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SAMPLE QUESTIONNAIRE ON STUDY SKILLS AND HABITS IN ENGLISH

Name: (Optional)____________________________
Grade Level: ______________________________
Gender: _______ Male _______ Female
Age:________
Parent’s Educational Attainment
Mother Father
_____ Did not attend school _____
_____ Elementary graduate _____
_____ High School graduate _____
_____ College graduate _____
_____ Graduate studies (Master’s or Doctor’s degree) _____

1. How far is your home from school?


_____ About 1 km away
_____ About 2 kms away
_____ About 3 kms away
_____ About 4 kms away
_____ Over 5 kms away
2. Do you come to school late?
_____ Never
_____ Once a week
_____ Twice a week
_____ More than twice a week
_____ Others, please specify_______________________________________________
3. How often are you absent from school?
_____ Never
_____ Once a week
_____ Twice a week
_____ More than twice a week
_____ Others, please specify_______________________________________________
4. Do you find time to do your studies at home?
_____ I don't find time
_____ About 1 hour
_____ About 2 hours
_____ About 3 hours
5. Do you speak English language with your fellow learners in class?
Please choose only one of the following:
_____ No _____ Sometimes _____ Always
6. Which of the English lessons do you find interesting?
_____ Literature
_____ Vocabulary
_____ Grammar
_____ Speaking Drills
_____ Reading and Writing
_____ Others, please specify________________________________________
7. Which of the English lessons do you find difficult?
_____ Literature
_____ Vocabulary
_____ Grammar
_____ Speaking Drills
_____ Reading and Writing
_____ Others, please specify________________________________________
8. What type of study skills in English subject do you have?
_____ Reading and listening _____ Using flash cards
_____ Rehearsal and rote learning _____ Summary methods
_____ PQRST method _____ Visual imagery
_____ Using mnemonics _____ Others, please specify

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