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University of Namibia

Bachelor of Nursing Science (clinical honors)

Questionnaire on

AWARENESS AND BELIEFS REGARDING THE FEMALE CONDOM AMONGST


STUDENTS AT THE SCHOOL OF NURSING SCIENCES OF THE UNIVERSITY OF
NAMIBIA MAIN CAMPUS

As a Bachelors in Nursing Science (clinical honors) student at the University of Namibia, I am


undertaking a research to assess the awareness and beliefs regarding the female condom amongst
the students at the school of nursing. I will be grateful if you would complete the following
questionnaire and return it to me.

Please complete as many of the questions as honestly as you are able to. This questionnaire is
entirely anonymous and all the information collected will be treated with utmost confidentiality.
As such you do not need to put your name or any identifiable information.
Completing this questionnaire, will afford you a chance to aid in finding possible solutions
which might increase the awareness of the female condom and consequently its uptake and as a
result thereof, help combat sexually transmitted infections, at our university.
Please mark the answer of choice with a cross/tick.
If you have any questions or need clarification please do not hesitate to contact me S/N Mordilla
Mariine on +264 81 2133 503 or +264 81 5733 579.
Part A: Demography
These questions will ask some background information about you
1. What is your gender?
Male
Female

2. How old are you?


Below 21 years
21-29 years
30-39 years
40-49 years

3. What course are you studying?


Bachelor of Nursing science
Bachelor of Radiography

4. What is your year of study?

1st year
2nd year
3rd year
4th year

5. What is your ethnicity (tribe)?

San
Setswana
Coloured/Baster
Herero
Wamboe
Caprivian
Nama/Damara
Kavango
Other

6. Are you sexually active?

Yes
No

7. Have you ever been diagnosed with an STI?

Yes
No

Part B: Knowledge and Use of the Female Condom

The questions in this section will ask personal information such as, your sexual behavior and
may make you feel uncomfortable. Remember, there are no right or wrong answers and your
honesty will be greatly appreciated.
8. Have you ever heard of the female condom?

Yes
No

9. Where did you first learn/hear about the female condom?

School
Clinic
Friend/ Relative
Media

10. Have you ever used the female condom?

Yes
No

11. Would you consider using it (female condom) in the future?

Yes
No

12. Do you think the female condom is as effective as the male condom?

No
Yes

13. Do you know the correct insertion/usage of the female condom?

Yes
No
Not sure

14. Insert female condom three days before sexual intercourse.

True
False

15. The female condom can be used together with male condom simultaneously (at the
same time).
True
False

16. The female condom is re-usable.

True
False

17. Are you aware that female condoms are available at the university clinic?

Yes
No

Part C: Beliefs regarding the female condom

Depending on what you understand, what do you think of each of the following statements
regarding the female condom?

18. Female condoms are better than regular male condoms

Strongly disagree Neutral Agree Strongly agree


disagree

19. Female condoms make noise during sexual intercourse

Strongly disagree Neutral Agree Strongly agree


disagree

20. Female condoms are NOT easy to insert

Strongly disagree Neutral Agree Strongly agree


disagree

21. Women who use female condoms are promiscuous (loose/ unrestrained in sexual
behavior)
Strongly disagree Neutral Agree Strongly agree
disagree

22. Using female condom empowers women

Strongly disagree Neutral Agree Strongly agree


disagree

23. My culture prohibits (does not allow) the use of female condoms

Strongly disagree Neutral Agree Strongly agree


disagree

24. Female condom is uncomfortable compared to the male condom

Strongly disagree Neutral Agree Strongly agree


disagree

25. Sex feels as good when you use the female condom

Strongly disagree Neutral Agree Strongly agree


disagree

26. The design of the female condom makes it difficult to use

Strongly disagree Neutral Agree Strongly agree


disagree

27. Do you feel embarrassed to take the female condom at the clinic when there are
other people around?
Yes
No

Part D: Promotion and Possible recommendations


This section intends to determine your views and possible recommendations regarding
the female condom.
28. Do you think the female condom is promoted enough?

Yes
No
Not Sure

29. Do you think the design of the female condom should be modified?

Yes
No
Not Sure

30. Would you recommend the female condom to someone?

Yes
No
Not Sure

Thank you for taking time to complete this questionnaire.

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