DepEd – National Capital Region

Division of City Schools – Valenzuela

Paso de Blas National High School
0027 Paso de Blas Street, TCL, Paso de Blas, Valenzuela City
Senior High School Department

GROUP NUMBER 2
NAMES OF THE GROUP MEMBERS DATE: June 24, 2019
Abas , Shanne Kaye
Ariza , John Steven
Buhat , John Lloyd
Carale , Marisol
Franco , Renzo
Gamo , Ana Jean
Gratuito, Hermena
Jesalva , Mary Jane
Tenio , Marc Russell
TRACK and SECTION : ABM 12 – Rembrandt

RESEARCH TITLE
Impact of Sleep Deprivation on the Academic Performance in Mathematics Subject of
Students in Paso de Blas National High School
Directions : Please fill the following question according to your appropriate answer.

1. What is your age?

o 13
o 14
o 15
o 16 above
2. What is you gender?
* Male
* Female

3.What grade are you in?

* Grade 7
*Grade 8
*Grade 9
*Grade 10

4. How many hours of sleep do you get on a regular school night?

o 0-4 hours
o 5-7 hours
o 8-12 hours
o 13+ hours
5. What time do you have to wake up on a school morning?
 o Before 3 a.m
o 4-5 a.m
o 6-7 a.m
o 7-8 a.m
6. What time do you got to bed at night?
o 7-8 p.m
o 9-10 p.m
o 11-12 p.m
o 12-1 p.m

7. How many hours do you spend in activities/sports after a normal school day?
o 0 hours
o 1-2 hours
o 2-3 hours
o 3-4 hours
8. Have you ever fallen asleep in class?
o Yes
o No
9. Do you feel tired throughout the school day?
o Yes
o No
10. Do you feel like not getting enough sleep on a school night has an ill effect on your day?
o Yes
o No

Direction: Use the following scale and put check to indicate the most appropriate
number for each situation.

0-Never 3-Often
1- Rarely 4-Very Often
2-Sometimes 5- Always

0 1 2 3 4 5
1. How often have you fought to stay awake in class?
2. How often have you been late to class because you over slept?
3. How often have you felt tired during class?
4. How often have you fallen asleep during class?
5. How often have you had a hard time falling asleep?
6. Needed more than one reminder to wake up in the morning?
7. How you often stayed up past 1 a.m ?
8. Have difficulty paying attention in class?
9. How often have you found yourself daydreaming in class?
10. How often do you wake up feeling well rested in the
morning?