March 31, 2024

Grace A. Piansay
Grade 10 Coordinator
Bolbok Integrated National High School
Bolbok, Lipa City

Ma’am:

Good Day!
We, students from Grade 10- Faith are currently working on our research paper
entitled “The Impact of Vaping on BINHS Students: A comprehensive Study on Usage
Patterns and Health effects.”, which is near completion.
In this light, we humbly request for your permission that we be allowed to get the
total population of the Grade Nine students as our respondents as well as to conduct a survey.
Your positive response to this request will be very much appreciated.
Sincerely yours,

Aila Pauleen T. Alcantara

Rochelle T. Agudo
Dianne R. Falceso
Shanaiah Denise B. Garcia
John Paul T. Despi
Rein Andrei M. Laguerta
Lester T. Baldovino
Marc Jade S. Pader
Researchers
Note:
Gina Rosita Dimailig
English Teacher

March 31, 2024

Dear Respondents,
 Blessed day!
We, the Grade 10 Faith students of Bolbok INHS are asking for your
cooperation in conducting a survey entitled “The Impact of Vaping on BINHS Students: A
comprehensive Study on Usage Patterns and Health effects.” Your response/s will be kept
and treated with utmost confidentiality and would be used only for academic purposes. We
are hoping that this request will merit your favorable approval.
Respectfully yours,
Aila Pauleen T. Alcantara
Rochelle T. Agudo
Lester T. Baldovino
Rein Andrei M.
Laguerta
Student/
Researcher
PART I
I. Demographic Profile of the Respondents
Name: (Optional)_______________________________

Age:
14 years old 17+ years old
15 years old
16 years old
Gender:
Male
Female
LGBTQ+

PART II
Effects of vape in selected Grade 10 students in Bolbok Integrated National Highschool in
terms of:
Direction: The following shows the extent of the effects of vape to the academic performance
of the students. Kindly check your answer using the following scale
4 - Always
3 - Often
2 - Sometimes
1 - Never

A. Health Condition

Statements 4 3 2 1
I educate myself and others about the potential health
effects of vaping among students, recognizing the
importance of raising awareness.
I discuss the dangers of vaping with friends and
family to raise awareness.
I ignore the possibility of addiction and long-term health
consequences linked to vaping.
I prioritize my health by avoiding vaping and supporting
smoke-free environments.
I remind myself of the potential risks associated with
vaping, especially respiratory issues.

B. Focus Concentration

Statements 4 3 2 1
Vaping causes me to become easily distracted during
study sessions.
Vaping helps me stay focused during class lectures.
Vaping makes it harder for me to retain information from
my classes.
Vaping negatively impacts my ability to focus on taking
notes or completing in-class assignments.
Vaping leads to me zoning out or daydreaming during
important discussions in class.
Vaping has no effect on my concentration and focus in an
academic setting.

C. Academic Performance
 Statements 4 3 2 1
Vaping has caused me to miss classes or be
late to school.
Vaping helps me relax and manage stress
during exams.
Vaping helps me stay focused during class.
Vaping has improved my ability to
concentrate on my studies.
Vaping has caused me to lose motivation for
my schoolwork.
Vaping has helped me manage my anxiety
and improve my mental health.

PART III
Relationship between the Effects of Vape to Academic Performance of Students

Statements 4 3 2 1
Vaping has not had any significant impact on
my academic performance, as I am able to
manage my use and maintain my grades.
I've noticed a correlation between my
vaping habits and a decrease in my
motivation and engagement with academic
activities.
Vaping has led to increased absenteeism and
tardiness, which has negatively impacted my
ability to keep up with coursework.
The more I vape, the more I struggle to
maintain focus and concentration in my classes.
Vaping has directly contributed to a decline in
my grades and overall academic achievement.