SURVEY: The Effects of Sleep Deprivation Towards the School Interaction of
Grade 12 STEM students of Benigno S. Aquino National High School
We are inviting you to participate in our research by answering the following questions.
Our research entitled " The Effects of Sleep Deprivation Towards the School Interaction
of Grade 12 STEM students of Benigno S. Aquino National High School" aims to
evaluate how sleep deprivation affects the students' interaction.
By continuing, you are permitting us the authority to see the data you provided. The
following questionnaire will require approximately 10-15 minutes to complete and we        What time do you usually go to bed on a school night?
humbly request that you answer the survey questionnaire with utmost honesty. Your                            Before 10 PM
survey responses will remain confidential and used solely for research purposes.
                                                                                                             Between 10 PM or 11 PM
Thank you for your time and support. Your willingness to participate is deeply
appreciated.                                                                                                 Between 11 PM or 12 AM
   I.       DEMOGRAPHIC PROFILE                                                                              12 AM or Later
NAME:                                                                                             How many days in a week do you stay past your bedtime?
GENDER:                                    SECTION:
                                                                                                              Once a week
GWA (1ST SEMESTER):
                                                                                                              2 -3 days a week
   II.      SLEEPING HABIT                                                                                    3 -5 days a week
                (Mark only one from the choices)
                                                                                                              A whole week
         Do you consider yourself to be have been sleep deprived at some point through
                                                                                                  How many hours do you spend on your gadgets before you try to go to sleep?
         this whole academic school year?
                 Yes, I have been sleep deprived at some point through this school year                       5 – 10 minutes
                  No, I have not been sleep deprived                                                          10 – 30 minutes
         How many hours of sleep do you get before going to school?                                           30 minutes – 1 hour
                   2 – 4 hours                                                                                1 hour or more
                   5 – 7 hours
                   8 – 10 hours
III.   Understanding the Effects of Sleep Deprivation in Social Interaction of Students
       (Please rate your level of agreement by putting a check to the statements below)
                               EVALUATIVE STATEMENT                                       1- STRONGLY   2- DISAGREE   3- AGREE   4- STRONGLY
                                                                                             DISAGREE                                 AGREE
        Being sleep deprived is commonly caused by school works.
        I lose focus communicating with someone when I lack sleep.
        My attention span is shorter than normal when I'm sleep deprived.
        I am easily irritated when someone is talking to me.
        Being sleep deprived makes me less inclined to engage with others.
        I have difficulty initiating conversations with others when I am sleep
        deprived.
        Sleep deprivation affects how I socially interact with my teachers and
        classmates.
        I am not in the mood to participate in class activities when I am sleep
        deprived.
        I am less likely to offer help to my classmates when I am sleep
        deprived.
        I am less likely to participate in group projects or activities when I am
        sleep deprived.
        I find it harder to understand what people are saying when I am sleep
        deprived.
        Being sleep deprived cause me to make more mistakes.
        I am more likely to withdraw from social situations when I am sleep
        deprived.
        My sleep deprivation results in loneliness and social withdrawal.
        My social battery is getting drained when I am sleep deprived.
        Sleep deprivation affects my ability to form and maintain relationships
        with my peers.
        I prefer to sleep than to socialize with others.
        I am more likely to engage in conflicts or arguments with others when
        I am sleep deprived.
        I don’t feel socially confident when I am sleep deprived.
Eye contact with people is hard when I can’t focus.