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TTHS 2027 - Student Handout Packet

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presents…

Teen Talk Group Norms 1) Respect

« Listen actively « Take space, make space « Practice inclusive language

2) Communication « Identify your trusted adults « Build connections

3) Curiosity

« Keep an open mind « Ask questions openly or anonymously

4) Privacy

« Create a safe space together « Expect transparency

5) Well-being « Feel your feelings « Find what works for you

Student Name: ___________________________ Period: ____ Teen Talk High School, 2027

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Local Clinic List YOU have the right to access the sexual health services that you need!

• Parent/Guardian permission is NOT required (but we encourage you to talk with them!) • Sexual health services are confidential and can be FREE (via Family PACT ê) • Many of these clinics may also offer telehealth appointments (call to ask)

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ê Family PACT is a California program that pays for birth control, STI testing & treatment, and more! Most teens and young adults qualify for coverage – ask about signing up for FREE at your next clinic visit or check out familypact.org to find a local enrollment office. Teen Talk High School, 2027

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Scan for more!

Guides for LGBTQ+ Teens imi.guide

The Trevor Project Helpline thetrevorproject.org call (866) 488-7386 text START to 678-678

LGBTQ+ Youth Stories wearetheyouth.org

It Gets Better Project itgetsbetter.org

Send the Right Message sendtherightmessage.ca

Selfsea: Identity & Health selfsea.org

Find Community Near You! lgbtcenters.org

Sex Ed To-Go

teensource.org

General Info

sexedtogostudents.thinkific.com

Nurx app nurx.com

scarleteen.com

sexetc.org

eukiapp.org

iwannaknow.org

Euki app Clue app helloclue.com

Mental Health is Health mentalhealthishealth.us

Soluna app solunaapp.com

Crisis Text Line

Body Image

&

Mental Health

text HOME to 741-741

Your Life Your Voice yourlifeyourvoice.org call (800) 448-3000 text VOICE to 20121

beseen.org

TONE: Self-Care Audio

Gender & Sexual Identities

Teen Talk High School Resources

988 Suicide & Crisis Lifeline 988lifeline.org/chat call or text 988

National Eating Disorders Association (NEDA)

hotline.rainn.org call (800) 656-4673 text START to 88788

National Sexual Assault Hotline

loveisrespect.org call (866) 331-9474 text LOVEIS to 22522

Love is Respect

joinonelove.org/relationships

One Love Foundation

nationaleatingdisorders.org/resource-center call or text (800) 931-2237

Relationships

&

myPlan Teen app

myplanapp.org/en/teen

Sex Trafficking Stories & Support

iamjasminestrong.com

humantraffickinghotline.org call (888) 373-7888 text BEFREE to 233-733

Human Trafficking Hotline

Sexual Safety

Pregnancy & Parenting

All-Options Talkline

Bodies, Birth Control & STIs

Having a Healthy Pregnancy After-Abortion Support

all-options.org call (888) 493-0092

kidshealth.org/en/teens/pregnancy

Planned Parenthood

exhaleprovoice.org text (617) 749-2948

myschoolmyrights.com/rights

Know Your Rights

plannedparenthood.org/ learn/teens

pleaseprepme.org

Find PrEP Near You!

© Health Connected

Teen Talk High School, 2027


108

Identity Iceberg Name:

Date:

Period:

Instructions: Think about all the various components that make you who you are – a unique individual! Add your identities that are visible or easy for others to interpret (like height and skin color) above the surface of the water, identities that people might assume you are (like age and race) at the waterline, and identities that others may not see or know without you telling them (like religion and nationality) deep below the surface.

Teen Talk High School, 2027

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Internal Pelvic Anatomy ASSIGNED MALE

External Pelvic Anatomy ASSIGNED MALE

Every human body is unique! Please do not compare your body to these drawings.

Teen Talk High School, 2027

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Internal Pelvic Anatomy ASSIGNED FEMALE

External Pelvic Anatomy ASSIGNED FEMALE

Every human body is unique! Please do not compare your body to these drawings.

