Questionnaire

General Directions
The researchers seek your help in answering the items with full sincerity that follow on the
study Factors that Cause Learning Deficiency among G-7 to G-10 LSU-IS Students S.Y. 2013-
2014. The researcher assures the confidentiality of your answers. Thank you and God bless!

I. Personal Information
Directions: Encircle the item that corresponds to your answer.
1. Age 12 13 14 15 16 17 18
2. Gender M F
3. Year Level: 7 8 9 10

II. Factors of Learning Deficiency
Directions: Check the column of your choice
Legend: 4-Always 3-Often 2-Sometimes 1- Never
[[Please Answer seriously]]


A. Environmental Issues Always
(4)
Often
(3)
Sometimes
(2)
Never
(1)
1. I could not hear what my teachers say
because of the seating arrangement.

2. I have to move closer to the blackboard to
see what was written.

3. I could not understand the lesson because
the teacher is talking so fast.

4. I'm afraid to ask questions to my teachers.
5. I could not hear what my teacher is talking
about because his/her voice is not properly
modulated.

6. My teacher gives too many assignments
because of that I couldn't pass them on time.

7. My teacher uses good instructional
materials and strategies.

8. My teacher encourages everyone to
participate in class discussion.

9. My teacher has the values of an ideal role
model for students to follow.

10. The school is assuring good quality of
education to students.




B. Personal Characteristics Always
(4)
Often
(3)
Sometimes
(2)
Never
(1)
1. I accept corrections.
2. I research for new ideas.
3. I listen during class discussions.
4. I can still study even if there are piles of
homework.

5. I participate in classroom activities.
6. Im determined to go to school.
7. I create boundaries between me and
education.

8. Im working hard to get good grades.
9. I treat all my subjects fairly.
10. I believe that education can give me a
better future.

C. Family Issues Always
(4)
Often
(3)
Sometimes
(2)
Never
(1)
1. I get discouraged by my parents because
my performance doesnt meet their
expectations.

2. I get affected by the problems of my family
thus I neglect studies.

3. I prefer crying about my problems than
studying.

4. I occupy many
responsibilities and thus forgetting school.

5. I study to set aside the problems at home.
6. My family relies on me too much for my
future.

7. I cant decide what I want to do in the
future because my parents already planned
for me.

8. I dont mind my emotions to cope up with
my studies.

9. I treat problems as a hindrance in my
academics.

10. I complain about the things that are given
by my parents.