NORTHERN ILOILO STATE UNIVERSITY
SCHOOL OF EDUCATION
TEACHER EDUCATION DEPARTMENT
Estancia, Iloilo
Research Instrument
This research instrument was adapted from the study of
Aller, T. B. (2012) in the study Mental Health Awareness and
Advocacy: Assessment Tool Development and an Evaluation of a
College -Based Curriculum
Part I. Demographic Profile
Direction: Please fill up the needed information below
by checking the space before the given
options.
Name : _____________________________________________
(Optional)
Sex:
( )Male ( )Female
Age: Years old
( )20 and below ( )21-30 ( )31 and above
Civil Status:
( )Single ( )Married ( )Widow ( )Separated
Year Level:
( )First Year ( )Second Year
( )Third Year ( )Fourth Year
NORTHERN ILOILO STATE UNIVERSITY
SCHOOL OF EDUCATION
TEACHER EDUCATION DEPARTMENT
Estancia, Iloilo
Part II. Mental Health Education Awareness
Direction: Below are statements describing your
awareness on Mental Health Education. Please answer
each
item based on the given option by checking the
appropriate column per item.
Legend:
5–Fully Aware 2–Not Aware
4–Slightly Aware 1-Fully not aware
3-Aware
No 5 4 3 2 1
Fully Slightly Aware Not Aware Fully
Statement aware aware
Not Aware
1 I know when someone
is experiencing signs
of depression based
on their behaviors
and thoughts they are
sharing with me.
2 I know how to ask
questions to better
understand someone's
current mood and
thoughts.
3 I can determine
appropriate about
mental health
services when someone
needs help for a
mental health issue.
4 I can talk to someone
about accessing
mental health
resources for
depression or anxiety
NORTHERN ILOILO STATE UNIVERSITY
SCHOOL OF EDUCATION
TEACHER EDUCATION DEPARTMENT
Estancia, Iloilo
issue in a kind and
empathetic manner.
5 I know how to set
healthy boundaries
with someone when
they are experiencing
consistent mental
health issues that
help keep us both
safe.
6 I know when someone
is experiencing signs
of anxiety based on
their behaviors and
thoughts they are
sharing with me.
7 I can have
conversations about
mental health issues
could help to
decrease stigma
attached to mental
health.
8 I know the
differences between
regular sadness and
nervousness compared
to major depressive
disorder and
generalized anxiety
disorder.
9 I know the difference
between depression
and anxiety .
10 I know at least the
three national
organizations that
works to prevent
mental health issues
NORTHERN ILOILO STATE UNIVERSITY
SCHOOL OF EDUCATION
TEACHER EDUCATION DEPARTMENT
Estancia, Iloilo
or suicide such as
Department of Health
(DOH), World Health
Organization (WHO)
and Hopeline
Philippines.
11 I can have
conversations about
mental health issues
based on reliable
information.
12 I can identify and
access mental health
resources in my
community.
13 I can identify who to
contact in my
community and state
to advocate for
increased resources
for mental health
issues.
14 I know how to ask
questions to better
understand someone's
current mood and
thoughts and if they
pose a threat of harm
to themselves or
others
15 I know what are some
examples of effective
ways to combat stigma
about mental health.
16 I know some mental
health providers like
licensed clinical
social worker,
psychiatrist, and
NORTHERN ILOILO STATE UNIVERSITY
SCHOOL OF EDUCATION
TEACHER EDUCATION DEPARTMENT
Estancia, Iloilo
psychologist which
are prescribe
medications to treat
mental health issues.
17 I know some
treatments have been
supported by research
as effective
treatments about
anxiety,depression
and other mental
health problems.
18 I can identify when
someone needs
professional help due
to emotional or
behavioral problems.
19 I know what
appropriate
treatments that
effective at treating
mental health issues.
20 I can identify
individuals that are
more likely to
experience symptoms
of anxiety,depression
and other mental
issues.