Republic of the Philippines

Department of Education
MIMAROPA REGION
SCHOOLS DIVISION OF ORIENTAL MINDORO
BALUGO NATIONAL HIGH SCHOOL
BALUGO, MANSALAY

November 20, 2023

GERALD H. CULLA
Principal I
Balugo National High School
Balugo, Mansalay, Oriental Mindoro

Sir,

We, the undersigned students of Grade 12 Senior High School of Balugo National High
School, would like to conduct a survey as part of our subject—Practical Research 2, we are
required to undertake a research project, and we are have chosen to conduct a survey as our
method of data collection.
To ensure the success of our research, we kindly request your permission to distribute our
survey questionnaire to the students of our school. The survey will be conducted during
November 21-28, 2023.
We understand that the successful implementation of our survey may require your
cooperation and support. We assure you that we will adhere to ethical guidelines and data
protection protocols throughout the research process.
We would be grateful if you could grant us your permission to proceed with the research
survey. Your approval and guidance are instrumental in enabling us to carry out this valuable
academic exercise.
Thank you for considering our request. We look forward to your favourable response.

Yours sincerely;

PRECILLA Z. SOSA JESSA MAE P. EVANGELIO MA. LUISA D. LOMIO

Subject Teacher President President
Practical Research 2 HUMSS 12- Flickr HUMSS 12- Viber

ZYRILL F. FRANCISCO IRISH JOY G. FAJUTNAO

President President
HUMSS 12- Instagram ABM 12- Twitter
 Republic of the Philippines
Department of Education
MIMAROPA REGION
SCHOOLS DIVISION OF ORIENTAL MINDORO
BALUGO NATIONAL HIGH SCHOOL
BALUGO, MANSALAY

My Dear Respondent,

Good day!!

We are researchers from Senior High School HUMSS 12- Viber currently writing on our
research paper for the subject Practical Research 2, conducting a research entitled THE IMPACT
OF SOCIAL MEDIA ON MENTAL HEALTH AMONG THE GRADE 12 STUDENT IN BALUGO
NATIONAL HIGH SCHOOL. Please answer the following items honestly. The researchers assure
you that all information provided in the prepared questionnaire will be kept confidential.

Thank you for your voluntary participation. May you be blessed by the Almighty!

QUESTIONNAIRE

Name:__________________________ (Optional)

Direction: Please answer the survey questions. There are no right or wrong answers, so please
provide your true thoughts and experiences.

1. How frequently do you use social media platforms?

a. Multiple times a day
b. Once a day
c. A few times a week
d. Rarely
e. Never
2. Which social media platforms do you use the most? (select all that apply).
a. Instagram
b. Facebook
c. Twitter
d. Snapchat
e. Youtube
f. Other (please specify__________________)
3. How much time do you spend on social media each day on overage?
a. Less than 1 hour
b. 1 to 2 hours
c. 2 to 3 hours
d. 3 to 4 hours
e. More than 4 hours
4. Have you ever experienced symptoms of stress, anxiety or depression related to social
media use?
a. Yes
b. No

5. Do you feel pressure to present a perfect image of yourself on social media?

 a. Yes, frequently
b. Yes, occasionally
c. No, not at all
6. How often do you experienced FOMO (fear of missing out) when viewing others posts o
social media?
a. Very frequently
b. Frequently
c. Occasionally
d. Rarely
e. Never
7. Have you ever compared yourself to others based on what they post on social media?
a. Yes, frequently
b. Yes, occasionally
c. No, not at all
8. Do you believe that social media use has a negative impact on your mental health?
a. Yes
b. No
9. Have you ever taken a break from social media to improve your mental health?
a. Yes
b. No
10.If you have taken a break, how did it affect your mental well-being?
a. Positively
b. Negatively
c. No significant effect
11.Do you think schools should provide education on healthy social media use and its
potential impact on mental health?
a. Yes, strongly agree
b. Yes, agree
c. Neutral
d. Disagree
e. Strongly disagree
12.Have you ever sought professional help or counselling for mental health issues related to
social media use?
a. Yes
b. No