CCT 2nd & 3rd Year Individual Inventory

Data Privacy Consent: In accordance with RA 10173 or Data Privacy Act of 2012 which aims to
protect the fundamental human rights of privacy, of communication while ensuring the free flow of
information to promote innovation and growth,

 I consent to the following terms and conditions on the collection, use, processing, and
disclosure of my personal data:
 I am aware that City College of Tagaytay- Guidance and Counseling Services Unit, has
collected and stored my personal data through this scale. These data include, among others,
my demographic profile, contact details, and educational background.
 I agree to personally update these data as needed through the different departments or
student service units of City College of Tagaytay.

By signing, I warrant that I have read, understood all of the above provisions, and agreed with
its full implementation. here.

Name
Mekylla D Layno

Birthdate Current Program Section Are you a Paying Student

17/05/2004 BS Hospitality Management BSHM 3-3 No

Active Contact Number Email Active Email Address

09539258049 mekylla.lay mekylla.layno@citycollegeoftagaytay.e
no@citycoll du.ph
egeoftagayt
ay.edu.ph

Current Address
St. Michael Habitat Sungay East, Tagaytay City, Cavite

Are you a
Not applicable
Signature Date Signed
11/12/2024

Cognitive Assessment Questionnaire

The following questions are about minor mistakes, which everyone makes from time to time, but some of
which happen more often than others. We want to know how often these things have happened to you in
the past 6 months. Please select the appropriate response from "Very often" to "Never".

Cognitive Assessment Questionnaire

Do you read something and find you haven't been thinking about it and must read it again?
Occasionally|
Do you find you forget why you went from one part of the house/school to another?
Very rarely|
Do you fail to notice signposts on the road or at school?
Occasionally|
Do you find you confuse right and left when giving directions?
Occasionally|
Do you bump into people?
Occasionally|
Do you find you forget whether you've turned off a light or a fire or locked the door?
Quite often|
Do you fail to listen to people's names when you are meeting them?
Occasionally|
Do you say something and realize afterwards that it might be taken as insulting?
Occasionally|
Do you fail to hear people speaking to you when you are doing something else?
Very rarely|
Do you lose your temper and regret it?
Quite often|
Do you leave important letters/messages unanswered for days?
Very rarely|
Do you find you forget which way to turn on a road (or way to classroom) well but rarely use?
Very rarely|
Do you fail to see what you want in a supermarket (although it's there)?
Very rarely|
Do you find yourself suddenly wondering whether you've used a word correctly?
Occasionally|
Do you have trouble making up your mind?
Occasionally|
Do you find you forget your appointments?
Very rarely|
Do you forget where you put something like a newspaper or a book, notebook, pen, etc.?
Quite often|
Do you find you accidentally throw away the thing you want and keep what you meant to throw
away - as in the example of throwing away the used paper and putting the used paper in your
pocket?
Occasionally|
Do you daydream when you ought to be listening to something?
Very rarely|
Do you find you forget people's (or classmate's/teacher's) names?
Very rarely|
Do you start doing one thing at home (or school) and get distracted into doing something else
(unintentionally)?
Occasionally|
Do you find you can't quite remember something although it's "on the tip of your tongue?
Quite often|
Do you find you forget what you came to the shops to buy?
Occasionally|
Do you drop things?
Very rarely|
Do you find you can't think of anything to say?
Occasionally|

Psychological Well-Being Scale

This is a tool used to measure how people feel about their lives. It looks at different aspects of well-being,
such as self-acceptance, relationships, purpose in life, and personal growth. By assessing these areas, it
helps us understand overall happiness and mental health.

Instruction: Please indicate your degree of agreement (using a score ranging from 1-6) to the following
sentences

