Republic of the Philippines

Department of Education
REGION III
SCHOOLS DIVISION OF TARLAC PROVINCE
ARANGUREN INTEGRATED SCHOOL – HS DEPARTMENT

Name ( optional ) : _______________________________________________ Age : _________

Section : ____________________ Gender: ________

STUDENTS LIVED EXPERIENCE OF BULLYING

AND ITS EFFECT ON THEIR MENTAL HEALTH
Direction : Complete the questionnaire below by putting a check (/) mark next to the answer that
represents your opinion using the scale provided.
LIKERT SCALE
5 - Strongly Agree
4 - Agree
3 - Neither
2 - Disagree
1 – Strongly Disagree
5 1
4 3 2
STATEMENTS Strongly Strongly
Agree Neither Disagree
Agree Disagree
1. Do you think bullying students can
affect their academic performance
background of the study?
2. Is bullying more likely in the sphere of
everyday lived experience for
adolescents?
3. Do you believe that those who are
bullied suffer from sadness and anxiety?
4. Is the bully’s ignorance of the current
legislation an excuse for him/her to bully
someone?
5. Is it important to study the cases of
bullying among students?
6. Is it possible for bullying to change a
student’s perspective or belief about
society or an individual?
7.Is bullying really a problem to the
society especially to the students?
8.Does bullying have a negative effect on
your everyday lived experience?
9.Do you ignore people who have bullied
you?
10.Do you think bullying is a serious
problem in your everyday lived
experience?
11.Is face-to-face bullying against
teenagers more harmful than cyber
bullying?
12.How often do you experience
 bullying?

13. How are you going to stand up and defend yourself in the face of the bullies?

14. What advice can you give to fellow students who are victims of this problem?

15. How severe do you think bullying can affect a student’s mental health in the scale of 1-10?