You are on page 1of 3

SURVEY QUESTIONNAIRE

Dear respondents,

Greetings! We are Grade 12 students of Bl. Peter Giorgio Frassati from University of Santo
Tomas-Legazpi conducting a study entitled “MORAL STANDPOINTS OF SENIOR HIGH SCHOOL
STUDENTS OF UNIVERSITY OF SANTO TOMAS-LEGAZPI ON CONDOM DISTRIBUTION
PROGRAMS”. We aim to ask of your opinion / perspective about condom distribution programs and other
sexual / reproductive health issues.

As our chosen respondents, we ask of your cooperation to answer our prepared survey
questionnaire. We ask that you answer each question seriously and carefully. We assure you that we
will keep your profile confidential and your responses will be used for academic purposes only.
Thank you!

Sincerely,
The Researchers

Directions: Please fill up the following information.

Name (Optional): ___________________________ Grade & Section: _________________


Age: _______
Sex: ______
Religion: ___________________

The Department of Health, back in 2017, proposed that they would distribute condoms to high
schools as part of their campaign against HIV/AIDS and teenage pregnancy, and more recently, last
March 2019 in Albay, Antonio Ludovice, acting Albay provincial health officer, also expressed the plan of
the Albay Provincial Health Office to distribute condoms to Grade 11 and 12 students for the same
reason.

Below are certain statements or situations regarding condom distribution programs. Using
the scale, please indicate how much you agree or disagree with each statement/situation by
checking the column that corresponds to your answer.

Strongly Strongly
Disagree Neutral Agree
STATEMENT/SITUATION Disagree Agree
(2) (3) (4)
(1) (5)

The plan of the Department of Health


to distribute condoms to high schools.

Condoms are an effective method of


preventing pregnancy.

Condoms are an effective way of


protection against HIV/AIDS and other
STIs.
Distributing condoms to high school
students would mean that the DOH is
condoning teenagers to engage in
premarital sex.

The distribution of condoms to high


school students can decrease the
rates of HIV/AIDS Infections.

The plan to distribute condoms will just


expose the youth to pre-marital sex
and risky sexual activity.

Distributing condoms to high school


students would encourage the youth to
practice safe sex.

Condom distribution programs will


lead the youth to make more
responsible decisions.
The distribution of condoms is an act
of immorality and interferes with my
religious beliefs.
Distributing condoms to students will
protect them from
unwanted/unintended pregnancy.

The rates of teenage pregnancies will


decrease because of condom
distribution programs.

Condom distribution programs take


away the rights of parents to decide
whether their children should have
access to contraceptives.

The condom use and distribution


should not be stigmatized.

Distributing condoms will increase the


frequency of sexual activity among
students.

The government should invest more in


educating students about the dangers
of premarital sex rather than procuring
and distributing condoms.

The distribution of condoms should


also be accompanied with counseling
sessions.
Strongly Strongly
Disagree Neutral Agree
STATEMENT/SITUATION Disagree Agree
(2) (3) (4)
(1) (5)

Parents should be the ones to educate


their children about the matters of
sexual activities, so that they would
not be encouraged to practice them at
a young age.

The school should be a safe space for


students to feel that it is okay to talk
about sex and other sexual health
concerns.

The school, since it is a Catholic


institution, should not be teaching
sexual education to their students and
should just focus on strengthening the
Christian values of modesty, purity,
chastity, and morality among students.

The school should conduct a program


regarding sex education and the
proper use of contraceptives, so that
the stigma would be removed.

The school should provide counseling


services regarding sexual health
concerns.

You might also like