NHGCVBN

Appendices
Appendix A: Unused copies of Data Gathering Tool/s and Research Instruments
Appendix B: Tables of raw data not included in Results
Appendix C: Curriculum Vitae of the Researchers

Appendix A
Unused copies of Data Gathering Tool/s and Research Instruments

EMILIO AGUINALDO COLLEGE
Senior High School
City of Dasmariñas, Cavite
September ___, 2018

Good Day!
We, selected students from Grade 12 STEM 5- Makisig are currently working on our research project as
part of our partial requirements for the subject Practical Research 2. Our research, entitled "Wearing of
Orthodontic Braces in relation to Self-Confidence of Selected Grade 11 Students at Emilio Aguinaldo
College-Cavite", aims to find out the relationship of Wearing orthodontic braces to Self-confidence of
Grade 11 Senior High School Students. This study's particular goal is to find and distinguish the
relationship of wearing orthodontic braces to self-confidence of 100 selected grade 11 Senior High
School students at Emilio Aguinaldo College.
We are requesting your participation, which will involve some of your time and effort to answer our
questions honestly as possible. We think this will take 15-30 minutes of your time. Your participation in
this study is voluntary.
If you choose not to participate or to withdraw from the study at any time, there will be no penalty or
something like it will not affect your grade. It is reasonable to expect benefits from this research.
However, we can’t guarantee that you will personally experience benefits from participating in this study.
Others may benefit in the future from the information we find in this study.
If at any time you discontinue the interview, your results will be discarded. The results of the research
study may be published, but your name will not be known and used. We promise that all the information
that we get from you will be kept confidential for your safety and privacy.
If you have any questions concerning the research study, you can email us @lynssey1213@gmail.com or
call number 09085580259. Your consideration with this research is highly appreciated and valued. Thank
you!
INFORMED CONSENT
(For the Participant)
I have understood the nature of this study and wish to participate.
I don’t want to participate in this study.
Signature of Participant
(Over printed name)
A. Student’s details in answering questionnaire:
Full Name: ________________________________ Date: _____________________
Strand & Section: __________________________ Age: ______________________
Sex: ___Male ___Female Signature: _________________
B. Wearing Orthodontic Braces
Direction: Please put a check (✔) and rate yourself honestly based on what you actually do,
given the statement using the following scales.
Questions 1 2 3 4 5
Strongly Agree Neutral Disagree Strongly

Disagree
Agree
1. I am aware of dental
malocclusion.
2. I am satisfied with my teeth

agreement.
3. My facial and dental

appearance will improve after
orthodontic treatment.
4. My dental health will

improve after orthodontic
treatment.
5. I am expecting good career

opportunities after orthodontic
treatment.
6. My self-confidence will
treatment.
7. I am expecting good social

interaction after orthodontic
treatment.
8. I am having difficulties in
speaking.
9. I think dental malocclusion

are associated with lowered
social attractiveness.
10. I am experiencing any

pain/clicking sound around
your ears (at the
tempromandibular joint).
Source: Reasons for Seeking Orthodontic Treatment among South Indian Population-A
Questionnaire Study
https://www.ipsr.pharmainfo.in/Documents/Volums/vol8Issue07/iprs080716026.pdf
C. Self-Confidence
Direction: Please put a check (✔) and rate yourself honestly based on what you actually do,
given the statement using the following scales.
1 2 3 4 5
Questions Strongly Agree Neutral Disagree Strongly

Disagree
Agree
1. All in all, I am satisfied with
myself.
2. At times I think I am no good at

all.
3. I feel that I have a number of

good qualities.
4. I am able to do things as well as

most other people.
5. I feel I do not have much to be

proud of.
6. I certainly feel useless at times.
7. I feel that I’m a person of worth,

at least on an equal plane with
others.
8. I wish I could have more respect

for myself.
9. All in all, I am inclines to feel

that I am a failure.
10. I take positive attitude toward

myself.
Source: ROSENBERG SELF-ESTEEM SCALE
http://fetzer.org/sites/default/files/images/stories/pdf/selfmeasures/SelfMeasuresforSelf-
EsteemROSENBERGSELF-ESTEEM.pdf
Appendix B
Tables of raw data not included in Results

