SURVEY / QUESTIONNAIRE

TITLE: ONLINE CLASS AND ITS EFFECTS ON THE MENTAL HEALTH OF ABIS
GRADE 11 STUDENTS
Directions: Indicate your answer by checking if it's Yes, No, or Not Sure for each question. 

Name: _______________________ Gender: ______________________

Age: ________________________ Strand: ______________________

Yes No Not Sure

1. In the past few years of online classes, have you had any
problems with your daily life as a student due to any
emotional problems such as feeling depressed, sad, or
anxious?
2. Do online classes affect your mental health?
3. Are you currently taking any medication for your mental
health?
4. Are you having a mental breakdown because of these
online classes?
5. Do you feel content with the status of your mental health
while being in an online class?

Please share your personal experience with online classes and their effects on mental health.
______________________________________________________________________________
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______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
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Thank you so much for taking the time to complete this survey. Rest assured that the information 
you've provided will remain private.

G11-ABM 2
Researchers
RESEARCHERS:
Ponce, Princess Lhey
Cristino, Ana Rose M.