STAND ALONE - SENIOR HIGH SCHOOL

TAGUIG INTEGRATED SCHOOL

Liwayway St.Sta Ana. Taguig city

THE EFFECT OF CYBER BULLYING TO GRADE ELEVEN

HUMANITIES AND SOCIAL SCIENCES STUDENTS’
ACADEMIC PERFORMANCE IN STAND ALONE –
SENIOR HIGH SCHOOL TAGUIG
INTEGRATED SCHOOL

Survey Questionnaire

NAME (optional):___________________________________________
AGE: _______________

Multiple Response
Put a check (/) on the box of your answer.

1. What do you think is the demographic profile of the student who experience
Cyber bullying in terms of:
Age?
□ 5-10 years old □ 21-30 years old
□ 11-20 years old □ 31 years old and above
2. What do you think is the demographic profile of the student who experience
Cyber bullying in terms of:
Gender?
□ Male □ Female
3. What do you think is the demographic profile of the student who experience
Cyber bullying in terms of:
Educational attainment?
□ Elementary □College student
□ Junior or Senior High School student □Already Graduated
4. What do you think is the demographic profile of the student who experience
Cyber bullying in terms of:
Religion?
□ Roman Catholic □ Muslim
□ INC □ others (please write :_______________)
5. What do you think is the demographic profile of the student who experience
Cyber bullying in terms of:
Family Status?
□ Living with both Mother and Father
□ Independently living alone
□ Broken Family, its either your living with your father or mother
□ Living with your guardian or with somebody
 STAND ALONE - SENIOR HIGH SCHOOL
TAGUIG INTEGRATED SCHOOL
Liwayway St.Sta Ana. Taguig city

Read the following statement carefully in Column A and put a check (/) in the answer
that corresponds in Column B.

Column A Column B

Strongly Disagree Agree Strongly

Disagree Agree
Statements:

1. The demographic profile of the student’s

who experienced Cyber bullying affects
their way of studying.

2. There are many ways of bullying.

3. Family Status seriously affect the

relationship beyond the person who bullied
to their family.

4. The bullies are also a victim of bullies?

5. Everyone of us experienced Cyber

bullying.

Multiple Response
Shade the circle of your answer that corresponds on the following question
below.
1. What are the commonly ways of Cyber bullying?
O Blaming O Denigration
O Harassment O Impersonation
2. How Cyber bullying does affect student’s academic performance?
O Cutting Classes O Aggressive act towards to your teachers
O Not maintaining grades O Low self- esteem
3. What are some prevention and intervention techniques for cyber bullying?
O Don’t use social media
O Block person
O Always manages privacy in your account
O Immediately report for those who experience unnecessary things.
4. What is the most sign of Cyber bullied person?
O Sudden changing behaviour O Avoiding school
O Shutting down social media site O Slipping grades