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Appendices

Appendix A

Survey Form

Demographic Information:

1. Name (optional):
2. Age:
3. Gender:
4. Religion:
5. Major of study:
6. Year level:
7. Ethnicity
8. Educational history

Level Name of School Year of graduation


a. Primary (SD)

b. Elementary
(SLTP)

c. Secondary
(SLTA )

d. Tertiary
(Univ.)

Instruction
A. Please, circle Yes or No as the most correct response which describe you

1. I have a clear purpose of study in the university ○ Yes ○ No


2. I attend religious meetings (mass/fellowship/worship time) regularly ○ Yes ○ No
3. I am involved in the student activities program. ○ Yes ○ No
4. I am a religious person. ○ Yes ○ No
5. I have a clear plan for my future. ○ Yes ○ No
6. I believe there is a Higher Power that controls my life. ○ Yes ○ No
7. I believe my religion is better than other religions. ○ Yes ○ No
8. I am interested in religious activities. ○ Yes ○ No
9. I need help to grow spiritually ○ Yes ○ No
10. I feel comfortable in expressing my religious belief ○ Yes ○ No
11. It is difficult for me to work together with people from other religions ○ Yes ○ No

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B. 1. Please answer these questions by indicating which is true about your religious activity:

Item Never or at least At least once in At least once in


once in a year a month a week
1. I read sacred text/literature
2. I pray
3. I attend religious activities

B.2. Please describe your answer to the questions below:

1. List sacred texts/literatures you have read for the past one year (if any):

2. How many times do you approximately pray in a day/week/month/year?


______ time (s) a day
______ time (s) a week
______ time (s) a month
______ time (s) a year

3. When you pray, what are commonly you pray about or pray for?

4. List religious/spiritual activities you have attended for the past one year:

Your participation is very much appreciated.

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