Psychological Well-Being Scale

1. I am not afraid to voice my opinions, even when they are in opposition to the opinions of most
people.
5
2. In general, I feel I am in charge of the situation in which I live.
1
3. I am not interested in activities that will expand my horizons.
2
4. Most people see me as loving and affectionate.
6
5. I live life one day at a time and don't really think about the future.
1
6. When I look at the story of my life, I am pleased with how things have turned out.
5
7. My decisions are not usually influenced by what everyone else is doing.
2
8. The demands of everyday life often get me down.
4
9. I think it is important to have new experiences that challenge how you think about yourself and
the world.
6
10. Maintaining close relationships has been difficult and frustrating for me.
4
11. I have a sense of direction and purpose in life.
6
12. In general, I feel confident and positive about myself.
5
13. I tend to worry about what other people think of me.
3
14. I do not fit very well with the people and the community around me.
1
15. When I think about it, I haven't really improved much as a person over the years.
3
16. I often feel lonely because I have few close friends with whom to share my concerns.
1
17. My daily activities often seem trivial and unimportant to me.
2
18. I feel like many of the people I know have gotten more out of life than I have.
2
19. I tend to be influenced by people with strong opinions.
5
20. I am quite good at managing the many responsibilities of my daily life.
6
21. I have the sense that I have developed a lot as a person over time.
4
22. I enjoy personal and mutual conversations with family members or friends.
6
23. I don't have a good sense of what it is I'm trying to accomplish in life.
1
24. I like most aspects of my personality.
5
25. I have confidence in my opinions, even if they are contrary to the general consensus.
5
26. I often feel overwhelmed by my responsibilities
5
27. I do not enjoy being in new situations that require me to change my old familiar ways of doing
things.
4
28. People would describe me as a giving person, willing to share my time with others.
6
29. I enjoy making plans for the future and working to make them a reality.
6
30. In many ways, I feel disappointed about my achievements in life.
4
31. It's difficult for me to voice my own opinions on controversial matters.
4
32. I have difficulty arranging my life in a way that is satisfying to me.
4
33. For me, life has been a continuous process of learning, changing, and growth.
6
34. I have not experienced many warm and trusting relationships with others
3
35. Some people wander aimlessly through life, but I am not one of them
6
36. My attitude about myself is probably not as positive as most people feel about themselves.
4
37. I judge myself by what I think is important, not by the values of what others think is important.
5
38. I have been able to build a home and a lifestyle for myself that is much to my liking.
5
39. I gave up trying to make big improvements or changes in my life a long time ago.
5
40. I know that I can trust my friends, and they know they can trust me.
6
41. I sometimes feel as if I've done all there is to do in life.
5
42. When I compare myself to friends and acquaintances, it makes me feel good about who I am.
1

Personal Assessment: 8 Dimensions of Wellness

Directions: Rate the statement that applies to you for each statement. Write the sum of all your
totals at the box provided.
Rarely:1| Sometimes:2| Most of the time: 3| Always: 4

EMOTIONAL
I find healthy ways to cope with stress (e.g. exercise, meditation, social support, self-care
activities, etc.)
Most of the time (3)
I am able to ask for assistance when I need it, either from friends and family, or professionals
Most of the time (3)
I accept responsibility for my own actions.
Always (4)
I am able to set priorities.
Always (4)
I feel good about myself and believe others like me for who I am.
Always (4)
I am flexible and able to adapt/adjust to life’s changes in a positive way
Most of the time (3)
I can express all ranges of feelings (i.e. hurt, sadness, fear, anger, joy, etc.) and manage emotion-
related behaviors in a healthy way.
Most of the time (3)
I maintain a balance of work, friends, family, school and other obligations.
Always (4)
I do not let my emotions get the better of me. I think before I act
Most of the time (3)
I have a healthy relationship with social media
Always (4)

SPIRITUAL
I take time to think about what is important in life – who I am, what I value, where I fit in, where I’m
going.
Most of the time (3)
I make time for relaxation during the day.
Sometimes (2)
I have a belief system in place (religious, agnostic, atheist, spiritual, etc.).
Most of the time (3)
My values guide my decisions and actions
Most of the time (3)
I have a sense of purpose in my life.
Always (4)
I am tolerant and accepting of the view of others.
Sometimes (2)
I utilize resources to improve my well-being.
Most of the time (3)
I am active in communities or causes I care about
Sometimes (2)
I am able to set, communicate and enforce boundaries.
Most of the time (3)
I work to create balance and peace within my interpersonal relationships, community and the
world.
Sometimes (2)

