TOOL FOR DATA COLLECTION

Name: __________________________________________
Gender:

Male

Age: ____

Female

Grade (accounting): ________

Where do you live?

Home

1 Where do you prefer to live?

2 ______ In a house
3 ______ In a dormitory

apartment/boarding house

10 ______ Never
11 Where can you
concentrately review your
lessons?

4 Can you concentrate in your

studies?

12 ______ At the dormitory with

your roommates

5 ______ Yes
13 ______ At home with
6 ______ No
7 How often do you feel
pressure in school?
8 ______ Always
9 ______ Sometimes

your family
14 ______ others; (please
specify) ________________________
15 Whom do you prefer to
study with?

16 ______ With roommates

27 Do you feel tired because

at dormitory

after school you still have to

do house chores?(washing

17 ______ With

clothes, preparing food,

sisters/brothers at home

arranging other stuffs)

18 ______ others; (please
28 ______ Yes

specify) ______

29 ______ No

19 Do you feel pressured

because of your peers?
20 ______ Yes

30
31 How much of your time were
consumed by doing house

21 ______ No
22 How often do you see or
talk to your family?

chores?
32 ______ an average of 2
hours a day

23 ______ Everyday

33 ______ 4 hours a week

24 ______ Once a week

34 ______ others; (please

25 ______ Once a month

26 ______ Others; (please
specify)

_____

specify) ______
35 Are you able to manage your
stuffs? (clothes, books, etc)
36 ______ Yes

37 ______ No
38 How do you prepare your
food?

50 How much is your daily

consumption?
51 ______ Php 200

39 ______ cooking

52 ______ Php 100

40 ______ buying outside

53 ______ Php 50

41 ______ others; (please

54 ______ Others; (please

specify) ______
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43
44
45 How much is your monthly
allowance?
46 ______ Php 5,000
47 ______ Php 3,000
48 ______ Php 1,000
49 ______ others; (please
specify) ______

specify ______

55 Does your allowance

sufficient to cover your
needs?

58 How much of your time were

available for your leisure?
59 ______ 1-2 hours a day

56 ______ Yes
57 ______ No

60 ______ 3-5 hours a day

61 ______ others; (please specify)
______

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