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STUDENT DOMESTIC PROBLEMS INVENTORY RATING


I - 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-SA
6. It’s been a difficult stage lately due to a death in the
    family
7. One of our family members had chronic illness
8. One of our family members is handicap or in need of
    consistent special care
9. 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-SA
11. 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 indiscipline
14. 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-SA
16. 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 family
19. 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.
Student domestic problems inventory rating

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Student domestic problems inventory rating

  • 1. STUDENT DOMESTIC PROBLEMS INVENTORY RATING I - 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.
  • 2. B. Health 0-SD 1-D 2-A 3-SA 6. It’s been a difficult stage lately due to a death in the family 7. One of our family members had chronic illness 8. One of our family members is handicap or in need of consistent special care 9. 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-SA 11. 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 indiscipline 14. 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-SA 16. 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 family 19. 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.