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