TITLE:

I. DEMOGRAPHIC PROFILE:

NAME: (OPTIONAL)

AGE:

GENDER ASSIGNED AT BIRTH: (Male)_____ (Female)______

LAST PROGRAM ENROLLED:

LAST SCHOOL YEAR ENROLLED:

LAST YEAR LEVEL ENROLLED:

CONSENT

You are invited to participate in this research

studyentitled:________________________________________________________. The purpose of this
study is to____________________________________________________________. Your participation
in this study is entirely voluntary. There are no risks associated with participation in this study and be
assured that your identity and information will be kept confidential.

Your withdrawal in this study is entirely voluntary and you have the right to withdraw at any time
without penalty.

By signing this form, you acknowledge that you have read and understood the information provided and
voluntarily agree to participate in this study.

Participant’s Name: (Optional)

Signature:

Date:

Contact Information:

If you have any questions, concerns, or would like further information about the study, please feel free to
contact___________________at email address:______________________.
II. INSTRUCTION.

Please check the box for your appropriate answer.

A. FINANCIAL CONSTAINT 1 2 3 4 5
1. I often face financial challenges every time
examination week comes.
2. My financial limitations play a significant role in how I
make decisions about my pursued educational program.
3. Financial constraints can make it difficult for me to
afford the required textbooks and study materials.
4. I sense that I am restricted in pursuing this career path
due to my financial situation.
5. I find it difficult to maintain my academic performance
while managing my finances.
6. My lack of finances impact my ability to participate in
extracurricular activities of campus events.
7. I feel that financial aid programs and scholarships will
help alleviate my financial burden.
8. I can pay my tuition dues on time.
9. I have the freedom to eat as much as I desire when I
am in school.
10. I find it difficult to pay for unplanned expenses
required in school activities.
B. MOTIVATION
1. I am motivated to achieve my academic goals and
aspirations.
2. I am driven to expand my knowledge.
3. I always feel motivated to come to school every day.
4. I am enthusiastic about meeting my classmates and
teacher everyday.
5. I always participate actively in class discussions and
activities.
6. I do not miss class unless for valid reasons.
7. I test myself on important topics until I understand
them completely.
8. My free time is spent finding out more about
interesting topics which have been discussed in different
classes.
9. I work hard at my studies because I find the material
interesting.
10. My aim is to pass the course while doing as little
work as possible.
C. LEARNING CAPABILITY
1. I am able to understand lessons that have been
recently discussed in a short period of time.
2. I am able to comprehend the materials I read all of the
time.
3. I am able to keep up with what the teacher is
discussing most of the time.
4. I am able to explain concepts related to the topic
confidently.
5. I am able to answer questions related to the topic
correctly.
6. I am able to apply what I learned to real life situations.
7. I am able to relate topics to previous lessons.
8. I am able to bring information and ideas together
from different topics to solve problems.
9. I do not have any difficulties with quizzes and exams.
10. I am able to remember multiple information
presented to me easily.
D. QUALITY OF TEACHING
1.The instructor provides students with a learning
activity most of the time.
2. The instructor communicate course material and
concepts effectively.
3. The instructor demonstrates a deep understanding of
the subject matter.
4. The instructor presents concepts and ideas in a way
that is easy to understand by giving clear explanations
and relevant examples.
5. The instructor actively encourage students to
participate and engage in class discussions.
6. The instructor shows genuine enthusiasm and passion
for the subject, making the class engaging and exciting.
7. The instructor gives feedback on assignments and
assessments promptly and offers helpful and
constructive comments.
8. The instructor fosters a positive and supportive
atmosphere in the classroom, making it conducive to
learning and growth.
9. The instructor motivates students to think critically
and develop problem-solving abilities.
10. The instructor incorporates instructional technology
and multimedia tools into the teaching process.
E. TIME MANAGEMENT
1. I prefer to finish all my school works before doing
recreational activities.
2. I balance my private time and study time well.
3. I prioritize between various competing tasks.
4. I meet the deadline for any tasks or activities given.
5. I can adapt and be flexible to any changes that may
occur, reassess priorities, and still produce quality work.
6. I often procrastinate doing my tasks.
7. I efficiently manage my workload.
8. I have an established plan for each week’s task.
9. I manage stress while handling various conflicting
duties.
10. Extracurricular activities do not affect my academic
performance.

Scale:

1 - Strongly Disagree 4 - Agree

2 – Disagree 5 – Strongly Agree

3 - Neutral