Tables with Data
Table 1. Demographic profile of the respondents based on their strand.
Strand Frequency Percent
STEM 59 59%
ABM 10 10%
HUMMS 26 26%
TVL 5 5%
Table 2. Wearing Orthodontic Braces
Wearing Orthodontic Braces Strongly Agree Neutral Disagree Strongly Total %
Agree Disagree
1. I am aware of dental 26 34 29 10 1 100 100
malocclusion
2. I am satisfied with my teeth 29 46 21 4 0 100 100
agreement.
3. My facial and dental 43 37 17 2 1 100 100
appearance will improve after
4. My dental health will 51 40 8 1 0 100 100
treatment.
5. I am expecting good career 33 39 22 6 0 100 100
opportunities after
6. My self-confidence will 44 25 28 3 0 100 100
treatment.
7. I am expecting good social 33 31 30 4 2 100 100
interaction after orthodontic
treatment.
8. I am having difficulties in 10 17 29 28 16 100 100
speaking.
9. I think dental 8 25 45 16 6 100 100
malocclusions are associated
with lowered social
attractiveness.
10. I am experiencing 14 13 19 30 24 100 100
pain/clicking sound around
my ears (at the
temporomandibular joint).
Table 3. Self-Confidence
Self-Confidence Strongly Agree Neutral Disagree Strongly Total %
Agree Disagree
1. All in all, I am satisfied 34 50 13 3 0 100 100
with myself.
2At times, I think I am no 9 31 39 7 14 100 100
good at all.
3. I feel that I have a number 14 37 43 5 1 100 100
of good qualities.
4. I am able to do things as 29 37 27 5 2 100 100
well as most other people.
5. I feel I do not have much to 8 18 38 24 12 100 100
be proud of.
6. I certainly feel useless at 12 28 25 21 14 100 100
times.
7. I feel that I’m a person of 22 47 29 2 0 100 100
worth, at least on an equal
plane with others.
8. I wish I could have more 28 30 28 12 2 100 100
respect for myself.
9. Al in all. I incline to feel 7 16 31 27 19 100 100
that I am a failure.
10. I take positive attitude 46 32 16 5 1 100 100
towards myself.
Table 4. The means of wearing orthodontic braces and self-confidence.
Respondent No. Wearing Orthodontic Self-Confidence
Braces
1 2.4 3.3
2 1.8 2.7
3 2 3.1
4 2.2 2.8
5 1.7 2.3
6 2.2 2.1
7 3 2.9
8 2.1 2.3
9 2.8 2.6
10 3.1 2.1
11 2.3 2.5
12 1.2 1.9
13 1.7 3.1
14 2.9 3.2
15 3.7 2.6
16 2.9 2.3
17 1.8 2
18 2.1 2
19 2.9 2.7
20 3.3 2.5
21 2.2 2.2
22 2 2.3
23 2.1 2.6
24 2 2
25 2.6 2.8
26 1.7 2.2
27 2.2 2.2
28 1.9 1.6
29 1.7 1.9
30 2.1 2.7
31 2.5 3
32 2.4 2.9
33 2.4 2.2
34 2.2 2.4
35 2.8 2.9
36 2.2 2.3
37 2.7 1.7
38 2.4 2.6
39 2.3 2.1
40 2.6 2.6
41 1.5 1.1
42 1.9 2.1
43 2.4 3.1
44 2.8 2.3
45 2.4 2.8
46 2.7 2.7
47 2.7 2.9
48 2.4 2.8
49 2.5 2.5
50 2.5 2.8
51 2.9 3.3
52 2.3 1.9
53 2.5 3.3
54 2.3 2.9
55 2.7 2.8
56 1 2.3
57 3.1 3
58 2 2.5
59 2.4 1.9
60 2.5 2.1
61 1.8 2.1
62 2.2 3.3
63 2.2 2.5
64 2.9 2.5
65 2.7 2.7
66 2.2 2.9
67 2.5 2.6
68 1.4 2.8
69 2.4 2.2
70 2.4 2.9
71 1.6 2.5
72 3.1 2.4
73 3.7 2.6
74 2.5 2.3
75 2.2 2.4
76 1.7 2.3
77 2.8 2.4
78 2 2.6
79 3.1 2.8
80 1.6 1.7
81 1.9 2.3
82 2 2.4
83 2.4 2.2
84 2 2.6
85 1.8 2.9
86 2.4 1.4
87 1.1 2
88 2 2.5
89 2.6 2.2
90 2.8 3
91 1.8 2
92 1.4 3
93 2.9 2.8
94 2.3 2.2
95 1.4 2.6
96 2.5 2
97 2.6 2.9
98 2.9 3.4
99 2.9 2.7
100 2.2 2.8
Table 5. Correlation between wearing orthodontic braces and self-confidence.
Questions Wearing Orthodontic Self-Confidence
Braces
No. of respondents 100 100
Mean 2.315 2.497
Pearson Correlation 0.31919262 0.31919262

