Perception on the Use of Gadgets and its Relation to Self-discipline and

Academic Achievement of Senior High Students at Alaminos Integrated High

School

PURPOSE OF STUDY

The research study will aim to determine how self-discipline practices influence
academic achievement and extracurricular activities, particularly in a pandemic where students
take online classes with few changes in learning habits, environment, and task distribution, as
well as how the participants are able to successfully manage such a task.

Confidentiality
Your participation in this survey will remain completely confidential. In the sake of
privacy, I ask that you not include any identifying information in your survey. The researcher has
assured me that they will make every effort to protect your confidentially, including the
following measures:

[Ensure that there are protections in place to protect confidential information, such as those
stated below]

 Providing participants with a code name or number that will be used on all of the study
documents and notes

 Keeping all of the information that might be used to identify a participant in a secured file
cabinet that the researcher owns and controls, including notes, interview transcripts, and
any other information that might be relevant.

 The information provided by participants will be kept strictly confidential, with the sole
exception of situations in which the researcher is required by law to report certain
incidences.

CONSENT
I've read, understood and asked questions about the information. I understand that my
participation is voluntary and that I can withdraw at any time, without explanation. I'll get a copy
of this consent form. I agree to participate voluntarily.

Participant's signature ______________________________ Date __________

Investigator's signature _____________________________ Date __________

Participant’s Initial: _________

Name (Optional):
Age*:
Gender(M/F) *:
Section*:
Strand*:
Instructions: The questionnaires provided below may provide insight into your perception on
the Use of Gadgets and its Relation to Self-discipline. The decisions on whether the behaviors
were good or negative are entirely up to you. Last but not least, please be sincere in your
response.
Never Sometimes Often Always

1 2 3 4

1 2 3 4
1. I take notes of the important things

2. I make schedule as organize as possible.

3. I follow my schedule as accurate as possible.

 4. I set my own deadline that is earlier than the
original.
5. I reject invitations from friends, family or
relatives if it conflicts with my
6. schedule.

7. I want to finish my current project thoroughly

before starting another one.
8. I set short term goals to achieve my long-term
goals.
9. I follow my set boundaries.

10. I comply to deadline even I am not in the mood.

11. I work hard to keep my words.

12. I keep attaining my goals even after I failed

multiple times.
13. I keep myself in check to avoid further mistakes

14. I do not blame others for my failure

15. I stay calm after losing a competition

Usage Time of Gadgets

1. Entertainment

 less than an hour

 1-2 hours
 3-4 hours
 5-6 hours
 more than 6 hours

2. Education

 less than an hour

 1-2 hours
 3-4 hours
 5-6 hours
 more than 6 hours
3. News/Information/Update
 less than an hour
 1-2 hours
 3-4 hours
 5-6 hours
 more than 6 hours