Social Studies Sample Questionnaire

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INSTRUMENT USED TO COLLECT DATA

SURVEY ON THE CAUSES OF TEENAGE PREGNANCY IN THE GREAT DIAMOND COMMUNITY

Dear respondent,
This is a survey being taken to figure out the causes of teenage pregnancy in the Great Diamond community. This inquiry is for the purpose of a Social Studies SBA (School Based Assessment) that I am currently engaging in at school. The questionnaire does not require for you to write your name anywhere. Please answer all questions truthfully and remember, your answers will be reviewed anonymously. Most questions can be answered by placing a check in the box next to the answer you’ve selected. Please answer this questionnaire comfortably since there are no right or wrong answers. Thank you for your time and consideration.

Yours sincerely,
……………………………………
Saif Khan

VILLAGER’S QUESTIONNAIRE

1) Gender: Male Female

2) Age: 18-20
21-29
30-39
40-49
50 or over

3) To what ethnic group do you belong to?

African
East Indian
Chinese
Amerindian
European
Portuguese
Mixed

4) What is your marital status?
Married
Single
Separated or Divorce
Widowed

5) How would you, in your personal opinion, define teenage pregnancy? ………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………

6) Who do you think is most likely responsible for the causes of teen sex which can result in teenage pregnancy? Parents- Due to lack of supervision and affection
Friends- Peer pressure
Teenagers Themselves- Due to carelessness and desire for sexual activity Other, kindly state…………………………………………………………………………..

7) Do you believe that weak family relationships between teenagers and their parents can lead to teens seeking love from other people which causes them to have sex? Yes
No
Kindly give a reason for your answer:...
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