PHYSICAL
I manage my weight in healthy ways
Sometimes (2)
I exercise regularly.
Rarely (1)
I get 7-9 hours of sleep each night and feel rested in the morning.
Rarely (1)
I seek advice from health care professionals if I have a health concern I cannot solve on my own
Sometimes (2)
I do not use or avoid harmful use of drugs (over-the-counter, prescription and illicit).
Rarely (1)
I drink alcohol responsibly (i.e. designated sober driver, avoid binge drinking, etc.)
Sometimes (2)
I protect my skin from sun damage by using sunscreen with SPF 30+, wearing hats and/or avoiding
tanning booths and sun lamps.
Always (4)
I maintain healthy eating patterns that include fruits and vegetables.
Sometimes (2)
I stay hydrated and drink water throughout the day.
Most of the time (3)
I protect myself from STIs and unwanted pregnancy by either abstaining from sexual behaviors or
using proper protection, such as condoms
Always (4)

SOCIAL
I am satisfied with my social life.
Most of the time (3)
I am involved in at least one university community or group.
Always (4)
I maintain a network of supportive friends, family and social contacts
Always (4)
I have at least one meaningful relationship in my life
Always (4)
I am accepting of the diversity of others (race, ethnicity, religion, gender, ability, sexual orientation,
etc.)
Always (4)
I am able to prioritize my own needs by saying “no” to others’ requests for my time
Sometimes (2)
I have someone I can talk to about my feelings and struggles.
Always (4)
I participate in social activities and enjoy being with people who are different from me.
Sometimes (2)
I give and take equally in my relationships.
Always (4)
I plan time with my family and friends.
Always (4)

Note:

Please print the PDF file of this scale that was sent to your email once it's completed.

FINANCIAL
I am able to set and stick to a budget each month so I don’t run out of money.
Sometimes (2)
I know my total amount of debt and interest rates.
Sometimes (2)
I pay my credit cards, tuition/fees and other bills on time.
Rarely (1)
I know about the different sources of financial aid that I am eligible for and apply when I am able.
Sometimes (2)
I have a savings account and save money regularly.
Most of the time (3)
I know my credit score.
Rarely (1)
I keep my financial information safe by using secure passwords, PINs and dual authentication.
Always (4)
I feel good about my current and future financial situation.
Sometimes (2)
I check my bank statements/accounts each month.
Rarely (1)
I understand how to build credit and use credit cards wisely.
Most of the time (3)

OCCUPATIONAL
I am able to balance work, play, school and other aspects of my life.
Always (4)
I take advantage of opportunities to learn new skills that can enhance my future employment
opportunities
Sometimes (2)
I know what skills are necessary for the occupations I am interested in
Most of the time (3)
I strive to develop good work habits (dependability, initiative, etc.)
Always (4)
I work effectively with others.
Most of the time (3)
I have confidence in my job search skill (resume writing, interviewing, cover letters, networking,
etc.)
Most of the time (3)
I have explored different career options.
Sometimes (2)
I know where to find employment opportunities (job service, online, etc.)
Sometimes (2)
I manage my time effectively
Most of the time (3)
I have participated in internships or volunteer work.
Always (4)

INTELLECTUAL
I know about available campus resources to help me study.
Most of the time (3)
I feel fulfilled in my academic program.
Most of the time (3)
I seek personal growth by learning new skills.
Most of the time (3)
I look for ways to use my creative and critical thinking skills.
Most of the time (3)
I am open to new ideas.
Always (4)
I learn about different topics that interest me from books, magazines, newspapers and the internet.
Most of the time (3)
I know how to access academic resources when necessary
Most of the time (3)
I am comfortable reaching out to my professor/TA for help or attending office hours.
Most of the time (3)
I am eager to learn
Always (4)
I stay informed about social, political and other current issues.
Most of the time (3)

ENVIRONMENTAL
I spend time outdoors enjoying nature.
Most of the time (3)
I reduce, reuse and recycle products.
Sometimes (2)
I try to lessen my environmental impact.
Sometimes (2)
I walk, bike, use public transportation or carpool when possible.
Sometimes (2)
I am concerned about impacts on my local, national and world climate
Always (4)
I have a space to call my own.
Most of the time (3)
I feel comfortable in the space I occupy.
Always (4)
I feel content in my environments (class, home, work, etc.).
Most of the time (3)
I shop locally
Always (4)
I participate in campus events that help my community (food drives, fundraisers, etc.).
Sometimes (2)

Note:

Please print the PDF file of this scale that was sent to your email once it's
completed.