Part I. Personal information of the respondents
Instruction: Put a check (√) 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 (√) on the numbered columns on the right that correspond your answer.
4 - Strongly Agree 2 – Disagree 3- Agree 1- 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 (√) on the numbered columns on the right that correspond your answer.
4 - Strongly Agree 2 – Disagree 3- Agree 1- 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 | | | | | 4. 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 | | | | |
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