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Question 1
Question 1
__ Lesbian
__Gay
__Bisexual
__ Transgender
__ Christian
__ Islam
__ Others, please specify_____________
__ Friends
PART 2: KNOWLEDGE
1. Have you heard about infections or diseases other than HIV that one can get through sex?
__Yes
__ No
__ Dont know
2. Please tell us what You think are possible causes of sexually transmitted infections
(You can mark more than one alternative)
Bacteria
Sex during menstruation
Virus
Having sex soon after giving birth
Fungus
Blood transfusion
Bad hygiene of women
Infected swimming pool water
Bad hygiene of man
Dont know
Using unclean water
3. Please choose which diseases are sexually transmitted infections
(You can mark more than one alternative)
Tuberculosis
Gonorrhea
Syphilis
HIV/AIDS
Hepatitis B
4. What are routes of sexually transmitted infections?
(You can mark more than one alternative)
Sexual intercourse
Blood transfusions
Hepatitis C
Chlamydia
Herpes
Dont know
Others (please
specify): .................................
Sharing needle
Sharing clothes/things
Sharing food
Mother to child
5. What are signs and symptoms of sexually transmitted infections?
Abnominal pain
Discharge from penis/vulva
Itching in genital area
Burning pain on uniration
Pain during intercourse
Genital ulcers or open sores
Swelling in genital area
Dont know
Others (please specify):
Blood in urine
Failure to urinate
Loss of weight
Weakness
Dont know
Others (please
specify): .....................................
6. Do you think it is possible for a man to have a sexual transmitted infection other than HIV without having
symptoms?
Yes
No
Dont know
7. Do you think it is possible for a woman to have a sexual transmitted infection other than HIV without having
symptoms?
Yes
No
Dont know
8. What are complications of STIs if untreated?
(You can mark more than one alternative)
Infertility
Premature birth
Still birth
Ectopic pregnancy
Miscarriage
Cervix cancer
Dont know
Others (please specify):..............................
Dont know
12. It is necessary to avoid a person who has contracted a sexually transmitted infection because they can transmit it
to other people
Agree
Disagree
Dont know
13. People who are infected with an STI must get treatment
Agree
Disagree
Dont know
14. If a person believes that he or she had gotten a sexually transmitted infection and is unsure about the symptoms
he/she should directly contact health personal
Agree
Disagree
Dont know
15. Young people should get information/knowledge about STIs in order to prevent these diseases
Agree
Disagree
Dont know
16. Young people should be educated on knowledge of STIs at school to prevent these diseases
Agree
Disagree
Dont know
17. A person who does not want to become infected with a sexually transmitted infection should use condom when
having sexual intercourse.
Agree
Disagree
Dont know
18. A person who does not want to become infected with a sexually transmitted infection should use emergency
contraception pills.
Agree
Disagree
Dont know
19. How worried are you that you might catch a sexually transmitted infection?
Not worried at all
Worried a lot
Worried a little
Dont know
20. When having unprotected sexual intercourse, what are you most concerned about?
Getting HIV
Becoming pregnant
Getting another sexually transmitted
Other (Please specify)................................
infection
PART 4: PRACTICES
Thank you for your participation!