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Children's Awareness of STDs Survey
Dear Sir or Madam, please take a few minutes of your time to complete the following questionnaire.
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1
What are STDs?
Please select the option that best describes STDs.
Sexually Transmitted Diseases are infections that are spread through sexual contact.
STDs are infections that are spread through the air.
I am not sure what STDs are.
2
Rate your knowledge about STD prevention on a scale from 1 to 10
Please rate your knowledge about STD prevention on a scale from 1 (low) to 10 (high).
3
What methods do you think can prevent STD transmission?
Please provide your answer in the text box below.
4
Have you received any education about STDs in school?
Please select yes or no.
Yes
No
5
Do you think it is important to talk about STDs with friends and family?
Please select yes or no.
Yes
No
6
How comfortable do you feel discussing STDs with a healthcare provider?
Please rate your comfort level from 1 to 10.
7
What are common symptoms of STDs?
Please provide your answer in the text box below.
8
Are STDs only transmitted through sexual intercourse?
Please select yes or no.
Yes
No
9
Rate your awareness of the risks associated with untreated STDs from 1 to 10
Please rate your awareness of the risks associated with untreated STDs on a scale from 1 (low) to 10 (high).
10
What can individuals do to protect themselves from STDs?
Please provide your answer in the text box below.
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