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sexuality embedded social cultural origin approach must go beyond biological aspects questionnaire sex education schools quses assesses knowledge comfort motivation involvement teachers relation sex education article aims culturally adapt verify reliability quses experts committee realized cultural adaptation content validation cronbachs alpha stratification tested reliability applied 100 teachers average 4445 962 years age words phrases modified maintaining equivalences original version question knowledge modified due regulatory differences countries reliability data similar original instruments considered good lowest values 0741 subscale efficacy results 0812 0849 subscale involvement cognitive quses culturally adapted brazilian elementary schools teachers presenting good reliability relevant evaluates sex education fully may support implementation monitoring public policies related health promotion schools