Gender: Age: Kulliyah: Year: The questionnaire consist two section which are section A and section B.

Section A is about perceived stress scale and section B is about stress survey. Section A The questions ask you about your feelings and thoughts during last semester. In each case you will be asked to indicate how often you felt or thought a certain way. The best approach is to answer each question fairly quickly. So please try to answer the question as honest as possible. For each question, circle one of the following alternatives: 0 = never 1 = almost never 2 = sometimes 3 = fairly often 4 = very often

1. How often had you been upset because of something that happened unexpectedly? 0 1 2 3 4

2. How often had you felt that you were unable to control the important things in your life? 0 1 2 3 4

3. How often had you felt nervous and stressed?

4. How often had you felt that you were effectively coping with important changes that were

occurring in your life? 0 1 2 3 4

5. How often had you felt confident about your ability to handle personal problems? 0 1 2 3 4

6.

How often had you found that you could not cope with all things that you had to do? 0 1 2 3 4

7. How often had you been angered because of things that happened that been outside of your control? 0 1 2 3 4

8. How often have you found yourself thinking about things that you have to accomplish? 0 1 2 3 4

. H o w o ft

e n h a v e y o u b e e n a b l e t o c o n tr o l t h e w a y y o u s p e n d y o u r ti m e ?

0 Section B Stress Factors Survey

Read this list of possible sources of stress. Then list in ranking order, if you believe that any of these sources of stress contributed to your grades last semester. Working a part-time job Nutrition Sleeping too much Over exercising Not exercising

Please rank in the space provided: 1.

2.

3.

THANK YOU FOR PARTICIPATING IN THIS STUDY.

Appendix D Informed Consent Form This experiment is being conducted by Laura Womble as a class project for Research Methods at the University of North Carolina at Charlotte. The experiment is under the supervision of Dr. Jane Gaultney in the Department of Psychology. It deals with the effects of stress on a college students academic performance. If you agree to participate then I will ask you to fill out a simple survey about yourself. Included in the survey will be some general questions about your stress level, and the sources of your stress, along with more specific information about your last semester grades. The survey should only take about ten minutes. Your participation in this experiment is voluntary and you are free to not complete the survey without any penalty, and remove any data that you have contributed. Please be assured that at no time will you name be reported along with any responses. In fact, this informed consent will be kept separate from your responses. Also your participation in this study will be kept confidential, as are any responses you will give. The responses that you provide will be used by this student for the purpose of learning about research and methodology, and will not be reported outside of class. I acknowledge that I am at least 18 years old and that the purposes and procedures of this experiment have been explained to my satisfaction. I understand that my participation is totally voluntary and that I am free to withdraw at any time with no penalty. Signed_________________________ Date________________________