PHINMA- UNIVERSITY OF PANGASINAN

COLLEGE OF NURSING
Dagupan City

August 18, 2021

Sir Jasper Lemuel Caragay

Faculty
College of Health and Sciences
Arellano St. Dagupan City

Great day!
The undersigned are Level III students of BS Nursing of PHINMA – University of Pangasinan,
undertaking a research study entitled “PREVALENCE OF ALCOHOL CONSUMPTION:
CAUSES AND EFFECTS AMONG COLLEGE STUDENTS” in University of Pangasinan

The study aims to determine the causes of alcohol consumption among college students and its
underlying effects to their behavior, academic performance and health. With your expertise, the
undersigned are humbly asking your permission to be their evaluators of their questionnaire
using the attached rating tool.
The student researchers are looking forward that their request would merit your positive
response.
Thank you.

Respectfully yours,
Arviso, Ma. Rogelyn
Perigo, Rosalinda
Bautista, Jazzmine
Reyes, Charlene
Reyes, Jhessa Mae
Abar, Hananah Kim

Noted by:
Jasper Lemuel Caragay
Research adviser

Approved by:

Dr. Sheree G. Ganzon

Program Head. College of Nursing
PHINMA, UPANG

Prof. Rosario Charisse Venson, RN, MAN, RMT

Assistant Dean, College of Health Science
PHINMA, UPANG
 Statement of the problem.
The study will determine the causes and effects of alcohol consumption among College Students
of University of Pangasinan. Specifically it sought to answer the following problems:

1. What are the demographic profiles of the respondents in terms of:

a. Age
b. Sex
c. Religion; and
d. Monthly Allowance

2. What causes alcohol drinking among college students

a. social motive
b. coping motive

3. What are the effects of alcohol drinking among college students in terms of:
a. Behavior
b. Academic performance
c. Health
 SAMPLE QUESTIONNAIRE

To the participant of the study, this questionnaire is an instrument to be utilized in order to

determine the causes and effects of alcohol consumption among college students of PHINMA
University of Pangasinan. In connection to this, we are asking for your participation to answer all
the questions truthfully. Rest assured that the information you will provide will be held with
utmost confidentiality.

PART I. PERSONAL INFORMATION

Age:
( ) 18-20
( ) 21-above

Sex:
( ) Male
( ) Female

Religion:
( ) Roman Catholic
( ) INC
( ) Jehovah`s witness
( ) Latter-day saints
( ) Muslim
( ) Born again Christian
Others: __________
Part II. CAUSES OF ALCOHOL CONSUMPTION AMONG COLLEGE STUDENTS

Direction: Check the following statements that are appropriate on your motives for drinking.
If you agree with the following statement mark (/) the “Yes”. If you disagree mark (/) the
statement “No”.

COPING MOTIVES

STATEMENTS YES NO MAYBE

I drink alcohol because of family problems

I drink alcohol because I had conflict with

friends

I drink alcohol because I experience financial

hardships

I drink alcohol because I worry about my grades

I drink alcohol to cope with academic stress

I drink alcohol to cope with the stress brought by

the pandemic

I drink alcohol when I feel tired

SOCIAL MOTIVES

I drink alcohol when I want to be relaxed during

holidays or vacation

I drink alcohol to socialize with other people

I drink alcohol for stronger relationship with

friends

I drink alcohol when I see other people drink

I drink alcohol when overjoyed/very happy

about something.
Part III. EFFECTS OF ALCOHOL CONSUMPTION AMONG COLLEGE STUDENTS

Direction: The following are the number of events that alcohol consumers/drinkers sometimes

experience. Read each carefully and indicate how often each one has happened to you after

drinking alcohol. If you always experience the following statement mark (/) the “4” column, if

you often experience the statement mark (/) the “3”. If you sometimes experience the statement

mark (/) the 2 and if you never experience the statement mark (/) the “1”.

1-Never 2- Sometimes 3- Often 4- Always

BEHAVIOR

STATEMENT 1 2 3 4

I argued with my family, friends or others after

drinking

I threw away or broke something while drinking

I had a fight with my friends (including

boyfriend) due to drinking habit

I have been unhappy because of my drinking

I have not eaten properly because of my drinking

While drinking I have said cruel or harsh things

to someone

I have gotten into a physical fight while drinking

I have enjoyed the taste of the beer, wine or hard

liquor

Drinking alcohol increased my self-confidence

Drinking alcohol makes me sexually active

Drinking alcohol helps me express myself to

others

ACADEMIC PERFORMANCE

I skipped or missed classes due to my hangover

I failed to be on time on my class due to my

drinking
I failed to concentrate during discussion due to

my drinking

I had trouble with improving my school work

due to my drinking

I got a lower exam or quiz result due to my

drinking

I communicate effectively with peers with

alcohol consumption

My grades get better with alcohol consumption

I concentrate during lectures after taking alcohol

HEALTH

I was involved in an accident due to drinking

I experienced hangover after drinking alcohol

I experienced vomiting after drinking alcohol

I had unprotected sex while under the influence

of alcohol consumption

Drinking alcohol worsen my current illness

I experienced memory loss due to drinking

(blackout)

