St.

Anthony’s College
Nursing Department
San Jose, Antique

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Appendix A

Letters

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LETTER TO THE VALIDATORS

August 17, 2018

MRS. MAGDALENA E. OTICO, Ph.D

Faculty Member, LAED Department

Dear Mrs. Otico,

Greetings!

We are conducting a study entitled, “The Mental Health Status and Academic
Performance of Senior High School Students at St. Anthony’s College SY 2018-2019”, in
partial fulfillment of the requirements for the degree Bachelor of Science in Nursing.

Knowing fully of your expertise along this line, we would like to ask for your kind
assistance in validating the enclosed research instrument. Each item is to be evaluated in
terms of relevance and clarity.

Please feel free to make comments or corrections as you see fit.

Thank you very much and more power.

Respectfully yours,

RACQUEL V. CANONO
Group Leader

Noted by:

ROQUE B. CORDERO II, RN

Research Adviser

ARIS KENDELL BUNGABONG, MAN, RN

OIC Dean, Nursing Department

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LETTER TO THE VALIDATORS

August 17, 2018

MR. JOSE EDISON C. TONDARES

Research Planning Development Officer

Dear Mr. Tondares,

Greetings!

We are conducting a study entitled, “The Mental Health Status and Academic
Performance of Senior High School Students at St. Anthony’s College SY 2018-2019”, in
partial fulfillment of the requirements for the degree Bachelor of Science in Nursing.

Knowing fully of your expertise along this line, we would like to ask for your kind
assistance in validating the enclosed research instrument. Each item is to be evaluated in
terms of relevance and clarity.

Please feel free to make comments or corrections as you see fit.

Thank you very much and more power.

Respectfully yours,

RACQUEL V. CANONO
Group Leader

Noted by:

ROQUE B. CORDERO II, RN

Research Adviser

ARIS KENDELL BUNGABONG, MAN, RN

OIC Dean, Nursing Department

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LETTER TO THE VALIDATORS

August 17, 2018

MS. TERESITA M. MOJANA

Guidance Services Officer

Dear Ms. Mojana,

Greetings!

We are conducting a study entitled, “The Mental Health Status and Academic
Performance of Senior High School Students at St. Anthony’s College SY 2018-2019”, in
partial fulfillment of the requirements for the degree Bachelor of Science in Nursing.

Knowing fully of your expertise along this line, we would like to ask for your kind
assistance in validating the enclosed research instrument. Each item is to be evaluated in
terms of relevance and clarity.

Please feel free to make comments or corrections as you see fit.

Thank you very much and more power.

Respectfully yours,

RACQUEL V. CANONO
Group Leader

Noted by:

ROQUE B. CORDERO II, RN

Research Adviser

ARIS KENDELL BUNGABONG, MAN, RN

OIC Dean, Nursing Department

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LETTER TO REQUEST PERMISSION TO CONDUCT A PILOT TEST

September 9, 2018

MS. RIZALINA S. SEBUAN

Officer in- Charge, Senior High School Department
Antique National School
T.A. Fornier Street, San Jose, Antique

Dear Ma’am Sebuan,

Greetings!

We are conducting a study titled, “The Mental Health Status and Academic Performance
of Senior High School Students at St. Anthony’s College SY 2018-2019”, in partial
fulfillment of the requirements for the degree Bachelor of Science in Nursing.

In line with this, we humbly ask for your approval for us to conduct the Reliability Test
(Pilot Test) among Senior High School Students in Antique National School. The
questionnaire will be distributed at their most convenient time.

We are hoping for your positive response regarding this matter.

Thank you very much and more power!

Respectfully yours,

RACQUEL V. CANONO
Group Leader

Noted by:

ROQUE B. CORDERO II, RN

Research Adviser

ARIS KENDELL BUNGABONG, MAN, RN

OIC Dean, Nursing Department

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LETTER TO REQUEST PERMISSION TO CONDUCT THE STUDY

October 6, 2018

ANALINDA O. SANTOS, Ph.D

Vice President for Academic Affairs
St. Anthony’s College
San Angel, San Jose, Antique

Dear Ma’am Santos,

Greetings!

We are conducting a study entitled, “The Mental Health Status and Academic
Performance of Senior High School Students at St. Anthony’s College SY 2018-2019”, in
partial fulfillment of the requirements for the degree Bachelor of Science in Nursing.

In line with this, we are humbly asking for your approval for us to conduct the said study
among Senior High School Students at St. Anthony’s College. We would like to conduct
our study on October 19, 2018 to October 24, 2018. The questionnaire will be given at
their most convenient time and will not hinder their classes as much as possible. The
Grade Point Average (GPA) is also added into the questionnaire in a form of a question,
and students are freely to answer it.

We are hoping for your positive response regarding this matter.

Thank you very much and more power!

Respectfully yours,

RACQUEL V. CANONO
Group Leader

Noted by:

ROQUE B. CORDERO II, RN

Research Adviser

ARIS KENDELL BUNGABONG, MAN, RN

OIC Dean, Nursing Department

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LETTER TO REQUEST PERMISSION TO CONDUCT THE STUDY

October 14, 2018

MRS. MARITES I. MEJARES

Principal, Senior High School Department
St. Anthony’s College
San Angel, San Jose, Antique

Dear Mrs. Mejares,

Greetings!

