February 22,2019 be

Dear Respondents,

Greetings!

We are in the process of writing our research paper entitled THE CIGARETTE AND ALCOHOL
ADDICTION ON STUDENTS OF MANUEL G. ARAULLO HIGHSCHOOL as a course requirement in Practical
Research I.

With the consent of the school's assistant principal, please be informed that you're going to
be part of our research study process as our respondents. You will be answering our survey form
questionnaire’s on THE CIGARETTE AND ALCOHOL ADDICTION ON STUDENTS OF MANUEL G. ARAULLO
HIGHSCHOOL. Please be assured that your answer will be treated with strict confidentiality.

Please be read the attached “Informed Consent Form”, for the details of the research process
and affix your Signature above your printed name found in the lower part of the form.

Thank you very much and hoping for your favorable response. Good day and God bless everyone.

Sincerely yours,

Daniela D. Manondo Roman John R. Liwanag Nadjid Gleen D. Padillon

Researcher Researcher Researcher

Denzel A. Fortu Anna Jean F. Obrence Anthony Alconaba

Researcher Researcher Researcher

Ryan Joel J. Mondero

Researcher

Noted:

MRS. ESPARAGO EUFRONIA FRANCISCO

Practical Research I Teacher, SHS Assistant Principal, SHS
Araullo High School Araullo High School
 INFORMED CONTENT FORM

RESEARCH TITLE: THE CIGARETTE AND ALCOHOL ADDICTION ON STUDENTS OF MANUEL G. ARAULLO
HIGH SCHOOL

RESEARCHERS: Daniela D. Manondo

Roman John Liwang

Nadjid Padillon

Denzel Fortu

Anna Jean Obrence

Anthony Alconaba

Ryan Monder

RESPONDENTS: Students of Manuel G. Araullo

Time/Duration: One Semester

DETAILED INFORMATION:

1. The Researcher will conduct a survey regarding of THE CIGARETTE AND ALCOHOL ADDICTION
ON STUDENTS OF MANUEL G. ARAULLO HIGHSCHOOL
2. You, as a respondent must have experienced on diving in the cigarette and alcohol before the
survey happens.
3. You will be engaged with questions about the influences of the cigarette and alcohol in your
daily lives as a students?
These questions pertain to:
a. How often do you drink alcohol?
b. How often do you take alcohol?
c. Who taught you to smoke and drink alcohol?
d. What are the reasons why you smoke and drink alcohol?

4. The researcher will ensure that your given opinions will be treated with confidentiality

Confirmed:

________________________

Signature over Printed Name of The Respondent’s

 Survey Questionnaire
Name:
Grade and Section:
Age:

Direction: Encircle the best corresponding answer below.

1. What age did you start in drinking alcohol?
a. 13-14 yrs. Old b. 15-16 yrs. Old c. 16-17 yrs.
Old d. ___________ (others)
2. What age did you start in taking cigarette?
a. 13-14 yrs. Old b. 15-16 yrs. Old c. 16-17 yrs.
Old d. ___________ (others)
3. How often do you take cigarette?
a. Twice a day b. thrice a day c. everyday
d.____________(others)
4. How often do you drink alcohol?
a. Twice a day b. thrice a day c. everyday
d. ___________(others)
5. Why are you taking cigarette and drinking alcohol?
a. Peer pressure b. bored c. stress
reliever d.___________(others)