Moreno Integrated School Moreno Integrated School

Daet, Camarines Norte Daet, Camarines Norte

"Bullying among the Grade 12 HUMSS students in Moreno Integrated School” "Bullying among the Grade 12 HUMSS students in Moreno Integrated School”

Name : Strand : Name : Strand :

Address: Address:

Part I: Profile of the Respondents Part I: Profile of the Respondents

Directions: Simply put a mark ( ✔ ) on the space provided. Directions: Simply put a mark ( ✔ ) on the space provided.

1.1 Age 1.1 Age

( ) 15-16 yrs old ( ) 19-20 yrs old ( ) 15-16 yrs old ( ) 19-20 yrs old
( ) 17-18 yrs old ( ) 20 above yrs old ( ) 17-18 yrs old ( ) 20 above yrs old

1.2 Sex 1.2 Sex

( ) Female ( ) Male ( ) Female ( ) Male

1.3 Parents Income 1.3 Parents Income

( ) 5,000-10,000 a month ( ) 20,001-30,000 a month ( ) 5,000-10,000 a month ( ) 20,001-30,000 a month
( ) 10,001-20,000 a month ( ) 30,001-above a month ( ) 10,001-20,000 a month ( ) 30,001-above a month

1.4 Parents Educational Background (instead of check, put M for mother and F father) 1.4 Parents Educational Background (instead of check, put M for mother and F father)
( ) Elementary Graduate ( ) Elementary Graduate
( ) High school Graduate ( ) High school Graduate
( ) College Graduate ( ) College Graduate

Part II: Answer the following. Part II: Answer the following.

Question Yes No Question Yes No

Have you ever been bullied? Have you ever been bullied?
If ever, what kind of bullying did you experience? Put a check. If ever, what kind of bullying did you experience? Put a check.
 Physical Bullying  Physical Bullying
 Verbal Bullying  Verbal Bullying
 Gesture Bullying  Gesture Bullying
 Exclusion Bullying  Exclusion Bullying
 Extortion Bullying  Extortion Bullying
 Cyber-bullying  Cyber-bullying
Part III: Causes and Effects of Bullying Part III: Causes and Effects of Bullying
Directions: Kindly check the causes and effects of bullying that you know. Directions: Kindly check the causes and effects of bullying that you know.

Causes Yes No Causes Yes No

 Dealing with pressure.  Dealing with pressure.
 Given too much authority or responsibility.  Given too much authority or responsibility.
 Fears of inferiority.  Fears of inferiority.
 Being bullied themselves.  Being bullied themselves.
 Being coerced into it.  Being coerced into it.
 Anger/Revenge/Envy  Anger/Revenge/Envy
 Popularity  Popularity
 Lack of Education  Lack of Education
Effects Yes No Effects Yes No
 Mental Health Issue  Mental Health Issue
 School Issue  School Issue
 Become an Introvert  Become an Introvert
 Sadness/Loneliness  Sadness/Loneliness
 Depression  Depression
 Suicide/Suicidal Thoughts  Suicide/Suicidal Thoughts

Part IV: Proposed program. Part IV: Proposed program.

Directions: Choose a program that will help to lessen the bullying cases. Kindly check the Directions: Choose a program that will help to lessen the bullying cases. Kindly check the
program that you want. program that you want.

Program Program
 Symposium  Symposium
 Fellowship  Fellowship
 Open Forum  Open Forum
 Retreat  Retreat
 Camping  Camping
 Be A Buddy not A Bully Activity  Be A Buddy not A Bully Activity
 Reward Positive Behavior  Reward Positive Behavior