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Hello to everyone,
It will be highly appreciated if you could spare some time to answer the questionnaire for my
research proposal. All the information given will be kept confidential. Thank you and May
Allah ease your day.
1. Gender
Male Female
3. Year of studies
First year
Second year
Third year
4. Academic performance
Least satisfied
Satisfied
Very satisfied
5. Social life
Least satisfied
Satisfied
Very satisfied
6. Parental status
Instruction: Please read each statement and circle a number 0, 1, 2 or 3 which indicates how
much the statement applied to you over the past week. There are no right or wrong answers.
1. I have visible signs of nervousness such as sweaty palms, shaky hands, and so on
right before a test.
0 (Never)
1 (Sometimes)
2 (Often)
3 (Almost always)
2. I have “butterflies” in my stomach before a test.
0 (Never)
1 (Sometimes)
2 (Often)
3 (Almost always)
3. I read through the test and feel that I do not know any of the answers.
0 (Never)
1 (Sometimes)
2 (Often)
3 (Almost always)
10. I worry that I am doing poorly on a test and that everyone else is doing well.
0 (Never)
1 (Sometimes)
2 (Often)
3 (Almost always)
Instruction: What are the effects of test anxiety on yourself, your academic life, and your
interaction with society? (PLEASE TICK ONLY 3 OPTIONS FOR EACH CATEGORY)
1. Towards yourself
Keep to myself.
Talk to my friends.
Eat more than usual.
Listen to the music.
Feel depressed.
2. Towards academic.
Burden my studies.
Finish up the assignments.
Skip classes.
Get low grades.
3. Towards society.
Harm other people.
Mock other people.
Drive beyond speed limit.
Throw things away.
Take revenge on others.
Expose other bad personality.
Part 4: Ways to reduce anxiety.
Instruction: Based on the questions below, do these solutions can help you to release stress?
(PLEASE CHOOSE EITHER ‘Agree’ OR ‘Disagree’ ONLY. Tick the appropriate column)
Agree Disagree.
Agree Disagree.
Agree Disagree.
Agree Disagree.
Agree Disagree.
Agree Disagree.
7. I avoid my stress by speeding in a motor vehicle to add excitement and challenge.
Agree Disagree.