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