QUESTIONNAIRE

1. Sex Male Female

2. What is your age?

13-15

15-18

19-24

25 or over

3. What is your religion?

Muslim

Hindu

Christian

Other
(Please specify)

4. What is your occupation?

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5. To what ethnic group do you belong?
African

Indian

Chinese

Mixed

6. For how long have you been residing in Doch Four?

1 year

1-5 years

6-10 years

Over 10 years

7. Are you aware of suicide in your area?

Yes

No

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8. What are your views on suicide?
Senseless

Illegal

Inhuman

Unnatural

9. Have you ever attempted to commit suicide?

Yes

No

10. If yes, what was the reason(s) for that attempt and what
changed your mind?

11. Do you know anyone who ever attempted to commit

suicide?
Yes

No

12. What advice would you give to that person?

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13. What do you think are some of the factors responsible for
suicide?
 Financial problems

 Emotional distress

 Alcoholism and drug abuse

 Attention

 All of the above

14. Due to your experience socializing with persons who have

attempted to commit suicide, what are some of the symptoms/
attitudes displayed?
 Anxiety

 Frustration

 Anger

 Fright

Other
(Please specify)

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15. Do you think suicide crosses all boundaries of age, sex,
religion, race, educational status or occupation?
Yes

No

16. What do you think the community can do to help prevent

suicide in this area?
 Be friendly with everyone and talk to them about their
problems

 Families should introduce offsprings to religious

teachings from an early age

 Community support services at places of worship and

community centres should provide counselling to the
suicidal

17. Do you think the government can help to prevent suicide?

And why?
Yes

No

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18. What can they do to help?

 Implement counseling programmes

 Educate the public about the morals of life via

pamphlets

 Provide rehabilitation centers

 Offer toll- free telephone numbers which offer 24 hour

counseling to individuals with suicidal tendencies.

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