Questionnaire on the effects of long term separation from parents among college students Part I. Personal information of the respondents Instruction: Put a check (v) on the blank for your answer. A. Age ____ 15 ____ 16 ____ 17 ____ 18 Other (please specify) ______ B. Gender ____ Male ____ Female C. Who works abroad ____ Father ____ Mother ____ Both D. Whom do they live with ____ Father ____ Mother ____ Grandfather ____ Grandmother Other (please specify) ______ E. Number of years being separated ____ 3 ____ 4 ____ 5 ___ 6 and above f. age when parents left (please specify)___ Part II. Effect of long term separation from parents among Instructions: Read the following sentences and use the way of weighing your answers given below. Put a check (v) on the numbered columns on the right that correspond your answer. 4 – Strongly Agree2 – Disagree 3- Agree1- Strongly Disagree Corresponding Factors| 4| 3| 2| 1| Psychological| Individual Perceptions on Parents Working Abroad| 1. My parent/s work abroad to give me a better future| | | | | 2.
My parent/s work abroad to fulfill their dreams| | | | | 3. My parents gave me material things just to cover their absence| | | | | 4. My parent/s gives everything that I ask for| | | | | 5. I lived my life normally without my parent/s | | | | | Feelings Towards Long Term Separation from Parents| 1. I feel the love and concern of my parent/s even they are not with me| | | | | 2. I missed my parent/s| | | | | 3. I hate my parent/s for living me| | | | | 4.
I have difficulty on sharing my emotions and feelings to my parent/ s | | | | | 5. I feel secure with my present guardian| | | | | Mental| 1. I always attend my classes| | | | | 2. I always do my homework| | | | | 3. I always have good grades in academics| | | | | 4. I cheat during examinations| | | | | 5. I got involved in cutting classes| | | | | 6. My guardian help me in my studies| | | | | 7. I made my own decisions| | | | | Social| 1. I spent more time at home| | | | | 2.
I have good communication with my parents through internet and phone calls| | | | | 3. I have lots of friends| | | | | 4. I sleep over with my friends most of the time| | | | | 5. I hang out with others most of the time| | | | | 6. I don’t attend family gathering | | | | | 7. I am a loner | | | | | 8. I am a member of a gang/ fraternity| | | | | III. Effect of the different factors in long term separation from parents among college students Instructions: Read the following sentences and use the way of weighing your answers given below.
Put a check (v) on the numbered columns on the right that correspond your answer. 4 – Strongly Agree2 – Disagree 3- Agree1- Strongly Disagree Corresponding Factors| 4| 3| 2| 1| Lifestyle| 1. I am an alcoholic| | | | | 2. I am a smoker| | | | | 3. I got involved in taking prohibited drugs| | | | | 4. I got involved in premarital sex| | | | | 5. I ate at home most of the time| | | | | 6. I don’t eat meals regularly| | | | | Behavior| 1. I obey my present guardian| | | | | 2. I obey my parent/s even they are not with me| | | | | 3. I am independent| | | | | . I take the responsibilities in taking care of my siblings| | | | | 5. I always have enemy| | | | | 6. I got involved in bullying someone| | | | | 7. I argued with my siblings most of the time| | | | | Peer pressure| 1. I feel secure when I am with my friends| | | | | 2. My friends influenced me in smoking| | | | | 3. My friends influenced me in drinking| | | | | 4. I watched and read pornographic materials with my friends| | | | | 5. My friends share their sex experiences| | | | | 6. My friends helps me in my studies| | | | |