Teen Talk High School, 2027

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STI Fact Sheet Abstaining from injection drug use and sexual contact with other people are the most effective ways to protect yourself from STIs, including HIV

Transmission

STI

(how it spreads)

Chlamydia

Curable (Bacteria)

& Gonorrhea

Syphilis

Signs/Symptoms (what it can cause)

Prevention

(how to stay protected)

• Contact with sexual fluids (e.g., infected vaginal fluid, semen, or pre-ejaculate)

• NO symptoms

• NO sexual contact

• Unusual discharge or bleeding

• Genital skin-to-skin contact (e.g., during oral, anal, or vaginal sex)

• Frequent urination

• Get tested regularly (at least annually) and communicate with any sexual partners

• Vaginal childbirth

• Persistent sore throat

Note: Chlamydia is the most common reportable STI and almost half of all new U.S. chlamydia diagnoses are in young people age 15 to 241

• Pain during urination, bowel movements, or sex

• If left untreated, may lead to infertility

• Use a barrier method (e.g., condom or dental dam) correctly and consistently during oral, anal, and vaginal sex • Take DoxyPEP antibiotics within 72 hours of having condomless sex

• Skin-to-skin contact with an infected sore or rash (e.g., during oral, anal, or vaginal sex)

• NO symptoms

• NO sexual contact

• Painless sores (chancres)

• NO sharing needles or injection equipment

• Contact with sexual fluids (e.g., infected vaginal fluid, semen, or pre-ejaculate)

• Rash or sores (lesions)

• Pregnancy or childbirth

• Flu-like symptoms

• If left untreated, may lead to brain damage, blindness, paralysis, heart failure, or death

• Less commonly via: -

Contact with infected blood

• Get tested (as advised by a medical provider) and communicate with any sexual partners • Use a barrier method (e.g., condom or dental dam) correctly and consistently during oral, anal, and vaginal sex • Take DoxyPEP antibiotics within 72 hours of having condomless sex Note: Barrier methods may not cover all areas that this STI can infect (e.g., mouth)

1 Cleveland Clinic. (2023). Chlamydia. www.my.clevelandclinic.org/health/diseases/4023-chlamydia

Note: Having any STI increases the risk of getting HIV Teen Talk High School, 2027

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STI Fact Sheet Transmission

STI

(how it spreads)

Trichomoniasis

(what it can cause)

(how to stay protected)

• NO symptoms

• NO sexual contact

• Unusual discharge

• Genital skin-to-skin contact (e.g., during oral, anal, or vaginal sex)

• Foul odor

• Get tested (as advised by a medical provider) and communicate with any sexual partners

̶

Vaginal childbirth

• Itching • Frequent urination • Pain during urination, ejaculation, or sex • If left untreated, may lead to infertility

Pubic Lice

Prevention

• Contact with sexual fluids (e.g., infected vaginal fluid, semen, or pre-ejaculate)

• Less commonly via:

Curable (Parasite)

Signs/Symptoms

• Contact with infected body hair or fabric via: ̶ ̶

Sexual contact (e.g., oral, anal, or vaginal sex) Sharing personal items (e.g., clothes, towels, sheets, or blankets)

• Use a barrier method (e.g., condom or dental dam) correctly and consistently during oral, anal, and vaginal sex

• NO symptoms

• NO sexual contact

• Itching

• Avoid sharing clothes, towels, and bedding

• Visible lice or nits (eggs) • Dark spots from insect bites

• Get tested (as advised by a medical provider) and communicate with any sexual partners • Use a barrier method (e.g., condom or dental dam) correctly and consistently during oral, anal, and vaginal sex

Note: These type of lice do not affect the scalp, but they can attach to facial hair during oral sex

Treatable (Virus)

Note: Barrier methods may not cover all areas that this STI can infect (e.g., pubic hair)

Genital Herpes

• Skin-to-skin contact with an infected sore (e.g., during oral, anal, or vaginal sex) • Contact with sexual fluids (e.g., infected vaginal fluid, semen, or pre-ejaculate) or saliva • Pregnancy or childbirth Note: Oral herpes (also called “cold sores”) is not considered an STI, but it can cause genital herpes through oral sex

