Republic of The Philippines Polytechnic University of The Philippines

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Republic of the Philippines

POLYTECHNIC UNIVERSITY OF THE PHILIPPINES


PUP Biñan Campus Building, Barangay Zapote,
Biñan City, Laguna

I. PROFILE OF THE STUDENT

Directions: Please fill-out necessary information given below and put a checkmark (✓) on the space
provided that is applicable to you.

Name: (optional) _____________________________

Age: ______

Sex: ☐Male ☐Female

II. SEXUALITY EDUCATION BACKGROUND AND EXPERIENCES OF ADOLESCENTS


Directions: Below are the statements about Sexuality Education Background and Experiences of
Adolescents. Please put a checkmark (✓) below the number opposite the item that indicated the degree of
agreement in which you are after. Use the following scale.
4 – Strongly Evident
3 – Evident
2 – Slightly Evident
1 – Not Evident

My Background or Experiences in Sexuality Education have resulted to… 4 3 2 1


1. having full knowledge about sex, gender, and sexuality.
2. learning the use of contraceptives for men and women.
3. knowing the difference between sex and gender.
4. having full knowledge about how the male and female reproductive system
works.
5. fully understanding how sexually-transmitted diseases can be prevented.
6. better understanding of the importance of abstinence.
7. having curiosity to try engaging to sexual activities.
8. being more open talking about sexuality with my parents.
9. being more responsible about my actions regarding sex and sexuality.
10. having awareness about the risks that unprotected sex can bring.
Republic of the Philippines
POLYTECHNIC UNIVERSITY OF THE PHILIPPINES
PUP Biñan Campus Building, Barangay Zapote,
Biñan City, Laguna

III. STATEMENTS ON SEX EDUCATION AND RISK-TAKING BEHAVIOR OF


ADOLESCENTS
Directions: Below are the statements about Sex Education and Risk-Taking Behavior Of Adolescents.
Please put a checkmark (✓) below the number opposite the item that indicated the degree of agreement in
which you are after. Use the following scale.
4 – Strongly Agree
3 – Agree
2 – Disagree
1 – Strongly Disagree

4 3 2 1
1. I believe that sex education should be introduced in as early as primary
education.
2. I believe that sex education must be taught in the secondary level.
3. I think that sex education should be taught in school, because parents are
not capable of teaching or opening this kind of topic on to their children.
4. I believe that sex education will just increase teenager's curiousness about
sexual activities.
5. Sex education will just lead to having more impulsive decisions about sex.
6. I believe that sex education is not a way to encourage students to become
sexually active, instead it provides facts and information that can prevent
unsafe sexual practices.
7. I have a comprehensive understanding of abstinence.
8. HIV and other STDs prevention messages that promote sexual abstinence
is helpful to me
9. I believe sex education can be a motivation to teenagers not to engage in
pre-marital sex
10. I think sex education is helpful towards preventing sexually transmitted
diseases among the youth.
11. My parents are very conservative and are not open in tackling and
discussing about sexual related matters.
12. I am not willing to initiate conversations with my family regarding sex
and sexuality because I am afraid of being judged or scolded by them.
13. My friends are the reason why I became open and introduced on different
sexually-related things like pornography and self-pleasure.
14. I don’t feel comfortable when discussing things about sex and sexuality in
school.
15. My curiosity about engaging in pre-marital sex is lessened when I had
knowledge about it.
16. I think sex education will only bring negative effect to teenagers like me.
17. Having knowledge about sex increases my desire of engaging to sexual
activities.
18. Discussing sexual and reproductive health in class is a good way to make
us break the stigma of not talking about these things.
Republic of the Philippines
POLYTECHNIC UNIVERSITY OF THE PHILIPPINES
PUP Biñan Campus Building, Barangay Zapote,
Biñan City, Laguna
19. I am aware on how to use contraceptives as well as the consequences of
not using one.
20. I am not comfortable in discussing sex and sexuality with adults.
Republic of the Philippines
POLYTECHNIC UNIVERSITY OF THE PHILIPPINES
PUP Biñan Campus Building, Barangay Zapote,
Biñan City, Laguna

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