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APPENDIX B
LETTER OF PERMMISION TO USE STANDARDIZED
QUESTIONNAIRE
Sincerely,
Pasandalan, Omayer S.
Alesandra C. Mocorro
APPENDIX C
LETTER OF APPROVAL TO USE STANDARDIZED
QUESTIONNAIRE
Dear Mayer ,
I have been forwarded your request by Professor Sarah Stewart-Brown. Many thanks for your
interest in using the scale. Please note that to get permission to use all you need to do is register on
the website at the link below and fill in the details asked for:
http://www2.warwick.ac.uk/fac/med/research/platform/wemwbs/researchers/register/
Further information on how to use WEMWBS and SWEMWBS can be found here:
http://www2.warwick.ac.uk/fac/med/research/platform/wemwbs/researchers/
Dr Neha Shah
Registrar in Public Health,
Visiting Fellow, University of Warwick
Dear Mayer,
APPENDIX D
QUESTIONNAIRE
Section One: Your current Well-Being Below are some statements about feelings and
thoughts. Please circle the box that best describes your experience of each over the last 2
weeks. Use 5 as the highest and 1 as the lowest.
None of Rarely Some Often All
the time of the of
STATEMENTS (2) time (4) the
(1)
time
(3)
(5)
I’ve been feeling optimistic about the future 1 2 3 4 5
I’ve been feeling useful 1 2 3 4 5
I’ve been feeling relaxed 1 2 3 4 5
I’ve been feeling interested in other people 1 2 3 4 5
I’ve had energy to spare 1 2 3 4 5
I’ve been dealing with problems well 1 2 3 4 5
I’ve been thinking clearly 1 2 3 4 5
Physical Health:
Family:
Friends, Partner /
close
relationship:
Studies (e.g.
lectures,
workload,
deadlines):
Emotional
wellbeing /
mental health
(e.g. adjusting to
University life,
homesickness,
stress,
depression,
anxiety, panic
attacks, sleep
problems, eating
problems, self
harm,
alcohol/drug
problem):
Others:
[2] If yes to any of the above, are these worries interfering with your studies or daily living?
[3] Would you like some help to change things, and if so what sort of help?
More support from family
More support from friends
More support from academic department
Advice and information on managing money
Advice and information on managing studies e.g. time management,
assignments, exams
Specialist support e.g. MHA, counselling, helpline, self-help group
Section Three: General Questions
1. Do you think that there might be any particular situations that you might find difficult
to cope with while studying here?
2. What sort of strategies have you found useful in the past?
APPENDIX E
DATE: ________________________
RESEARCH PROPOSAL FORM
The following faculty members are chosen by the student researchers to compose the panel
members of their study entitled
_________________________________________________
_____________________________________________________________________.
Name Signature
1._________________________________ _____________________________
2._________________________________ _____________________________
3. _________________________________ _____________________________
4. _________________________________ _____________________________
The members of the panel shall perform their function in accordance with the Rules
and Regulations of College of Nursing. They shall be entitled to honoraria in accordance with
Scheme of Honoraria approved by Board of Regents, subject to the usual accounting and
auditing rules and regulations. This panel shall be in force and has submitted its report to the
Dean of College of Nursing.