STUDENT DOMESTIC PROBLEMS INVENTORY RATINGI - PROFILE: Gender: Male ( ) Female ( ) Type of Family: Please choose options given below by putting a check (√) marks. ____1. Nuclear ____2. Extended ____3. Matriarchal (Mother-child; Aunt-child; Grandmother-child or Female Guardian-child) ____4. Patriarchal (Father-child; Uncle-child; Grandfather-child or Male Guardian-child)II - THE DOMESTIC PROBLEMS AND ITS DEGREE Instructions: 1. Please read and understand the question. Your honesty in answering this questionnaire will lead to the reliability of the data gathered. 2. Do not leave any item unanswered. 3. Indicate your responses by putting a check (√) mark on the score rating in the box which describe and interpreted as follows: Score 0 1 2 3 Description Strongly Disagree Disagree Agree Strongly Agree (SD) (D) (A) (SA) A. Financial 0-SD 1-D 2-A 3-SA 1. You are bothered because your parents/guardian cannot sustain family basic needs, school expenses (tuition) due to low income 2. Your parent/guardian do not have job or lost their job 3. Your family business is begin to have low income or on bankruptcy 4. No other relatives or members in your family have work for additional income 5. Your family/parents are in debt and due payments have been overdue.
B. Health 0-SD 1-D 2-A 3-SA6. It’s been a difficult stage lately due to a death in the family7. One of our family members had chronic illness8. One of our family members is handicap or in need of consistent special care9. We are always on stress because of frequent hospitalization due to recurrent of illness of love ones.10. There had been a shift of family roles because one of our family members got sick and still recovering. C. Relationship 0-SD 1-D 2-A 3-SA11. There is lack of empathy and disrespect towards family members, relatives and neighbors due to misunderstanding.12. There are frequent occurrences of fights (verbal and physical) that result into violence within the family members.13. Lack of sensitivity or understanding by a child can be cause for argument in the home due to indiscipline14. Unfair treatment of one or both parents towards children can cause enmity and jealousy between siblings.15. The relationship between spouses (parent) is not harmonious, frequent arguments occur. D. Family System 0-SD 1-D 2-A 3-SA16. Your feel that your parents/guardian is very lax in disciplining family members.17. You feel that your parents/guardian is extremely strict in discipline.18. There is unfair distribution of daily household chores in the family19. There in unfair sharing of properties or belongings in the home.20. There is unfair distribution in providing financial privileges and implementation of house rules.