Survey Questionnaires for Respondents

Profile of the respondent

Name:(optional)________________________

Sex: MALE ( ) FEMALE ( )

Age:___

Directions: Write check (√) in column of your choice where;

1- Very Low 3- Average 5- Very High

2- Low 4- High

To what level do you agree in the following statement?

PHYSICAL BARRIERS
5 4 3 2 1
Strongly Agree Neutral Disagree Strongly
agree Disagree

1. The internet connection in our place is

always stable.
2. I am good in using online platforms like
google meet, zoom, and emails.
3. My gadgets like laptop and smart phone
help me in doing my module easier.
4. I have a convenient space at home,
which is free from noise.
5. I am able to (can) participate well if I am
using headphones while attending online
class. Change the underlined to can
6. The teacher provides quality/readable
modules with standard font size and style.
7. I am good in managing my time
between my house chores and online
modules.
8. Our modules are always brief, concise,
and informative.
9. I have a considerate neighborhood in
avoiding noise during class hours. or My
neighborhood minimizes noise during class
hours.
10. The online discussion is always good
and never been interrupted by internet
 connection.

PHYSIOLOGICAL BARRIERS
5 4 3 2 1
Strongly Agree Neutral Disagree Strongly
Agree Disagree
1. Online class like google meet, zoom,
and email affect the performance of the
students with hearing and sight problem.
2. Reading an online modules with self-
learning is very hard. / Reading and self-
learning online modules is difficult.
3. Reading too much modules through
online causes hard time to focus.
Excessive reading of online modules
4. I can comprehend well with in our
online modules.
5. Students with physical disabilities like
hearing impairment can’t cannot perform
well in online learning.
6. I Can easily proceed to another module
without an assurance if it was answered
correctly.
7. Someone with a mental illness cannot
perform well for school works especially
in online classes.
8. People with intellectual limitations are
incapable of making decisions.
9. A blind student is unable to appreciate
the new normal way of education.
10. A person with a speech disability will
not be able to comprehend well.
ATTITUDINAL BARRIERS
5 4 3 2 1
Strongly Agre Neutral Disagree Strongly
Agree e Disagree
1. I never get tired waiting for the
instructions of the teachers to proceed
on the next module.
2. I tend to procrastinate with regards to
school woks.
3. I response respond positively in online
learning challenges most of the time.
4. I am well, when I have a good internet
connection. / I am confident
5. I set aside my personal problems and
participate well in my online class.
6. I am well-disciplined in managing my
time in doing my modules.
7. I can easily get confused during online
class. Delete underlined
8. I Get irritated easily when the internet
connection is not good weak during
classes.
9. I am feeling bad of independent
learning.
10. Online learning improves self-
discipline in doing online tasks/activities
independently.