SURVEY QUESTIONNAIRE ON THE AWARENESS ON THE CONSEQUENCES OF

PREMARITAL SEX AMONG THE MARITIME STUDENTS

Dear Respondents,

We are collecting information essential for our study titled “Awareness on the
consequences of premarital sex among the maritime student”. Please respond to this
survey as sincerely as you can. Rest assured that your answers will be treated with utmost
confidentiality.
Thank you so much for your cooperation.

The Researchers

PART I. RESPONDENT’S PROFILE

Direction: Check the circle that corresponds to your answer.

1. Section

o Alpha
o Bravo
o Charlie
o Delta
o Echo
o Foxtrot

PART II. SURVEY PROPER

A. Consequences of premarital sex

Directions: Rate your level of awareness about the consequences of pre-marital sex in terms of
pregnancy, abortion, and sexually transmitted disease by checking the number in the space
provided on the right side based on the following scale:

5 – Highly Aware
4 – Aware
3 – Moderately Aware
2 – Slightly Aware
1 – Not Aware

Pregnancy 5 4 3 2 1
1. Pregnancy inside a premarital sex yield to abnormalities of the ba
by.
 2. Premarital sex causes teenage pregnancy which usually causes i
mmature parenthood.
3. Effects of condoms in engaging premarital sex..
4. Premarital sex that leads to pregnancy may lead to future compro
mission of the parents.
5. Pregnancy due to premarital sex should be taken as responsibilit
y.
6. Pornographic video observation has a significant negative impact
on a person's desire for premarital sex.
7. Alcohol consumption affects the excitement for having
premarital sex, which can lead to pregnancy.
8. Pregnancy can result from premarital sex curiosity.
9. Pregnancy-related high blood pressure (preeclampsia) is brought
on by premarital sex .
10. Premarital sex would have resulted in dropping out of school
because of pregnancy.

Abortion 5 4 3 2 1
1. Premarital sex causes pregnancy, which results to abortion due to
the lack of access to contraceptives.
2. One of the solutions to an unintended pregnancy brought on by p
remarital sex is abortion.
3. Premarital sex results in pregnancy, which results in abortion due
to a lack of financial support from the male partner.
4. Abortion may risk women's lives.
5. Premarital sex usually yields to abortion.
6. One way to protect oneself from shame and humiliation is throug
h abortion.
7. Due to a lack of preparedness, premarital sex results in pregnanc
y can lead to abortion.
8. Abortion can result in continued education.
9. Guilt and anxiety over lying to their parents lead to abortion.
10. Curiosity towards engaging premarital sex resulted to abortion.
Sexually Transmitted Disease 5 4 3 2 1
1. Premarital sex makes people vulnerable to sexually transmitted d
iseases.
2. Premarital sex may involve both safe and unsafe sex.
3. Sexually transmitted Diseases caused by premarital sex are usual
ly fatal.
4. Premarital sex may expose people to various HIV variants.
5. Sexually transmitted disease (such as syphilis, gonorrhea,
chlamydia and trichomoniasis) are curable.
6. Sexually transmitted diseases may hinder your professional
development.
7. Methods for sexually transmitted disease prevention.
8. Premarital results in acquiring sexually transmitted disease leads
to depression.
9. Fewer sexual partners can reduce the risk of contracting a
sexually transmitted disease.
10. A sexually transmitted disease that is fatal can put your life in
danger.

End of questionnaire. Thank you very much.