Documente Academic
Documente Profesional
Documente Cultură
Age
__ 20-30 yrs. Old
Gender
___ Male
___ Female
Marital Status
__ Single
___ Married
___ Separated
___ Widowed
Occupation
___ Employed
______ Students
___ Unemployed
Source of information about Dengue Fever
_____ T.V
____ Radio
____ Newspaper
____ Friends
____ Family
____ Others
____ Internet
Less
Least
Extent Extent
Less
Least
Extent Extent
High
Practice
Fair
Practice
Poor
Practice
No
Practice
High
Practic
e
Fair
Practic
e
Poor
Practic
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e
April 4, 2016
Sir:
Noted by:
NAME:______________________________________________________
2. Gender
_______ Male
_______ Female
3. Marital Status
_______ Single
_______ Married
_______ Separated
_______ Widow
4._____College Undergraduate
5. Occupation
_______ Employed
_______ Student
_______ Unemployed
6. Source of information about Dengue Fever
_______ T.V
_______ Radio
_______ Newspaper
_______ Magazine
_______ Leaflets
_______ Friends
_______ Family
Part II
Knowledge of Dengue Fever as to Prevention and Treatment
Direction: Put a check on the column of your answer.
A. Knowledge of Dengue Fever as to Prevention
Knowledge
1. Emptying old tires, trash cans, flower
pots which serve as the breeding places
for mosquitoes.
(Nangingitlog ang mga lamok na ito sa
mga lugar na kung saan ay may tubig
na hindi dumadaloy tulad ng plorera,
lata, dram, timba, lumang gulong at iba
pa.)
2. Cleaning roof gutter of the house
should be conducted often.
(Nararapat ang palagiang paglilinis ng
alulod ng bahay.)
3. See to it the dish drainer and vegetable
crisper drawer of the refrigerator are all
always dry.
(Siguraduhing laging tuyo ang lababo at
ang sisidlan ng mga gulay sa
refrigerator.)
4. Covering all the water containers to
reduce mosquito breeding.
(Pagtatakip ng mga lalagyan ng tubig
upang hindi pamahayan ng lamok.)
5. Cutting down bushes to reduce
mosquito.
(Pagpuputol ng mga halamang maaring
pamugaran ng lamok.)
6. Wearing clothes that can cover the skin
can prevent from mosquito bites.
(Pagsusuot ng mahaba anng manggas
para sa proteksyon sa kagat ng lamok.)
Less
Least
Extent Extent
Less
Least
Extent Extent
High
Practic
e
Fair
Practic
e
Poor
Practice
No
Practice
High
Practic
e
Fair
Practic
e
Poor
Practice
No
Practice