SURVEY QUESTIONAIRE ON EXTENT OF SCHOOL
HEALTH PROTOCOL COMPLIANCE OF STUDENTS
Dear Respondents,
This surveys intent to find out the extent
of school health protocol compliance of students. In view
of this,your utmost honesty,cooperation, and participation
by answering all the items that needed information in this
questionnaire.Rest assured that your answers will be treated
confidentially and will be used solely for data gathering in
our research.Your cooperation will be highly appreciated.
Part I: Respondents Profile
Directions:Please supply the need information by
indicating your answer below.
Name (optional)
_______________________________________________
_ symptoms
Grade Level and Section
_______________________________________________
_
SURVEY QUESTIONAIRE ON EXTENT OF SCHOOL
HEALTH PROTOCOL COMPLIANCE OF STUDENTS
Dear Respondents,
This surveys intent to find out the extent
of school health protocol compliance of students. In view
of this,your utmost honesty,cooperation, and participation
by answering all the items that needed information in this
questionnaire.Rest assured that your answers will be treated
confidentially and will be used solely for data gathering in
our research.Your cooperation will be highly appreciated.
Part I: Respondents Profile
Directions:Please supply the need information by
indicating your answer below.
Name (optional)
_______________________________________________
_ symptoms
Grade Level and Section
_______________________________________________
_
Part II
Direction:Assess your compliance to school health protocols
by putting a check (√) in YES column if you think you are
doing the protocol or in NO column if you think you are
NOT doing the protocol.
PROTOCOLS YES NO
1. Are you still wearing face mask in
school?
2.Do you wash your hands before and
after recess?
3.Do you sanitize your hands with
alcohol?
4.Are you still wearing face shield at
school?
5.By getting inside the school,do you
check your temperature?
6.Do you observe physical distancing?
7.Are you completely vaccinated?
8. Are you still reporting to school even
if you are not feeling well and felt some
such as
headache,cough,running nose,sore throat,
and other symptoms related to COVID -
19 disease?
Part II
Direction:Assess your compliance to school health protocols
by putting a check (√) in YES column if you think you are
doing the protocol or in NO column if you think you are
NOT doing the protocol.
PROTOCOLS YES NO
2. Are you still wearing face mask in
school?
2.Do you wash your hands before and
after recess?
3.Do you sanitize your hands with
alcohol?
4.Are you still wearing face shield at
school?
5.By getting inside the school,do you
check your temperature?
6.Do you observe physical distancing?
7.Are you completely vaccinated?
8.Are you still reporting to school even if
you are not feeling well and felt some
such as
headache,cough,running nose,sore throat,
and other symptoms related to COVID -
19disease?