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RULE BREAKING BEHAVIOUR

QUESTIONNAIRE

This questionnaire has been prepared by SHAF students from Universiti Teknologi Malaysia
(UTM). Please do not put your name on the questionnaire since all responses are confidential.
Your co-operation in completing this study by responding to the following questions would be
greatly appreciated. Thank you.

A. Respondent background
1. Gender: I am
Male----------( )
Female--------( )
2. I am presently enrolled in the following type of program.
Marketing-----------( ) Engineering------( )
Accounting---------( ) Other--------------( )
Technology---------( )
Psychology---------( )
Education----------( )
Science-------------( )
3. What is (or was) the occupation of your mother? (e.g., doctor, homemaker)
Job _______________________________________________________
4.What is (or was) the occupation of your father? (e.g., social worker)
Job _______________________________________________________
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5. What is your parents' marital status?


Married and living together-----------------------( )
Other-------------------------------------------------( )
6. How many brothers do you have? ________
7. How many sisters do you have? _________
8. I was the _______________ child in a family of __________ children.
(e.g., 1st, 2nd, 3rd etc.)
9. Where do you live while attending school?
Apartment/house/boarding-----------------( )
With both parents---------------------------( )
With one parent-----------------------------( )
Other-----------------------------------------( )

B. Factors why students tend to break rules


Please rate the following by circling a number to indicate your answer.
10. What do you think are the chances you will realize your career expectations?
Very poor 1 2 3 4 5 6 7 8 9 Very good
11. I get along well with my mother.
Strongly Disagree 1 2 3 4 5 6 7 8 9 Strongly Agree
12. I get along well with my father.
Strongly Disagree 1 2 3 4 5 6 7 8 9 Strongly Agree
13. How would you rate your childhood?
Very unhappy 1 2 3 4 5 6 7 8 9 Very happy

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14. Were you ever abused as a child?


Yes-------1( )
No--------2( )
If yes, what kind of abuse was it?
Yes No
Emotional----------------------_____ _____
Verbal--------------------------_____ _____
Physical------------------------_____ _____
Sexual--------------------------_____ _____
15. Have you ever felt pressured by peers to do any of the following?
Smoke cigarettes ---------------Yes ( ) No ( )
Drink alcohol -------------------Yes ( ) No ( )
Do drugs -----------------------Yes ( ) No ( )
Steal ----------------------------Yes ( ) No ( )
Fight ----------------------------Yes ( )No ( )

C. Determining rules students frequently break


Please circle "yes" or "no" after each question as they pertain to you.
16. Have you ever skipped more than 5 classes?
Yes ( ) No ( )
17. Have you ever cheated on a:
Test/Quiz Yes ( ) No ( )
Mid-term Yes ( ) No ( )
Examination Yes ( ) No ( )
18. Have you ever plagiarized a written work?
Yes ( ) No ( )
19. Have you ever shoplifted/stolen anything under the value of RM5?
Yes ( ) No ( )
20. Have you ever shoplifted/stolen anything over the value of RM5?
Yes ( ) No ( )
21. Have you ever stolen from any of your peers?
Yes ( ) No ( )
22. Have you ever committed the act of breaking and entering?
Yes ( ) No ( )
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23. Have you ever participated in joy-riding with a vehicle?


Yes ( ) No ( )
24. Have you ever driven while under the influence of alcohol?
Yes ( ) No ( )

D. Alternatives in overcoming this behavior


25. Have you ever received any of the following forms of punishment?
Grounded by parents ------------------ Yes ( ) No ( )
Expelled from school -------------------Yes ( ) No ( )
Suspended from school -----------------Yes ( ) No ( )
Arrested by police -----------------------Yes ( )No ( )
Physically punished by parents --------Yes ( )No ( )
Mentally punished by parents -----------Yes ( ) No ( )
26. What did you felt after being punished?

27. Do you currently engage in any of the extracurricular activities or other organizations?
(Check yes or no for each category.) Y: yes N: no
Student council--------------------------------Y( ) N( )
Sports teams------------------------------------Y( ) N( )
Religion groups--------------------------------Y( ) N( )
Volunteers groups-----------------------------Y( ) N( )
Other--------------------------------------------Y( ) N( )
Please specify____________________________________________
28. Who is (or was) the major influence in determining your desired career goals in life? (Check
one only.)
Father-----------------------( )
Mother----------------------( )
Brothers/Sisters------------( )
Friends----------------------( )
Teacher---------------------( )
Guidance Counselors-----( )
Professionals---------------( )
Other------------------------( )

****THANK YOU****
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