Example of instrument- questionnaire

Topic :

Realising the importance of keeping the air clean

Assessment element : E.3

PI1

Scientific attitudes and noble values

Intrinsic attitude
interest and curiosity
patience and hardworking
responsible and cooperative

PI2

Extrinsic attitude
teamwork
contribution to team

PI3

Thinking
critical
creative
open minded

PI4

Noble values
Applying the technological knowledge in carrying out
scientific activities.

Instruction

Tick () in the space provided to state the interest, curiosity,

hardworking and patience, responsible and cooperative.

Assessed
element

Response
Items.
2.

E3: PI1

3.
4.
5.

E3: PI2

E3:PI3

E3:PI4

6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.

3
Agree

I am interested to know the effects of open burning to the

environment.
I had advised people around me not to smoke
I always discuss with my teacher about the effects of air
pollution.
I feel angry when I see vehicles emitting a lot of smoke from
the exhaust pipes.
I never practice any open burning.
I am involved in the Keeping the Air Clean campaign
I practice car pool for air cleanliness.
I support the use of unleaded petrol.
I am determined to invent vehicles that will not pollute air.
I like to surf websites on how to solve air pollutions
I like to surf websites for ideas to design factory air filter
I practice recycling
I like watching documentary programmes about nature such
as National Geographic
I am a member of Natures Club
I correspond through e-mails with international natures club
I am satisfied with the law and regulations governing air
pollution in Malaysia
Teacher Questionnaire Checklist

Item
1.
2.
3.
4.
5.
6.
7.
8.
9

Content
The objectives of the questionnaire are clear.
The items used are suitable according to the objectives
The items used are appropriate to the response analyze method
The items used are simple and clear
The items do not test any particular knowledge
The form of item written is suitable (direct/indirect)
The instructions are given to the student prior to the students response
Pre-test has being done
Assessment response method is complete.

Yes

2
Not
sure

1
Disagree

SCORING TABLE GUIDELINE

Elements
Assessed

Performance Indicator

E3: PI 1

Intrinsic attitude
interest and curiosity
patience and hardworking
responsible and cooperative

E3: PI 2

Extrinsic attitude
teamwork
contribution to team

Question
Number
1-4

Score
1

Agree to all the four

items.

Agree to at least one of

the items

5-8

E3: PI 3

Thinking Skills
critical
creative
open minded

9-12

Agree to all the four

items

E3: PI 4

Noble Values
Applying the technological
knowledge in carrying out
scientific activities

13-16

Agree to at least one of

the items