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Dear respondents,
We, the researchers from Group 8 STEMB1 would like to ask for your cooperation for our
research study which is entitled, Dutdurutdut: A correlational study on the excessive use of smart phones
of Technological Institute of the Philippines Quezon City campus Senior High School students and their
reflexes, A.Y. 2017 2018. All data that you will give will be helpful and essential with our study. Thank
you!
Respectively yours,
Researchers
Instructions: Please answer all the questions honestly, check the box of your answer, you can only have
one answer for each item.
Name: Age:
Strand: Gender:
Sitting
Standing
Moving (e.g. while walking)
5. How many hours in your estimation do you spend using your smart phone?
0 hr. 2 hrs.
2 hrs. 5 hrs.
5 hrs. 10 hrs.
10 hours and more
6. How many hours in your estimation is the longest time when you continuously use your
smartphone?
0 hr. 2 hrs.
2 hrs. 5 hrs.
5 hrs. 10 hrs.
10 hours and more
7. Do you regard your use of smart phone excessive?
Yes No
8. Do you exercise on a daily basis?
Yes No
If yes, what is the frequency?
Once a week thrice a week Everyday
9. What physical activities are you involve in?
Sports Martial Arts
Work out Dance
None
10. Do you see yourself as a physically fit person?
Yes No