SURVEY QUESTIONNAIRE

Researcher-Made Questionnaire on Moderating Effect of Physical Activity on the relationship of

Social Interaction and Learners Output in Physical Education Class

NAME:_________________________________

(optional)

Direction: Please check (/) and rate yourself honestly based on what you actually do given the

statements using the following scales:

5 – Strongly Agree 4 – Agree 3 – Undecided

2 – Disgagree 1 – Strongly Disagree

Social Interaction as a communication 5 4 3 2 1

1. I talk my seatmate about our lesson.

2. I communicate when I like it.

3. I keep all my question in myself.

4. I want activities that will involve more talking.

5. I raise questions in order to understand the task given.

6. I can fulfill task independently.

7. I can make suggestions about what topic should we discuss

with my friends.

8. I can perform a task without the help of others.

9. I like to be part of our discussions.

10. I like to make a topic which is not related to our activity.

Social Interaction as a Learners-Teachers Bond

1. My teacher cares about my academic and social well-being.

2. My teacher provides support for all students.

3. My teacher has a positive attitude on a daily basis.

4. My teacher views me as an important part of the classroom.

5. My teacher focuses on stopping unwanted behavior for the

majority of the class period.

6. My teacher uses various strategies to promote unity, order,

satisfaction, and less conflict in the classroom.

7. My teacher is patient with students when directing them to

learn appropriate behaviors.

8. My teacher connects emotionally with the students

9. My teacher consistently engages students in meaningful

classroom activities that are connected to real – word

experiences.

10. I view my teacher as a good person and I feel that my

teacher is a coach, mentor, or partner

Social Interaction as an Interdependent Learning

1. I really enjoy working collaboratively with other students.

2. Interdependent learning has helped me understand our

lesson.

3. I prefer lesson that have a collaborative learning approach.

4. In this class other students care about how much I learn.

5. Other students in this class care about my feelings.

6. Other students in this class like me as much as they like

 others.

Social Interaction as a Group Activity

1. When we work together in groups, we try to make sure that

everyone in the group learns the assigned lesson.

2. When we work together in groups, our job is not done until

everyone in the group has completed the task.

3. When we work together in groups, our grade depends on

how much all members learn.

4. When we work together in groups, I have to make sure that

the other members learn if I want to do well on the task.

5. When we work together in groups, we cannot complete a

task unless everyone contributes.

6. When we work together in groups, the teacher divides up

the material so that everyone has a part and everyone has

to share.

7. When we work together in groups, we have to share

materials in order to complete the task.

8. When we work together in groups, everyone’s ideas are

needed if we are going to be successful.

9. When we work together in groups, I have to find out what

everyone else knows if I am going to be able to do the task.

10. In this class we learn more when we work together.

Learners Output

1. I make myself prepared for the Physical Education class all

the time.
 2. I actively participate in the discussion, performing

demonstration and clarifying things I did not understand.

3. I want to get good grades on tests, quizzes, assignments

and projects.

4. I study and prepared for quizzes, tests and practical exam.

5. I exert more effort in performance task rather than written

task.

6. I exert more effort in written task rather than performance

task.

7. I exert equal effort both written and performance task given

by our teacher.

8. I study harder to improve my performance when I get low

score in my output.

9. I see to it that extracurricular activities do not hamper my

studies it rather serve as my motivation to succeed in the

future.

10. I spend my vacant time in doing assign performance task

given by the teacher to present it excellently.

Physical Activity Doses

1. The teacher always incorporates physical exercise

everyday using audio, videos and demonstration.

2. The teacher see to it that the learners spend 10 minutes

physical activities in preparation for the task he/she will

give.

3. The teacher assist his/her learners analyze the given

 materials and let them demonstrate it on their own.

4. I spend 30 minutes doing a muscle endurance exercise

using video instruction.

5. I enjoy doing physical fitness task with accompaniment of

music.

6. I love doing physical activities every start of the class in

order for refreshment and relaxation.

Physical Activity Frequency

1. I spend 30 minutes doing a muscle endurance exercise.

2. I’m always prepare in Physical Education class; thus, I

always perform 20 push-up everyday in preparation for our

activities.

3. In 6:00 AM – 7:00 AM I perform vigorous physical activities

like heavy lifting, digging, aerobics, or fast bicycling.

4. In 4:00 PM – 5:00 PM I perform moderate physical activities

like carrying light loads, walking, jogging or playing dual

sports.

5. My teacher always give specific time in performing the

physical activity in our class.

6. My teacher incorporates a less than 20 minutes physical

activity to start the mood of my classmates for the new

lesson.

Physical Activity Timing

1. When compared to others of my age, I think my physical

activity during class hours is much more active than others.

 2. When a teacher assigns a variety of physical exercise I can

perform easily if I will read the description of each exercise

given.

3. The teacher gives us weekly log of physical activity on how

much time did we usually spend doing vigorous physical

activities in school and in our home.

4. I will participate always in physical activities because it

improves my heart rate or breathing when I participate it

actively.

5. I have a small increase in my heart rate or breathing.

6. I have a large increase in my heart rate or breathing.

7. It gives me motivation every time I participate in sport

events because of the experience I have during class.

Physical Activity Intermittency

1. Physical exercise such as swimming, jogging, aerobics,

football, tennis, gym workout etc., is essential in maintaining

healthy lifestyle.

2. Cycling, including cycling at school can make us prepare

our body and mind in starting our day productive.

3. I’m physically more active, as active as other persons of my

age because I can perform moderate to vigorous physical

activity every day.

4. Every week I perform exercises, sports, and physically

active hobbies in order to make myself healthy and get in

touch to other people.

5. Compare to my own level of physical activity 1 month ago, I

can say I am now more active this time because of my

engagement in different physical activities in class and

home.