The purpose of this study was to gain an understanding of college student’s knowledge, attitudes, and behaviors towards the effectiveness of Illinois high school sexuality education. The study focused on trying to determine if school based instruction is effective, provides quality sexuality information, and if schools are a valid source of sexuality information. Participants were students attending HED 101 Foundation of Human Health at Southern Illinois University at Carbondale. Surveys were administered in the first 10-20 minutes of class. Demographics resulted in a total of 49 participants completing an investigator designed survey instrument consisting of four parts, and the sample of convenience consisted of 27 males and 22 females. The majority of students were freshman, attended an Illinois high school, and attended a sexuality education class during high school. Knowledge, attitudes, and behaviors were sorted by gender and t-test, means, and standard deviations calculated. Results for knowledge identified a significant difference in how males and females describe HIV. Attitudes revealed 57% of students feeling something valuable was learned, 88% acquired knowledge applicable to life, and 88% had an enthusiastic teacher. Only 35% of students were able to identify the part of the female reproductive system where the egg is usually fertilized, and only 24% of students were able to determine when someone becomes genetically male or female. Results suggest abstinence only curriculums are not the method of choice, and a need exists for more traditional instruction including anatomy and physiology. Students felt sex education should not be require all four years of high school suggesting sexuality education is view as a required and boring class. Confusion existed regarding what activities are considered sexual suggesting a language barrier exists between students and professionals. Conclusions include a need for curriculum revisions and instruction of contraception and terminology. More proactive approaches are needed to better prepare and protect our students.