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BSBM 1-1 Barquilla
BSBM 1-1 Barquilla
Barquilla
Course & Section: BSBA 1-1
Student Number: 2022-100-0163
Nearly
Over the last two weeks, how often have Not Several More
every
you been bothered by the following at all days than half day
problems? the days
If you checked any problems, how difficult have they made it for you to do your work, take care of things at home, or
get along with other people?
□ ✓ □ □
Part 4: STUDENT HEALTH QUESTIONNAIRE
Direction: This test is to evaluate the students mental health status, Try not to skip any
questions as possible even if you find it difficult to answer. Insert a check on the table that
describes you best.
Over the last two weeks, how often have Not Severa More Nearly
you been bothered by the following at all l days than half every
problems? the days day
1. Little interest or pleasure in doing things
✓
2. Feeling down, depressed, or hopeless
✓
3. Trouble falling or staying asleep, or sleeping
too much ✓
4. Feeling tired or having little energy
✓
5. Poor appetite or overeating ✓
10. If you checked off any problems, how difficult is these problems made it for you to do
your work, take care of things at home, or get along with other people?
Not difficult at all Somewhat difficult Very difficult Extremely difficult
□ ✓ □ □