After drinking I have had trouble sleeping,

staying asleep, or nightmares

Drinking alcohol enables me to sleep easily and

peacefully

Drinking alcohol relieves my pain emotionally

and physically.
 Prevalence of Alcohol Consumption: Causes and
Effects among Level III Student Nurses
in PHINMA University of Pangasinan
VALIDATION FORM

Below is the questionnaire, please put a tick on the column that corresponds to the question. The

following are numerical values with adjectival description:

4- Highly Relevant (HR)

3- Quite Relevant (QR)
2- Slightly Relevant (SR)
1- Not Relevant (NR)

I. PERSONAL INFORMATION
4 (HR) 3 (QR) 2(SR) 2(NR) Comments/Suggestions

Age

Sex

Religion

Monthly
Allowance 4 (HR) 3 (QR) 2(SR) 2(NR) Comments/Suggestions
Php 1000-
Php 2000
Php 2001-
Php 4000
Php 4001-
Php 6000

Php 6001
and above

Frequency
of Drinking 4 (HR) 3 (QR) 2(SR) 2(NR) Comments/Suggestions

Everyday
Once a week

3-5 times a
week

On
weekends
only
On special
occasions
only
Part II. CAUSES OF ALCOHOL CONSUMPTION AMONG COLLEGE STUDENTS

LEGEND
3 - YES
2 - NO
1 - MAYBE

A. COPING MOTIVES

I drink alcohol
because… 1 2 3 4(HR) 3(QR) 2(SR) 1(NR) Comments/Suggestions

I have family
problems

I have conflict
with friends

I experience
financial
hardships
I worry about
my grades in
school
I drink alcohol
to cope with
academic stress
I drink alcohol
to cope with
stress brought
by the pandemic
I drink alcohol
when I feel tired
 B. SOCIAL MOTIVES

I drink
alcohol…. 1 2 3 4(HR) 3(QR) 2(SR) 1(NR) Comments/Suggestions
When I want
to be relaxed
during
holidays/vacati
on

To socialize
with other
people

For stronger
relationship
with friends

When I see
other people
drink

When
overjoyed/very
happy about
something
Part III. EFFECTS OF ALCOHOL CONSUMPTION AMONG COLLEGE STUDENTS

LEGEND
4- ALWAYS
3- OFTEN
2- SOMETIMES
1-NEVER

A. BEHAVIOR

1 2 3 4 4(HR) 3(QR) 2(SR 1(NR) Comments/Suggestions

)
I argued with
my family,
friends or
others after
drinking
I threw away
or broke
something
while drinking
I had a fight
with my
friends
(including
boyfriend) due
to drinking
habit
I have been
unhappy
because of my
drinking
I have not
eaten properly
because of my
drinking
While
drinking I
have said
cruel or harsh
things to
someone
I have gotten
into a physical
fight while
 drinking
I have enjoyed
the taste of the
beer, wine or
hard liquor
Drinking
alcohol
increased my
self-
confidence
Drinking
alcohol makes
me sexually
active
Drinking
alcohol helps
me express
myself to
others

B. ACADEMIC PEROFRMANCE

1 2 3 4 4(HR) 3(QR 2(SR) 1(NR) Comments/Suggestions

)
I skipped or missed
classes due to my hang
over
I failed to be on time on
my class due to my
drinking
I failed to concentrate
during discussion due to
my drinking
I had trouble with
improving my school
work due to my drinking
I got a lower exam or
quiz result due to my
drinking
I communicate
effectively with peers
with alcohol
consumption
My grades get better
with alcohol
consumption

I concentrate during
lectures after taken
alcohol

C. HEALTH

1 2 3 4 4(HR 3(QR 2(SR 1(NR) Comments/Suggestions

) ) )
I was injured in the
accident due to
drinking
I have had hangover or
felt sick after drinking
alcohol
I experienced vomiting
and diarrhea after
drinking alcohol
I had unprotected sex
while under the
influence of alcohol
consumption
Drinking alcohol
worsen my current
illness
I experienced memory
loss due to drinking
(blackout)
After drinking I have
had trouble sleeping,
staying asleep, or
nightmares
Drinking alcohol
enables me to sleep
easily and peacefully