University of San Agustin
Content
University of San Agustin General Luna Street, Iloilo City COLLEGE OF PHARMACY AND MEDICAL TECHNOLOGY
October 1, 2010 THE RESPONDENTS ILOILO CITY Dear Respondents: Greetings of peace and joy! I am a junior student of B.S. Pharmacy at the University of San Agustin. I am currently enrolled in English 104 (Technical Writing). Part of this subject is a research paper on the topic connected to my field of study. I have chosen to write about “Physical Exercise: Its effects on the health senior Citizens in Iloilo City”. I have chosen you as one of the respondents to my research study. Attached to this letter is the questionnaire for my study and for you to answer. I shall hold myself responsible for whatever data I may able to collect. The data that will be gathered will be a great help to my technical writing report. Thank you and GOD bless! Sincerely yours, ROBERTO M. MONJE JR. NOTED: MRS. AGNES DULCE ADRIAS Teacher, English 104
MS. VICTORIA SUSTENTO Dean, College of Pharmacy and Medical Technology
University of San Agustin General Luna Street, Iloilo City COLLEGE OF PHARMACY AND MEDICAL TECHNOLOGY
October 1, 2010 Dear Sir/ Ma’am: Greetings of peace and joy! I am a junior student of B.S. Pharmacy at the University of San Agustin. I am currently enrolled in English 104 (Technical Writing). I am conducting a research study entitled “Survey on the effects of physical exercise on the health of Senior Citizens in Iloilo City”. I have chosen you as one of the respondents to my research study. Please answer as honestly as you can. Thank you for your participation and your precious time. Sincerely, ROBERTO M. MONJE JR.
NOTED:
MRS. AGNES DULCE ADRIAS Teacher, English 104
0917-561-1011 incorporated Services Development (ISD) Address unit 2 2nd flr. E&L Bldg. 1801 concepcion corner n. garcia sts. makati city, MAKATI CITY Telephone : 8962113/897-4427-28 Fax Number : EMail Address [email protected]
YHMD International Manpower Services Inc. Address Grd. Flr., Gedisco center 1564 A. Mabini St. Ermita Manila, MANILA Telephone : 025352860 / 025252863 Fax Number :
OEA-GOV'T PLACEMENT BRANCH Address POEA BUILDING (GROUND FLOOR- WINDOW R) ORTIGAS AVENUE COR. EDSA, MANDALUYONG CITY Telephone : 02-722-1174/75 Fax Number :
QUESTIONNARE
NAME: ________________________ AGE: __________________________ GENDER: ______________________ STATUS: ______________________ MEDICAL HISTORY (please check your answer) __Hypertension __Diabetes Type 2 __Peptic Ulcer disease __Depression __Arthritis __Others (please specify) Please check or supply your answer on the given questions 1. I do regular exercise Yes_____________ No_________ • If yes how often? Everyday_____ Every other day_______ Once a week__________ Others. Pls. Specify__________ • • Since when? ______________ What type of exercise do you choose? Walking ____ Jogging ______ Cycling ____ Swimming _____ Others pls. specify ______________ 2. Does exercise improves your mood? Yes____ No_____ 3. Does exercise combats your chronic diseases? Yes____ No_____ 4. Does exercise help you sleep better and renew your energy? Yes____ No_____ 5. Does exercise improves your self concept? Yes____ No_____
October 1, 2010 THE RESPONDENTS ILOILO CITY Dear Respondents: Greetings of peace and joy! I am a junior student of B.S. Pharmacy at the University of San Agustin. I am currently enrolled in English 104 (Technical Writing). Part of this subject is a research paper on the topic connected to my field of study. I have chosen to write about “Physical Exercise: Its effects on the health senior Citizens in Iloilo City”. I have chosen you as one of the respondents to my research study. Attached to this letter is the questionnaire for my study and for you to answer. I shall hold myself responsible for whatever data I may able to collect. The data that will be gathered will be a great help to my technical writing report. Thank you and GOD bless! Sincerely yours, ROBERTO M. MONJE JR. NOTED: MRS. AGNES DULCE ADRIAS Teacher, English 104
MS. VICTORIA SUSTENTO Dean, College of Pharmacy and Medical Technology
University of San Agustin General Luna Street, Iloilo City COLLEGE OF PHARMACY AND MEDICAL TECHNOLOGY
October 1, 2010 Dear Sir/ Ma’am: Greetings of peace and joy! I am a junior student of B.S. Pharmacy at the University of San Agustin. I am currently enrolled in English 104 (Technical Writing). I am conducting a research study entitled “Survey on the effects of physical exercise on the health of Senior Citizens in Iloilo City”. I have chosen you as one of the respondents to my research study. Please answer as honestly as you can. Thank you for your participation and your precious time. Sincerely, ROBERTO M. MONJE JR.
NOTED:
MRS. AGNES DULCE ADRIAS Teacher, English 104
0917-561-1011 incorporated Services Development (ISD) Address unit 2 2nd flr. E&L Bldg. 1801 concepcion corner n. garcia sts. makati city, MAKATI CITY Telephone : 8962113/897-4427-28 Fax Number : EMail Address [email protected]
YHMD International Manpower Services Inc. Address Grd. Flr., Gedisco center 1564 A. Mabini St. Ermita Manila, MANILA Telephone : 025352860 / 025252863 Fax Number :
OEA-GOV'T PLACEMENT BRANCH Address POEA BUILDING (GROUND FLOOR- WINDOW R) ORTIGAS AVENUE COR. EDSA, MANDALUYONG CITY Telephone : 02-722-1174/75 Fax Number :
QUESTIONNARE
NAME: ________________________ AGE: __________________________ GENDER: ______________________ STATUS: ______________________ MEDICAL HISTORY (please check your answer) __Hypertension __Diabetes Type 2 __Peptic Ulcer disease __Depression __Arthritis __Others (please specify) Please check or supply your answer on the given questions 1. I do regular exercise Yes_____________ No_________ • If yes how often? Everyday_____ Every other day_______ Once a week__________ Others. Pls. Specify__________ • • Since when? ______________ What type of exercise do you choose? Walking ____ Jogging ______ Cycling ____ Swimming _____ Others pls. specify ______________ 2. Does exercise improves your mood? Yes____ No_____ 3. Does exercise combats your chronic diseases? Yes____ No_____ 4. Does exercise help you sleep better and renew your energy? Yes____ No_____ 5. Does exercise improves your self concept? Yes____ No_____
