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DEPARTMENT OF EDUCATION
Caraga Administrative Region
BISLIG CITY DIVISION
Bislig City
SURVEY QUESTIONNAIRE
I. RESPONDENT PROFILING
AGE:
15 -
16 - IIIII II (9)
17- IIIII IIIII IIIII IIIII IIIII IIII (30)
18 - IIIII III (7)
19 -
20 – I (1)
21- I (1)
SEX:
Male – IIIII IIIII IIIII IIIII IIIII III (28)
Female – IIIII IIIII IIIII IIIII (20)
GRADE 11: IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII III (48)
SECTION:
PEACE – IIIII IIIII III (13)
CHARITY – IIIII IIIII IIII (14)
JOY – IIIII III (8)
FAITH – IIIII IIIII III (13)
TRACK:
Academic – IIIII IIIII IIIII IIIII IIIII II (27)
TVL – IIIII IIIII IIIII IIIII I (21)
4. List down the positive effects of having a healthy mental well-being in your
academic performance.
4.1 Good grades – IIIII IIIII (10)
4.2 Very active in school – IIIII – 5
4.3 Can handle problems – IIIII IIII (9)
4.4 Can perform well in class discussions - IIIII IIIII II (12)
4.5 Improves your mood – IIIII II (7)
5. If your answer for question for number 2 is NO, list down the factors/reasons
why your mental health is unstable.
5.1 Family problems – IIIII IIIII II (12)
5.2 Academics – IIIII IIIII (10)
5.3 Personal problems – IIIII IIIII IIIII III (18)
5.4 Financial problems – II - 2
7. Give suggestions as to what the school should do to lessen the mental burden
of the students. (Example: No activities during weekends.)
7.1 No assignments – IIIII IIIII IIIII II (17)
7.2 Make the activities easier – IIIII III (8)
7.3 Limit the activities – IIIII IIII (9)
7.4 More time to rest – IIIII III (8)
7.5 Promote mental health awareness program – IIIII IIIII (10)