Appendix C
Curriculum Vitae of the Researchers

BELENZO, DUFF RENZI G.
B60 L9 Brgy. Sto Cristo Dasmariñas City
drenzigb@gmail.com
+639392072467
EDUCATIONAL ATTAINMENT
School Year
Dr. Jose P. Rizal Elementary School 2013
Dasmariñas National High School -Main 2017
Emilio Aguinaldo College- Cavite 2019
AWARDS AND CERTIFICATE (*atleast 3 awards)
•Consistent Honor Student (Primary School)

Dr. Jose P. Rizal Elementary School
A.Y. 2007 – 2013
•Best in Math Awardee (Primary School)
Dr. Jose P. Rizal Elementary School
A.Y. 2007-2013
•Best in Math Awardee (Junior High School)
Dasmarinas National High School - Main
A.Y. 2013-2014
PERSONAL INFORMATION
Nickname : Papu
Age : 17
Date of Birth : February 4, 2001
Mother : Lyra G.Belenzo
Occupation : Teacher
Father : Ramon M. Belenzo Jr.
Occupation : Retired Seaman
CHARACTER REFERENCE
Ms. Laurence Ralph V. Estrella

Teacher, Senior High School
English Teacher
Emilio Aguinaldo College
City of Dasmariñas, Cavite, Philippines
Contact no.: +639178431761
Ms. Patricia Ann L. Ocampo

Social Science Teacher
Contact no.: +639355404715
Mr. Mark Jorell D. Conde

English Teacher
Contact no.: +639474262437
I hereby certify that all information written above are true and correct with the best of my knowledge and belief.
Duff Renzi G. Belenzo

Applicant’s Signature
BONIOG, LYNSSEY DANIELLE
Blk 13 Lot 38 Legazpi st. Southern City Subd. Brgy. Tanzang Luma IV,
Dasmariñas, Cavite
lynssoy1213@gmail.com
09085580259
School Year
Emilio Aguinaldo College - Cavite 2018 – Present
Cadelasallian Institute 2015 – 2016
Don Macario Bacani Elementary School 2012 – 2013
AWARDS AND CERTIFICATE
 With Honor
Cadelasallian Institute
A.Y. 2015 – 2016
 Leadership Award
Cadelasallian Institute
A.Y. 2015 – 2016
 Graduate in IYLDP (Imus Youth Leadership Development Program)
Cadelasallian Institute (Municipal Hall)
A.Y. 2015 – 2016
Nickname : Eula/Soi
Age : 17
Date of Birth : July 12, 2001
Mother : Sedy Bec Lyn Boniog
Occupation : Registered Nurse
Father : N/a
Occupation : N/a
CHARACTER REFERENCE
Ma. Lourdes Lapidario

Licensed Teacher
Cadelasallian Institute – Cavite
City of Imus, Cavite, Philippines
Ms. Patricia Ann Ocampo

Licensed Teacher
Emilio Aguinaldo College-Cavite
Mr. Mark Jorell Conde

Licensed Teacher
LYNSSEY DANIELLE BONIOG

DOROL, ANNABELLE R.
Brgy.San Luis 1 area E Dasmariñas,Cavite
Bhlldrl12@gmail.com
09184967501
School Year
Sta.Cruz Elementary School 2013
Dasmariñas West National High School 2017
Emilio Aguinaldo College-Cavite present
 With Honor
Sta.Cruz Elementary School
A.Y 2007-2013
 Most Polite Student
Sta.Cruz Elementary School
A.Y 2007-2013
 NCII Passer
Dasmariñas West National High School
A.Y 2016-2017
Nickname : belle
Age : 17
Date of Birth : December 19 2000
Mother : Joveliza R. Dorol
Occupation : Housewife
Father : Edwin C. Dorol
Occupation : Foreman
CHARACTER REFERENCE

