27799668__HEADSSS_Questions__Long_Form___Short_Form
[Subject] Sexual Activity/Sexual Identity [Long Form] Have you ever had sex with men? Women? Both? Do you ever wonder if you are gay, lesbian, bisexual or transgendered? Have you ever had sex unwillingly? How many sexual partners have you had? How old were you when you first had sex? Have you ever been pregnant? Have you ever had an infection as a result of sex? Do you use condoms or another form of contraception for prevention against sexually transmitted infections (STI) and/or pregnancy? Have you ever traded sex for money, drugs, clothes or a place to stay? Have you ever had an STI? Have you ever been tested for HIV? Do you think it would be a good idea to be tested? [Short Form] 
Are you attracted to boys? Girls? Do you have a boyfriend or girlfriend? How long? Do you get along well? Do you have sex? Does it go OK? Do you know how to say "no"? Do you know how to protect yourself from STIs and pregnancy?
Adolescent Health Care - Sample HEADSSS Questions (Long Form)
Short Form