Sample research instrument, High school final essays of Mathematics

Download Sample research instrument and more High school final essays Mathematics in PDF only on Docsity! RESEARCH INSTRUMENT The Mabasa, Dupax del Norte Nueva Vizcaya Teenagers will be the respondents of this study. DOSE POPULATION SAMPLE Second Dose Table 1 . Number of respondents in Mabasa, Dupax del Norte Nueva Vizcaya teenagers vaccination. Questionnaires I. Profile: Be honest on answering the following questions. Name:_______________________Date:_____ Sex:_________ Age:______ Before you answer the following statements below, you must first answer the following questions. Put ✅ on YES if you did and put ✅ on NO if you don’t. Pre-existing Conditions Pre-existing Conditions Yes No None Diabetes Asthma Allergy Others •Have you had any contact with anyone who has been diagnosed or suspected of the coronavirus? Yes No •Have you traveled to outbreak areas of the coronavirus disease in the past 14 days? Yes No II. Instructions: Answer the following statements below . Put YES if you experienced the symptoms, NO if not. Symptoms Yes No 1.Do you have fever(>37.6°C)? 2.Do you have shortness of breath or difficulty of breathing? 3.Do you have cough? 4.Do you have fatigue or tiredness 5.Do you have sore throat? 6.Have you ever experienced headache? 7. Do you have eye irritation/redness? 8.Loss of speech or mobility 9.Have you experienced chest pain? 10.Do you have rashes on your skin? 11.Did you feel dizzy? 12. Did you have pain on injection site?