Polytechnic University of the Philippines COLLEGE OF EDUCATION Mabini Campus, Sta.

Mesa, Manila Dear Respondents: We, the Researchers, students of Polytechnic University of the Philippines, all third year students of the College of Education will be conducting our research entitled The effect of Family System to the Psychosocial Development of the 4th year students of the Polytechnic University of the Philippines Laboratory High school School year 2012-2013 We are requesting for your cooperation for the fulfillment of this study.

Researchers POLYTECHNIC UNIVERSITY OF THE PHILIPPINES LABORATORY HIGH SCHOOL(PUPLHS) PROFILE OF THE RESPONDENT
Name: Section: Gender: Age: Male Female

FAMILY PROFILE
Father: Mother: Number of Siblings: ____________ Birth Order: (1st child or 2nd, please specify): Type of Family (according to structure) Occupation: Occupation:

INSTRUCTIONS: Put a check on the circle on your corresponding answer. Provide 1 answer only. 1. Who did live with? Parent/s Guardian Elder Sibling Relative 2. Which kind of family do you belong? Nuclear family Extended family Single Parent 3. Which social class does your family belong? INSTRUCTIONS: Upper Class Middle Class Lower Class 4. What nature of residence do you belong? Patrilocal Matrilocal Neolocal Change of Residence

5. Who takes charge in decision-making in your family? Parent/s Guardian Elder Sibling Relative Others (please specify) ___________________ 6. Who do you often ask for advice? Parent/s Guardian Elder Sibling Relative Others (please specify) ___________________

INSTRUCTION: Rank each statement by checking the column

according to the following: 5- ALWAYS

(constantly)

4-OFTEN 3-SOMETIMES 2-SELDOM

(frequently) (occasionally) (rarely)

1-NEVER
(in no means)

1. Are you close with your siblings? 2. Do you spend your free time with your family? 3. Do you eat at the same time with your family? 4. Do you go to church with your family? 5. Do you have conversation during meal time with your family?

FAMILY FUNCTION
1. Does your family provide your major expenses?

INDEPENDENCE
1. Do you make decisions on your own? 2. Have you make decisions about your career on your own? 3. Do you consult your friends in decision making? 4. Do you ask the permission of your parents about your career in college? 5. Do you ask the view of your parent in terms of choosing your friends?

FAMILY AND PEER RELATIONSHIP

1. Do you spend more time with your friends rather than your family? 2. Do you want to spend more time at school rather than at home? 3. Do you discuss your problems with your family? 4. Do you consult your physical changes to your friends? 5. Do you spend leisure time with your friends? (hang-out, watch movies, malling,) 6. Do you spend lunch breaks with your friends? 7. Do you ask your friends for help in school works? 8. Do you share secrets with your friends? 9. Do you have conversation about school matters with your family? 10. Do you have conversation about personal and emotional matters with your friends? play sports,

IDENTITY FORMATION
1. Do spend academic group works with your friends?
2. Do you enter the same Academic Clubs with your friends? 3. Do you prefer the same type of clothing of you friends?

5 4 3 2 1

4. Do you hang out friends with the same gender? 5. Do have common traits with your friends?

INSTRUCTION: Put a check on the circle on your corresponding answer. Provide 1 answer only.
1. What is your preference in choosing your friends? Someone you can have common interest. Someone you can share your insights. Someone you have the same level. Someone you can be accompanying with. Someone you can rely in times of need. 2. What do you consider doing most? Art Music Books Academic Activities (Contests, Declamations, Quiz Bees) Organizational Activities (Church, Voluntary Works, Dance or Singing Contest) 3. How do you classify yourself in the following? Athletic Artistic Book Lover Class Leaders Academically Competent Socially Inclined Music Lover 4. What activities do you enjoy? Socializing (personal, online, messaging) Writing (stories, poems, songs) Reading books or magazines Playing Online Games Painting Photography Indoor Games 5. Have you decided what course you will take in college? Yes No 6. What kind of college degree do you prefer? Vocational Course Bachelor Degree TESDA

Collecting of Items Sports Cooking or Baking Watching Movies Singing Playing Musical Instrument

7. What Course do you like to take in college?(please specify) __________________