1. FNBE MARCH 2015 l MATHEMATICS (MTH 30104) l SUREVEY QUESTIONNAIRE ASSIGNMENT l
We are conductinga researchstudyto examine determine yourknowledge aboutHIV (Human
immunodeficiencyvirus) disease.Yourparticipationinthisresearchprojectisentirely voluntaryand
your responseswill be keptcompletelyconfidential.The surveyquestionnaire iscomposedof 25
questionsandittakesabout10 minutestocomplete it.Thankyouforyour time andeffort.
1. What genderdoyou identifyas?(Pleasemarkonlyone answer)
o Female
o Male
o Trans person
o _________________________ (write yourtermof choice)
2. How oldare you?(Please markonlyone answer)
o Under 18
o 18 to 24
o 25 to 39
o 40 or over
3. Have you everheardof HIV/AIDS?
o Yes
o No
For eachstatementbelow,please checkthe appropriatebox toindicate if itistrue,false,orif
you’re notsure.
Please markonlyone answerforeachstatement.
TRUE FALSE NOT SURE
4. CoughingandsneezingDONOTspreadHIV.
5. A personcan getHIV bysharinga glassof
waterwithsomeone whohasHIV.
6. AIDSis the cause of HIV.
7. HIV is killedbybleach
8. A personwithHIV can lookand feel healthy.
9. People whohave beeninfectedwithHIV
quicklyshowserioussignsof beinginfected.
10. A personcan be infectedwith HIV for5
yearsor more withoutgettingAIDS.
11. A personcannotget HIV by havingoral sex,
mouth-to-penis,withamanwhohas HIV
12. A personcan getHIV evenif she orhe has
sex withanotherpersononlyone time.
13. Takingvitaminskeepsaperson fromgetting
HIV.
2. FNBE MARCH 2015 l MATHEMATICS (MTH 30104) l SUREVEY QUESTIONNAIRE ASSIGNMENT l
14. HIV can be transmittedbysexual intercourse
15. HIV can be transmittedfrommothertochild
16. HIV can be transmittedbysharingneedleor
syringe
17. HIV can be transmittedbybloodtransfusion
18. HIV can be transmittedby shakinghand
19. HIV can be transmittedbyeatingand
drinkingfromthe same plate orglass of an
HIV-positive person
20. Eatinghealthyfoodscankeepa personfrom
gettingHIV
21. A personcan getHIV bysittingina hot tub
or a swimmingpool withapersonwhohas
HIV.
22. All pregnantwomeninfectedwithHIV will
have babiesbornwithAIDS.
23. HIV can be transmittedthroughamosquito
bite
24. HIV can be preventedbyproperlyusing
condomduringsexual intercourse
25. HIV transmissioncanbe avoided bya blood
testbefore marriage
Answertoquestionnaire HIV
4. T
5. F
6. T
7. T
8. T
9. F
10. T
11. F
12. T
13. F
14. T
15. T
16. T
17. T
18. F
19. F
20. F
21. F
22. F
23. F
24. T
25. T