Greetings!

The Level III BSN students of Ateneo de Zamboanga University, are conducting a study entitled
“Awareness of Coronary Artery Disease Signs, Symptoms, and Risk Factors among East
Coast Jeepney Drivers in Zamboanga City” as a partial fulfillment of Nursing Care
Management (NCM 115j) Research. A test questionnaire will be used in the said research. In
view of the foregoing study, the researchers would like your expertise to validate the attached
adopted questionnaire to qualify for conduction. Knowing your experience in the field of
research and education, We would like to ask for your help in validating the said instrument
before administering it to the participants of this study.
We are looking forward that our request would merit your positive response. Your positive
response would be highly appreciated.
Thank you and God bless!

Respectfully Yours,
Matta, Lounesah Irene
Alganion, Rikko Angelo
Carpio, Adrian
Del Mundo, Mishaal
Obcemea, Federico Lights
Pescadera, Joeann Zhyna
Quilos, Hannah Bernadette
Quitoy, Jasper John
Rosario, John Richard
Silorio, David Dwane Art
STATEMENT OF THE PROBLEM:
The study aims to determine the awareness of the jeepney drivers of Zamboanga City regarding
the risk factors of Coronary Artery Disease.
Specifically, it seeks to answer the following questions:
1. What is the Knowledge, Attitude and Practice of Jeepney drivers on CAD?

QUESTIONNAIRE:
Demographic Data:
Name (OPTIONAL): ______________________________ Age: ____ Marital Status: _____
Ethnicity:_____________, Religon:____________Educational attainment: ________________
Social : smoking ____ If yes, number of sticks/day:_______
Medical History: _______________________, Family Medical Hx ( ) HTN ( ) DM
Years of driving as a Jeepney Driver_______
Route of Work:
( ) Divisoria ( ) Mercedes ( ) Tugbungan ( ) Lunzuran ( ) Tumaga

Table 1
Knowledge on risk factors of coronary artery disease

Instruction: Carefully read each statement and CHECK THE BOX (✓) in the appropriate
column, indicating the level of awareness. Select the response option that best represents your
health opinion. Avoid leaving statements blank, and if needed, provide additional comments for
further context.

Strongly disagree = 1 Disagree = 2 Agree = 3 Strongly agree = 4

Strongly Disagree Agree Strongly
Question Disagree (2) (3) Agree
(1) (4)
1. Smokers are more likely to have
cardiovascular disease.
2. Not exercising at least 30 minutes of
walking daily for 5 days increases the
incidence of cardiovascular disease.
3. Eating fast food increases the risk of
cardiovascular disease.
4. Soft drinks increase the risk of
cardiovascular disease.
5. Aging is linked to cardiovascular disease.

6. Having a family member with

cardiovascular disease increases your risk of
cardiovascular disease.
7. High cholesterol in the blood increases the
risk of cardiovascular disease.
8. High blood sugar (diabetes) increases the
risk of cardiovascular disease.
9. Obesity increases the risk of cardiovascular
disease.
10. Anxiety and stress increase the risk of
cardiovascular disease.
11. Males are more susceptible to
cardiovascular disease than females.
12. High blood pressure increases the risk of
cardiovascular disease.
Table 2
Attitude toward the prevention CAD
Instruction: Carefully read each statement and CHECK THE BOX (✓) in the appropriate
column, indicating the level of awareness. Select the response option that best represents your
health attitude. Avoid leaving statements blank, and if needed, provide additional comments for
further context.

Strongly disagree = 1 Disagree = 2 Agree = 3 Strongly agree = 4

Strongly Disagree Agree Strongly

Disagree (2) (3) Agree
(1) (4)

1. I need to stop smoking to

prevent CAD.

2. I drink alcohol in moderation

3. I am going to exercise more

often.

4. I prefer lazing around rather

than doing exercises.

5. Prefer to walk to go
somewhere near (500m)

6. I check my weight regularly.

7. I include fruits and vegetables

in my daily diet as much as
possible

8. I will not eat food that are oily

9. I make sure to read nutrition

facts for each product I’ll buy.

10. I avoid carbonated drinks.

11. I prefer eating fast food rather
than eating healthy foods.

12. I avoid stress eating.

13. I find alternative ways to

manage my stress. (relaxation
techniques, exercise, connect
with people)

14. I regularly go for a medical

checkup and have my BP
checked

15. I take my maintenance (if

any) as prescribed by the
doctor.
Table 3
Practice toward the prevention of CAD

Instruction: Carefully read each statement and CHECK THE BOX (✓) in the appropriate
column, indicating the frequency of occurrence. Select the response option that best represents
your health experience. Avoid leaving statements blank, and if needed, provide additional
comments for further context.

Always = 4 Frequent = 3 Seldom = 2 Never = 1

Legend:

Always = Everyday
Frequent = 3-4 days
Seldom = 1-2 days
Never = 0 days

Activity Always Frequent Seldom Never

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

1. I find smoking as my alternative way

to relieve stress.

2. Excessive drinking of alcoholic

beverages is my way to relieve stress
from work.

3. I walk more than 10 mins to places

4. I exercises for more than 20 mins at

least once daily

5. I engage myself with sports,

specifically basketball, running, etc.

6. I follow a diet meal plan

7. I eat at least 3 fruits daily

8. I eat at least ¼ portion of vegetables
on my plate 3 times daily

9. I eat fast foods

10. I eat fried foods

11. I experience stress

12. I spend hours on television/ cellphone

13. I sleep 6-8 hours at night