Approved by:

LUCILLE PERAŇA
Principal

Appendix B

Republic of the Philippines

Division of Sultan Kudarat
Municipality of Esperanza
Barangay Dukay
Notre Dame of Dukay Inc.

Teenage Relationships and its Effect on the Learning Outcomes of Students in Notre Dame of Dukay,
Inc.

Name: _____________________________________ Age:______ Gender:_______

Direction: Kindly put a check ( ∕ ) on the box or write something when necessary

1. Are you involved in teenage relationship?

Yes No

1.1 If yes, what are your reasons in involving in teenage relationship?

Desire to be loved Inspiration peer pleasure

Self interest Curiosity Boredom

Others please specify: ______________________________

1.2. If no, what are your reasons in not involving in teenage relationship?

Disturbance Not Interesting Focus on study

Strick parents others please specify: ______________________________

2. What is your second grading point average?

below 81-85 86-90 91-95 96 above

3. Are you spending your time in studying?

Yes No

3.1. If yes, why

Inspired To get high grade

Others please specify: ______________________________

3.2. If yes, how many hours/minutes you spent in studying?

10 minutes 30 minutes 3 hours 1 hours 2 hours

Others please specify: ______________________________

3.3. If no why?

Lazy Trend communicating with partner communicating with friends

Other please specify: ______________________