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DR. PABLITO V. MENDOZA SR.

HIGH SCHOOL
Malamig, Bustos, Bulacan

Causes of students’ stress its effects on their academic success, and stress management
by students. Research Questionnaire’s

This survey is purely confidential and is purposely designed to determine the


relationship between work overload and work stress among hospital staff. It is for partial
fulfillment of our subject III (Inquiries, Investigations, and Immersion.). Please answer this
survey questionnaire TRUTHFULLY in order for the researchers to be able to gather reliable
data for this research work.

PART A:

Can check more than one answer

i. Relationship factors as source of stress

 Working with new people ( )


 Troubles with boyfriend or girlfriend ( )
 Conflict with parent’s ( )
 Apartment or roommate conflict ( )

ii. Academic factors as source of stress

1. Increased class workload (assignment’s) ( ) 5. Procrastination ( )


2. Lower grade ( ) 6. Examinations ( )
3. Many hours of studies ( ) 7. Lots of group work ( )
4. Language difficulties ( )

iii. Environment factors as a source of stress

1. Lack of Computer no how ( ) 5. Future worries ( )


2. Bad living conditions ( ) 6. Unrealistic Expectation (
)
3. Divorce between parents ( ) 7. Fear ( )
4. Placed in an unfamiliar situations ( ) 8. Quit job or no job ( )

iv. Personal factors as source of stress

1. Combining Job with studies ( ) 5. Financial Difficulties ( )


2. Change in Living Environment ( ) 6. Health Problems ( )
3. Change in Sleeping Habits’ ( ) 7. Poor Eating Habit ( )
4. New responsibilities ( )
PART B: Can pick more than one answer

How do you feel when you are stressed?

1. Feeling tired during the day ( ) 3. Cannot sleep at night (


)
2. Occasionally do not feel well all times ( ) 4. Others ( )

Please answer the following questions concerning your health during


the past month by checking the number that best fits your situation.

1-------Almost Never
2-------Sometimes
3-------Often
4-------Almost Always
No. 1 2 3 4
1. I have been very active
2. I have felt angry
3. I have felt irritable
4. I have felt extremely tired
5. I have felt exhausted
6. I have felt restless
7. I have been depressed
8. I have felt gloomy
9. I have felt sad
10. I haven’t been able to sleep well

In your opinion rate from 1-5 how stress influences students’ academic life?

1. 1---( )
2. 2---( )
3. 3---( )
4. 4---( )
5. 5---( )

THANK YOU!!!

-Anne Jelean C. Nepomuceno