Questionnaire: Chauke Aron Male 16-18 19-21 22-25

QUESTIONNAIRE
Am doing a research about Prevention of Malaria. I’ll be Volunteering to help people stop
the spread of Malaria, I also want to notify my village about this disease. Help me collect
data by answering the following questions below.
Bibliographical information
NAME: Chauke Aron
GENDER: male
AGE GROUP: 16-18☐ 19-21☒ 22-25☐
NAME OF SCHOOL: Motsheudi high
1. Is Mosquito the only cause of YES☐
malaria? NO☒
2. Is malaria caused by a virus? YES☒

NO☐
3. How long does malaria last with 5 DAYS ☐

treatment? 2 WEEKS☒
1 YEAR ☐
4. What plant can cure malaria? MORINGA ☒

ALOE ☐
Quinine ☐
5. Which provinces in south Africa GAUTENG☒
have malaria transmission LIMPOPO☐
QUESTIONNAIRE
NAME: Mekgwa Thabane
GENDER: MALE
AGE GROUP: 16-18☒ 19-21☐ 22-25☐
NAME OF SCHOOL: MOTSHEUDI
1. Is Mosquito the only cause of YES☒
malaria? NO☐
2. Is malaria caused by a virus? YES☐

NO☒

1 YEAR ☐

ALOE ☐
Quinine ☐
5. Which provinces in south Africa GAUTENG☐

have malaria transmission LIMPOPO☒
QUESTIONNAIRE
NAME: Mabale Given
GENDER: Male
AGE GROUP: 16-18☒ 19-21☐ 22-25☐
NAME OF SCHOOL: Motsheudi
malaria? NO☐
NO☒

1 YEAR ☐

ALOE ☐
Quinine ☐
QUESTIONNAIRE
NAME: Mohotone Thabo
GENDER: male
AGE GROUP: 16-18☐ 19-21☒ 22-25☐
malaria? NO☐
NO☒
3. How long does malaria last with 5 DAYS ☒

treatment? 2 WEEKS☐
1 YEAR ☐

ALOE ☐
Quinine ☐

QUESTIONNAIRE
NAME: MAAKE SAMUEL
GENDER: MALE
AGE GROUP: 16-18☒ 19-21☐ 22-25☐
NAME OF SCHOOL: MOTSHEUDI HIGH
malaria? NO☐

NO☐
1 YEAR ☐
4. What plant can cure malaria? MORINGA ☐

ALOE ☒
Quinine ☐

QUESTIONNAIRE
.
NAME: Mogale shaun selelo
GENDER: Male
AGE GROUP: 16-18☒ 19-21☐ 22-25☐
NAME OF SCHOOL: Motsheudi high school
malaria? NO☐

NO☒

1 YEAR ☐
ALOE ☐
Quinine ☐

QUESTIONNAIRE
NAME: Thepa Isaac Mafa
GENDER: Male
AGE GROUP: 16-18☐ 19-21☒ 22-25☐
NAME OF SCHOOL: Motsheudi High
malaria? NO☒

NO☐

1 YEAR ☐

ALOE ☐
Quinine ☐

QUESTIONNAIRE
NAME: Baloyi Desree
GENDER: Female
AGE GROUP: 16-18☒ 19-21☐ 22-25☐
NAME OF SCHOOL: Mameriri secondary
malaria? NO☐

NO☒

1 YEAR ☐

ALOE ☐
Quinine ☒

QUESTIONNAIRE
NAME: Mohale Mantsha
GENDER: Female
AGE GROUP: 16-18☒ 19-21☐ 22-25☐
NAME OF SCHOOL: Mameriri
malaria? NO☒

NO☐

1 YEAR ☐

ALOE ☒
Quinine ☐

QUESTIONNAIRE
NAME: Mokwena Nicole
GENDER: Female
AGE GROUP: 16-18☐ 19-21☒ 22-25☐
malaria? NO☐

NO☒

1 YEAR ☐

ALOE ☐
Quinine ☒

QUESTIONNAIRE
NAME: Arnold Ramothwala
GENDER: Male
AGE GROUP: 16-18☐ 19-21☒ 22-25☐
NAME OF SCHOOL: motsheudi
malaria? NO☒
NO☒

