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Questionnaire Format : An example

This questionnaire is used for research purposes. Your responses will be kept confidential and will
not affect your school exam results.

There are TWO (2) parts in this questionnaire, Part A and Part B. Complete both parts

Part A: Personal details

Instructions: Put a (X) in the relevant boxes.

Gender: Male Female

Area of Residence: Urban Rural

Part B:

Instructions:

Given below is a reading attitude questionnaire. Please indicate how much you agree/disagree to each item by circling:

SD – Strongly disagree D – Disagree A – Agree SA – Strongly Agree

1. Reading is for learning but not for enjoyment. SD D A SA

2 Money spent on books is well spent. SD D A SA

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