• NO symptoms

• NO sexual contact

• Blisters or lesions on the genitals, anus, or mouth

• Get tested (as advised by a medical provider) and communicate with any sexual partners

• Itching or tingling • Pain during urination, bowel movements, or sex • Flu-like symptoms

• Use a barrier method (e.g., condom or dental dam) correctly and consistently during oral, anal, and vaginal sex Note: Barrier methods may not cover all areas that this STI can infect (e.g., scrotum)

Note: Having any STI increases the risk of getting HIV Teen Talk High School, 2027

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STI Fact Sheet Transmission

STI

(how it spreads)

HPV

Treatable (Virus)

Human Papilloma Virus

Signs/Symptoms (what it can cause)

Prevention

(how to stay protected)

• Genital skin-to-skin contact (e.g., during oral, anal, or vaginal sex)

• NO symptoms

• NO sexual contact

• Genital warts or lesions

• Vaginal childbirth

• Itching

• Get tested regularly (cervical exam for ages 21+ every 3 years or as advised by a medical provider) and communicate with any sexual partners

Note: This is the most common of all STIs – almost every unvaccinated person who is sexually active will get HPV in their lifetime1

• If left untreated, may cause cancer of the cervix, penis, anus, or throat, which can lead to death

• Get vaccinated (ages 9-45) • Use a barrier method (e.g., condom or dental dam) correctly and consistently during oral, anal, and vaginal sex Note: Barrier methods may not cover all areas that this STI can infect (e.g., labia)

HIV Human Immunodeficiency Virus

• Contact with infected blood or damaged tissue (e.g., an open wound or sore)

• NO symptoms

• NO sexual contact

• Flu-like symptoms

• Contact with sexual fluids (e.g., infected vaginal fluid, semen, pre-ejaculate, or rectal fluid)

• Frequent illness

• NO sharing needles or injection equipment

• Pregnancy, childbirth, or breastfeeding

• If left untreated, HIV may progress to AIDS and make a person more susceptible to opportunistic infections and cancers, which can lead to death

Note: Receptive anal sex without a condom is the highest risk sexual activity – the skin inside the rectum is very thin and has less natural lubrication, which can lead to microtears during sex that allow infections to enter the bloodstream

• Body rash • Sores in the mouth

Note: 1 in 8 people who are living with HIV do not know their status – the only way to know is to get tested2

• Get tested regularly (annually or as advised by a medical provider) and communicate with any sexual partners • Complete treatment for other STIs (as prescribed) • Use a barrier method (e.g., condom or dental dam) correctly and consistently during oral, anal, and vaginal sex • Take PrEP and/or PEP medications (as prescribed) Note: A person living with HIV can use ART (antiretroviral) medication to suppress their viral load to undetectable levels, meaning they cannot transmit HIV through sex

1 Centers for Disease Control and Prevention. (2024). Reasons to get vaccinated. www.cdc.gov/hpv/vaccines/reasons-to-get.html 2 HIV.gov. (2026). U.S. statistics. www.hiv.gov/hiv-basics/overview/data-and-trends/statistics

Note: Having any STI increases the risk of getting HIV Teen Talk High School, 2027

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ABCs of Viral Hepatitis Transmission

STI

(how it spreads)

Hepatitis A

• Contact with infected fecal matter (poop) via: ̶

Contaminated food, drinks, or objects ̶

Sexual contact (e.g., oral, anal, or vaginal sex)

Less commonly via: Contact with infected blood

Treatable (Virus)

̶

Signs/Symptoms (what it can cause)

• NO symptoms

• Get vaccinated

• Abdominal or joint pain

• Flu-like symptoms

• Wash hands frequently (e.g., after using the toilet, changing a diaper, before preparing food or eating)

• Dark urine or pale gray stools

• NO sexual contact

• Itching or yellowing of the skin or eyeballs

• Get tested (as advised by a medical provider) and communicate with any sexual partners

