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Name: (Optional) Date:

Section:

Direction/s: Check the boxes that apply to you.


1. Does stress affect your studies? Others, please specify
Yes ______________________________
No, because… 6. After you’ve encountered these kinds of
____________________________ stress, does it change your behavior in
If ‘yes’, proceed to the next question school?
2. What kind/s of stress affects your Yes, how? ___________________
studies? ______________________________
Academic stress ______________________________
(please proceed to number 3) No
Extra-curricular stress If ‘yes’, proceed to number 7
(please proceed to number 4) 7. What are the changes that you’ve
Financial Stress observed from yourself – behavior-
(please proceed to number 5) wise? Why
3. What subject do you often feel Loss of interest
stressed? Why? ______________________________
Practical Research 1 ______________________________
_____________________________
_____________________________ Laziness
Reading and Writing Skills ______________________________
_____________________________ ______________________________
_____________________________ Emotional or Mental Breakdown
Pagbasa at Pagsuri ng Iba't Ibang ______________________________
Teksto Tungo sa Pananaliksik ______________________________
_____________________________ Others, please specify
_____________________________ ______________________________
Others, please specify 8. Who do you think are the most affected
_____________________________ by these changes? (referring to number 7)
4. What are the extra-curricular activities Why do you say so? How?
that you are joining right now make you
stressed?
Scouting
_____________________________
Student leader
_____________________________ 9. In your opinion, can stress be avoided?
Student athlete Why or why not?
_____________________________
Others, please specify
______________________________
5. What makes you financially stressed?
Photocopy/ Printing fees
______________________________ 10. For you, what are the ways to de-
Projects stress?
______________________________
Unexpected money contributions
______________________________

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