SEXUALLY TRANSMITTED DISEASES (STD’s) AWARENESS RATING

PART I: DEMOGRAPHICS

Name (Optional): __________________________________________

Age: ________

Sex: Male ( ) Female ( )

PART II: INSTRUCTIONS:

1. Please read each item carefully and decide honestly to what level you are aware about the

mode/s of transmission of sexually transmitted diseases on the items given below. Your

answers will be confidential.

2. Please do not leave any item unanswered.

3. Please check the range in the box (3 as to very aware, 2 as to aware, and 1 as to not

aware) as your chosen answer which you believe is the correct choice.

MODES OF TRANSMISSION 3 2 1
VERY AWARE AWARE NOT AWARE
Sexual Intercourse

 Penile-Vaginal Intercourse

 Anal Intercourse

 Oral Intercourse
Contaminated blood transfusion
From HIV positive mother to child transmission (including

pregnancy, childbirth and breastfeeding)

Needle-sharing injection or other drug use equipment
Accidental needle stick injury
Tissue transplantation
Organ transplant
Contaminated fomites like beddings, towels, clothing

utensils and sex toys

Contaminated syringes and needles especially by

intravenous drug abusers

Tattoo or body piercing
Exposure to infected blood
Skin-to-skin contact
Mucous membrane exposure