This questionnaire (set of questions) is anonymous - no one will know that you wrote these answers - they are secret

Please write the answers on the answer sheet, which has the same boxes as the questionnaire

Refer to the teacher if you are not sure of the meaning of a word

Use the questionnaire to cover your answers if a person near you can see them

Please tell us about you and your family

Girl

Boy

Are you a boy or a girl?

1

Years

Months

How old are you? (for example: 15 years and 3 months - write 15 and 3 in the boxes)

2

Number

How many adults (people older than 19) live at your house?

3

How many are working?

4

How many young people (younger than 20) live at your house?

5

Who looks after you most of the time? (tick only one box in the table)

Tick 1

Mother and father

6

Mother

7

Father

8

Uncle

9

Grandmother or aunt

10

Older brothers and sisters

11

Other people

12

How often do you see your father?

Tick 1

Nearly every day

13

About once or twice a week

14

About once or twice a month

15

Sometimes [less than once a month]

16

Never

17

Please tell us what you know about sex and relationships

Yes

No

Don't

Know

Tick one box in each row which matches your answer:

Has somebody told you about sexually transmitted disease (also called STD or drop) ) ?

18

Can sexually transmitted disease (STD or drop) be prevented?

19

Can HIV/AIDS be cured?

20

Is family planning / contraception used to prevent pregnancy (stop having a baby)?

21

If you already have an STD is there more danger of getting HIV/AIDS?

22

Can you get HIV if somebody else's blood goes into your body through a cut in your skin?

23

Can you get an STD if you and your boyfriend / girlfriend are healthy and stay faithful?

24

Can you get an STD but not know that you are infected (have a sickness)?

25

After a woman stops the family planning injection, can she get pregnant (have a baby)?

26

Can you be infected (get the sickness) with HIV but still feel OK for a long time?

27

Is it safe to shake hands with someone who has HIV/AIDS?

28

Can masturbation (skomola) make you mad?

29

Do condoms help prevent a person getting an STD?

30

Do other contraceptives, like the family planning injection, help prevent an STD?

31

If a girl had sex without contraceptives, can she prevent a baby if she goes to the clinic quickly?

32

Can you get an STD if you are faithful but your boyfriend/girlfriend is not faithful?

33

Please tell us how you feel about sex and relationships

Strongly

Agree

Not

Dis-

Strongly

Tick the box in each row that matches your answer

Agree

Sure

agree

Disagree

Its OK if a boy has sex with lots of girls

34

Its OK if a girl has sex with lots of boys

35

A schoolboy should be proud if he makes a girl pregnant

36

A schoolgirl should be proud if she becomes pregnant

37

If a boy gives a girl presents and nice times, the girl should have sex with him

38

Its OK for a schoolboy to have sex

39

Its OK for a schoolgirl to have sex

40

Girls should worry about contraception / family planning

41

Boys should worry about contraception / family planning

42

If a girl wants to have sex, she should visit the clinic to ask about safe sex and family planning

43

Its OK not to use condoms because they spoil pleasure

44

Its OK for a girl to have more than one boyfriend at a time

45

Its OK for a boy to have more than one girlfriend at a time

46

If some-one knows they have HIV/AIDS, they should tell someone

47

Strongly

Agree

Not

Dis-

Strongly

Agree

Sure

agree

Disagree

A young person should ask advice about sex from an older person

48

It is OK if boys masturbate (skomola) sometimes

49

If you think you have an STD (a drop) you should go to the clinic

50

If you think you have an STD (a drop) you should tell your boyfriend/girlfriend

51

It is OK for girls to have sex with grown-up men

52

Very

No

Good

Good

Bad

Please tell us how you feel about the advice you get about sex and relationships

Advice

Advice

Advice

Advice

members of my family

53

boyfriend/girlfriend

54

friends

55

clinics

56

church ministers

57

radio programmes

58

TV programmes

59

traditional healers

60

initiation school (komeng)

61

No

Very

Treat.

Good

Good

Bad

Please tell us how you feel about the treatment you get for sexual health

Treat.

Treat.

Treat.

at clinics

62

at hospitals

63

private doctors

64

traditional healers

65

Please tell us how you manage sex and relationships

When do you/ your boyfriend use condoms? (Tick one box below)

Tick 1

I don’t have sex

66

Sometimes

67

Nearly always

68

Only with a new boyfriend/girlfriend

69

Hardly ever

70

Never

71

Tick 1 or

I started having sex because: (Tick all answers which apply to you)

more

I don't have sex

72

I wanted to find out what it was like

73

I was forced by my boyfriend/girlfriend

74

All my friends were having sex

75

I was raped

76

My girlfriend/boyfriend said she/he would leave me unless I did

77

We were going steady for a long time

78

I wanted to get pregnant

79

If you have sex, please answer the following questions:

Yes

No

Have you ever been forced to have sex?

80

Do you have more than one boyfriend/girlfriend that you have sex with?

81

Do you talk to your boyfriend/girlfriend about condoms?

82

Have you been to the clinic for contraception/family planning?

83

Have you ever had an STD?

84

Have you stopped having sex?

85

Do you want to prevent pregnancy?

86

Does your girlfriend/boyfriend want to prevent pregnancy?

87

Have you ever been pregnant / made a girl pregnant?

88

Years

Months

How old were you when you first had sex?

89

Number

How many times have you had sex this year?

90

How many boyfriends/girlfriends have you had sex with?

91

Please describe (write down) what you do to prevent pregnancy

92

Please describe (write down) what you think about sexuality education and being a teenager .

93