At the preschool level, sexuality education content is recommended, but not compulsory. The themes addressed are: Sexual Growth and Body Image; and Pregnancy and Birth. From Elementary 1 to 6, all compulsory sexuality education is offered as part of the Culture and Citizenship in Québec program. Students who are not taught Culture and Citizenship in Québec must still be offered the compulsory content in sexuality education. This is the case of students with a moderate to severe or profound intellectual disability as well as students who are receiving welcoming services and support in learning French. It is the responsibility of school staff to choose instructional methods based on student needs and capacities as well as on the established sexuality education content.