September 11, 2009

Dear respondents:

Good day.

Our group is conducting a survey in line with our research study entitled “The Frequency of
Playing Computer Game (DotA) and the Grade of the BSN third year students in Our Lady of
Fatima University”. This study aims to determine if there are a significant relationship between the
frequency of playing DotA and the grade of the students. This study can be useful for you to further
lighten your awareness on whether the amount of time you consume playing the game do affect your
performance in school.

We would like to ask your cooperation by answering the questionnaire honestly and completely.
Any information you will provide shall highly appreciated and we assure that all information will be
treated with utmost confidentiality.

Thank you.

____________________
Salvador, Renz R.
Group Leader

Noted by:

____________________
Mr. Michael Reyes Yosa
NRES Adviser

Approved By:

_________________________
Nelia R. Capulong RN, MAN
Dean College of Nursing