Pavia National High School

SENIOR HIGH SCHOOL PROGRAM

Evangelista St., Pavia, Iloilo

Questionnaire
Dear Respondent, 
We, the Grade 12 HUMSS 2 students of Pavia National High School are currently conducting our
research with a title “Violent Video Games: Its Effect on the Level of Empathy of Senior High School
Learners of Pavia National High School”  We are asking for your precious time and cooperation to fill
the information needed for the completion of our study. All information provided is solely for research
purposes and will be kept strictly confidential.
Thank you!
-The Researchers
____________________________________________________________________________
Part 1: Personal Information
This section asks for your personal information. Please provide is the following demographic data.
Name (Optional):________________ Strand and Section:_____________________
____________________________________________________________________________
Instruction: Please read the following statements and indicate how much you relate with the following
statements by checking the appropriate option. Please use the following options:
N- Never R- Rarely S- Sometimes O-Often A- Always

EMPATHY TEST N R S O A

When I know one of my friends is upset, I try to talk to them about it

When I don't understand someone's point of view, I ask questions to learn more

I easily feel sad when the people around me feel sad.

I can pick up quickly if someone says one thing but means another

I try to imagine how how i would feel in someone else's situation

I am good at predicting what someone will feel

when a friend is upset, i try to show them that i understand how they feel.

I enjoy caring for other people

I try to see things from other people's points of view.

When someone else is feeling excited, I tend to get excited too.

It upsets me to see someone being treated disrespectfully.

When i hear a sad i find it hard to hold back the tears

I support my friends and family by encouraging them to share their feelings

I find it very difficult to say no to people

 I postpone my work and other activities if a friend wants to vent to me.

I go out my way to help others

I am eager to help others and thats what differentiates me from other people

I can usually appreciate the other person’s viewpoint, even if I don't agree with it.

I try to read between the lines

I can easily feel what someone’s feeling

Seeing people cry upsets me

Other people tell me i am good at understanding how they are feeling or thinking.

I am able to make decisions without being influenced by people’s feelings

friends usually talk to me about their problems as they say i’m very
understanding

I usually stay emotionally detached when watching a film

I can tune into how someone else feels rapidly and intuitively

I can tell if someone is masking their true emotion.

I tend to get emotionally involved with a friend’s problem

I am careful not to hurt other people’s feeling

When I see or hear someone who is happy. It makes me feel happy too

Name (Optional):______________________Strand and Section:_______________________

____________________________________________________________________________
Instruction: Please read the following statements and indicate how much you relate with the following
statements by checking the appropriate option. 
Please use the following scale: 
N- Never      R- Rarely       S- Sometimes O-Often        A- Always

N R S O  A

I have been spending much more time playing video games than studying 

I have been unsuccessful in trying to control myself from playing too much violent
video games

I skip household chores in order to play violent video games 

I have done poorly on school examinations because I spent all night playing violent
video games 
 N R S O  A

I have played video games in order to escape what I feel 

I think of playing violent video games every minute 

I spend all my free time playing violent video games 

I am unable to stop playing violent video games once I start it 

I play longer than I intend to play violent video games 

I feel bad when I don't play violent video games

I feel angry when I cannot play violent video games 

I ignored my family because I was busy playing violent video games 

I feel great after playing violent video games for a long time

I feel angry when I am distracted while playing violent video games.

I skip my meals in order to play violent video games.

I never fall asleep playing violent video games

I imitate the characters in the violent video games I play

I hate it when people talk to me while I'm playing

I don't care about anyone if I'm playing

I prefer to play violent video games than non-violent video games

I have a hot temper when I lose playing violent video games

I get annoyed when someone teaches me what to do while playing violent video
games

I got excited when I play violent video games with my friends

I become more hyper when I play violent video games

I curse when I lose playing violent video games against my friend

I tend to get mad easily when I play violent video games

It would be easy for you to become aggressive after playing violent video games.

It would be easy for others to commit a violent act after playing violent video
games.

I still play violent video games even though I'm not feeling well

Playing violent video games is a good way to release the stress and pressure we
face in our everyday life.