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Research Instrument

SURVEY QUESTIONNAIRE

Dear Respondent:

This survey is designed to determine the LEARNING MODALITIES AND

TEACHER EFFICACY AS PREDICTOR OF ACADEMIC PERFORMANCE AMONG
ELEMENTARY LEARNERS WITH SPECIAL NEEDS. Rest assured that your response to
each question will be held with strict confidential.

Name: (Optional) ______________________________

Users Profile
Teaching Position : ____________________________
Student year level : ____________________________

A. Please rate the Learning Modalities and Teacher Efficacy as predictor

between academic performance among learners with special needs by
checking the appropriate box, guided by the following scale:

Learning Modalities

5 = Strongly Agree 2 = Disagree

4 = Agree 1 = Strongly Disagree
3 = Neutral

Learning Modalities
Strongly Agree Neutral Disagree Strongly
As Elementary Teachers agree (5) (4) (3) (2) disagree
that handle learners with (1)
special needs…
Visual Modality

1. Visual modality is beneficial

for learners with special
needs.
2. Activities you choose for
visual modality were
effective.
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3. You can handle any

challenges to teach with the
help of visual modality.
4. New teaching styles and
methods while teaching
learners with special needs
is effective.
5. Visual modality is helpful for
your students to enhance
study skill.
Aural Modality

6. Aural modality help learners

with special needs to
improve their sensory
experiences.
7. Activities you choose for
aural modality is
effective.
8. Aural learning modalities has
benefits.
9. This modality is helpful for
learners with special needs
in academic activities.
10. You can handle any
problems or challenges
while using this modality in
the classroom.
Kinesthetic/Tactile Modality

11. Kinesthetic/tactile modalities

has benefits.
12. You can handle
problems or
struggle for learning
kinesthetic/tactile
modality.
13. Learning activities
use during
teaching through
kinesthetic/tactile
modality is
effective.
14. This modality is difficult
as compare to other
modalities.
Reading/Writing Modality
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15. Reading/writing modality

has benefits.
16. Reading/writing modality is
helpful for learners with
special needs.
17. Do you build
reading/writing skills in
learners with special
needs.
18. Unique teaching style or
technique you use to
incorporate in classrooms
were effective.

Source: Dr. Asmaa Azeem, Assistant Professor, Dr. Ibtasam Thakur, Assistant Professor
(Corresponding Author) Dr. Moafia Nadar, Assistant Professor. Learning Modalities of
Elementary Grade Students with Hearing Impairment.

Teacher Efficacy

5 = Strongly Agree 2 = Disagree

4 = Agree 1 = Strongly Disagree

3 = Neutral.

Teacher Efficacy Strongly Agree Neutral Disagree Strongly

agree (5) (4) (3) (2) disagree
As a Elementary Teachers that (1)
handle learners with special
needs …
External Locus-of-causality

1. The amount a student can learn is

primarily related to family
background.
2. A teacher is very limited in what
he/she can achieve because a
student’s home environment is a
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large influence on his/her

achievement.
3. Teachers are not a very powerful
influence on student achievement
when all factors are considered.
4. When it comes right down to it, a
teacher really can’t do much because
most of a student’s motivation and
performance depends on his/her
home environment.
Outcome Expectations

5. When a student gets a better

grade than he/she usually gets,
it is usually because I found
better ways of teaching that
student.
6. When the grades of my students
improve, it is usually because I found
more effective teaching approaches.
7. If a student masters a new concept
quickly, This might be because I
knew the necessary steps in teaching
that concept.
Concentration Disruption

8. If a student did not remember

information I gave in a previous
lesson, I would know how to increase
his/her retention in the next lesson.
9. If a student in my class becomes
disruptive and noisy, I feel
assured that I know some
techniques to redirect him/her
quickly.
10. If one of my students couldn’t
do a class assignment, I would
be able to accurately assess
whether the assignment was at
the correct level of difficulty.
Source: Gypsy M. Denzine1, John B. Cooney2 and Rita McKenzie3. Confirmatory factor
analysis of the Teacher Efficacy Scale for prospective teachers.
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