YOUR OBSERVATION AND REMARKS
QUESTIONS
ANSWERS
HAVE YOU ANY PRE-KNOWLEDGE ON STD/HIV/AIDS AND ITS PREVENTION BEFORE READING THIS ONLINE BOOK?
NOW HOW IS THE STATUS OF KNOWLEDGE OF STD/HIV/AIDS AND ITS PREVENTION AFTER READING THE ONLINE BOOK?
HOW MANY PEOPLE HAVE YOU INFORMED THE MESSAGE OF STD/HIV/AIDS AND ITS PREVENTION TO NEIGHBOR & NEAR AND DEAR ONES ?
1)NO. OF ILLITERATE PERSONS :
2)NO. OF LITERATE PERSONS :
HAVE YOU BEEN INFECTED BY STD ? IF YES, HAVE YOU UNDERGONE TREATMENT ?(UNTREATED STD MAY CAUSE ACUIRING HIV/AIDS)?
YOUR COMMENTS AND RECOMMENDATION ON PREVENTION OF STD/HIV/AIDS?
PLEASE INFORM ABOUT YOURSELF
PHNOE NUMBER :
E-MAIL ADDRESS :
OCCUPATION :
SERVICE
BUSINESS
HOUSEWIFE
STUDENT
UNEMPLOYED
OTHER
SEX :
MALE
FEMALE
AGE :