Licensed Teacher
Contact no.: +63935-540-4715
Mr. Jorell Conde

Liscensed Teacher
City of Dasmariñas,Cavite,Philippines
Contact no.: +63947-426-2437
Mrs. Nathalia Lustico

Licensed Teacher
Dasmariñas West National High School
City of Dasmariñas, Cavite. Philippines
ANNABELLE R.DOROL
CAÑEDA, JOEMAR JR. M.
Ph 3 Blk 84 L 26 Parklane Country Homes, Gen. Trias, Cavite
joe.jr0900@gmail.com
09273845886
School Year
Sto. Niño Elementary School- Leyte 2007-2013
Tanauan School of Craftsmanship and
Home Industries - Leyte 2013- 2014
Kin Yang Academy – Cavite 2014- 2017
Emilio Aguinaldo College- Cavite 2017- present
 Researcher of the Year

Kin Yang Academy
A.Y. 2016-2017
 With Honor
Kin Yang Academy
A.Y. 2016-2017
 With Honor
Emilio Aguinaldo College – Cavite
A.Y. 2017-2018
Nickname : Joe
Age : 18 yrs. old
Date of Birth : October 09, 2000
Mother : Efleda M. Cañeda
Occupation : Housewife
Father : Joemar T. Cañeda
Occupation : Construction Personel
CHARACTER REFERENCE

Licensed Teacher
Mr. Rafael Miranda

Licensed Teacher

Licensed Teacher
JOEMAR JR. M. CAÑEDA

CUYOCA, ANGELA
CHRISTIE M.
Yellowbell St. Phase 2,Villa de Primarosa, Buhay na Tubig
Imus, Cavite
angelacuyoca.ac@gmail.com
09652379550
School Year
Colegio de la Inmaculada Concepcion – Cebu 2012-2013
St. Thomas More Academy Inc. 2016-2017
Emilio Aguinaldo College – Cavite Present
● With Honors
A.Y. 2017-2018
● Best in Spelling (Silver Award)
St. Thomas More Academy Inc.
A.Y. 2016-2017
● Best in Research Award
A.Y. 2017-2018
Nickname : AC
Age : 18
Date of Birth : September 19, 2000
Mother : Merline M. Cuyoca
Occupation : Real Estate Agent
Father : Alberto R. Cuyoca
Occupation : Sales Representative
CHARACTER REFERENCE

Licensed Teacher
Mrs. Gorgonia Ofracio

Licensed Teacher

Licensed Teacher
ANGELA CHRISTIE M. CUYOCA

GONOWON, CHRISTIAN DALE
Block 3 Lot 19 Libra St. San Marino Heights, Salawag, City of
Dasmariñas Cavite
xtian.dale.gonowon@gmail.com
09169504701
School Year
Carissa Homes Christian School Inc. 2007 - 2013
Francisco E. Barzaga National High School 2013 - 2017
Senior High School Emilio Aguinaldo College – Cavite 2017 - Present
 Mythical 6 in Sport Fest Barangay Zone 2

Brgy. Zone 2, City of Dasmariñas, Cavite
 Conduct Awardee
A.Y. 2017-2018
 2nd Place in Men’s Volleyball Talakasan
A.Y. 2017-2018
Nickname : Uya
Age : 18
Date of Birth : June 26, 2000
Mother : Daisylyn G. Samson
Occupation : Midwife
Father : Christopher P. Samson
Occupation : Engineer
CHARACTER REFERENCE
Ms. Cathleen Kate Ruiz

Licensed Teacher
Contact no.: +63916-120-5986

Licensed Teacher
Contact no.: +63935-540-4715

Licensed Teacher
Contact no.: +63947-426-2437
CHRISTIAN DALE GONOWON

LAMADRID, CHRISTIAN
KALKI M.
Blk 2 Lot 15 Brgy. H2 Ilano Compound, Dasmariñas, Cavite
kaingame3@gmail.com
09997703275
School Year
Corinthian Institute of Cavite 2016 – 2017
Dasmariñas II Central School 2012 – 2013
 With Honor
Corinthian Institute of Cavite
A.Y. 2016 – 2017
 With Honor
Dasmariñas II Central School
A.Y. 2012 – 2013
 Conduct Award
A.Y. 2016 – 2017
Nickname : Kalki
Age : 17
Date of Birth : July 23, 2001
Mother : Abegail M. Lamadrid
Occupation : Teacher
Father : Danilo D. Lamadrid
Occupation : General Manager
CHARACTER REFERENCE

