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

1. 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-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. 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
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 milk
10. HIV virus can be transmitted by shared needles for
administering drugs
11. HIV virus can be transmitted during childbirth
12. HIV/AIDS cannot be transmitted by sharing food with an
HIV-positive person
13. HIV/AIDS virus cannot be transmitted by mosquito bites
14. The healthy looking person could have an HIV/AIDS virus
15. 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 pool
17. 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 ailment
20. 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 infection
22. 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)

3. 25. There is no known cure for HIV infection