We are conducting a study entitled, “The Mental Health Status and Academic
Performance of Senior High School Students at St. Anthony’s College SY 2018-2019”, in
partial fulfillment of the requirements for the degree Bachelor of Science in Nursing.

In line with this, we are humbly asking for your approval for us to conduct the said study
among Senior High School Students at St. Anthony’s College. We would like to conduct
our study on October 19, 2018 to October 24, 2018. The questionnaire will be given at
their most convenient time and will not hinder their classes as much as possible. The
Grade Point Average (GPA) is also added into the questionnaire in a form of a question,
and students are freely to answer it.

We are hoping for your positive response regarding this matter.

Thank you very much and more power!

Respectfully yours,

RACQUEL V. CANONO
Group Leader

Noted by:

ROQUE B. CORDERO II, RN

Research Adviser

ARIS KENDELL BUNGABONG, MAN, RN

OIC Dean, Nursing Department

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Appendix B

Instrument

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INFORMED CONSENT

Title of the Study:

“The Mental Health Status and Academic Performance of Senior High School
Students at St. Anthony’s College SY 2018-2019.”

Researchers:

Racquel V. Canono Angie G. Mandeoya Jhamil E. Espino

BSN IV, Nursing Department
St. Anthony’s College
San Angel, San Jose, Antique
09261359968
kelcanono99@gmail.com
BSN IV, Nursing Department
St. Anthony’s College
San Angel, San Jose, Antique
09109072106
angiemandeoya003@gmail.com
BSN IV, Nursing Department
St. Anthony’s College
San Angel, San Jose, Antique
09979432615
espinojhamil25@gmail.com

Justine Kaye I. Harliga Joge V. Agravante

BSN IV, Nursing Department
St. Anthony’s College
San Angel, San Jose, Antique
09050760165
jkayeharliga261@gmail.com
BSN IV, Nursing Department
St. Anthony’s College
San Angel, San Jose, Antique
09171104605
joege.vagilidad@gmail.com

Purpose of the Study:

To the prospect research participant,

You, as a participant, you will be asked to take part in this study. Before you decide
to participate in this academic activity, it is important that you understand why this is
being done and what it will involve. Please read the following information carefully that
may explain the vital necessity for this activity. Please ask the researchers if there is
anything that is not clear or if you need more information related to this request
involvement.

This study will seek to answer the following questions:

1. What is the personal profile of the respondents according to Age, Sex, Academic
Track, Grade Level, and Family Income?
2. What is the Mental Health Status of Senior High School students in SAC?

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3. What is the Academic Performance as indicated by the GPAs among Senior

High School students in SAC?
4. Is there a significant difference on the Mental Health Status when grouped
according to Age, Sex, Academic Track, Grade Level, and Family Income of the
respondents?
5. Is there a significant difference on the Academic Performance when grouped
according to Age, Sex, Academic Track, Grade Level, and Family Income of the
respondents?
6. Is there a significant relationship between the Academic Performance and
Mental Health status among Senior High School students in SAC?

Procedures:

As a participant, you will be provided with the questions relevant to the study. The
instructions as regards the various questions in each section are stated properly or will
be explained clearly. There are two parts in the Questionnaire: Section A –
Demographic Information, Section B – Academic Performance, and Section C – Mental
Health. You are expected to answer the questions or items honestly, responses that are
most applicable to you. There is no right or wrong answer. The language used is simple.
All these items will take you from 10 to 15 minutes.

Volunteerism:

You may decline to answer any or all questions and you may terminate your
involvement at any time if you choose to.

Benefits:

As a participant, you will be part of the success of this whole study. The
information you will provide is of great help as part of the body of knowledge that
others or future researchers may benefit. Although, there will be no direct benefit to you
for your participation in this study, yet, the researchers hope that the obtained findings
or results in this study may serve as basis for similar or further studies to be conducted
in the future. The whole group is general as respondents will be mentioned and
acknowledged as participant in the study that will be our pride for your willingness and
cooperation in this important academic activity.

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Confidentiality:

Your responses to this survey questionnaire will be treated with outmost

confidentiality and will be used for academic purposes only. Every effort will be made
by the researchers to preserve your confidentiality as in the following:
 Locked file cabinet in the personal possession of the researcher will be the
safekeeping place of all notes and documents with the responses or any other
identifying participant’s information gathered for the research purposes.
 Participant’s data will be kept confidential except in cases where the researcher
is legally obligated to report specific incidents to solve an important problem.

Contact Information:

If you have questions at any time about this study, or you have other
questions/problems regarding this involvement, you may contact the researcher whose
contact information is provided on the first page.

Voluntary Participation:

Your participation in this study is voluntary. It is up to you to decide whether or not

to take part in this study. If you decide to take part in this study, you will be asked to sign
a consent form. After you sign the consent form, you are still free to withdraw at any time
and without giving a reason. Withdrawing from this study will not affect the relationship
you have, if any, with the researcher. If you withdraw from the study before data
collection is completed, your data will be returned to you or destroyed.

