Name :		City :
School :		Email ID :
1. Do the current school curriculum provide adequate material and time for overall personality development of the students?
Material	Click Here....... Extremely Inadequate Very Inadequate Inadequate Adequate Very Adequate Extremely Adequate	Time	Click Here....... Extremely Less Very Less Less Adequate Very Adequate Extremely Adequate
2. What are your observations on general health of adolescent boys and girls?
Boys	Click Here....... Extremely Poor Very Poor Poor Good Very Good Extremely Good	Girls	Click Here....... Extremely Less Very Less Less Good Very Good Extremely Good
3. What is the level of awareness about changes of puberty among boys and girls?
Boys	Click Here....... Extremely Less Very Less Less Good Very Good Extremely Good	Girls	Click Here....... Extremely Less Very Less Less Good Very Good Extremely Good
4. Is the school curriculum takes care of complete information on Reproductive Healthcare?............................................. Click Here....... Extremely Less Very Less Less Good Very Good Extremely Good
5. How often do you observe emotional behaviour change among adolescents?
Boys	Click Here....... Extremely Less Very Less Less Good Very Much Extreme	Girls	Click Here....... Extremely Less Very Less Less Good Very Much Extreme
6. Do you feel that the teacher-adolescent students relationship is strong enough, so that the students can discuss their changes of adolescence / puberty comfortably with teachers?
Boys	Click Here....... Extremely Weak Very Weak Weak Strong Very Strong Extremely Strong	Girls	Click Here....... Extremely Weak Very Weak Weak Strong Very Strong Extremely Strong
7. What is the average % of students participate in competitive sports/arts / quiz events?
Boys	Click Here....... Less 20% 20 % 30 % 40 % 50 % 60 % 70 % 80 % More 80 %	Girls	Click Here....... Less 20% 20 % 30 % 40 % 50 % 60 % 70 % 80 % More 80 %
8. How do you relate the participation in extra curricular activities & intellectual/academic performance of the students? . Click Here....... Inverse Proportionate Irrelevant Can't say
9. Do we have adequate literature / books for parenting of teenagers in Indian culture?
Foreign Authors	Click Here.... Not at all Very less Average Adequate	Indian Authors	Click Here.... Not at all Very less Average Adequate
Hindi Authors	Click Here.... Not at all Very less Average Adequate	Regional Authors	Click Here.... Not at all Very less Average Adequate
10. Who should initiate first to provide information on Reproductive Health care to the adolescents?................................... Click Here.... Parents Teachers Doctors NGO Media Others

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