Name (optional): ____________________________________

Age:_____
Year level:_______
Gender:_________

QUESTIONS YES NO

1. Is your family facing financial difficulties?

2. Do your parents have stable jobs?

3. Are your parents’ income enough to support your financial

needs?
4. Do you see a direct link between financial problem and
academic performance?
5. Do you think financial issues have an effect on some people
in terms of their academic performance?

6. Have you received overdue statement of account?

7. Do you experience difficulties in contributing in times of

sharing for projects?
8. Have you experienced not taking the exam on time due to
non-payment of tuition fee?
9. Have you ever thought of being a working student for extra
income?

10. Have you ever thought of transferring into a public school?

11. Have you experienced not being able to participate in

school activities due to financial issues?
12. Do you have difficulties in focusing in your studies due to
financial issues?
13. Have you ever tried to borrow money from your friend to be
able to buy your needs?
14. Have you experienced getting low grades because of a low-
budget output?
15. Have you ever accepted a project from a fellow student in
exchange for money?