________________________________________________________________________

CONSENT

I have read and have understood the provided information relevant to my voluntary
participation in this study; and that I am free to withdraw at any time, without giving a
reason and without cost.

I have been made aware and assured that my privacy as a participant shall be
maintained and that the results of this study will be used for research purposes only.

I voluntarily agree to take part as a respondent in this study.

Participant’s Signature ________________________________Date_______________

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INSTRUCTIONS:
1. In this questionnaire, there are no “right” or “wrong” answers.
2. For most questions you simply need to fill in the circle corresponding to your
answer. For example: Yes O No
3. Please proceed with the survey.

SECTION A: Demographic Information

Name (optional)__________________________________________Age:____Sex:____

A1. What grade are you in? A2. What is your academic track?
O Grade 11 O STEM O HUMSS
O Grade 12 O ABM
A3. What is your estimated family income per month? (Please fill only one circle)
O P30,000 and below O P91,000 – P120,000
O P31,000 – P60,000 O P121,000 – P150,000
O P61,000 – P90,000 O P151,000 and above

SECTION B: Academic Performance

What is your General Point Average (GPA) or General Average last Academic Year
2017-2018? (Please write in numbers)_________________________________________

SECTION C: Mental Health

C1. How do you feel at your school? (Please fill in only one circle in each row)
Legend: 1 – Strongly Disagree 3 – Agree
2 – Disagree 4 – Strongly Agree
1 2 3 4
a. At my school I feel like I belong O O O O
b. At my school I make friends easily O O O O
c. At my school I feel like an outsider (or left out of things) O O O O
d. At my school I feel lonely O O O O

C2. About how often do you… (Please fill in only one circle in each row)
Legend: 1 – One to two times a week 3 – One to two times in 3 weeks
2 – One to two times in 2 weeks 4 – One to two times in a month
1 2 3 4
a. Miss a day at school without a good reason. O O O O
b. Skip classes. O O O O
c. Arrive late for school or classes. O O O O

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 St. Anthony’s College
Nursing Department
San Jose, Antique

C3. Over the last 2 weeks, how often have you been bothered by any of the following
problems?
Legend: 4 –Not at all 2 – Two or three times a week
3 – Once a week 1 – Nearly everyday
4 3 2 1
a. Little interest or pleasure in doing things. O O O O
b. Feeling down, depressed, or hopeless. O O O O
c. Trouble falling asleep or sleeping too much. O O O O
d. Feeling tired or having little energy. O O O O
e. Poor appetite or overeating. O O O O
f. Feeling bad about yourself or that you are a failure or have O O O O
let yourself or your family down.
g. Trouble concentrating on things, such as reading the O O O O
newspaper or watching television.
h. Moving or speaking so slowly that other people could have O O O O
noticed. Or the opposite; being so fidgety or restless that
you have been moving around a lot more than usual.
i. Thoughts that you would be better off dead or of hurting O O O O
yourself in some way.
j. Thoughts of running away from home. O O O O
k. Felt like crying. O O O O
l. Worried about things that had happened. O O O O
m. Worried whether you can get things done well or not. O O O O
n. Worried whether people like you or not. O O O O
o. Felt mad or out of control. O O O O
p. Thoughts that you are not good enough or not as good as O O O O
other people.
q. Felt pressured and stressed about things. O O O O
r. Felt afraid for no reason. O O O O
s. Felt difficulty in talking or being with others. O O O O
t. Felt afraid of going to school. O O O O

C4. If you checked off any problem on this questionnaire so far, how difficult have
these problems made it for you to do your work, take care of things at home,
or get along with other people?
O Not difficult O Very difficult
O Somewhat difficult O Extremely difficult

 THAT COMPLETES THE SURVEY. THANK YOU FOR YOUR HELP! 

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 St. Anthony’s College
Nursing Department
San Jose, Antique

Appendix C

Time Plan

Period Activity Total Number of Days

Initial Planning
- First formal meeting
June, 2018 10
- Initial gathering of data from previous
Studies

Conceptualization
July – August, - Development of the Research
40
2018 Proposal
Proposal Writing

Development of the materials used to

gather data i.e., questionnaire
August, 2018 17
Validation of Research Instrument

August, 2018 Reliability Testing 5

Data gathering
September, 2018 - Distribution/ retrieval of 7
Questionnaires

September, 2018 Drafting of chapter 4 & 5 5

September, 2018 Finalization of thesis report 18

November, 2018 Final Oral Defense 59

November, 2018 Submission of Hard-bound copy of thesis 1

Total Number of Days 316

Date of Submission: November, 2018

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 St. Anthony’s College
Nursing Department
San Jose, Antique

Appendix D

Budget Plan

Expenses Amount

1. Operational Expenses

Statistician Php 1,000.00

Printing Php 1,500.00

Fee for the Panel Php 1,500.00

Materials / supplies Php 1,500.00

2. Contingency (10%) Php 700.00

TOTAL Php 6,200.00

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