1 YEAR ☐

ALOE ☐
Quinine ☒

QUESTIONNAIRE
NAME: Ramokone Daisy
GENDER: FEMALE
AGE GROUP: 16-18☐ 19-21☒ 22-25☒
NAME OF SCHOOL: UNISA
malaria? NO☒

NO☒
1 YEAR ☐

ALOE ☒
Quinine ☐

QUESTIONNAIRE
NAME: Mokganya Maboy
GENDER: male
AGE GROUP: 16-18☐ 19-21☒ 22-25☐
NAME OF SCHOOL: Motsheudi high school
malaria? NO☐

NO☐
3. How long does malaria last 5 DAYS ☐

with treatment? 2 WEEKS☒
1 YEAR ☐

ALOE ☐
Quinine ☐
5. Which provinces in south GAUTENG☐
Africa have malaria LIMPOPO☒
transmission
QUESTIONNAIRE
.
NAME: Mafa Palesa
GENDER: Female
AGE GROUP: 16-18☒ 19-21☐ 22-25☐
malaria? NO☐

NO☐

1 YEAR ☐

ALOE ☐
Quinine ☐

QUESTIONNAIRE
NAME: Peter Sekhwela
GENDER: Male
AGE GROUP: 16-18☐ 19-21☒ 22-25☐
NAME OF SCHOOL:

malaria? NO☐

NO☒

1 YEAR ☐

ALOE ☒
Quinine ☒

QUESTIONNAIRE
NAME: Moorane Metebe
GENDER: Female
AGE GROUP: 16-18☒ 19-21☐ 22-25☐
malaria? NO☒

NO☒

1 YEAR ☒

ALOE ☒
Quinine ☐

QUESTIONNAIRE
NAME: Magwala keletso
GENDER: male
AGE GROUP: 16-18☐ 19-21☐ 22-25☒
NAME OF SCHOOL: motsheudi high school
malaria? NO☐

NO☒

1 YEAR ☒

ALOE ☐
Quinine ☒

QUESTIONNAIRE
NAME: Mr Mabetoa
GENDER: Male
AGE GROUP: 16-18☐ 19-21☐ 22-25☒
NAME OF SCHOOL: Motsheudi High
malaria? NO☐
NO☐

1 YEAR ☐

ALOE ☐
Quinine ☒

QUESTIONNAIRE
NAME: Pilusa Makhura
GENDER: Male
AGE GROUP: 16-18☒ 19-21☐ 22-25☐
malaria? NO☐

NO☐

1 YEAR ☐
ALOE ☐
Quinine ☒
QUESTIONNAIRE
NAME: Mohale Joanne
GENDER: female
AGE GROUP: 16-18☐ 19-21☒ 22-25☐
NAME OF SCHOOL: Motsheudi High School
malaria? NO☐

NO☒

1 YEAR ☐

ALOE ☐
Quinine ☐

QUESTIONNAIRE
NAME: RONELLE MAAKE
GENDER: FEMALE
AGE GROUP: 16-18☐ 19-21☒ 22-25☐
NAME OF SCHOOL: MOTSHEUDI
malaria? NO☐

NO☐

1 YEAR ☐

ALOE ☐
Quinine ☐

QUESTIONNAIRE
NAME: CHAUKE KAGISO
GENDER: FEMALE
AGE GROUP: 16-18☐ 19-21☒ 22-25☐
NAME OF SCHOOL: MOTSHEUDI HIGH
1 Is Mosquito the only cause of YES☒
malaria? NO☐
2 Is malaria caused by a virus? YES☐

NO☒
3 How long does malaria last 5 DAYS ☐

1 YEAR ☐
4 What plant can cure malaria? MORINGA ☒

ALOE ☐
Quinine ☐
5 Which provinces in south GAUTENG☐

transmission
QUESTIONNAIRE
NAME: Maake Pertunia
GENDER: Female
AGE GROUP: 16-18☐ 19-21☒ 22-25☐
malaria? NO☐
2 Is malaria caused by a virus? YES☒