• Nausea, vomiting, or diarrhea

• If left untreated, may cause sudden liver failure or death

Note: hepatitis A is most often passed nonsexually via foodborne outbreak (fecal-oral exposure)

Hepatitis B

• Use a barrier method (e.g., condom or dental dam) correctly and consistently during oral, anal, and vaginal sex

• Contact with infected blood

• NO symptoms

• Get vaccinated

• Contact with sexual fluids (e.g., infected vaginal fluid, semen, or pre-ejaculate)

• Abdominal or joint pain

• NO sexual contact

• Nausea or vomiting

• Vaginal childbirth

• Flu-like symptoms

• NO sharing needles or injection equipment

Less commonly via:

• Dark urine or pale gray stools

Sharing personal items (e.g., • Itching or yellowing of the skin or eyeballs razor, toothbrush) ̶

• Get tested (as advised by a medical provider) and communicate with any sexual partners

• If left untreated, may cause liver damage or cancer, which can lead to death

• Use a barrier method (e.g., condom or dental dam) correctly and consistently during oral, anal, and vaginal sex

• Contact with infected blood

• NO symptoms

• NO sexual contact

Less commonly via:

• Abdominal or joint pain

• NO sharing needles or injection equipment

Contact with infected sores (e.g., open wounds) ̶

Hepatitis C

Prevention

(how to stay protected)

Sexual contact (e.g., oral, anal, vaginal sex)

Curable (Virus)

̶

Vaginal childbirth ̶ ̶

• Nausea or vomiting • Flu-like symptoms

• Dark urine or pale gray stools Sharing personal items (e.g., • Itching or yellowing of the skin or razor, toothbrush) eyeballs

Note: vaginal sex during menstruation and anal sex without a condom may have a higher chance of microtears in the skin and exposure to blood

• If left untreated, may cause liver damage or cancer, which can lead to death

• Get tested (at least once or more often as advised by a medical provider) and communicate with any sexual partners • Use a barrier method (e.g., condom or dental dam) correctly and consistently during oral, anal, and vaginal sex

Note: Having any STI increases the risk of getting HIV Teen Talk High School, 2027

© Health Connected


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Birth Control Stations Name:

Date:

Not Having Sex

Period:

Emergency Contraception

Not having sex is __________ % effective.

Emergency contraception is _________ % effective.

If a person is choosing not to have sex, why is it important to discuss this with their partner?

How does a person use this method correctly?

What are two advantages of not having sex?

Name two situations in which a person may decide to use emergency contraception:

•

•

•

•

About how many high school students in California have NOT had sex?

Where can a person get emergency contraception?

Condom

Internal Condom

Condoms are __________% effective.

Internal condoms are __________ % effective.

Where can a person get condoms for free?

How does this method prevent pregnancy?

What are two advantages of using a condom?

How can the internal condom be modified for use during anal sex?

• • What can make a condom less effective?

What are two advantages of internal condoms? • •

Teen Talk High School, 2027

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Pill

Patch

Birth control pills are __________ % effective.

The patch is __________ % effective.

How does a person use this method correctly?

How long does each patch stay on the body?

What can make birth control pills less effective?

What are two advantages of using the patch? • •

Ring

Shot

The vaginal ring is __________ % effective.

The Depo shot is __________ % effective.

How does the ring prevent pregnancy?

How often does a person need to get the shot?

How long does each ring stay in the vagina?

Name two local clinics where a person can get the shot: • •

Implant The implant is __________ % effective and lasts for __________ years.

IUD IUDs are __________ % effective. Hormonal IUDs last __________ years and work by:

How does the implant prevent pregnancy?

What are two advantages of the implant?

Copper IUDs last __________ years and work by:

• •

Teen Talk High School, 2027

© Health Connected


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Exploring Their Options Name:

Date:

Period:

Instructions: Read the scenario and think about this person’s options. Consider different reasons why they might choose abortion, adoption, or parenting based on their personal circumstances. Write two reasons in each box below, then answer the question in the thought bubble.

Pregnancy Options

Abortion

Adoption

Parenting

Why might they choose this option?

Why might they not choose this option?

