LOCAL TREASURE QUESTIONNAIRE
The questionnaire is used to help the researchers collect
information in order to complete the study ( Teenage
Pregnancy ) .Please answer all the questions by providing the
appropriate information . The data will be treated with utmost
confidentiality.
NAME:
ADDRESS:
AGE:
RELIGION:
GRADE & SECTION: STATUS:
GENDER:
BIRTHDAY:
Answer the following question/s. Put a check if YES and NO if not.
1. How many times have you been pregnant?
_1-2 _3-4
2.Are you using any kind of contraceptives like. Condom pills etc?
_ YES _NO
3.If possible that your pregnant. Are you planning to abort it?
_YES _NO
4.Are your parents accept your situation?
_YES _NO
5.Does teenage mothers get bullied?
_YES _NO
6. Teen pregnancies in our country?
_YES _NO
7.Does Teenage mothers regret getting pregnant?
_YES _NO