Name (optional): _________________________________________________

Age: _____________
Sex: _____________
Date of Birth: __________________
Please identify your corresponding generation:
Baby Boomer (1946 -1964) Generation X (1965 -1979)
Millennial (1980 – 1994) Generation Z (1995 - 2010)
Are you an active voter? Yes No
Affiliation to Adamson University: [ ] Student
[ ] Employee
[ ] Others: _______________

Kindly fill out the following questions in order to help the researchers gather information for further
analysis.

PART I

1. Kindly select the applicable mode(s) of political participation based on your personal
experiences:

Voting;
Political campaign-related actions;
Engaging in political discussions;
Joining/being involved in interest groups or political organizations;
Getting in touch with local or national officials about problems that affected the
person and writing letters to newspaper editors;
Joining demonstrations or protest march;
Refusing to obey unjust laws;
Engaging in civil disobedience;
Passive activities (e.g. attending parades and patriotism);
Others, please specify: _______________________________________________

PART II

2. What are your reason(s) behind your political participation? Please rate how much you agree
or disagree with the following statements:

I participate in political matters/issues Strongly Agree Agree Disagree Strongly

because: Disagree
I am being told what is going to happen
or has already happened.
I am only answering questions derived
from interviews or also known as
participation in information.

I am only giving my participation when

I am being consulted.

I am only into material incentives or

benefits.

I want to form groups to achieve

common goals and objectives related to
a specific project.
I want to interact or associate myself
with others in order to promote action
plans.
I want to take initiatives independently
to change systems.

Aside from these given statements, what is your other reason(s), if there is any:

3. What factors which influenced you to participate in political agenda? Kindly select from the
following list of factors:

Religion;
Race;
Educational Background;
Family Ties;
People’s Organizations;
Peer Pressure;
Others, please specify: ______________________________________

4. What is your opinion towards political activities such as rally, political forums, etc.?

___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
 5. What do you feel about the members of Adamson community who actively engage in
political assemblies, rallies, and etc.? Please explain briefly.

___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________

PART III

6. How often do you converse about political issues and topics in these particular settings:

Frequently Rarely Never

School
House
Workplace
Religious Institution
Social Activities