Survey – Youth
Teenage Pregnancy – Motherhood
1. When you discovered you were pregnant, how old were you? ___________
2. Were your parent(s) told about your pregnancy? [Please Tick]
o Yes
o No
3. Did you tell your partner? [Please Tick]
o Yes
o No
[If no for Number 3 then skip to number 5]
4. Did the father of the baby stay with you after he was told about the pregnancy? [Please Tick]
o Yes
o No
5. Did you have a friend or your partner to support you physically and emotionally during this time? [Please Tick]
o Yes
o No
6. What made you decide to continue your pregnancy?
7. During your pregnancy did you live: [Please Tick]
o At home
o With the father
o With a friend
o Another family member
o Other: __________________________
8. Did you ever consider Abortion or Adoption during your pregnancy? [Please Tick]
o Yes
o No
9. What was the reaction of your parents?
10. Was your pregnancy planned? [Please Tick]
o Yes
o No
11. Were you financially supported or stable during the pregnancy and after the birth? [Please Tick]
o Yes
o No
12. Were you attending school when you discovered about your pregnancy? [Please Tick]
o Yes
o No
[if no for Question 12, skip to 14]
13. What did you decide to do about school?...
14. Did your pregnancy affect your family relationship or wellbeing? [Please Tick]
o Yes
o No
15. How old is your child now?...
16. Do you think it was the right decision for you? [Please Tick]
o Yes
o No
17. Do you have any advice for teenagers with the same circumstances as you were?
Teenage Pregnancy – Motherhood
1. When you discovered you were pregnant, how old were you? ___________
2. Were your parent(s) told about your pregnancy? [Please Tick]
o Yes
o No
3. Did you tell your partner? [Please Tick]
o Yes
o No
[If no for Number 3 then skip to number 5]
4. Did the father of the baby stay with you after he was told about the pregnancy? [Please Tick]
o Yes
o No
5. Did you have a friend or your partner to support you physically and emotionally during this time? [Please Tick]
o Yes
o No
6. What made you decide to continue your pregnancy?
7. During your pregnancy did you live: [Please Tick]
o At home
o With the father
o With a friend
o Another family member
o Other: __________________________
8. Did you ever consider Abortion or Adoption during your pregnancy? [Please Tick]
o Yes
o No
9. What was the reaction of your parents?
10. Was your pregnancy planned? [Please Tick]
o Yes
o No
11. Were you financially supported or stable during the pregnancy and after the birth? [Please Tick]
o Yes
o No
12. Were you attending school when you discovered about your pregnancy? [Please Tick]
o Yes
o No
[if no for Question 12, skip to 14]
13. What did you decide to do about school?...
14. Did your pregnancy affect your family relationship or wellbeing? [Please Tick]
o Yes
o No
15. How old is your child now?...
16. Do you think it was the right decision for you? [Please Tick]
o Yes
o No
17. Do you have any advice for teenagers with the same circumstances as you were?