Tambo National High School

Buhi, Camarines Sur

QUESTIONNAIRE

RESPONDENTS PROFILE

Name: ______________________________Grade and Section: __________________

DIRECTIONS: Kindly check the boxes that corresponds your answer.

A. Age B. Gender
15-19 Male
20-24 Female
25 and Above Third Gender
Specify: ____________________
B. Status D .Family Background
Single Father’s Occupation: ____________________
In relationship Mother’ Occupation: _____________________
Estimated Family Income (Daily)
Php 1,000 and Above
Php 500
Php 100
Php 50 and Below
I.DIRECTIONS: Defined the frequency which affect your academic Performances, rate which you feel
agrees with your answer, then put a check on the space provided.

STRESS FACTORS NEVER RARELY SELDOM SOMETIMES ALWAYS

1 2 3 4 5
1.Lack of time and money
2.Family Problems( daily Income,
Broken Family)
3.Bullying
4. Subject Difficulties
5. Teaching Strategies of Teacher
6. Opposite-sex
7.Suffering Illness
8. Lack of participation and decision
making
9. Social Interaction(shy, Confidence)
10. Physical Appearance
OTHERS:
II. EFFECTS OF STRESS
DIRECTIONS: Put a check which you feel agrees with your answer. Be guided by the measures
provided below:
1- Least serious problem 2-Less serious problem
3 Moderately serious problem 4- Serious problem
5- Very serious problem

EFFECTS 1 2 3 4 5
1. 1.Stress motivate you in terms of
studying
2. 2.It change your self-stem
3. 3.It gives you an unpleasant feelings
4. ( Threatening, Anxiety)
5. 4.Loss of appetite
6. 5.It affects your feelings(sad, angry)
7. Others:

III.RECOMENDATIONS FOR THIS PROBLEM

RECOMENDATIONS 1 2 3 4 5
1. Listening to music
2. Time management skills
3. Joining a club
4. Balance diet
5. Talking with family and friends
6. Improves group activities
7. Reading a book
8. Recollections
9. Avoid any kind of vices
10. Avoid Tardiness
OTHERS: