Barcelona National Comprehensive High School
Barcelona, Sorsogon
S.Y. 2024 – 2025
Gathering data and information about “The Impact of Social Media on Student
Well-being and Academic Performance”, this is limited only on the student in BNCHS.
Your personal information will be keep and know by the research team only. Your safety
is our priority.
Name (optional) ____________________________________________ Age: _____________
Grade/Section: ______________________________ Gender: __________
Direction: Please put a valid answer and acceptable on the question below.
1. How many hours do you spend on social media per day?
[ ] less than 1hour [ ] 1-2 hours [ ] 2-5 hours [ ]
more than 5 hours
2. Which social media platforms do you use most frequently?
[ ] Instagram [ ] Facebook [ ] Twitter [ ] Tiktok [ ] Snapchat
3. What do you primarily use social media for?
[ ] Socializing [ ] Entertainment [ ] Education [ ] Self-Expression
4. Do you have social media account on your phone?
[ ] Yes [ ] No
5. Do You experience anxiety or stress after using social media?
[ ] Yes [ ] No
6. Do you experience cyberbullying on online harassment?
[ ] Yes [ ] No
7. Do you use social media during study sessions?
[ ] Yes [ ] No
8. How often do you get distracted by social media while doing homework?
[ ] Never [ ] Rarely [ ] Sometimes [ ] Often [ ] Always
9. Has social media ever affected your academic performance?
[ ] Yes [ ] No
10. Does social media use affect your sleep schedule?
[ ] Yes [ ] No
