Questionnaire

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Guimbal National High School

SENIOR HIGH SCHOOL


Rizal St. Guimbal, Iloilo

February 21, 2020


Dear Respondents:

The Student Researchers of Grade 12 Humanities and Social Sciences A of Guimbal National High School, are currently
conducting a quantitative research entitled “Correlation of Body Mass Index to Self-confidence level of Grade 11 female students.”
In connection to this, we would like to ask permission for you to be the respondents for our research. Rest assured that all data
gathered will be held with all confidentiality and will be used strictly for research purpose only. This is in partial fulfillment of the
requirements for the subject, Inquiries, Investigations and Immersion
We are looking forward to your favorable response. Thank you so much.
Respectfully yours,
The Researchers

QUESTIONNAIRE ON CORRELATION OF BODY MASS INDEX TO SELF-CONFIDENCE LEVEL OF GRADE 11 FEMALE


STUDENTS

Part I. Personal Data


Instructions: Please complete the first part of the questionnaire by providing personal information necessary to the study. On items with
boxes provided kindly check on the box that corresponds to your answer. All your information will be kept confidential.

Name: __________________________________________________________________
Strand: ABM GAS HUMSS STEM TVL

Height (in centimeters):_________ Weight (in kilograms):__________ BMI:___________

Part II. Questionnaire


Instructions: Below is a list of statements dealing on how you think and feel about yourself. Please indicate how strongly you agree or
disagree with each statement by placing a check on the box that corresponds to your answer. Please be guided by the legend.

Legend
Descriptor Meaning
Strongly Disagree If you are in complete disagreement with the given statement
Disagree If you disagree with the most part of the given statement
Agree If you agree with the most part of the given statement
Strongly Agree If you are in complete agreement with the given statement
1 2 3 4

Self-Confidence Level Strongly Disagree Agree Strongly


Disagree Agree

1. On the whole, I am satisfied with myself.

2. At times I think I am no good at all.

3. I feel that I have a number of good qualities.

4. I do things as well as most other people do.

5. I feel I do not have much to be proud of.

6. I certainly feel useless at times.

7. I feel that I'm a person of worth, at least on an equal plane with others.

8. I wish I could have more respect for myself.

9. All in all, I am inclined to feel that I am a failure.

10. I take a positive attitude toward myself.

(Adapted from the Rosenberg Self-Esteem Scale by Dr. Morris Rosenberg)

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