Name: (Optional) __________________________

Direction: Please put a check () on the corresponding answers.

1. What is your child’s gender?

 Female  Male

2. How old is your child?

 1 – 3 years old  7 – 9 years old
 4 – 6 years old  10 – 12 years old

3. Does your child use mass media and technologies? (e.g. television, radio, cellphone,
computer, etc.)
 Yes  No

4. In what mass media and technologies is/are your child/children mostly exposed to and
how often is/are your child/children exposed to these? (please put a check () that
indicates your answer)

Mass
Media and Always Often Sometimes Rarely Never
Technology

Television

Radio

Cellphone

Computer

Tablet

Laptop

Others:
Please
Specify
 5. Please check the box if any of these apply to your child’s daily life.

Effects of Mass Media and Strongly Strongly

Agree Undecided Disagree
Technology Agree Disagree
Educational Learning:
1. Procrastinates in
doing their home
works

2. Learned the
alphabet, counting,
and etc. through
the use of mass
media

3. Doing school works

has become easier
and faster

4. Heightens literacy
in the media

5. Helps develop
reading and writing
skills

Family Relationship:
6. Recites profanities
when provoked

7. Declines what he or
she is asked to do

8. Builds a strong
relationship
between the
members of the
family as family
leisure (e.g.
watching comedy
films)
Effects of Mass Media and Strongly Strongly
Agree Undecided Disagree
Technology Agree Disagree
9. Keeps the family
connected

10. Members of the

family have become
distant

Sports Activities:
11. Influences him or
her to do better in
sports

12. Develops inclination

in watching sports
channel

13. Influences him or

her to get more
involved in sports
intramurals

14. Develops
admiration to an
athlete that he or
she imitates

15. Develops interest in

playing sports
virtually

Social Life:
16. Prefers to stay at
home and watch
television or play
mobile phones

17. Communication
with peers, friends,
family, relatives,
etc. has become
easier and faster
Effects of Mass Media and Strongly Strongly
Agree Undecided Disagree
Technology Agree Disagree
18. Open child’s mind
into different
cultures that he or
she doesn’t know

19. Develops interest in

socializing virtually
rather than
physically

20. Expanded his or her

social circle and
develops new
friendships through
mass media

6. What is/are your purposes in exposing your child to mass media and technologies?
 For educational purposes
 Communicating with peers, family, and relatives
 For entertainment
 To be able to do other house hold chores while taking care of the child
 Others: Please specify _______________________________________
Dear Respondent,

The undersigned are presently conducting a study entitled ”Effects of Mass Media and
Technology on the Upbringing of Children in Lapu – Lapu, Santa Cruz, Marinduque”, as one of
the requirements for the subject Inquiries, Investigations, and Immersion. In connection to this,
please answer the necessary data needed for the success of this study. Rest assured that all the
information you wrote will be treated with utmost confidentiality.

Thank you very much for your cooperation and more power.

THE RESEARCHERS

Dear Respondent,

The undersigned are presently conducting a study entitled ”Effects of Mass Media and
Technology on the Upbringing of Children in Lapu – Lapu, Santa Cruz, Marinduque”, as one of
the requirements for the subject Inquiries, Investigations, and Immersion. In connection to this,
please answer the necessary data needed for the success of this study. Rest assured that all the
information you wrote will be treated with utmost confidentiality.

Thank you very much for your cooperation and more power.

THE RESEARCHERS

Dear Respondent,

The undersigned are presently conducting a study entitled ”Effects of Mass Media and
Technology on the Upbringing of Children in Lapu – Lapu, Santa Cruz, Marinduque”, as one of
the requirements for the subject Inquiries, Investigations, and Immersion. In connection to this,
please answer the necessary data needed for the success of this study. Rest assured that all the
information you wrote will be treated with utmost confidentiality.

Thank you very much for your cooperation and more power.

THE RESEARCHERS