level of awareness of hiv/aids

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LEVEL OF AWARENESS OF HIV/AIDS INVENTORY Part 1 - Profile of Respondents: 1. Age: _________ 2. Sex: ( ) Male ( ) Female 3. Educational Attainment: Please put a check (√) mark on a given option below ( ) – Post-Graduate ( ) – High School Undergrad ( ) – College Graduate ( ) – Elementary Graduate ( ) – College Undergrad ( ) – Elementary Undergrad ( ) – High School Graduate 4. Socio-economic Status: Please put a check (√) mark on a given option below. Monthly Earning ( ) – Php. 35,000 and above/month ( ) – Php. 5,000 – 14,999/month ( ) – Php. 25,000 – 34,999/month ( ) – below Php. 5,000/month ( ) – Php. 15,000 – 24,999/month 5. Occupation ( ) – Unemployed ( ) – Own a business ( ) – Employed: Please indicate what kind of occupation_________________________. Part 2- Level of Awareness of HIV/AIDS 1. Please read each item carefully and decide honestly to what extent you have knowledge about HIV/AID in every item given. 2. Do not leave any item unanswered 3. Give each item a rating by putting a check ( ) mark according to the following scale that describes: 3 – Yes, I know 2 – Maybe, I’m not sure 0 – No, I don’t know Description 0-No 2- 3-

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This document is a research instrument about the level of awareness on HIV/AIDS

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Page 1: Level of awareness of HIV/AIDS

LEVEL OF AWARENESS OF HIV/AIDS INVENTORY

Part 1 - Profile of Respondents:

1. Age: _________

2. Sex: ( ) Male ( ) Female

3. Educational Attainment: Please put a check (√) mark on a given option below( ) – Post-Graduate ( ) – High School Undergrad ( ) – College Graduate ( ) – Elementary Graduate ( ) – College Undergrad ( ) – Elementary Undergrad ( ) – High School Graduate

4. Socio-economic Status: Please put a check (√) mark on a given option below.Monthly Earning

( ) – Php. 35,000 and above/month ( ) – Php. 5,000 – 14,999/month( ) – Php. 25,000 – 34,999/month ( ) – below Php. 5,000/month( ) – Php. 15,000 – 24,999/month

5. Occupation( ) – Unemployed( ) – Own a business( ) – Employed: Please indicate what kind of occupation_________________________.

Part 2- Level of Awareness of HIV/AIDS

1. Please read each item carefully and decide honestly to what extent you have knowledge about HIV/AID in every item given.

2. Do not leave any item unanswered3. Give each item a rating by putting a check ( ) mark according to the following scale that

describes: 3 – Yes, I know 2 – Maybe, I’m not sure 0 – No, I don’t know

Description 0-No 2-Maybe

3-Yes

1. Unprotected sex with someone with no assurance if you’re the only person on his/her relationship is risk to contact HIV virus.

2. Having a sexually transmitted disease like genital herpes or syphilis makes it easier to get HIV virus.

3. Having unprotected sex with someone who uses injectable drugs or shares needles most likely can be risk in contacting of HIV/AIDS

4. Had unprotected sex with a multiple sex partners is a high risk of getting the HIV/AIDS

5. Had unprotected sex with a man who has had sex with another man is a high risk of getting HIV/AIDS

Page 2: Level of awareness of HIV/AIDS

6. Unprotected vaginal, anal or oral sex is most common mode of entry of HIV virus.

7. Receiving blood transfusion or received blood products prior to year 1992 (Cichocki, 1999)

8. HIV virus can be transmitted by blood, semen or vaginal secretions

9. HIV virus can be transmitted by mother’s breast milk10. HIV virus can be transmitted by shared needles for

administering drugs11. HIV virus can be transmitted during childbirth 12. HIV/AIDS cannot be transmitted by sharing food with an

HIV-positive person13. HIV/AIDS virus cannot be transmitted by mosquito bites14. The healthy looking person could have an HIV/AIDS virus15. Person cannot be contacted with HIV/AIDS virus by

hugging and kissing with HIV/AIDS 16. You cannot get HIV/AIDS virus from public toilet seats,

soiled beddings or swimming pool17. Men or women who have never had sexual intercourse may

never be contacted by HIV virus 18. Condoms are effective for birth control and for protection

against HIV and other sexually transmitted infection.19. The HIV and AIDS are not the same and type of ailment20. Being faithful with each other, having only 1 sexual partner

or abstinence can prevent spreading HIV virus 21. The HIV virus damages the body's immune system and the

body becomes susceptible to illness and infection22. It takes years even up to 10 years to weakened immune

system, after which start manifesting Acquired Immune deficiency Syndrome or AIDS

23. AIDS, is a condition that describes an advanced state of HIV infection (Cichocki, 1999).

24. AIDS defining illnesses follows; wherein serious opportunistic infections occur from all types of agents (Bacteria, Viruses, Fungi, and other Parasites)

25. There is no known cure for HIV infection