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Western Mindanao State University

College of Nursing

Family Planning

Name (optional): ______________________________


Age: ________
Address: _____________________________________

1.) What do you know about family planning?


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_____________________________________________________
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2.) What are your beliefs on family planning?


_____________________________________________________
_____________________________________________________
_____________________________________________________

3.) What family planning methods do you know?


_____________________________________________________
_____________________________________________________
_____________________________________________________

4.) What do you think are the possible reasons why couples should practice
family planning?
_____________________________________________________
_____________________________________________________
_____________________________________________________

5.) What do you think are the benefits of family planning to:
a. the father?
_____________________________________________________
_____________________________________________________
_____________________________________________________

b. the mother?
_____________________________________________________
_____________________________________________________
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c. the children?
_____________________________________________________
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