Вы находитесь на странице: 1из 2

Name (Optional):

GENERAL INSTRUCTIONS: This survey questionnaire aims to assess the knowledge and perceived
attitude of freshmen college students toward HIV/AIDS and PLHIV. Kindly indicate an X mark on the
answer of your choice within the laid-out table.
(5= STRONGLY AGREE, 4= AGREE, 3=DISAGREE, 2= STRONGLY DISAGREE, 1= DON’T KNOW)

5 4 3 2 1
Part I. Awareness and knowledge on HIV/AIDS and PLHIV
General Knowledge
1. HIV/AIDS is a global problem.
2. HIV/AIDS is disease of immoral people
3. HIV is only transmitted through sex
4. HIV/AIDS patients right to live as we do
Modes of Transmission
1. Homosexuality play an important role in HIV transmission
2. HIV/AIDS can be transmitted through unsafe/ unprotected oral sex
3. HIV/AIDS can be spread through swimming pool
4. It can be spread through kissing
5. Blood splashes on outer body surface including mouth or eyes
6. Sharing drug needles
7. Mosquito bites.
8. From a breast-feeding mother
Person Living with HIV (PLHIV)
1. HIV/AIDS can be cured/cured if treated early
2. When a person has HIV/AIDS, his or her body cannot defend itself against
common illnesses and diseases, such as colds and pneumonia.
3. A person can have HIV for ten years or more without developing AIDS
Prevention of HIV
1. Abstaining from sex
2. Staying faithful to one partner
3. Using a condom correctly for every sexual intercourse
4. Avoiding previously used needles
5. By vaccination
Part II. Perceived Attitudes Towards HIV/AIDS
5 4 3 2 1
1. HIV/AIDS is mostly a gay person’s disease
2. HIV/AIDS is mostly a drug user’s disease
3. Receiving blood transfusion puts one at risk of HIV.
4. People with HIV should be kept out of school/university/family
5. Continue friendship/respect if my friend had HIV/AIDS.
6. HIV and AIDS are always associated with death
7. HIV infection is the result of personal irresponsibility or moral fault (such as
infidelity) that deserves to be punished
AGE: ___________

YEAR AND COURSE: __________________


Kindly put a (/) on your answer on this part of the questionnaire.

What medium/material did you use to gain knowledge about HIV/AIDS?

TELEVISION ( ) RADIO ( ) SOCIAL MEDIA ( )

NEWSPAPER ( ) MAGAZINE ( )

OTHERS ( ): ______________________

( PLEASE SPECIFY )

AGE: ___________

YEAR AND COURSE: __________________


Kindly put a (/) on your answer on this part of the questionnaire.

What medium/material did you use to gain knowledge about HIV/AIDS?

TELEVISION ( ) RADIO ( ) SOCIAL MEDIA ( )

NEWSPAPER ( ) MAGAZINE ( )

OTHERS ( ): ______________________

( PLEASE SPECIFY )

AGE: ___________

YEAR AND COURSE: __________________

Kindly put a (/) on your answer on this part of the questionnaire.

What medium/material did you use to gain knowledge about HIV/AIDS?

TELEVISION ( ) RADIO ( ) SOCIAL MEDIA ( )

NEWSPAPER ( ) MAGAZINE ( )

OTHERS ( ): ______________________

( PLEASE SPECIFY )

Вам также может понравиться