TITLE
Researcher/s Names
Subject
School
School Address
School Year
I. PROBLEM
1st paragraph – Rationale or Background of the Study
2nd paragraph – Statement of the Problem
3rd paragraph – Scope and Delimitation
4th paragraph – Significance of the Study
II. REVIEW OF RELATED LITERATURE
III. METHODOLOGY
1st paragraph – Sampling
2nd paragraph – Instrument development
3rd paragraph – Data collection process
4th paragraph – Data analysis
5th paragraph – Dissemination of research results
REFERENCES
Name:________________________________________ Grade:____ Age:____ Gender:____
Direction: Check the appropriate description of the following sexual behaviors .
1 . Abstinence from sex?
o Safe from disease and unwanted 7.Using oral contraceptives like pills?
pregnancy
o Safe from disease and unwanted
o Safe from disease
pregnancy
o Safe from unwanted pregnancy
o Safe from disease
o Unsafe from disease and unwanted
o Safe from unwanted pregnancy
pregnancy
o Unsafe from disease and unwanted
2. Having only one sex partner? pregnancy
o Safe from disease and unwanted 8. Using condoms?
pregnancy
o Safe from disease and unwanted
o Safe from disease
pregnancy
o Safe from unwanted pregnancy
o Safe from disease
o Unsafe from disease and unwanted
o Safe from unwanted pregnancy
pregnancy
o Unsafe from disease and unwanted
3.Having multiple sex partners? pregnancy
o Safe from disease and unwanted 9. Using the withdrawal method?
pregnancy
o Safe from disease and unwanted
o Safe from disease
pregnancy
o Safe from unwanted pregnancy
o Safe from disease
o Unsafe from disease and unwanted
o Safe from unwanted pregnancy
pregnancy
o Unsafe from disease and unwanted
4.Oral sex? pregnancy
o Safe from disease and unwanted 10.Using the calendar method?
pregnancy
o Safe from disease and unwanted
o Safe from disease
pregnancy
o Safe from unwanted pregnancy
o Safe from disease
o Unsafe from disease and unwanted
o Safe from u wanted pregnancy
pregnancy
o Unsafe from disease and unwanted
5.Anal sex? pregnancy
o Safe from disease and unwanted
pregnancy
2. Where did you learn or know about safe sexual
o Safe from disease
habits?
o Safe from unwanted pregnancy
o Unsafe from disease and unwanted o Parents
pregnancy o Teachers
o Friends /classmates
6. Vaginal sex?
o Orientation conducted by the government
o Safe from disease and unwanted o Social media
pregnancy o Relatives
o Safe from disease o Others;
o Safe from unwanted pregnancy
o Unsafe from disease and unwanted 3. How important is the awareness of safe sexual
habits?
pregnancy
o Very much important o Less important
o Important o Not important at all