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This document is a survey designed to assess the impact of social and emotional learning (SEL) programs on the wellbeing of grade 12A students at Christian School of Polomolok for the 2023-2024 school year. It includes sections on demographic information, social and emotional competence, wellbeing and academic engagement, program perception, and open-ended questions for additional feedback. The responses will be confidential and used solely for research purposes.

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14 views2 pages

Questioner

This document is a survey designed to assess the impact of social and emotional learning (SEL) programs on the wellbeing of grade 12A students at Christian School of Polomolok for the 2023-2024 school year. It includes sections on demographic information, social and emotional competence, wellbeing and academic engagement, program perception, and open-ended questions for additional feedback. The responses will be confidential and used solely for research purposes.

Uploaded by

GIL tabiling
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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APPENDIX D

Christian School of Polomolok


Cadena de amor st, Polomolok South Cotabato

Social and Emotional Learning (SEL) Program Impact Assessment Survey

Introduction:
Thank you for participating in this survey aimed at examining the impact of social
and emotional learning (SEL) programs on student wellbeing among grade 12A
students at Christian School of Polomolok during the school year 2023 to 2024.
Your responses will help us understand how SEL interventions influence various
aspects of your social, emotional, and academic experiences.

Instructions:
Please read each statement carefully and select the response that best reflects
your experiences and opinions. There are no right or wrong answers, so please
answer honestly. Your responses will be kept confidential and used for research
purposes only.

1. Demographic Information:
a. Gender:
▢Male / ▢Female / ▢Non-binary / ▢Prefer not to say
b. Grade Level:
▢Grade 12A
c. Age: ________ years

2. Social and Emotional Competence:


Please indicate the extent to which you agree or disagree with the following
statements:
a. I am aware of my emotions and can identify them accurately.
▢Strongly Disagree / ▢Disagree / ▢Neutral / Agree / ▢Strongly Agree
b. I am able to manage my emotions effectively, even in challenging situations.
▢Strongly Disagree / ▢Disagree / Neutral / ▢Agree / ▢Strongly Agree
c. I demonstrate empathy and understanding towards others' perspectives and
feelings.
▢Strongly Disagree / ▢Disagree / ▢Neutral / ▢Agree / ▢Strongly Agree
d. I communicate effectively and build positive relationships with my peers and
teachers.
▢Strongly Disagree / ▢Disagree / ▢Neutral / ▢Agree / ▢Strongly Agree
3. Wellbeing and Academic Engagement:
Please indicate the frequency with which you experience the following:
a. Feeling stressed or overwhelmed by schoolwork or other responsibilities.
▢Never / ▢Rarely / ▢Sometimes / ▢Often / ▢Always
b. Feeling connected and supported by your peers and teachers.
▢Never / ▢Rarely / ▢Sometimes / ▢Often / ▢Always
c. Feeling motivated and engaged in your academic studies.
▢Never / ▢Rarely / ▢Sometimes / ▢Often / ▢Always
d. Feeling a sense of purpose and direction in your future goals.
▢Never / ▢Rarely / ▢Sometimes / ▢Often / ▢Always

4. Program Perception:
How would you rate the impact of the SEL program on the following aspects of
your school experience?
a. Emotional Regulation Skills Development
▢Very Negative / ▢Negative / ▢Neutral / ▢Positive / ▢Very Positive
b. Peer Relationships and Communication
▢Very Negative / ▢Negative / ▢Neutral / ▢Positive / ▢Very Positive
c. Academic Engagement and Performance
▢Very Negative / ▢Negative / ▢Neutral / ▢Positive / ▢Very Positive
d. Overall Wellbeing and Satisfaction
▢Very Negative / ▢Negative / ▢Neutral / ▢Positive / ▢Very Positive

5. Open-Ended Questions:
Please share any additional thoughts or comments you have regarding the SEL
program and its impact on your wellbeing and academic experience.

Thank you for your participation! Your feedback is invaluable to our research
efforts.

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