EFFECTS OF DISTURBED MENTAL HEALTH OF THE GRADE 12

STUDENTS OF SGMNHS ON THEIR ACADEMIC PERFORMANCE

PART 1: Personal Information

Name: (Optional) __________________

Age: _______
Gender: ( ) Male ( ) Female
Strand: ( ) HUMSS ( ) STEM

PART 2: The Effects of Disturbed Mental Health Among the Students of

SGMNHS on their Academic Performance

Instruction: Please check the number that corresponds the following that affects your
Mental Health in your Academic Performance.

5 - - - - - - Always 2 - - - - - - Seldom
4 - - - - - - Oftentimes 1 - - - - - - Never
3 - - - - - - Sometimes

Categories
Item
Question 5 4 3 2 1
no
Always Oftentimes Sometimes Seldom Never
Have you ever
been bothered
1
going to
school?
Have you ever
been bothered
2
making school
works?
Have you ever
been bothered
concentrating
3 on things like
reading books,
newspapers or
your notes?
 Have you ever
4 feel enjoyed in
school?
Have you ever
been bothered
by having little
5
interest in your
class
discussions?
Have you ever
6 been bothered
in your teacher?
Have your ever
feel any
problems with
your school or
daily life due to
7
emotional
problem such as
feeling
depresses, sad
or anxious?
Does your
mental health
8 affect your
ability to do
your daily task?
Does your
mental health
affect your
relationship
9
with your
family, friends
and your
classmates?
Have you ever
had a problem
doing an
10
academic
performance
task?