Republic of the Philippines

Department of Education
REGION III – CENTRAL LUZON
SCHOOLS DIVISION OFFICE OF NUEVA ECIJA
MAGPAPALAYOK NATIONAL HIGH SCHOOL
VILLAROMAN STREET, MAGPAPALAYOC, SAN LEONARDO NUEVA ECIJA

This survey is objectively designed to determine the effects

of Social Influence to Adolescent Development of Senior High
School Student in Magpapalayok National High School.
The researchers do hope that you will answer this survey
questionnaire truthfully for the researcher to be able to gather
reliable and accurate data. Any information gathered from you
will remain confidential in respect of your personal identity.
NAME: _________________________
PART 1: PROFILE OF THE RESPONDENTS
Put a check in the box that best describes your answer.

1.1 AGE
( ) 15 – 16 Years Old
( ) 17 – 18 Years Old
( ) 19 and above

1.2 GENDER
( ) Male
( ) Female
1
1.3 YEAR LEVEL
( ) Grade 11
( ) Grade 12

PART 2: ADOLESCENT DEVELOPMENT AFFECTED BY SOCIAL ENVIRONMENT.

Kindly check the number which corresponds to the extent of your
agreement/disagreement with the given statement. Use the
following response mode:
4 - Strongly Agree
3 - Agree
2 – Disagree
1 - Strongly Disagree

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 Republic of the Philippines
Department of Education
REGION III – CENTRAL LUZON
SCHOOLS DIVISION OFFICE OF NUEVA ECIJA
MAGPAPALAYOK NATIONAL HIGH SCHOOL
VILLAROMAN STREET, MAGPAPALAYOC, SAN LEONARDO NUEVA ECIJA

2.1 FAMILY INFLUENCE

Agre
Strongl Disagree Strongly
e
y Agree Disagree
(4) (2) (1)
(3)
1. I obey my parents when
they tell me to
accomplish my
schoolwork and go to
school.
2. I consider my family’s
advice, especially
when making life
decisions.
3. I do the same
practices that my
family normally does
(e.g. praying before
meals).
4. I obey my parents to
quit negative
practices when they
say they are bad.
5. I listen to what my
parents tell me to do
and distance myself
from bad habits (e.g.
procrastination)

2.2 PEER INFLUENCCE

Strongl Agree Disagree Strongly

y Agree Disagree
(4) (3) (2) (1)
1. I do the same thing
that my friends told
me to do to fit in the
group and to feel like
I belong.
2. I participate in my
friends’ hobby and
hang out because, in
this way, I feel
accepted.
3. I participate in class
especially during
class discussion
because my friends
encourage me to try

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 Republic of the Philippines
Department of Education
REGION III – CENTRAL LUZON
SCHOOLS DIVISION OFFICE OF NUEVA ECIJA
MAGPAPALAYOK NATIONAL HIGH SCHOOL
VILLAROMAN STREET, MAGPAPALAYOC, SAN LEONARDO NUEVA ECIJA

and do my best.
4. I change my appearance
or style that is like
my friends to fit in
better with them.
5. I think the same thing
that my friends talk
about and adapt to
their thoughts.

2.3 NEIGBORHOOD INFLUENCE

Strongly Agree Disagree Strongly

Agree Disagree
(4) (3) (2) (1)
1. I do the same thing as
what I observe in my
surroundings or
neighbor that becomes
my pattern of living
(e.g., doing the same
kind of work,
attending the same
organization).
2. I pick the same work
that is dominant in
our neighborhood
because it can easily
help me to have work
and gain extra money
(e.g., pamimitas ng
kalamansi,
pagtitinda).
3. I do the same kind of
entertainment in my
neighborhood that can
help me to lessen
stress (e.g., playing
mobile games that most
people in the
neighborhood do,
playing the lottery)
4. I adapt to the pattern
of living as my
surroundings do (e.g.,
waking up early, going
to bed early).
5. I behave the same way
that our neighborhood
does (e.g., shouting,

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 Republic of the Philippines
Department of Education
REGION III – CENTRAL LUZON
SCHOOLS DIVISION OFFICE OF NUEVA ECIJA
MAGPAPALAYOK NATIONAL HIGH SCHOOL
VILLAROMAN STREET, MAGPAPALAYOC, SAN LEONARDO NUEVA ECIJA

participating in
chitchats,
'chismis').