Licensed Teacher
Engr. Ernie Navarrete Idosora

Licensed Engineer
Technological University of the Philippines – Cavite
Ms. Aileen De Guzman

School Principal
CHRISTIAN KALKI M. LAMADRID

ROVELO, DARYL JAKE R.
Blk 3 Lot 3 MangoVille Salitran IV, Dasmariñas, Cavite
nyxsy16@gmail.com
09193428228
School Year
Dasmariñas North National High School 2016 – 2017
Salitran Elementary School 2012 – 2013
 With Honor
Emilio Aguinaldo College- Cavite
A.Y. 2017-2018
 With Honor
Dasmariñas North National High School
A.Y. 2016 – 2017
 Conduct Award
Slaitran Elementary School
A.Y. 2012 – 2013
Nickname : Daryl
Age : 17
Date of Birth : November 16, 2000
Mother : Josephine R. Rovelo
Occupation : House Wife
Father : Noli O. Rovelo
Occupation : Golf Course Attendant
CHARACTER REFERENCE

Licensed Teacher
09355404715
Constancio E. Santander
Electrician
0966558724652
santanderbernard@yahoo.com
Jefferson Bacanto Sr.

MVHOA President
09152778580
DARYL JAKE R. ROVELO


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Appendices

Appendix A: Unused copies of Data Gathering Tool/s and Research Instruments

Appendix B: Tables of raw data not included in Results

Appendix C: Curriculum Vitae of the Researchers

Unused copies of Data Gathering Tool/s and Research Instruments

September ___, 2018

(For the Participant)

I have understood the nature of this study and wish to participate.

I don’t want to participate in this study.

Full Name: ________________________________ Date: _____________________

Strand & Section: __________________________ Age: ______________________

Sex: ___Male ___Female Signature: _________________

B. Wearing Orthodontic Braces

Strongly Agree Neutral Disagree Strongly

2. I am satisfied with my teeth

3. My facial and dental

4. My dental health will

5. I am expecting good career

7. I am expecting good social

9. I think dental malocclusion

10. I am experiencing any

Questions Strongly Agree Neutral Disagree Strongly

2. At times I think I am no good at

3. I feel that I have a number of

4. I am able to do things as well as

5. I feel I do not have much to be

6. I certainly feel useless at times.

7. I feel that I’m a person of worth,

8. I wish I could have more respect

9. All in all, I am inclines to feel

10. I take positive attitude toward

Source: ROSENBERG SELF-ESTEEM SCALE

Tables of raw data not included in Results

Table 1. Demographic profile of the respondents based on their strand.

Strand Frequency Percent

Table 2. Wearing Orthodontic Braces

Wearing Orthodontic Braces Strongly Agree Neutral Disagree Strongly Total %

1. I am aware of dental 26 34 29 10 1 100 100

2. I am satisfied with my teeth 29 46 21 4 0 100 100

3. My facial and dental 43 37 17 2 1 100 100

appearance will improve after

4. My dental health will 51 40 8 1 0 100 100

improve after orthodontic

6. My self-confidence will 44 25 28 3 0 100 100

improve after orthodontic

7. I am expecting good social 33 31 30 4 2 100 100

interaction after orthodontic

8. I am having difficulties in 10 17 29 28 16 100 100

9. I think dental 8 25 45 16 6 100 100

malocclusions are associated

with lowered social

10. I am experiencing 14 13 19 30 24 100 100

pain/clicking sound around

my ears (at the

Self-Confidence Strongly Agree Neutral Disagree Strongly Total %

2At times, I think I am no 9 31 39 7 14 100 100

3. I feel that I have a number 14 37 43 5 1 100 100

4. I am able to do things as 29 37 27 5 2 100 100

well as most other people.

5. I feel I do not have much to 8 18 38 24 12 100 100

6. I certainly feel useless at 12 28 25 21 14 100 100

7. I feel that I’m a person of 22 47 29 2 0 100 100

worth, at least on an equal

Full Name: ____________ Date: _

Strand & Section: ____ Age:

Sex: _Male _Female Signature: _________________