Scribd
Upload
36 views2 pages

TEC Students' Behavioural Survey Form Gender: Male Female Social Media: FB Twitter H/P

This document is a behavioral survey for TEC students that asks questions about their experiences with smoking, drugs, relationships, pornography, alcohol, fighting, truancy, and theft. It collects information on gender and social media use, and asks follow up questions for any affirmative responses to gain additional details about when, how, why, and how often certain behaviors occurred.

Uploaded by

PraveenNaidu
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
36 views2 pages

TEC Students' Behavioural Survey Form Gender: Male Female Social Media: FB Twitter H/P

This document is a behavioral survey for TEC students that asks questions about their experiences with smoking, drugs, relationships, pornography, alcohol, fighting, truancy, and theft. It collects information on gender and social media use, and asks follow up questions for any affirmative responses to gain additional details about when, how, why, and how often certain behaviors occurred.

Uploaded by

PraveenNaidu
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 2

TEC Students behavioural survey form

Gender:

Male

Social Media:

Female
FB

Twitter

H/P

1. Have you ever smoked?


Yes

No

If yes, please specify when:


_____________________________________________________________________
2. Do you know about cigarette?
Yes

No

If yes, please specify how you get know:


_______________________________________________________
3. Do you know about drugs?
Yes

No

If yes, please specify how you get know:


_______________________________________________________
4. Do you have/ had a girlfriend / boyfriend?
Yes

No

If yes, please specify how long you have been in relationship:


_______________________________
5. Do you know what are blue film / pornography?
Yes

No

If yes, please specify how you get know:


_______________________________________________________
6. Have you ever consumed alcohol before?
Yes

No

If yes, please specify when:


_____________________________________________________________________
7. Do you know what alcohol is?
Yes

No

If yes, please specify how you get know:


_______________________________________________________
8. Have you ever been involved in fighting at school?
Yes

No

If yes, please specify when & why:


_____________________________________________________________
9. Have you ever play truancy to school?
Yes

No

If yes, please specify when & how many times:


_______________________________________________
10.

Have you ever stolen anything?


Yes

No

If yes, please specify what:


______________________________________________________________________

You might also like