| Name
: |
|
Gender : |
|
| Email
ID : |
|
Weight
(Kgs): |
|
| Std.
: |
|
Height
(Feet.Inch) : |
|
| Age
: |
|
Blood
group : |
|
| Are
you wearing spectacles/lens? |
|
1. How much knowledge you have about teenage
products, which you are either using it or going to start using
for the first time during teenage? : |
| Shaving
Blade/razor |
|
Pimple
cream |
|
| Girl
: Washable pad |
|
Trimming
scissors |
|
| Girl:
Brassiere/Bra |
|
Height
booster |
|
| Girl:
Sanitary Napkin |
|
Deodarant |
|
| 2. With
whom do you like to share Personal PROBLEMS? |
| |
| 3.
During which Standard, did you NOTICE for the FIRST Time the following
changes? |
| Under
arm hair Appeared in ................................................(Std.)
|
|
| Pubic
hair Appeared in........................................................(Std.)
|
|
Pimple
/Acne Appeared in..................................................
(Std.)
|
|
Voice
change Happened in...................................................(Std.) |
|
Hair
growth on legs & armsChange in...................................
(Std.) |
|
Girl:
Period /Menarche/Menstruation started in....................
(Std.) |
|
Girl:
Breast-Nipple development started in...........................
(Std.) |
|
Girl:
Buttocks/Hips development started in..........................
(Std.) |
|
Boy:
Mustache hair appeared in..........................................
(Std.) |
|
| Boy:
Beard hair appeared in...............................................
(Std.) |
|
| 4. How much do you know about following
topics? |
| G&B:
Internal Anatomy of Reproduction |
|
Boy:
Wet-dream effect / ejaculation |
|
| G&B:
Trimming & shaving of Pubic-hair |
|
Boy:
Testicles development in Scrotum |
|
G&B:
Use of shaving blade/razor |
|
Girl:
Stages of menstruation period |
|
G&B:
Acne/Pimple care & treatment |
|
Girl:
Purpose of menstruation in your life |
|
G&B:
Child Sexual Abuse |
|
Girl:
Use of washable pad/cloth |
|
| Girl:
Personal hygiene care during period |
|
Girl:
Use of Sanitary Napkin |
|
| Girl:
Urinal infections |
|
Girl:
Stages of breast development |
|
| Girl:
Selection of Branian / Bras |
|
Girl:
Measuring of Brassiere size |
|
| 5.
List your preferred sources for further information on: Reproductive
Healthcare, Emotions, Stress, Relationship, Body & Mind development
etc.: |
| |
| 6. Which age period is the most
suitable to develop different personality skills/traits? ......................................................................................
|
|
|