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FACULTY OF MODERN LANGUAGES AND COMMUNICATION

UNIVERSITY PUTRA MALAYSIA


QUESTIONNAIRE

TITLE:
MOTHER IN OURS LIFE

This questionnaire containing Part A and Part B. Part A consists of questions


related to respondent background. Part B is related to the study objectives.
All information provided is strictly confidential. It is hoped that students will
be able to answer the questionnaire honestly and sincerely to achieve the
objectives of the study.
Assistance given by the students was preceded with gratitude. Hopefully we
will get the benefit from this study.

Thank you.

SECTION A: RESPONDENT BACKGROUND

INSTRUCTIONS:
Please tick () in the space provided in connection with your self.

1. Gender

a. Male

b. Female (

a. Below 25 (

2. Age

b. 25 and above (
3. Status

a. Single

b. Married

SECTION B: MINI SURVEY


INSTRUCTIONS:
Please tick () in the space provided in connection with yourself.
1) Do you still have mother?
i.
Yes
ii.
No
2) What
i.
ii.
iii.
iv.

(
(

is your mother status?


Employed
(
Single mother
(
House wife
(
Others : __________________

3) Did you stay with your mother?


i)
Yes
(
ii)
No
(

)
)

)
)
)

)
)

4) Do you know your mothers birthday?


i.
Yes
(
)
ii.
No
(
)
5) Do you celebrate your mothers birthday?
i.
Yes
(
)
ii.
No
(
)
6) Did you share your salary with your mother?
i)
Yes
(
)
ii)
No
(
)
iii)
Sometimes
(
)
7) How
i.
ii.
iii.
iv.

often do you contact your mother in a week?


Everyday
(
)
Once a week
(
)
Twice a week
(
)
Others : ___________________

8) What type of problem do you share with your mother?


i.
Relationship
(
)
ii.
Financial
(
)

iii.
iv.
9) Does
i)
ii)
iii)

10)

Family
Career

(
)

your mothers opinion important to you?


Yes
(
)
No
(
)
Not sure
(
)

From your opinion, how to motivate or educate our own child to

always appreciate mother.


________________________________________________________________________
________________________________________________________________________
________________________________________________

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