Polytechnic College of Botolan

Botolan, Zambales

Research – Made Questionnaire

“The Level of Comprehension and its impact on Problem solving skills of

Science, Technology, Engineering and Mathematics SHS Students of Polytechnic

College of Botolan S.Y 2017-2018”

You are kindly invited to fill-out this questionnaire. Your answer will remain confidential

and will serve only for the purpose of the researcher study.

Part I. Respondent’s Profile

Name: ___________________________ (Optional)

Age: ( ) 14-15 ( ) 16-17 ( ) 18-19 ( ) 20-21 ( ) 22-above

Sex: ( ) male ( ) female

Strand/Year Level: _________________________________________________

Family Monthly Income: ( ) 3,000-below ( ) 5,000-8,000 ( ) 8,000-10,000

( ) 3,000-5,000 ( ) 10,000-above

Part II. Students - Related Factors

Direction: Please put a checkmark (√) and rate yourself honestly based on what you

actually do with the following statements. Rating is based on the following rating

scales:

5 - (A) Always 4 – (O) Often 3 – (S) Sometimes 2 – (R) Rarely 1 – (N) Never
A. Interest 5 4 3 2 1

A O S R N

1) I make my self-prepared for the learning session.

2) I want to read books that is related in

mathematics

3) I actively participate on answering problem

solving in mathematics

4) I want to memorize unfamiliar words from what I

read.

5) I got frustrated when I don’t get the right answer.

6) I’m focus on my study when I get low scores on

test and quizzes.

7) I give up easily when I can’t answer the giving

problem.

8) When I read mathematics books, I skip the words

that are new to me.

9) When the classes began sometimes I feel sleepy

and bored.

10) I do not pay attention to the implied meaning of

the reading material.

B. Study habits 5 4 3 2 1

A O S R N

1) I don’t do my assignments regularly.

2) I exert more effort answering the given problem in

mathematics subjects.

3) I spend my vacant time reading books or text

books.

4) I study the lesson I’ve missed if I am absent in the

learning session.

5) I study and prepared for quizzes and test in

mathematics subjects.

6) I study harder to improve my reading

comprehension.

7) I spend a lot of time surfing the net, watching TV,

and playing video games than reading.

8) I prefer to read my lesson before watching any

television program.

9) I see to it that reading has a big help in my study.

10) I have a specific place to read my past lesson.

Thank you very much for taking your valuable time to complete this survey…..

God Bless!!!

The Researcher
Ruth Grace =)
 Polytechnic College of Botolan
Botolan, Zambales
Research – Made Questionnaire
“CYBERBULLYING AND ITS EFFECT TO THE ACADEMIC PERFORMANCE
OF SENIOR HIGH SCHOOL OF POLYTECHNIC COLLEGE OF BOTOLAN S.Y.
2017-2018”
I. Respondents Profile:

Name: ___________________________ (Optional)

Age: ( ) 14-15 ( ) 16-17 ( ) 18-19 ( ) 20-21 ( ) 22-above
Sex: ( ) male ( ) female
Year and Section: _________________________________________________
II. Please put a checkmark (√) and rate the factors affecting cyberbullying to the
academic performance based on your observation in the given statements using
the scales below:

4 (SA) strongly Agree 2 (D) Disagree

3 (A) Agree 1 (SD) Strongly Disagree

No. Students Factors Affecting 1 2 3 4

Cyberbullying
SA A D SD

1. Less of interest in school and extra

curricular activities due to
cyberbullying.

2. Cyberbullying increased risk to

commit suicidal thoughts.

3. Cyberbullying causes stress and

affects your health.

4. Cyberbullying affects your

professional reputation, career and
dignity.

5. Cyberbullying results to lack of

involvent in school activities, and
daily life.

6. Cyberbullying makes them loose

their self-steem and become
depressed.

7. The students became shy and

becomes hesitant to communicate
 with others.

8. Cyberbullying causes depression

that affects academic performance
of students.

9. Cyberbullying decreases the

motivation to study and generates
anxiety disorders.

10. Students decreases school

attendance rates as the effect of
cyberbullying.
 Polytechnic College of Botulin

Botolan, Zambales

“Teenage Relationship: A challenge to the academic performance of senior high

school student of polytechnic college of botolan S.Y 2017-2018”

Research Made Questionnaire

I. Direction: Please supply the information requested. Put a check (√) on the space

provided that corresponds to your answer.

A. Respondent’s Profile

1. Name: ___________________________ (Optional)

2. Age: _____________________________________________

3. Sex: ( ) male ( ) female

4. Year & Section: _____________________________________________

B. Family Structure

1.) Number of siblings:

2.) Family monthly income

( ) 5,000-below ( ) 10,001-15,000 ( ) 15,001-20,000

( ) 5,001-10,000 ( ) 20,000-above
C. Factors that affect Academic Performance

1.) Do you think having an intimate relationships affects your studies?

Yes No

2.) In your own perspective, what do you think is the is the effect of having

intimate relationships?

Better

Worse

Don’t care

3.) Does your partner motivates you in your studies or not?

Yes No Doesn’t do anything

4.) When you started having a relationship, does it inspires you more or not?

Yes

No

Nothing happened

5.) Is your partner a big help in doing your task and other school work?

Yes

Sometimes

No

I’m Single

6.) Does his/her contribution develop intellectual skills and concept that are

necessary in your structure?

Yes

Not really

No
 7.) What is your general average last semester?

80-85

86-90

91-95

96-100

8.) Do you spend more time with your partner during school days?

Yes

Sometimes

No

9.) Have you ever thought that you have to give up you studies in exchange

for commitment/relationship?

Yes

No

I’m single

10.) Which do you prefer?

Studies

Having a relationship with someone

Both

11.) Are you in favor of having a relationship while studying? Yes

No If yes, what is your reason for having a relationship while

studying?

Inspiration

For fun

You just like it

Other (Please specify)

 12.) Are your parents aware and well informed that you are having a

relationship with someone?

Yes

No

I’m single

13.) If your parents told you to prioritize first your studies than

anything else, does it affect your harmonious relationship with your

family?

Yes

No

I’m single