

Everyone is different, and so are their answers. What is your:
- Gender
- Birth Year

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Teen/Adolescent Love