Factors Affecting Stress among Grade 7 and Grade 10 Students of San Pablo City National High School during

the
academic year 2017-2018

I. Demographic Profile
Name:
Age:
Gender:
__female
__male
What class are you in?
__Grade 7
__Grade 10
II. Factors Affecting Stressamong Grade 7 and Grade 10 Students
Direction:Rate Each Source of Stress by putting a check (/) on its corresponding level.
Factors 2 4 5
1 3
Slightly no Moderately Highly
No Stress Stress
Level Stress Stress Stress
1. Daily travel from
home to School
2. Money
3. Grades
4. Class Schedule
5. Subject Workloads
6. Family
7. Friends
8. Tests/Exams
9. Social Media
10. Relationship
(boyfriend/girlfriend)
III. Level of Stress and Stress Coping strategies
1. Rate your personal level of stress in your life on average
__No stress __Slight stress __Average __Moderately Stress __Highly Stress
2. How do you feel at your present level of stress? (Check all that apply)
__Panicked __Tired
__Irritable __Headache/Sick
__Anxious/worrying __Insomnia
__Crying __Loss of appetite
__Unusually emotional __Cravings (food, i.e. chocolate)

3. How do you deal with stress? (Check those that you engage in the most)
__Exercise __Don‘t eat/diet
__Talk to friends __Read
__Listen to music __Hobby/project (ex. Clean, play guitar)
__Sleep __Alcohol
__Eat __Smoking (tobacco products)
4. How effective do you find your present coping mechanisms
__Not Effective
__Slightly not Effective
__Effective
__Slightly Effective
__Highly Effective