Good Day!

As part of my requirement prerequisite to my course, I am conducting a study that focuses on the

benefits and drawbacks of modular distance learning at Pilar High school

I would greatly appreciate if you could complete this questionnaire and to join the focus group
discussion which plays a major part in the success of my study. Be assured that can be
associated with you will remain confidential.

Thank you and God Bless!

Respectfully yours,

Cresl Jane Lumilang

Jambei sale
Mikylla Lamban
Mark Klein Echeveria
Dyrell Guinontao

Researchers

………………………………………………………………………………………………………

Informed Consent

I have read and understand the provided information and have the opportunity to answer some
questions in the questionnaire. I understand that my participation is voluntary and that we are
free to withdraw at any time, without giving reason and without cost. I understand that I will be
given a copy of this consent form.

My name attached with a signature emphasizes that I voluntarily agree to take part in this study.

_________________________________
Participant’s signature over printed name

Date:___________
 FACTORS INFLUENCING TO GAS STUDENT IN CHOOSING GAS AS THEIR
ACADEMIC STRAND

Please take your time answering these questions. Answer them as precisely and truthfully as
possible and remember that your name will be kept confidential. Your participation in this survey
is involuntary and you can choose not to continue at any time. The data collected from the
survey will be kept confidential and be used only for academic purposes. Thank you for your
cooperation.

I. Personal information

Name: __________________________________ Sex: _________ Age: __________

Native Language: ______________ Strand: ________________Ethnicity: ___________

Directions: Please mark (/) in the bracket that corresponds to your answer and is relevant to
your opinion.

QUESTIONS Yes Neutral No agree disagree

1. Do you have any idea about the K-12

curriculum program?
2. Are you one of those students who choose
strands under Academic track?
3. Did you decide wisely in your chosen strand?
4. Do you think your chosen academic track
improve your skills and talents?
5. Does your Personal factor(personal
interest)encourage you in choosing this
strand?
6. Are the school facilities and good
teaching(school factor)affects you in choosing
this strand?
7. Do your parents (family factor) decide?

8. Do you depend on
others(friends,classmates,peers,neighbors)in
deciding this strand?
9. Do you think you can pass the strand you
choose?
10. The friend statement can influence

11. Peer influence will take you on a right

path.
12. I do believe on what my friends said.

13. Abundant parents can be one of the factors.

14. The friend’s statement can influence career

choice.