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THE CAUSE AND EFFECT OF STRESS AMONG TEENAGERS THE CAUSE AND EFFECT OF STRESS AMONG TEENAGERS

ON __-____________ STUDENTS OF BULIHAN ON __-____________ STUDENTS OF BULIHAN


NATIONAL HIGH SCHOOL NATIONAL HIGH SCHOOL
S. Y. 2018-2019 S. Y. 2018-2019
Name (optional):___________________________ Signature: ___________ Name (optional):___________________________ Signature: ___________
Age: ______ Sex: _______ Section: ____________ Date: ______________ Age: ______ Sex: _______ Section: ____________ Date: ______________

This survey is conducted by the pupils of G10-Kakawati for a research This survey is conducted by the pupils of G10-Kakawati for a research
paper about the stress among teenagers. By answering this questionnaire, paper about the stress among teenagers. By answering this questionnaire,
we can gather data from the students/ teenagers of Bulihan National High we can gather data from the students/ teenagers of Bulihan National High
school. school.

Directions: Choose your answer by checking the box. Choose only one Directions: Choose your answer by checking the box. Choose only one
answer. answer.

1. How stressed do you feel on a daily basis? 1. How stressed do you feel on a daily basis?
1 – Least stressed 1 – Least stressed
2 2
3 3
4 4
5 – Most stressed 5 – Most stressed
2. What is the usual cause of stress? 2. What is the usual cause of stress?
Studies Issues Studies Issues
Financial Issues Financial Issues
Family Issues Family Issues
Friends Issues Friends Issues
Others (please specify: ____________________) Others (please specify: ____________________)
3. What is your primary stressor as a student at school? 3. What is your primary stressor as a student at school?
I am not stress at school I am not stress at school
Schoolwork Schoolwork
Parent/teacher/school expectations Parent/teacher/school expectations
Student expectations Student expectations
Others (please specify: ____________________) Others (please specify: ____________________)
4. What is the most affected aspect of your life while you are stressed? 4. What is the most affected aspect of your life while you are stressed?
Behavior Behavior
Psychological/Emotional Psychological/Emotional
Physical Physical
Cognitive Cognitive
Social Social
5. What is the usual BEHAVIORAL effect of stress that you have 5. What is the usual BEHAVIORAL effect of stress that you have
noticed on yourself? noticed on yourself?
Change in activity levels Change in activity levels
Decreased efficiency and effectiveness Decreased efficiency and effectiveness
Difficulty in communication Difficulty in communication
Irritability, outbursts or anger, frequent arguments Irritability, outbursts or anger, frequent arguments
Inability to rest, relax or let down Inability to rest, relax or let down
Changes in eating habits/sleep patterns Changes in eating habits/sleep patterns
Increased use of tobacco, alcohol, drugs, sugar or caffeine Increased use of tobacco, alcohol, drugs, sugar or caffeine
Others (please specify: ____________________) Others (please specify: ____________________)
6. What is the usual PSYCHOLOGICAL/EMOTIONAL effect of stress 6. What is the usual PSYCHOLOGICAL/EMOTIONAL effect of stress
that you have noticed on yourself? that you have noticed on yourself?
Denial Denial
Anxiety/ Fear Anxiety/ Fear
Irritability/Anger Irritability/Anger
Sadness, Moodiness, Grief or Depression Sadness, Moodiness, Grief or Depression
Feeling overwhelmed, Helpless or Hopeless Feeling overwhelmed, Helpless or Hopeless
Feeling isolated, lost, lonely or abandoned Feeling isolated, lost, lonely or abandoned
Others (please specify: ____________________) Others (please specify: ____________________)
7. What is the usual PHYSICAL effect of stress that you have noticed 7. What is the usual PHYSICAL effect of stress that you have noticed
on yourself? on yourself?
Increased heart rate and respirations/increased blood pressure Increased heart rate and respirations/increased blood pressure
Stomachache, nausea, diarrhea Stomachache, nausea, diarrhea
Sweating or chills Sweating or chills
Headaches Headaches
Tremors or muscle twitching/sore or aching muscles Tremors or muscle twitching/sore or aching muscles
Fatigue that does not improve with sleep Fatigue that does not improve with sleep
Change in sexual desire or response Change in sexual desire or response
Flare up of allergies, asthma or arthritis Flare up of allergies, asthma or arthritis
Others (please specify: ____________________) Others (please specify: ____________________)
8. What is the usual COGNITIVE effect of stress that you have noticed 8. What is the usual COGNITIVE effect of stress that you have noticed
on yourself? on yourself?
Memory problems/forgetfulness Memory problems/forgetfulness
Disorientation/confusion Disorientation/confusion
Slowness in thinking, analyzing or comprehending Slowness in thinking, analyzing or comprehending
Difficulty in concentrating Difficulty in concentrating
Inability to stop thinking about a disaster or an accident Inability to stop thinking about a disaster or an accident
Others (please specify: ____________________) Others (please specify: ____________________)
9. What is the usual SOCIAL effect of stress that you have noticed on 9. What is the usual SOCIAL effect of stress that you have noticed on
yourself? yourself?
Withdrawing or isolating from people Withdrawing or isolating from people
Difficulty in listening Difficulty in listening
Difficulties on engaging in a mutual problem solving Difficulties on engaging in a mutual problem solving
Blaming Blaming
Criticizing Criticizing
Impatient or disrespectful to others Impatient or disrespectful to others
Others (please specify: ____________________) Others (please specify: ____________________)
10. What is your personal method to relieve stress? 10. What is your personal method to relieve stress?
Eating Eating
Sleeping Sleeping
Drinking alcohol/drugs Drinking alcohol/drugs
Sports/exercise Sports/exercise
Talking with someone Talking with someone
Computer games/social media Computer games/social media
Others (please specify: ____________________) Others (please specify: ____________________)

THANK YOU FOR ANSWERING! THANK YOU FOR ANSWERING!

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