•

•

•

•

•

•

•

•

•

•

•

•

Who might this person go to for support in making their decision?

Teen Talk High School, 2027

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Our Sexual Bill of Rights In the United States…

Affirmative Consent Standard

• Nearly 1 in 2 women and 1 in 6 men experience sexual violence in their lifetime.

• Only “YES” means YES. Silence means NO. If you are unsure, ask.

• About 77% of rapes are not reported.

• A person cannot consent to sex while they are drunk or high.

• More than half of survivors knew the person who sexually assaulted them.

• Everyone involved must have equal power in the situation.

I ALWAYS have the right to… Look sexy even if I don’t want sex Just kiss and touch even if I had sex with them before Change my mind even if I said “yes” at first Report sexual crimes even if I didn’t tell anyone right away

How to Help a Friend • Remind them that it’s not their fault. Rape is an act of power and control, not an act of sexual desire.

• Listen without judgment and mirror their language. • Ask if they feel safe and how you can help. • Empower them to make their own decisions. • Encourage them to report by visiting a local hospital, calling 911, or talking with a trusted adult.

Resources National Sexual Assault Hotline 1-800-655-HOPE Take It Down takeitdown.ncmec.org National Human Trafficking Resource Center 1-888-373-7888 or text HELP to 233-733

How can we build a safer community with more respect and less violence?

Teen Talk High School, 2027

© Health Connected


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Intimate Partner Violence Fact Sheet

SECTION 2

SECTION 1

Intimate partner violence, also known as relationship abuse, describes a pattern of physical violence, sexual aggression, stalking, emotional manipulation or psychological control by a current or former intimate partner. Abuse is about POWER and CONTROL.

Cycle of Violence

It happens in heterosexual as well as LGBTQ+ relationships.

SECTION 3

• •

withdrawal from activities)

•

Changes in self-care (e.g., less attention to hygiene, appearance, grades)

•

Self-harm (e.g., cutting)

•

Increase in risky behavior

Resources: One Love 1-844-832-6548 joinonelove.org

Women

Men

Heterosexual

28%

11%

Gay/Lesbian

31%

18%

Bisexual

44%

13%

This survey did not ask about the experience of nonbinary folks and did not specify if binary trans participants were included.

Reasons why it can be difficult to leave an abusive relationship:

Signs of physical abuse Signs of depression or anxiety (e.g., sadness, fear,

NO ONE ever deserves or wants abuse. *Lifetime prevalence of physical violence, rape, and stalking by an intimate partner:

Intimate partner violence can occur in any type of relationship.

Signs of an abusive relationship:

SECTION 4

282

•

Financially dependent

•

Hope that the partner will change their behavior

How to help someone in an abusive relationship: •

Remind them that it’s not their fault

•

Listen without judgment

•

Believe them without questioning their story

• •

•

•

•

Community Overcoming Relationship Abuse 650-312-8515 corasupport.org Community United Against Violence (LGBTQ+ ally) 650-312-8515 cuav.org

National Domestic Violence Hotline 1-800-799-7233 thehotline.org loveisrespect.org National Human Trafficking Hotline 1-888-373-7888 humantraffickinghotline.org

* Chen, J., Walters, M.L., Gilbert, L.K. & Patel, N. (2020). Sexual violence, stalking, and intimate partner violence by sexual orientation, United States. Psychology of Violence, 10(1), 110-119. DOI: 10.1037/vio0000252

Teen Talk High School, 2027

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Healthy Relationship Brainstorm Name:

Date:

Period:

Instructions: As you read through the questions below, reflect on how they might apply to different relationships in your life: family, friends, significant others, etc. 1. When I am upset, what can I do to make myself feel better?

4. How will I show appreciation to someone I care about?

2. If I get upset with someone I care about, how do I want to address it?

5. When have I compromised or negotiated with someone I care about? What happened?

3. If someone I care about is upset, how will I support them?

6. What is important to me in a relationship or in a partner?

Teen Talk High School, 2027

© Health Connected


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What Would You Say? Name:

Date:

Period:

A. Imagine a friend is making fun of you for not having sex. Come up with ways to express your reasons for waiting to have sex. Why are you scared? Just use protection.