Part 3: SOCIAL INFLUENCE AFFECTS ADOLESCENT DEVELOPMENT

3.1 INFORMATIONAL SOCIAL INFLUENCE

Strongly Agree Disagree Strongly

Agree Disagree
(4) (3) (2) (1)
1. I consider the lessons
and advice that other
people give because I
know that they were
right.
2. I consider my teachers
guidance about my
performance and listen
to their suggestions.
3. I do what other people
say, especially when
someone is
professional in life.
4. I listen to my friend
who are academic
achievers whenever
they help me to do my
assignment or
activity.
5. I consider my mentor
opinions when making
decisions because I
know that they have
more experience than
me.

3.2 NORMATIVE SOCIAL INFLUENCE

Strongly Agree Disagree Strongly

Agree Disagree
(4) (3) (2) (1)
1. I consider the
perspectives of others
when making decisions
and taking actions to
fit in social groups
and gain someone's
acceptance.
2. I follow the behavior

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 Republic of the Philippines
Department of Education
REGION III – CENTRAL LUZON
SCHOOLS DIVISION OFFICE OF NUEVA ECIJA
MAGPAPALAYOK NATIONAL HIGH SCHOOL
VILLAROMAN STREET, MAGPAPALAYOC, SAN LEONARDO NUEVA ECIJA

pattern of my peers to
avoid feeling left
out.
3. I do the same thing
that others do because
I worry about being
judged by them.
4. I change my behavior
if I am in a different
social group with
different lifestyle.
5. I do the same thing
that my friends do to
blend in social
activities and gain
sense of acceptance.

3.3 CONFORMITY SOCIAL INFLUENCE

Strongly Agree Disagree Strongly

Agree Disagree
(4) (3) (2) (1)
1. I adjust my behavior
just to fit in with
the norms of a
particular social
group.
2. I pretend to agree
with others even when
I don't agree or not
understand.
3. I tend to go along
with what others are
doing, even if I have
a different preference
or opinion.
4. I accept other
opinions or ideas even
if they’re different
from my opinion and
idea to have new
thought.
5. I tend to adopt the
beliefs or values of
my social group or
what surrounds me,
even if they differ
from my own
perspective.

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 Republic of the Philippines
Department of Education
REGION III – CENTRAL LUZON
SCHOOLS DIVISION OFFICE OF NUEVA ECIJA
MAGPAPALAYOK NATIONAL HIGH SCHOOL
VILLAROMAN STREET, MAGPAPALAYOC, SAN LEONARDO NUEVA ECIJA

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 Republic of the Philippines
Department of Education
REGION III – CENTRAL LUZON
SCHOOLS DIVISION OFFICE OF NUEVA ECIJA
MAGPAPALAYOK NATIONAL HIGH SCHOOL
VILLAROMAN STREET, MAGPAPALAYOC, SAN LEONARDO NUEVA ECIJA

3.4 COMPLIANCE SOCIAL INFLUENCE

Strongly Agree Disagree Strongly

Agree Disagree
(4) (3) (2) (1)
1. I do things that my
friends asked me to
do.
2. I help my classmates
when they ask me about
their assignments or
unfinished activities.
3. I buy things because
of the encouragement
and marketing of
salesperson to buy
their products.
4. I help others when
they ask me for help.
5. I try to make new
things because my
friend told me that it
is fun to do.

3.5 OBEDIENCE SOCIAL INFLUENCE

Strongly Agree Disagree Strongly

Agree Disagree
(4) (3) (2) (1)
1. I follow the advice of
my parents in my
everyday life.
2. I follow my teachers’
instructions when
doing our activity.
3. I do the task that my
leader in Practical
Research asks me to
do.
4. I follow the advice
that the elderly teach
to follow ethical
practices and have
human morals.
5. I follow my teacher
whenever they ask me
to do a favor.

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