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Survey Question-WPS Office

This document is a survey questionnaire designed to assess the impact of physical activity on the mental health of Grade 11 students at Wesleyan University Philippines. It includes sections on demographics, physical activity habits, mental health assessments using a Likert scale, and open-ended questions regarding the perceived relationship between physical activity and mental health. The responses will be confidential and used solely for research purposes.

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Ceezar Airo Lombres
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10 views

Survey Question-WPS Office

This document is a survey questionnaire designed to assess the impact of physical activity on the mental health of Grade 11 students at Wesleyan University Philippines. It includes sections on demographics, physical activity habits, mental health assessments using a Likert scale, and open-ended questions regarding the perceived relationship between physical activity and mental health. The responses will be confidential and used solely for research purposes.

Uploaded by

Ceezar Airo Lombres
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Survey Questionnaire: Impact of Physical Activity to the Mental Health of Humss 11 Students oat

Wesleyan University Philippines

This questionnaire aims to understand the relationship between physical activity and mental health
among Grade 11 students. Your honest responses will be kept confidential and used solely for research
purposes. Thank you for your participation.

Section 1: Demographics

Age: ______

Gender: ☐ Male ☐ Female ☐ Other (Please specify: __________)

Grade Level: (Should automatically be 11, but including for completeness)

Average hours of sleep per night: ______

Section 2: Physical Activity

1.How many days a week do you engage in at least 30 minutes of moderate-to-vigorous physical
activity?

☐ 0 days ☐ 1-2 days ☐ 3-4 days ☐ 5-6 days ☐ 7 days

2.What types of physical activity do you typically engage in? (Please check all that apply)

☐ Team sports ☐ Individual sports (e.g., running, swimming) ☐ Gym workouts ☐ Walking/cycling ☐
Dancing ☐ Other (Please specify: __________)

3.How would you rate your overall physical fitness?

☐ Excellent ☐ Good ☐ Fair ☐ Poor

4. Do you feel that you get enough of physical activity?

☐Yes ☐No ☐Unsure


Section 3: Mental Health

This section uses a Likert scale(1-5,where 1=Strongly Disagree and 5=Strongly Agree).Please circle the
number that reflects your feelings

Statement 1(Strongly 2 3 4 5(Strongly


Disagree) Agree)

I feel stressed
most days.
1 2

I feel happy and


content most
days. 1 2

I feel anxious or
worried most
days. 1 2

I feel energized
and motivated
1 2

I have difficulty
concentrating
1 2

I feel I can scope


with stress
effectively 1 2

I generally feel
positive about
myself 1 2

I have a strong
system of
friends/family 1 2
Section 4: Correlation

1.Do you believe that your physical activity level impacts your mental health? ☐ Yes ☐ No ☐ Unsure

If yes, please explain how: _____________

Section 5: Open- Ended Questions

1.Do you believe that physical activity impacts your mental health? if so, how?

2. What are the biggest challenges you face maintaining a regular physical activity routine?

3. What support, if any, would help you be more physically active?

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