Survey Questionnaire of the Respondents

Dear student,

Thank you for the participating in this research study as a respondent. Herewith is

a questionnaire checklist about ‘’Degree of Initiation Rites among Members of Fraternity

and Sorority Organization’’.

It is how that the result of this study will help the citizens, students and future

researcher to find out effective solutions and once and for all will emphasized that this

practices still exist even today.

Please fill in the information accurately and return the questionnaire to the

undersigned. Rest assured that your answer will be kept confidential.

Thank you very much and my God bless us all.

Kurt Christian C. Hortelano

Researcher
 General Directions: kindly give your sincere and honest answers to every question

in the questionnaire that the researcher asked. Put a check ( ) on the space provided

based on your answer that best describes your profile remark or experience.

Profile of the Respondent:

1. Age:

15 to 18 years old

19 to 21 years old

22 to 24 years old

25 and above

2. Gender:

Male

Female

3. Educational Attainment

High School level

College Level

Graduated/Degree Holder
4. Year level When Membered

High school:

1st Year

2nd Year

3rd Year

4th Year

College:

1st Year

2nd Year

3rd Year

4th year

5th year and above

5. Socio-economic Status:

Single

Married

Live-in

Divorce

Below are the statements which obtain questions in connection to Degree

of Initiations you have experienced and observed.

General Directions: kindly give your sincere and honest answers to every

question in the questionnaire that the researcher asked. Put a check ( ) on the

space provided based on your answer.

 Body Contact
Always Sometimes Once Never

Have you been “Indian Pass’’?

Have you been Punched in the Body?

Have you been Slapped in the face?

Have you been in Belting?

Have you been Kicked?

Branding
Always Sometimes Once Never

Have you been Tattooed?

Have you been Burned?

Have you been Stigmatized?

Have you been in Scarification?

Have you tried Rings in the Finger?

 Mental Anguish
Always Sometimes Once Never

Have you been ‘’Saywar’’?

Have you been inflicted shame?

Have you been Blindfolded?

Have you been Embarrassed?

Have you been Threatened?

Maltreatment
Always Sometimes Once Never

Have you been Beaten?

Have you been Deprived of liberty?

Have you been Tortured?

Have you been Intoxicated?

Have you been in Servicing?