Republic of the Philippines

Department of Education
Region IV-A CALABARZON
ABENIANO DELOS SANTOS ACADEMY, INC.
Ibayo Silangan Naic, Cavite

Dear Students,

We, the researchers from Grade 12 – Garnet would like to ask for your time to
answer the survey questionnaire we made for our research project entitled “An Analysis on the
Factors Affecting the Academic Performance in Online Distance Learning of Junior High School
Students of Abeniano Delos Santos Academy, Inc. S. Y. 2021 – 2022: A Basis to Improve E-
Learning”.

Thank you for your cooperation!

Sincerely yours,

The Researchers
Name (Optional):dave palomar
Gender:male
Grade Level: grade 7

A. Direction: Please fill in the following by putting a checkmark on the box (√) provided that
corresponds to your answer.

Internet Connection 1 2 3 4 5
Strongly Disagree Neutral Agree Strongly
Disagree Agree
1. I have stable Internet check
connection during online
classes.
2. With stable Internet Check
connection, I can attend to
my classes every day.
3. With stable Internet Check
connection, I can easily
comprehend lessons.
4. With stable Internet Check
connection, I can engage
actively in the discussion
5. With stable Internet Check
connection, I can submit
subject requirements on
time.

Gadgets 1 2 3 4 5
Strongly Disagree Neutral Agree Strongly
Disagree Agree
1. I have the needed gadget Check
for my online class.
2. I have a device that works Check
properly.
3. I have a device with long- Check
lasting battery.
4. I have a device with Check
sufficient storage or space.
5. I have an alternative device Check
for my online class.
 Teachers’ Instruction 1 2 3 4 5
Strongly Disagree Neutral Agree Strongly
Disagree Agree
1. My teachers discuss the Check
lessons very well.
2. My teachers give clear and Check
well-planned lessons.
3. My teachers ask questions Check
for clarifications.
4. My teachers give consistent Check
feedback about my
performance.
5. My teachers recapitulate Check
the lessons before
introducing new topics.

Learning Skills 1 2 3 4 5
Strongly Disagree Neutral Agree Strongly
Disagree Agree
1. I manage my time including Check
my daily schedule in online
class.
2. I take note of important Check
details of the lesson.
3. I have active participation Check
during online class
discussion.
4. I watch instructional videos Check
available on the Internet
when I have difficulty in
understanding the lessons.
5. I do advanced reading or Check
study.

Learning Environment 1 2 3 4 5
Strongly Disagree Neutral Agree Strongly
Disagree Agree
1. My learning environment Check
has a safe and positive
atmosphere.
2. I have my own study place Check
for online distance learning.
3. I am comfortable in my Check
study place that it helps me
to participate actively during
discussion.
4. My study place is free from Check
 distractions.
5. My study place meets my Check
study needs.

Family Background 1 2 3 4 5
Strongly Disagree Neutral Agree Strongly
Disagree Agree
1. My family encourages me Check
to excel in online classes.
2. My family contributes Check
financially for the online
learning.
3. My family serves as my Check
source of inspiration.
4. My family gives me moral Check
support.
5. My family is considerate of Check
my study or class time.

Peer Influence 1 2 3 4 5
Strongly Disagree Neutral Agree Strongly
Disagree Agree
1. My friends motivate me to Check
learn.
2. My friends encourage me to Check
participate actively in class.
3. My friends motivate me to Check
complete my schoolworks
and assignments.
4. My friends encourage me to Check
talk about my difficulties in
online class.
5. My friends are easy to talk Check
to when I need help with my
school tasks.

A. Directions: Using a scale of 1 as very ineffective to 5 as very effective, rate the given
ways to improve the academic performance of students in online distance learning.
 What do you think are the most effective ways that can help you in improving your
academic performance in online distance learning?

1 2 3 4 5
Very Ineffectiv Neutral Effective Very
Ineffective e effective
1. Access to stable Internet 5/10
connection
2. Availability of necessary 10/10
gadgets or devices
3. Quality teachers’ 10/10
instruction
4. Good study habits 8/10
5. Having supportive family 10/10
and peers
6. Positive learning 5/10
environment
7. Receiving consistent 4/10
feedback about academic
performance