NO☐

1 YEAR ☐
4 What plant can cure malaria? MORINGA ☒

ALOE ☐
Quinine ☐
5 Which provinces in south GAUTENG☒

Africa have malaria LIMPOPO☐
transmission
QUESTIONNAIRE
NAME: Morwatsetla Mmasea
GENDER: Female
AGE GROUP: 16-18☒ 19-21☐ 22-25☐
malaria? NO☐
2 Is malaria caused by a virus? YES☒

NO☐

with treatment? 2 WEEKS☐
1 YEAR ☒
4 What plant can cure malaria? MORINGA ☐

ALOE ☒
Quinine ☐
5 Which provinces in south GAUTENG☐

transmission
QUESTIONNAIRE
NAME: Sibiya Karabo
GENDER: Male
AGE GROUP: 16-18☐ 19-21☐ 22-25☒
NAME OF SCHOOL: Mameriri
malaria? NO☐
NO☒

1 YEAR ☐

ALOE ☐
Quinine ☒


Questionnaire: Chauke Aron Male 16-18 19-21 22-25

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QUESTIONNAIRE

2. Is malaria caused by a virus? YES☒

3. How long does malaria last with 5 DAYS ☐

4. What plant can cure malaria? MORINGA ☒

2. Is malaria caused by a virus? YES☐

3. How long does malaria last with 5 DAYS ☐

4. What plant can cure malaria? MORINGA ☒

5. Which provinces in south Africa GAUTENG☐

3. How long does malaria last with 5 DAYS ☐

4. What plant can cure malaria? MORINGA ☒

3. How long does malaria last with 5 DAYS ☒

4. What plant can cure malaria? MORINGA ☒

5. Which provinces in south Africa GAUTENG☒

2. Is malaria caused by a virus? YES☒

4. What plant can cure malaria? MORINGA ☐

5. Which provinces in south Africa GAUTENG☒

2. Is malaria caused by a virus? YES☐

3. How long does malaria last with 5 DAYS ☐

5. Which provinces in south Africa GAUTENG☒

2. Is malaria caused by a virus? YES☒

3. How long does malaria last with 5 DAYS ☒

4. What plant can cure malaria? MORINGA ☒

5. Which provinces in south Africa GAUTENG☐

2. Is malaria caused by a virus? YES☐

3. How long does malaria last with 5 DAYS ☒

4. What plant can cure malaria? MORINGA ☐

5. Which provinces in south Africa GAUTENG☐

2. Is malaria caused by a virus? YES☒

3. How long does malaria last with 5 DAYS ☐

4. What plant can cure malaria? MORINGA ☐

5. Which provinces in south Africa GAUTENG☒

2. Is malaria caused by a virus? YES☐

3. How long does malaria last with 5 DAYS ☒

4. What plant can cure malaria? MORINGA ☐

5. Which provinces in south Africa GAUTENG☐

3. How long does malaria last with 5 DAYS ☐

4. What plant can cure malaria? MORINGA ☐

5. Which provinces in south Africa GAUTENG☒

2. Is malaria caused by a virus? YES☐

4. What plant can cure malaria? MORINGA ☐

5. Which provinces in south Africa GAUTENG☒

2. Is malaria caused by a virus? YES☒

3. How long does malaria last 5 DAYS ☐

4. What plant can cure malaria? MORINGA ☒

2. Is malaria caused by a virus? YES☐

3. How long does malaria last with 5 DAYS ☐

4. What plant can cure malaria? MORINGA ☐

5. Which provinces in south Africa GAUTENG☐

1. Is Mosquito the only cause of YES☒

2. Is malaria caused by a virus? YES☐

3. How long does malaria last with 5 DAYS ☒

4. What plant can cure malaria? MORINGA ☐

5. Which provinces in south Africa GAUTENG☐

2. Is malaria caused by a virus? YES☐

3. How long does malaria last with 5 DAYS ☐

4. What plant can cure malaria? MORINGA ☐

5. Which provinces in south Africa GAUTENG☒

2. Is malaria caused by a virus? YES☐

3. How long does malaria last with 5 DAYS ☐

4. What plant can cure malaria? MORINGA ☐

5. Which provinces in south Africa GAUTENG☒

3. How long does malaria last with 5 DAYS ☐

4. What plant can cure malaria? MORINGA ☐