Supplementary Questionnaire > 18 There was an error trying to submit your form. Please try again. QUESTIONNAIRE ON SEXUAL AND REPRODUCTIVE HEALTH AMONG IN-SCHOOL ADOLESCENTS ADOLESCENT CONSENT FORM (18 YEARS & ABOVE) Please read the consent form carefully. Introduction: You are being asked to take part in a study about adolescent health. Please read this carefully. What is this study about? This study is to learn more about what young people know and feel about their sexual and reproductive health. What will you do? You will be asked to answer a questionnaire. It will take about 20–30 minutes. Do you have to take part? No. Taking part is your choice. You may stop at any time or skip any question. Will your answers be private? Yes. Your answers will be kept private and will not include your name. I have read and understood the information above * You need to confirm this to proceed with the consent form. This field is required. SECTION A: SOCIO-DEMOGRAPHIC INFORMATION Sex: * Male Female This field is required. Class/Grade: * Junior Secondary Senior Secondary This field is required. Type of school: * Public Private This field is required. Religion: * Christianity Islam Traditional Others This field is required. Place of residence: * Urban Semi-urban Rural This field is required. Who do you live with? * Parents Relatives Guardian Hostel Others This field is required. Do you own or regularly use a mobile phone? * Yes No This field is required. Do you have regular access to the internet? * Yes No This field is required. SECTION B: KNOWLEDGE OF PUBERTY (True / False / Don’t Know) Puberty is a normal stage of growth. * True False Don't Know This field is required. Puberty starts at different ages for both boys and girls. * True False Don't Know This field is required. Menstruation is a normal part of female development. * True False Don't Know This field is required. Wet dreams are normal part of Male development. * True False Don't Know This field is required. Puberty makes pregnancy possible. * True False Don't Know This field is required. Emotional changes such as Mood swings can occur during puberty. * True False Don't Know This field is required. Acne (Pimples) can occur during puberty due to hormonal changes. * True False Don't Know This field is required. Personal hygiene is important during puberty * True False Don't Know This field is required. Puberty involves the growth of hair in some parts of the body e.g. armpits, pubic region. * True False Don't Know This field is required. I understand that menstruation is a normal part of female development * True False Don't Know This field is required. I know that wet dreams are a normal part of male developmet * True False Don't Know This field is required. SECTION C: KNOWLEDGE OF REPRODUCTIVE HEALTH (True / False / Don’t Know) Reproductive health is a state of complete physical, mental, and social well-being in all matters relating to the reproductive system * True False Don't Know This field is required. Pregnancy occurs when sperm fertilizes an egg. * True False Don't Know This field is required. Adolescents can access reproductive health services * True False Don't Know This field is required. Contraceptives prevent pregnancy * True False Don't Know This field is required. Unsafe abortion can cause health problems * True False Don't Know This field is required. Good Nutrition is important for reproductive health * True False Don't Know This field is required. Substance use can affect reproductive health * True False Don't Know This field is required. Sexual violence affects reproductive health * True False Don't Know This field is required. Sexually transmitted infection s (STIs) can affect reproductive health * True False Don't Know This field is required. Infertility can result from untreated reproductive health problems * True False Don't Know This field is required. SECTION D: ATTITUDES TOWARDS SRH (Strongly Disagree – Strongly Agree) Adolescents should receive SRH education in schools * Strongly Disagree Disagree Neutral Agree Strong Agree This field is required. SRH discussions with parents are acceptable * Strongly Disagree Disagree Neutral Agree Strong Agree This field is required. Condom use is responsible behaviour for adolescents * Strongly Disagree Disagree Neutral Agree Strong Agree This field is required. Adolescents should delay sex until they are older or married * Strongly Disagree Disagree Neutral Agree Strong Agree This field is required. SRH services should be stigma-free * Strongly Disagree Disagree Neutral Agree Strong Agree This field is required. Boys and girls deserve equal SRH access * Strongly Disagree Disagree Neutral Agree Strong Agree This field is required. Consent is important * Strongly Disagree Disagree Neutral Agree Strong Agree This field is required. Mobile phones are useful for SRH education * Strongly Disagree Disagree Neutral Agree Strong Agree This field is required. Having multiple sexual partners is risky and should be discouraged * Strongly Disagree Disagree Neutral Agree Strong Agree This field is required. I feel confident saying NO to sex if I am not ready * Strongly Disagree Disagree Neutral Agree Strong Agree This field is required. Contraceptives should be used by young people who are sexually active * Strongly Disagree Disagree Neutral Agree Strong Agree This field is required. Emergency contraceptives can prevent pregnancy after unprotected sex * Strongly Disagree Disagree Neutral Agree Strong Agree This field is required. I Know where young people can access modern contraceptives if needed * Strongly Disagree Disagree Neutral Agree Strong Agree This field is required. Adolescents should not feel ashamed to seek contraceptive services * Strongly Disagree Disagree Neutral Agree Strong Agree This field is required. Contraceptive education is important for preventing risky sexual behaviour * Strongly Disagree Disagree Neutral Agree Strongly Agree This field is required. SECTION E: SEXUAL BEHAVIOUR AND RISK EXPOSURE (Yes / No / Prefer not to say) Have you ever had sexual intercourse? * Yes No Prefer not to say This field is required. I had my first sexual experience before age 18 * Yes No Prefer not to say This field is required. Have you had unprotected sex? * Yes No Prefer not to say This field is required. Have you had multiple partners? * Yes No Prefer not to say This field is required. Have you experienced sexual pressure? * Yes No Prefer not to say This field is required. Have you exchanged sex for gifts or money? * Yes No Prefer not to say This field is required. Have you been worried about pregnancy or STIs? * Yes No Prefer not to say This field is required. Have you met someone in person that you first interacted with online for sexual purposes? * Yes No Prefer not to say This field is required. Have you avoided HIV or STI testing due to fear or stigma? * Yes No Prefer not to say This field is required. Have you sent or received sexually explicit messages (sexting) * Yes No Prefer not to say This field is required. SECTION F: KNOWLEDGE OF STIs AND HIV (True / False / Don’t Know) STIs can be transmitted through unprotected sex. * True False Don't Know This field is required. HIV can be transmitted through needles or blades * True False Don't Know This field is required. HIV testing is the only way to know if someone is infected * True False Don't Know This field is required. Healthy-looking people can have HIV * True False Don't Know This field is required. Condoms reduce HIV risk * True False Don't Know This field is required. HIV is not spread by casual contact. * True False Don't Know This field is required. People with HIV can reduce the risk of infecting others by adhering to treatment * True False Don't Know This field is required. Regular screening for STIs is important for sexually active adolescents * True False Don't Know This field is required. Early treatment of STIs can prevent complications * True False Don't Know This field is required. Discrimination against people living with HIV/AIDS worsens the epidemic * True False Don't Know This field is required. Submit There was an error trying to submit your form. Please try again.
