The Relationship Between Students' Mental Health and Academic

Performance during the Transition to the COVID-19 Pandemic

Research Questionnaire

Name (Optional): ___________________ ________

Gender: Male Female Age: ______

Last School Year Grade Level: ____________ Average Grade: _____
Current School Year Grade Level: ____________ Average Grade: _____

DIRECTIONS: For each statement in the survey, please indicate your answer by

checking the box that applies to you, based on the given scale. There are no

right or wrong answers as this will be purely based on your opinions. The

contents of the survey will strictly remain confidential.

Intrinsic Motivation Inventory (IMI)

(Transition from Face-to-face classes to Online Learning)

1 = Not at all True 5 = Somewhat true

2 = Untrue 6 = True
3 = Somewhat untrue 7 = Very true
4 = Neutral

Statements Not Untrue Somewhat Neutral Somewhat Tru Very

at all untrue true e true
true

1 2 3 4 5 7
6
Interest/Enjoyment
1. I enjoyed doing face-
to-face classes very
much
2. Online classes was fun
to do
3. I thought learning
online was impossible
4. Learning online was
difficult to keep my
attention
Perceived Competence
5. I am satisfied with my
performance in online
learning
6. Learning online was
something that I have
found difficult to do
Table 1

Academic Self-Regulation Questionnaire (SRQ-A)

1 = Not at all true

2 = Not very true
3 = Sort of true
4 = Very true

Before the Pandemic During the Pandemic

Statements Not Not Sort Very Not Not Sort Very

at all very of true at all very of true
true true true true true true

1 2 3 1 2 3
4 4

1. Because I want
the teacher to
think I’m a good
student.

2. Because I’ll get in

trouble if I don’t.
 3. Because it’s fun.

4. Because I will feel

bad about myself
if I don’t do it.

5. Because I want to
understand the
subject.

Table 2

Academic Anxiety Scale

Kindly pick what statements apply to u the most.

1 = Not at all typical of me

2 = Somewhat typical of me
3 = Quite typical of me
4 = Very typical of me

Statement Before the pandemic During the Pandemic

Not at Somewhat Quite Very Not at Somewha Quite Very

all typical of typical typical all t typical of typical typical
typical me of me of me typical me of me of me
of me of me

1 1
2 3 4 2 3 4

1. I often worry
that my best is
not as good as
expected in
school.

2. I tend to put off

doing school
work because it
 stresses me.

3. I tend to find my
instructors
intimidating

4. I'm concerned
about what my
classmates
think about my
abilities

5. I often feel sick

when I need to
work on a major
class
assignment

6. I have a hard
time handling
school
responsibilities.

Table 3

Student Study Habits and Academic Performance

Instruction: Please tick as appropriate to suit your choice of option/level of

agreement or disagreement with the statements.

Strongly Agree – SA Disagree - D

Agree – A Strongly Disagree - SD

Statements Before the During the

 Pandemic pandemic

SD D A SA SD D A SA

1 2 3 4 1 2 3 4

1. I listen attentively while taking notes in

class.

2. I schedule my time to cover all subjects

3. I devote extra-time to thoroughly learn a

certain subject

4. I set up time for other social activities so

that they won’t interfere with my studies

Table 4