DEMOGRAPHIC PROFILE: Directions: Please provide the following
information either by filling in the data or by putting a check that correspond to your response.
Name (optional): ____________________________________ Address: ____________________________________
Grade level: Your Age: 14:____ 15:____ 16:____ 17:____ 18:____ Your Gender: Male:_____ Female:____
II. Factors Affecting Teenage Pregnancy
Table 4. Perception of the Respondents on the Causes of Teenage
Pregnancy in Terms of Friends and Peers Factor
FRIENDS AND Strongly Agree Moderately Disagree Strongly
PEERS FACTOR Agree Agree Disagree
1. Parents work 1 2 3 4 5
outside the home giving teenagers time to be alone most often. 2. Teenage couple 1 2 3 4 5 usually indulge in sexual activities out of curiosity. 3. Friends are 1 2 3 4 5 likely to talk about freedom in indulging premarital sex. 4. Friends and 1 2 3 4 5 peers are likely to joke about still being a virgin. 5. There is 1 2 3 4 5 common place where friends and peers hang-out together. 6. Peers and 1 2 3 4 5 friends are often permitted by parents to go out late at night. 7. Drugs and 1 2 3 4 5 intoxicating drinks are usually introduced during group gathering. 8. Watching x- 1 2 3 4 5 rated movies is a usual form of recreation among barkadas. 9. Friends and 1 2 3 4 5 peers usually read pornographic materials when they are together. 10. Indulging in 1 2 3 4 5 relationship with the opposite sex is encouraged by peers.
Table 5. Perception of the Respondents on the Causes of
Teenage Pregnancy in Terms of Community Factor Strongly Moderately Strongly COMMUNITY Agree Disagree Agree Agree Disagree 1. There are out-of- school teenagers in the community that 1 2 3 4 5 are earning for a living. 2. Pregnant unwed teenagers are often 1 2 3 4 5 frowned by people in the community. 3. Majority of families in the community have very low income and 1 2 3 4 5 not enough to support the needs of the family. 4. Mothers are usually out from 1 2 3 4 5 home to help earn a living. 5. There are cases of teenage pregnancy 1 2 3 4 5 in the community. 6. Elders would gossip about 1 2 3 4 5 pregnant unwed teenagers. 7. Community elders who gambles and drink are the 1 2 3 4 5 usual people seen by teenagers everyday. 8. Children are usually on their own 1 2 3 4 5 at home because of absentee parents. 9. Religiosity is not manifested among 1 2 3 4 5 families in the community. 10. The community provides counseling to teenagers about 1 2 3 4 5 healthy boy-girl relationship.