You two still haven’t had sex? Haven’t you been together for a while now?

B. What would you say if your partner was pressuring you to have sex? Imagine that the person speaking is someone that you like and care about. I can’t wait around forever… I thought you were more mature than this! If you don’t want to have sex, then what else can we do?

You’re so sexy! How can you expect me to get turned on and then not have sex?

I’m just trying to show you I love you. Don’t you love me?

C. What would you say if your partner didn’t want to use protection? Imagine you are considering having sex with the person who is speaking. Why do you want me to get tested? Do you think I’m dirty or something?

You don’t need to worry about STIs, I haven’t been with anyone else.

We will be super careful! I promise nothing bad will happen.

D. You are at a party and your friend wants to hook up with someone who has been drinking alcohol. Your friend says… Don’t worry, they don’t look drunk.

Teen Talk High School, 2027

© Health Connected


403

Mapping My Future Name:

Date:

Period:

Instructions: Write or draw your answers next to each prompt below based on your personal values, future goals, and the information you learned during Teen Talk.

Which identity are you most proud of? Why?

Describe one boundary you want to set in your friendships or relationships.

What questions might you ask a future partner before becoming intimate with them?

How do you plan to protect your sexual health?

Describe one goal for your future and how you plan to reach this goal.

(e.g., STIs, pregnancy)

Teen Talk High School, 2027

© Health Connected


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Let’s Talk Student’s Name

Trusted Adult’s Name

Instructions: Interview your parent, guardian, or an adult you trust over the age of 21. Separate the four Talks onto four different days throughout Teen Talk. After each Talk, get a signature from your trusted adult and complete the reflection question. Talk #1

Date:

Adult signature:

1. What was a typical “date” like when you were in high school? 2. What were your family’s rules about dating and relationships? Did you agree? 3. Did you feel comfortable talking with your parent(s)/guardian(s) about relationships and sex? Why or why not? Reflection: How has technology made dating/romance different for teens today? ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________

Talk #2

Date:

Adult signature:

4. When you were in high school, what was it like for peers that were questioning their sexuality or gender? 5. How did different parts of your identity affect your experience as a teen, such as your access to resources or opportunities? 6. How did gender roles influence giving and asking for sexual consent when you were in high school? Reflection: How do you think society has changed since your trusted adult was in high school, regarding sexuality, identities, and gender roles? ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________

FOR ADULTS: If you would like more information, resources, and updates from Health Connected, scan the QR code to join our mailing list 😊

Teen Talk High School, 2027

© Health Connected


34 Talk #3

Date:

Adult signature:

7. How does someone know if they are ready to have sex? What does it mean for a sexual relationship to be “healthy”? 8. What do you think I should know about sexually transmitted infections (STIs) and birth control? 9. Do you think it’s OK for a person my age to be in a relationship with someone a lot older or younger than them? Why or why not? Reflection: What are some of your trusted adult’s values that were evident from this discussion? ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________

Talk #4

Date:

Adult signature:

10. How do you feel about teens using technology and the internet (social media, dating apps, etc.)? 11. What do you want me to know about the messages that pornography can send to young people? 12. Were there any occasions when you or a friend gave in to peer pressure? What can I learn from your experience? What advice can you give to help me stand up for my personal values and beliefs? Reflection: What was the most helpful piece of advice you just got from your trusted adult? ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________

FOR ADULTS: Explore resources to help continue this important conversation! Health Connected health-connected.org/resources/ Essential Access Health talkwithyourkids.org American Sexual Health Association ashasexualhealth.org/parents Planned Parenthood plannedparenthood.org/learn/parents AMAZE: More Info, Less Weird amaze.org/parents

FOR ADULTS: Please confirm with your signature… “I have talked through all of the questions on this interview guide with my student.” Adult signature: ___________________________________________ Do you think this homework helped you and your student talk more openly about sexual health and relationships? Teen Talk High School, 2027

r YES

r NO © Health Connected


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