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Survey Questionnaire Draft
Survey Questionnaire Draft
MARCELA A. AGDAN
Principal II
San Pascual Senior High School 1
Madam:
Greetings of Peace!
We, the undersigned, are Grade 12 Humss– Plato students, are currently conducting a
research paper entitled “ONLINE GAMBLING AMONG STUDENTS OF SAN PASCUAL
SENIOR HIGH SCHOOL 1”. This is a partial requirement for us to finish Senior High School.
In line with this, we are humbly soliciting your permission to allow us to gather information by
conducting a survey among online gambling at san pascual senior high school 1. For your
perusal, attached is a sample of the questionnaire which will be used as a tool for our
survey.
Rest assured that the gathered information will be treated with utmost confidentiality and will
be used for research purpose only.
May this merit your kindest approval. Thank you and God bless.
Noted :
Approved:
MARCELA A. AGDAN
Principal II
ONLINE GAMBLING AMONG STUDENTS OF SAN PASCUAL SENIOR HIGH
SCHOOL 1
STATEMENT OF THE PROBLEM
QUESTIONNAIRE
To the respondent:
Survey Questions 1 2 3 4
ONLINE GAMBLING BEHAVIOR OF STUDENTS
1. Gambling causes financial strain on my personal finances.
2. Gambling negatively affects my relationships with family and friends.
3. Gambling leads to feelings of guilt or shame.
4. I have experienced significant stress or anxiety due to gambling.
5. Gambling has interfered with my work or academic performance.
6. I have borrowed money or taken out loans to support my gambling habits.
7. I feel a loss of control over my gambling behavior.
8. Gambling has negatively impacted my mental health.
9. I have neglected important responsibilities because of gambling.
10. I feel compelled to gamble even when I know it is causing harm.
IMPACTS OF ONLINE GAMBLING AMONG STUDENTS 1 2 3 4
1. Gambling has a negative impact on my cognitive abilities (e.g., decision-making,
problem-solving).
2. I believe that excessive gambling can lead to changes in brain chemistry.
3. Gambling addiction can impair memory and concentration.
4. I am concerned that gambling may increase the risk of developing mental health
disorders, such as depression or anxiety.
5. I believe that frequent gambling can lead to changes in the brain's reward
system, similar to substance addiction.
6. Excessive gambling may result in decreased impulse control and increased
risk-taking behavior.
7. I am worried that gambling addiction can cause structural changes in the brain
over time.
8. Gambling can lead to heightened stress levels, which may negatively impact
brain health.
9. I believe that compulsive gambling can lead to a decrease in overall cognitive
functioning.
10. I am concerned about the long-term effects of gambling on brain structure and
function.
EFFECTS OF ONLINE GAMBLING AMONG STUDENTS 1 2 3 4
1. Gambling has negatively impacted my financial stability.
2. I believe that gambling has strained my relationships with family and friends.
3. Gambling has caused stress and anxiety in my life.
4. I have experienced feelings of guilt or remorse as a result of gambling.
5. Gambling has interfered with my work or academic performance.
6. I have borrowed money or taken out loans to support my gambling habits.
7. I feel a loss of control over my gambling behavior.
8. Gambling has negatively affected my mental health.
9. I have neglected important responsibilities because of gambling.
10. I feel compelled to gamble even when I know it is causing harm.
Comments and Suggestions:
_________________________________________________________________________
_________________________________________________________________________
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April 4, 2024
____________________________
San Pascual Senior High School 1
Sir/Madam:
Greetings of Peace!
We, the undersigned, are Grade 12 EIM – Watt students, are currently conducting a
research paper entitled “ONLINE GAMBLLING OF STUDENTS AT SAN PASCUAL
SENIOR HIGH SCHOOL 1.” This is a partial requirement for us to finish Senior High School.
In line with this, we are humbly asking for your assistance in validating our questionnaire.
Your help is of utmost importance for us to finish our research. Thank you and God bless.
Noted :