QUESTIONNAIRE- CHECKLIST

Part I: Personal Data

Name:__________________________________________ (optional)

Directions: Below are some personal data which will prove helpful to the researcher’s
study. Please check the underline that applies to you.

a. Gender _________male __________female

b. Age
_____below 15 yrs old (please specify: ___________)
_____15
_____16
_____above 16 yrs. Old (please specify:____________)

Part II. Academic Performance in Mathematics (For School Registrar)

First Grading ___________

Second Grading ___________

Part III. Perceptions on Thesis Writing

Directions: Please rate each item based on your perceptions on the problems
encountered in solving mathematical equations following the given scale.

Scale Verbal Interpretation

5 - Highly Agree
4 - Agree
3 - Moderately Agree
2 - Disagree
1 - Highly Disagree

A. Arithmetic Skills RATING SCALE

I…… 5 4 3 2 1
1. know the concepts of four fundamental
operations.
2. understand the key words used in four
fundamental operations.
3. manipulate the rules of PEMDAS.
4. recognize and operate the other special
operations.
5. apply properly the concepts of the four
 fundamental operations and other special
operations.

B. Understanding on Algebraic Expressions RATING SCALE

I…… 5 4 3 2 1
1. know the concepts of algebraic expressions.
2. understand ideas and steps in solving
equations.
3. apply the rule and steps in solving algebraic
expressions and equations without my notes.
4. formulate new steps/ strategies to solve
equations easier.
5. solve equations without using paper and pen.

C. Understanding on the Concepts of Variables RATING SCALE

I…… 5 4 3 2 1
1. know and understand the different variables
used in an equation.
2. identify easier the variables with like and unlike
terms.
3. use and manipulate the variables in solving an
equation.
4. translate the variables in an equation into
mathematical sentence.
5. recognize variables in an equation with different
operations.

GANTT CHART OF ACTIVITIES

Year 2014 2015

Activities Nov Dec Jan Feb Mar Apr May Jun July Aug Sept Oct Nov Dec
1. Submission of
Proposed Titles
2. Title Defense
3. Preparation of
Chapters 1, 2 & 3
4. Search for Related
Literature and
Studies
5. Colloquium
6. Preparation and
Validation of
Questionnaire-
Checklist
7. Permission to
Conduct the Study
8. Administration of
Questionnaire-
Checklist
9. Retrieval of the
Questionnaire-
Checklist
10. Tallying, Tabulating
and Analyzing of
the Questionnaire-
Checklist
11. Revision of
Chapters 1, 2 & 3
12. Preparation of
Chapters 4 & 5
13. Final Oral Defense
14. Revision of
Chapter 1-5
15. Final Printing of the
Manuscript
16. Bookbinding
17. Submission of
Hard Bound
Copies