HOW THE PANDEMIC AFFECT THE MENTAL HEALTH OF ELEMENTARY

TEACHERS IN BATANGAS PROVINCE

As part of researchers’ academic completion in the degree of Bachelor of

Science in Psychology at St. Augustine School of Nursing Lipa, researchers will be
conducting survey regarding the impact of pandemic in mental health of elementary
teachers in Batangas Province. Any information that will be obtained in the survey will
be classified as confidential.

Name: ________________________________________

School: _______________________________________

Survey I. Demographic Profile

Directions: Please read all the questions carefully. The survey has been designed to
facilitate easy answering. Kindly encircle your answer.

1. Age?
a. 30- 37 yrs. Old
b. 38- 45 yrs. Old
2. Monthly Salary
a. Php 15,000- 20,000
b. Php 20,001- 25,000
3. Marital Status
a. Single
b. Married
4. Spending in One Game
a. Php 1,000 below
b. Php 1,001- 3,000
c. 46- 53 yrs. Old
d. 53- 60 yrs. Old
c. Php 25,001- 30,000
d. Php 30,001- above
c. Widow/Widower
d. Separated
c. Php 3,001-5,000
d. Php 5,001 above
Survey II. Mental Health

Direction: Over the last 2 weeks, how often have you been bothered by any of the
following problems? Encircle to indicate your answer.

More
Nearly
Several than
Mental Health Assessment Tool Not at all every
days half the
day
days
Little interest or pleasure in doing things 0 1 2 3
Feeling down, depressed, or hopeless 0 1 2 3
Trouble falling or staying asleep, or sleeping too
0 1 2 3
much
Feeling tired or having little energy 0 1 2 3
Poor appetite or overeating 0 1 2 3
Feeling bad about yourself or that you are a
failure or 0 1 2 3
have let yourself or your family down
Trouble concentrating on things, such as
reading the 0 1 2 3
newspaper or watching television
Moving or speaking so slowly that other people
could have noticed. Or the opposite being so
0 1 2 3
fidgety or restless that you have been moving
around a lot more than usual
Thoughts that you would be better off dead, or of
hurting yourself

Thank You