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Dear Respondents.

We, the level IV nursing students of Southwestern University PHINMA, are currently
conducting a survey on our proposed study entitled, “Interpersonal Relationship
and Adaptation of Paramedical Foreign Students in SWU-PHINMA”.

We would like to request for your utmost cooperation in allowing us to conduct this
survey. Rest assured that everything will be kept confidential, only for the purpose
of the study.

Hoping for your favorable response regarding this matter. Thank you.

I. PROFILE

AGE

SEX MALE

FEMALE

MARITAL STATUS SINGLE MARRIED

DIVORCED WIDOWED

IF MARRIED, IS YOUR SPOUSE LIVING


WITH YOU HERE?
YES

NO
NOT APPLICABLE

COURSE

YEAR LEVEL

NUMBER OF YEARS RESIDING


IN CEBU

NATIONALITY

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