Survey Questionnaire

Name: ______________________________ Gender: __ Male __Female

Age: ______ Section: ________________

Direction: Carefully understand the following questions and put a check mark
in the box of your answer

Part 1:

What is your learning modality?

Online Distance Learning Modality

Modular Distance Learning Modality

Part 2:

5- Always
4- Often
3- Sometimes
2- Rarely
1- Never

QUESTIONS 1 2 3 4 5
1. When reading the passage, I make up question to
help focus my reading.
2. When I became confused about something that
I’m reading, I go back and try to figure it out.
3. I turn to dictionaries when coming across new
words while reading.
4. I use simple words to replace difficult ones in
sentence understanding.
5. If the reading materials are difficult to understand,
I change the strategy or the way I read materials.
6. Before I begin studying I think about the things I
will need to do to learn.
7. I take notes when I am reading to help me
understand it.
8. Reading instructions carefully before beginning
the task.
9. Organizing time to accomplish reading goals.
10. Slowing down and focusing attention in an
important information.
 11. Focusing attention on the meaning.

12. Drawing diagrams to understand difficult words.

13. Translating information into own words.

14. Making connection of the text to self.

15. Rethinking of misconception.

16. I underline or circle words in the text I am reading
to help me remember it.
17. When I study, I set goals for myself in order to
direct my activities in each study period.
18. Reading with opposite meaning to form an opinion
19. I often find that I have been reading for class but I
know what it is all about.
20. I try to change the way I study in order to fit the
subjects of course requirements and instructions
teaching style.