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Questionnaire
Warm Greetings!
We the researchers of St. Dominic College of Asia prepared a questionnaire regarding
Spiritual Intelligence of Nursing Students in selected School in Cavite: An input to Filipino
Nursing Spirituality Curriculum. as a survey tool for the study. This is an undergraduate nursing
research.
For our research we are asking for your time and cooperation to answer in every question
that we provided. Your loyalty and honesty will make our study a success. Thank you for your
response.
Instructions: Please answer the following questions.
Name (Optional):
Age:
Gender: Male ( ) Female ( )
Year and Section:
Civil Status:
School Attending:
Religion:
Instructions: Please encircle the response category which best identifies your personal beliefs
about the item.
Response categories:
5- Strongly Agree;
4- Agree;
3- Uncertain;
2- Disagree;
1- Strongly Disagree
A. Personal Faith
1. There is a Supreme Being, or God, who created humankind and who cares for all
creatures.
5 4 3 2 1.
2. I am at peace with God.
5 4 3 2 1.
3. I feel confident that God is watching over me.
5 4 3 2 1.
4. I receive strength and comfort from my spiritual beliefs.
5 4 3 2 1.
5. I believe that God is interested in all the activities of my life.
5 4 3 2 1.
6. I trust that God will take care of the future.
5 4 3 2 1.
7. My spiritual beliefs support a positive image of myself and of others, as member
of Gods family.
B. Religious Practice
C. Spiritual Contentment
5 4 3 2 1.
16. I feel far away from God.
5 4 3 2 1.
17. I am afraid that God might not take care of my needs.
5 4 3 2 1.
18. I have done some things for which I fear God may not forgive me.
5 4 3 2 1.
19. I get angry at God for allowing bad things to happen to me, or to people I care
about.
5 4 3 2 1.
20. I feel that I have lost Gods love.
5 4 3 2 1.
21. I believe that there is no hope of obtaining Gods love.
5 4 3 2 1.
Qualitative interview
What is your understanding about Spirituality and how do you apply it in Holistic
Nursing?
To answer the main question, the following guide questions will be used:
1. As a Person, what are your understandings about spirituality?
1.1 How do you apply it within yourself?
1.2 How do you apply it in relationship with your family and friends?
2.1 How do you apply it with your daily life?