Republic of the Philippines

Department of Education
REGION IX, ZAMBOANGA PENINSULA

DIVISION OF PAGADIAN CITY

ZAMBOANGA DEL SUR NATIONAL HIGH SCHOOL-SENIOR HIGH

SCHOOL
HABITUAL DRINKING OF ALCOHOL AND RATIONAL BEHAVIORAL
CHANGE AMONG THE HUMANITIES AND SOCIAL SCIENCE STUDENTS
SURVEY QUESNTIONNAIRE
Part I. Profile of the Respondents
Name (Optional): Gender:
Age: Years of teaching Experience:
Part II.
Instructions/Directions: Please check the corresponding space of your answer.
Legend: 3-NO 2-MAYBE 1-YES
1.1 Habitual
STATEMENTS 5 4 3 2 1
1. Note-taking techniques helps students develop a
deeper understanding in learning.
2. Note-taking enhance student engagement in
terms of academic performances.
3. Note-taking techniques are effective in academic
performance.
4. Note-taking can emphasize and organize
information.
5. Note-taking can create a condensed record for
study.
1.2 Rational Behavioral Changes

STATEMENTS 5 4 3 2 1
1. Do you agree that drinking alcoholic beverage can
affect the rational behavior of students?
2. Does habitual drinking of alcohol affect your
personal decision in life?
3. Have you noticed changes in your academic
performance because of habitual consumption of
alcohol?
4. Have you notice changes in your personality because
of drinking alcohol?
5.