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The data gathering instrument that will going to utilize in this study is the Survey Questionnaire

prepared by the researcher that is shown below:

Survey Questionnaires

Dear Respondent,

Please answer the questionnaire truthfully. Read the questionnaire carefully and follow

the instructions in answering the questionnaires. Thank you very much for your cooperation with

the researcher. Rest assured that the data in this questionnaire will not be divulged as every

answer and your identity are considered highly confidential.

Yours truly,

Arna G. Balabagan

Researcher

Name:__________________________________________________Age:______

Gender:____________ Civil Status:__________

Direction: Rate the following statement by checking it. The interpretation of each scale is given

below:
Scale: Agree Disagree

A. FINANCIAL PROBLEM AGREE DISAGREE

1. My parents/guardian does not have a stable job/lost


their job.
2. I don’t have parents in providing my financial needs in
school.
3. I am a working students
4. I feel shy to my classmate when I don’t have enough
money to buy food every recess
5. I can’t afford to provide my tuition
B. SOCIAL PROBLEM
1. I am addicted in playing online games
2. I am an introvert student
3. I am an extrovert student
4. I couldn’t fit my attitude to my colleague
5. I am too much engage to social media
C. PEER’S PROBLEM
1. I don’t want the behavior of my classmates
2. My friends are too boring
3. I hate some of my classmates
4. I felt unhappy to my colleagues
5. I am afraid to be bullied by my classmates
D. PARENT’S PROBLEM
1. My parents are not supportive in my studies
2. My parents didn’t motivate me to avoid committing
absences in my classes
3. My parents didn’t finished their studies
4. I don’t have parents/guardian
5. My parents are seperated
E. TEACHER’S PROBLEM
1. The teacher didn’t provide conducive learning
2. The teacher didn’t motivate the students
3. The teacher didn’t explaining well the lesson he/she
teaches to the students
4. The teacher’s gives the students too much memory
work
5. The teachers are always absent in the class

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