Republic of the Philippines

Department of Education
Region III
Division of Nueva Ecija
Bongabon Senior High School

This questionnaire aims to know your opinion about the research entitled “Impact of Daily Allowance to the
Academic Performance among Grade 11 ABM students of Bongabon Senior High School”. To successfully execute
the study, kindly answer the rating scale below. The researchers hope for your cooperation. Have a great day!

Name: (optional) _______________________

Part I: Profile of the Respondents

Direction: Answer all the question correctly by checking the appropriate space provided.
1. Age
____ 15-16 ____ 17-18 ____ 19-20
2. Sex
____ Male ____ Female
3. Daily Allowance
____ 40 Php ____ 50 Php ____ 60 Php
____ 70 Php ____ 80 Php ____ 90 Php
____ 100 Php ____ 110 Php and above
4. Family Income
____ 5,000 – 10,000 Php ____ 21,000 – 25,000 Php
____ 11, 000 – 15,000 Php ____ 26,000 – 30,000 Php
____ 16, 000 – 20,000 Php ____ 31,000 Php and above
5. General Average
____ 75 – 79 ____ 80 – 84 ____ 85 – 89
____ 90 – 94 ____ 95 and above
Part II.
Direction: Put a check (/) on the column that best describes your evaluation as regards to your daily
allowance.

Statement
1 2 3 4 5
I. Transportation
(Never) (Rarely) (Sometimes) (Often) (Always)
A. I spend Php 10 – Php 30 every day.

B. I spend Php 40 – Php 60 every day.

C. I usually walk long distances from
my house to school.
D. I have a regular service.
 1 2 3 4 5
II. Food
(Never) (Rarely) (Sometimes) (Often) (Always)
A. I spend Php 25 – Php 35 every day.

B. I spend Php 40 – Php 50 every day

C. I don’t eat snacks during recess.

D. I bring packed lunch.

E. I don’t usually eat lunch.

1 2 3 4 5
III. School Related Expenses
(Never) (Rarely) (Sometimes) (Often) (Always)
A. I spend Php 50 – Php 100 for my
school projects.
B. I spend Php 100 – Php 200 for my
school projects.
C. I allot 10% of my allowance for the
photocopy of learning materials.
D. I allot 10% of my allowance to the
art materials for projects.

Part III. Impact of Daily Allowance to the Academic Performance

Direction: Put a check (/) on the column that best describes your evaluation on the impact of your daily
allowance to the academic performance.
1 2 3 4 5
Statement (Strongly (Disagree) (Undecided) (Agree) (Strongly
Disagree) Agree)
I always come to school late.

I can go to school regularly.

I can submit outputs/projects/
portfolios on time.
I cannot submit
outputs/projects/portfolios to my
teacher on time.
My allowance is not enough to
cover my projects in school.
I am able to pay photocopies of
learning materials in each subject.
I can join school related program
or activities using my own
expenses.

*** This survey will be administered using Google form. ***