RESEARCH INSTRUMENT A4
RESEARCH INSTRUMENT A4
RESEARCH INSTRUMENT A4
General Direction: This questionnaire requires you to access your Self-Care and Emotional
Quotient level. Please answer honestly in terms of the following situations in each indicator
by checking the appropriate box that matches your natural reaction to the statement. There
are no right or wrong answers and please do not leave any questions unanswered.
For each given statement, indicate the level of self- care in terms of physical self-
care, emotional self- care, and phsycological self- care. Please put a checkmark on the
box that corresponds to your answer based on the 5- point Likert Scale below.
Items
A. Physical Self-Care 5 4 3 2 1
I…
9. take vacations.
I…
3. praise myself.
4. love myself.
5. reread books.
I…
For each given statement, indicate the level of self- care in terms of handling emotions,
empathy, and self awareness Please put a checkmark on the box that corresponds to your
answer based on the 5- point Likert Scale below.
Items
A. Handling Emotions 5 4 3 2 1
I...
8. have control of my
emotions.
B. Empathy 5 4 3 2 1
I...
C. Self Awareness 5 4 3 2 1
I...
1. am communicating with
adults is comfortable for me.
7. am self-motivating.
Samirah Tan
Annysah Paidumama
Neylan Kusin
Researchers