GENERAL INSTRUCTION: This survey questionnaire used to measure the behavioral

response of pupils towards self-learning modules. Rest assured all information gathered
shall be used for the sole purpose of research only.

NAME: (optional) ____________________________________________________

Gender: _________________________ Age: ______________________________
Address: ___________________________________________________________
Scale Descriptions
5 Always
4 Often
3 Sometimes
2 Rarely
1 Never

Direction: Check the box that correspond to your behavior in answering-self

learning modules at home.
No Questions 5 4 3 2 1
.
1 Answer the self-learning module upon receiving.
2 Is irritated seeing the self-learning module.
3 Avoids answering the self-learning modules.
4 Sits inactive while answering the self-learning module.
5 Puts head of desk while answering self-learning modules.
6 Is inattentive in answering the self-learning modules.
7 Leaves seat from time to time while answering self-learning
modules.
8 Uses device while answering self-learning modules.
9 Whispers/talks/mutters to self while answering the self-
learning modules.
10 Makes loud or distracting comments while answering the
self-learning modules.
11 Calls out with non-instructional comments in answering self-
learning modules.
12 Destroys or vandalize self-learning modules.
13 Student feel sleepy when answering self-learning modules.
14 Student says “later” when instructed to answer self-learning
modules.
15 Student gets angry when forced to answer self-learning
modules.
16 Accepts instructions and additional information from parents
in answering the self-learning modules.
17 Student does not accept instructions and additional
information from parents in answering the self-learning
modules
18 Student allow parents to help in answering self-learning
modules.
19 Student does not like to be distracted in answering self-
learning modules.
20 Student feels alive and active when answering self-learning
modules.