SURVEY QUESTIONNAIRE ON THE IMPACT OF SELF-ESTEEM ON THE

ACADEMIC PERFORMANCE OF SENIOR HIGH STUDENTS OF HOLY INFANT

ACADEMY ANDA INC.

Dear Respondents,

We, the Grade 10 students of Holy Infant Academy Anda Inc. We venture into a study
entitled "The Effects of Self-esteem on the Academic Performance”. We humbly asked
you to spare a little of your very precious time to answer this set of questions. Rest
assured that our response will be dealt with utmost confidentiality.

“Strongly Agree” with a score of five (5) means that the respondent has the most
positive idea that there is available support when needed.
“Agree” with a score of four (4) means that respondent has a positive idea that there is
available support when needed.
“Neutral” with a score of three (3) means that the respondent has unsure/equal idea that
there is an available support when needed.
“Disagree” with a score of two (2) means that respondent has a negative idea that there
is available support when needed.
“Strongly Disagree” with a score of one (1) means that the respondent has a more
negative idea that there is available support when needed.
SURVEY QUESTIONNAIRE ON THE IMPACT OF SELF-ESTEEM ON THE
ACADEMIC PERFORMANCE OF SENIOR HIGH STUDENTS OF SANDIAT
NATIONAL HIGH SCHOOL
Dear Respondents,
We, the Grade 12 students of Sandiat National High School, are currently enrolled
in General Academic Strand. We venture into a study entitled “The Impact of Self-
esteem on the
Academic Performance of Senior High Students of Sandiat National High School. We
humbly
asked you to spare a little of your very precious time to answer this set of questions.
Rest assured
that our response will be dealt with with utmost confidentiality

SURVEY QUESTIONNAIRE ON THE IMPACT OF SELF-ESTEEM ON THE

ACADEMIC PERFORMANCE OF SENIOR HIGH STUDENTS OF SANDIAT
NATIONAL HIGH SCHOOL
Dear Respondents,
We, the Grade 12 students of Sandiat National High School, are currently enrolled
in General Academic Strand. We venture into a study entitled “The Impact of Self-
esteem on the
Academic Performance of Senior High Students of Sandiat National High School. We
humbly
asked you to spare a little of your very precious time to answer this set of questions.
Rest assured
 that our response will be dealt with with utmost confidentiality

Part 1. Profile of the respondents

Name: ______________________________________________
Sex: [ ] Female
[ ] Male
Age: [ ] 12-13

Part 2. Direction: Put a check in the table that corresponds to your answer.

Impact of Self-Esteem on the academic performance of the student.

STRONGLY AGREE (4) NEUTRAL (3) DISAGREE (2) STRONGLY
AGREE (5) DISAGREE (1)
Low self-esteem can lessen my
desire to learn.
Low self-esteem can lessen my
ability to focus.
Low self-esteem can lessen my
willingness to take risks.
Low self-esteem can reduce the
quality of a person’s life

Factors Affect the Self-esteem

STRONGLY AGREE (4) NEUTRAL (3) DISAGREE (2) STRONGLY
AGREE (5) DISAGREE (1)
Physical appearance.
Family environment.
Self-belief.
Feedback from other people.
Personal aspiration.

Relationship between Self-esteem and Academic Performance

STRONGLY AGREE (4) NEUTRAL (3) DISAGREE (2) STRONGLY
AGREE (5) DISAGREE (1)
I can do things as well as the most
other students in school because I
believe in myself.
I feel confident in school despite the
shape of my body.
I believe that grades will have no
effect in my self-esteem.
During class discussions, I
confidently share my thoughts and
opinion.
I communicate well with my other
classmates.

Thank you for giving your time! 😊