Survey Questionnaire

Please help us know how we are doing:

As a part of our research thesis at Technological University of the Philippines-
Manila. We are conducting a survey that investigates the Assertiveness and Self-
Motivation of 4th-Year Bachelor of Science in Industrial Education in Online Learning at
Technological University of the Philippines-Manila. We will appreciate it if you could
complete the following question.
Rest assured that all information you will provided to us will be treated as
confidential. Thank you for your participation and feedback.

Part I. Demographic Profile

Name (Optional):
Sex:
Female
Male
Specialization:
Information and Communication Technology (ICT)
Home Economics (HE)
Industrial Arts (IA)
Part II. Assertiveness of Students during Online Class
Directions: Please read each of the statements carefully and mark your answer that
matches your choice. There are no right or wrong answers. 

Level of Likert Scale

5 4 3 2 1
Strongly Agree Agree Neither agree Disagree Strongly
nor disagree Disagree

5 4 3 2 1
THE STUDENT’S
ASSERTIVENESS
DURING ONLINE CLASS
DIRECTIVENESS
1. I choose to speak
up and ask
questions during
class discussion.
2. I choose to express
my ideas and
opinions in every
group discussion.
3. I like to answer
questions in class
discussions,
especially in
recitation.
4. Every time I gave
an instruction or an
explanation, I used
body language.
5. I can discuss ideas
with others, even if
they have different
perspectives.
SOCIAL
ASSERTIVENESS
1. I use authority
figures in the class
when speaking or
performing.
 2. I have effective
online
communication
with my classmates
and teacher.
3. I’m always careful
not to annoy others
to avoid
misunderstanding.
4. I Recognize and
apologize for my
mistakes.
5. I keep my voice
steady and firm.

Defense of One’s
Interests

1. I respect other
people’s opinions
and points of view.
2. I communicate with
others based on
trust, not influence.
3. I appreciate others’
comments and
suggestions, even
if they differ from
mine.
4. I can ask question
directly to the
person.
5. I can defend my
opinions in a
constructive and
calm manner.
Independence
1. I can work on my
own without the
help of others.
2. I can take risks and
try new things even
though I am unsure
if it works or fails.
3. Through online
discussions and
 group activities, I
have improved my
ability to
collaborate with my
classmates/group
mates.
4. I'm motivated to
learn
independently,
without the need
for assistance from
others.
5. I’ve improved my
own online learning
style.
Part III. The Self-Motivation of Students during Online Class
Directions: Please read each of the statements carefully and mark your answer that
matches your choice. There are no right or wrong answers. 

Level of Likert Scale

5 4 3 2 1
Strongly Agree Agree Neither agree Disagree Strongly
nor disagree Disagree

5 4 3 2 1
THE STUDENT’S SELF-
MOTIVATION DURING
ONLINE CLASS
PHYSICAL
1. I am confident with
my physical
appearance.
2. I always believe in
my ability and
strength.
3. I never compare
myself to anybody.
4. I always prepare
and am confident in
every report and
demonstration in
class.
5. I am more
confident to speak
English in front of
others.
VALUES
1. I believe in my own
values while
respecting other
people’s
perspectives.
2. I am good at
problem-solving.
 3. Respect one
another beliefs in
the classroom.
4. Practicing
Collaboration and
working together.
5. Everyone is
allowed to express
their opinions and
make their own
decisions.
GOALS
1. I set goals to
accomplish what I
believe is
important.
2. Instead of worrying
about whether
other people are
doing better than
me, I concentrate
on my own
development.
3. My goals are based
on my personal
interests and future
plans.
4. I made goals to
help me do better
in school.
5. I have confidence
and trust in my
ability to
accomplish goals
when they are set.