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  • Survey Questionnaire Thea

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    Bunny Balmes
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    This document is a survey questionnaire that aims to understand the impact of parental separation on the self-esteem of senior high school learners. It contains 10 questions asking students to indicate their level of agreement on how their parents' separation has affected their academic performance, support system, ability to overcome challenges, worries about future relationships, communication with parents, self-esteem, social interactions, ability to form relationships, anxiety/stress levels, and outlook on love and marriage. Students are to select their response on a 5-point scale ranging from strongly agree to strongly disagree.

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    This document is a survey questionnaire that aims to understand the impact of parental separation on the self-esteem of senior high school learners. It contains 10 questions asking students to indicate their level of agreement on how their parents' separation has affected their academic performance, support system, ability to overcome challenges, worries about future relationships, communication with parents, self-esteem, social interactions, ability to form relationships, anxiety/stress levels, and outlook on love and marriage. Students are to select their response on a 5-point scale ranging from strongly agree to strongly disagree.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    6 views2 pages

    Survey Questionnaire Thea

    Uploaded by

    Bunny Balmes
    This document is a survey questionnaire that aims to understand the impact of parental separation on the self-esteem of senior high school learners. It contains 10 questions asking students to indicate their level of agreement on how their parents' separation has affected their academic performance, support system, ability to overcome challenges, worries about future relationships, communication with parents, self-esteem, social interactions, ability to form relationships, anxiety/stress levels, and outlook on love and marriage. Students are to select their response on a 5-point scale ranging from strongly agree to strongly disagree.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    Survey Questionnaire: Impact of Parental Separation on Senior High School learner's Self-esteem

    Instruction: Answer the following questions honestly based on the answer you have chosen by
    putting a checkmark to corresponding answer

    NAME (OPTIONAL): GRADE LEVEL:

    Gender: _________ AGE:_______

    Strongly Agree Neutral Disagree Strongly


    agree disagree

    (5) (4) (3) (2) (1)

    1.Has your academic performance been


    affected by your parents' separation?

    2. Do you have a strong support system


    (friends, relatives,teachers) that helps
    you cope with your parents' separation?

    3. Despite your parents' separation, do


    you believe you can overcome challenges
    and bounce back from difficult situations?

    4. Has your parents' separation made you


    worry about your future relationships?

    5. Do you feel comfortable


    communicating your feelings about your
    parents' separation to them?

    6. Do you feel that your self-esteem has


    been negatively impacted by your
    parents' separation?

    7. Do you believe that your parents'


    separation has affected your social
    interactions with your peers?

    8. Have you found it harder to form close


    relationships with others since your
    parents' separation?

    9. Do you often feel anxious or stressed


    due to your parents' separation?

    10. Do you feel that your parents'


    separation has influenced your outlook
    on love and marriage?

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