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Sample Questionnaire

This document appears to be a questionnaire distributed to students at Mahabang Dahilig Senior High School in Batangas City, Philippines. The questionnaire collects information about students' profiles, including age, sex, height, weight, health problems and body mass index. It also asks students to assess the wellness activities and programs provided by their Physical Education teachers, and identify any problems encountered in conducting these wellness activities. The questionnaire is divided into three parts - profile of respondents, wellness activities assessment, and problems encountered. It collects both quantitative and qualitative data through checkboxes, ratings scales and open-ended questions.

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Roanne Anuran Mendoza
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397 views3 pages

Sample Questionnaire

This document appears to be a questionnaire distributed to students at Mahabang Dahilig Senior High School in Batangas City, Philippines. The questionnaire collects information about students' profiles, including age, sex, height, weight, health problems and body mass index. It also asks students to assess the wellness activities and programs provided by their Physical Education teachers, and identify any problems encountered in conducting these wellness activities. The questionnaire is divided into three parts - profile of respondents, wellness activities assessment, and problems encountered. It collects both quantitative and qualitative data through checkboxes, ratings scales and open-ended questions.

Uploaded by

Roanne Anuran Mendoza
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

Republic of the Philippines

Region IV – A (CALABARZON)
Schools Division of Batangas City
Mahabang Dahilig Senior High School
Mahbang Dahilig, Batangas City

QUESTIONNAIRE
Part I. Profile of the Respondents
A. Directions. Supply the necessary information being asked below. Kindly put a
check mark (√) inside the box that corresponds to your answer.
Name:(Optional) ______________________________________
1.1. Age

 18 years old and below


 19-20
 21-23
 24 years old and above
1.2. Sex

 Male
 Female
1.3. Height ______________ (specify in meters)
1.4. Weight ______________ (specify in kilos)
1.5. Body Mass Index (BMI)

 Below 16.0 = Severely underweight


 From 16.0 to under 18.5 = Underweight
 From 18.5 to below 25 = Normal
 From 25 to below 30 = Overweight
 From 30 to below 35 = Obese
1.6. Health Problems

 Asthma None
 Heart ailment
 High blood pressure
 Physical defects
 Others Please Specify ___________________.
Republic of the Philippines
Region IV – A (CALABARZON)
Schools Division of Batangas City
Mahabang Dahilig Senior High School
Mahbang Dahilig, Batangas City

Part II. Wellness Activities


Directions. Listed below are the po wellness activities provided by MAPEH teachers
among students. Please check (/) the appropriate column that corresponds to your
assessment using the following options.
4 – Always provided
3 – Moderately provided
2 – Least provided
1 – Not provided

Wellness Activities ( Enhanced health status ) 4 3 2 1


1. Zumba
2. Ultimate Frisbee
3. Laughter yoga
4. Clapping and chanting exercise
5. Brain dance
6. Stress reducing games
7. Meditation exercise
8. Finger fitness
9. Simple body stretching
10. Healing art activities
11. Board games
12. Breathing exercises
13. Cheerdance
14. Gymnastics
15. Fundamentals step in folkdance

Part III. Problems Encountered


Directions. Listed below are the problems encountered by MAPEH teachers and
students in the conduct of wellness activities. Please check (/) the appropriate column
that corresponds to your assessment using the following options.
4 – Strongly Agree
3 – Agree
2 – Disagree
1 – Strongly Disagree

Problems ( Possible constraints that affect the conduct of 4 3 2 1


wellness activities )
1. Inappropriate schedule of wellness activities
2. Lack of space and equipment
3. Frequent school program and activities
4. Lack of interest
5. Hectic schedule
Republic of the Philippines
Region IV – A (CALABARZON)
Schools Division of Batangas City
Mahabang Dahilig Senior High School
Mahbang Dahilig, Batangas City

6. Lack of support and encouragement from the


administration
7. Absence of strong wellness program
8. Cardiovascular disease
9. Lack of survey before starting any corporate wellness
program.
10. Lack of monitoring fitness progress.
11. Lack of stress – reliever programs
12. Lack of supervision
13. Not well trained instructor
14. Different energy level by the students
15. Favouritism among students

Thank You for your honest response. Godbless!

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