QUESTIONER

Part 1. Background Information

Direction: Given below are items which the researcher would like to you to answer. In cases
where literal answer are necessary write the word legible on the spaces provided.
Name : __________________________________________
Age : ____
Gender : Male female
Final grade first semester :___________________________
Part 2.
This is a survey about the non intellective factors such as a home environment, attitude and
emotional quotient. This has no direct implementation on modular learning of Grade 12 students.
1.Always 2.Often 3.Occasionally 4.Seldom 5.Never
A.) Home 5 4 3 2 1
Environment
1.My parents
are very
supportive in
my studies.
2.My family
is concerned,
they give
pieces of
advice for
better
learning.
3. My family
helps me in
solving my
personal
problems.
4. Our home
is conductive
for learning.
5.My siblings
doesn't
disturb me
whenever I'm
studying my
lesson.
6.I do all the
chores at
home.
7.My teacher
doesn't rush
me in doing
my modules.
8.I do have
problem in
passing my
requirements.
9.I easily
adjust in
modular
learning.
10. My
family is my
inspiration in
studying.

B.) Students 5 4 3 2 1
attitude
towards
modular
learning
1.Modules
are very
interesting
and can
easily
understand.
2.Modules
are very
important
because it
can make me
more
educated.
3.I am very
excited to
answer my
modules.
4.I can able
to answer my
modules with
confidence.
5.I can
complete
every task in
my module.
(6.I think that
module allow
me to learn
more in the
time I have
for studies.
7.I think
module
improves my
learning.
8.I think that
use of
module
allows me to
take greater
control of my
language
learning.
9.I would like
to use
module more
in language
learning.
10. Modular
is relevant in
my life.

C.) 5 4 3 2 1
Emotional
quotient
1.I adjust my
behavior
depending on
who I am
interacting
with the
study.
2.I enjoy
doing my
module
everyday.
3.I found
myself feeling
nervous every
time I can
answer my
modules.
4.I found
myself
discourage
when the
modules are
hard and can't
comprehend
easily.
5.I feel proud
when I know
how to answer
my modules
independently
.
6.I like
learning new
things.
7.I find
myself feeling
nervous about
situation or
event, and I
don't even
know why.
8. I feel empty
when I don't
know to
answer my
modules.
9. I feel
confident that
I can answer
my modules.
10. I don't
care if I pass
all my subject.