About this template
This Teenage Pregnancy Survey Google Form template is designed for educators, school counselors, health professionals, and researchers seeking to understand student awareness, knowledge gaps, and community risk factors regarding teen pregnancy. By capturing honest insights in a structured format, schools and health programs can better tailor their educational curricula, prevention workshops, and support services.
Built for clarity and ease of use, the survey addresses critical educational topics including general health awareness, pregnancy prevention knowledge, understanding of birth control methods, and identifying primary societal influences. Respondents can complete the questionnaire quickly and anonymously, ensuring higher participation rates and more accurate data collection for public health or academic analysis.
With Doc2Form, you can instantly turn this template into a fully functioning Google Form, allowing you to collect, organize, and analyze responses directly within Google Sheets without any manual transcription.
Key features
- Assess student knowledge on health and prevention safely and confidentially
- Evaluate awareness of birth control methods and reproductive healthcare
- Gather actionable insights to improve health education and counseling programs
- Instantly convert into a Google Form for seamless data collection
Use cases
- High school health class knowledge assessments and curriculum reviews
- University or academic public health research studies
- School counselor intake evaluations and wellness program planning
- Community health organization youth outreach initiatives
What this form collects
- Grade Level (Dropdown)Select your current grade or year level.
- Knowledge of Teen Pregnancy Causes (Linear scale)How well do you feel you understand the primary factors contributing to teenage pregnancy?
- Knowledge of Pregnancy Signs and Diagnosis (Linear scale)Rate your understanding of early signs of pregnancy and how it is medically diagnosed.
- Awareness of Pregnancy Options (Multiple choice)How familiar are you with the range of options available in the event of a teenage pregnancy (e.g., parenting, adoption, abortion)?
- Knowledge of Prescription Birth Control (Multiple choice)Select your level of awareness regarding prescription contraceptive methods.
- Knowledge of Over-the-Counter Birth Control (Multiple choice)Select your level of awareness regarding over-the-counter contraceptive options.
- Main Reason Teens Get Pregnant (Dropdown)In your opinion, what is the primary reason for teenage pregnancy today?
- Effectiveness of Prevention Programs (Linear scale)How effective do you think current school prevention programs are?
- Additional Comments or Suggestions (Paragraph)Share any thoughts on how health education or support resources could be improved.
FAQ
How do I use this template with Google Forms?
Doc2Form instantly converts this template into a ready-to-use Google Form in just a few clicks, saving you time on manual setup.
Can I keep responses anonymous?
Yes. You can configure your Google Form settings to collect responses without recording email addresses, ensuring complete respondent privacy.
Are the questions customizable?
Completely. Once the form is in your Google Forms account, you can add, remove, or edit any questions to fit your specific research or curriculum goals.
Where is the collected data stored?
All responses are saved securely in your own Google Drive and connected Google Sheets spreadsheet, giving you full ownership of the data.
Get this form in your Google Drive
Save a copy to your Google Drive with one click (uses 1 credit). Or build from a PDF or description in the app.