You are on page 1of 5

Sample Questionnaire

Part I. Personal Profile


Name (Pangalan)________________________ Sex (Kasarian)_________
Age (Edad)___________
Address (Tirahan)_________________________________
Occupation (Hanapbuhay)______________________

Highest Education Attainment : Please Check One


(Natapos)

: (Lagyan ng tsek)

________ Elementary level / Graduate


(Elementarya / Nakatapos)
________ Secondary level / Graduate
(Hayskul Lebel / Nakatapos)
________ College level / Graduate
(Kolihiyo / Nakatapos)

Monthly Salary : Please Check One


(Buwanang Sahod): (Lagyan ng tsek)
_____ 0-1,000.00

_____ 5,000.00-6,000.00

_____ 1,000.00-2,000.00

_____ 6,000.00-7,000.00

_____ 2,000.00-3,000.00

_____ 7,000.00-8,000.00

_____ 3,000.00-4,000.00

_____ 8,000.00-9,000.00

_____ 4,000.00-5,000.00

_____ 9,000.00-10,000.00 above

Part II. Main Questionnaire


Instruction: Below are some items that you as parents do in
relation

to

your

childrens

education.

As

parents,

you

perform

function of co-teacher, a volunteer, a policy-maker and a fundraiser. Please state those functions which you perform using the
following scales. Please circle your chosen scales.
(Instruksyon: Sa ibaba ay mga bilang ng ilan lamang sa mga
tungkulin ninyo bilang magulang ng inyong anak tungkol sa kanilng
pag-aaral. Bilang magulang kayo ay may tungkulin bilang katuwang ng
guro, kapwa-guro, tagagawa ng batas, at katuwang sa paglikom ng
pundo.

Bilugan

ang

inyong

mga

kasagutan

kung

alin

ang

inyong

ginagawa gamit ang mga sumusunod na numero bilang pamantayan ng


inyong kasagutan.)
Scale

I.

Verbal Interpretation

3.26-4.00

VERY HIGH

2.26-3.25

HIGH

1.26-2.25

FAIR

0.00-1.25

POOR

Family Educational Climate


HOME-SCHOOL-COMMUNITY
1. Encourage them to go to school everyday
and on time.
2. Help

them to motivate to study hard and review

their lesson at home to get high grade.


3. Support the child to prepare their

assignment.

to follow up their study.

5. Discuss home issues at home.

4. Ask the report card to the children every quarter

6. Prioritizes childrens school needs in family


budgeting.
7. Consult teacher about guidelines and policies
implemented.
8. Siblings show support for each
others studies.
9. Encourage them to participate in religious
activities.
10. Educational materials and equipment like
11. Computer, TV, and news paper are available
at home.

II. Teacher-Pupil Relationship


1.Use

the

time wisely in learning and

organizing other school activities.

5.Evaluate pupils test result.

6.Assist pupils with poor performance in the class.

7.Follow up pupils academic activities.

2.Do other school chores during free time like


Doing some instructional materials.
3.Listen to teachers' advices.
4.Invites teachers in the special occasion at
Home like; birthday, fiesta, anniversary and other.

8.Encourage pupil to participate during class


room discussion.
9.Assist pupils in making their project.

10.Check pupils project and homework.

III. School Community Linkages & Partnership


1.Parents

participate in community

activities.

10.Attend other school activities to enhance knowledge.4

2.Parents participate in school activities.


3.Solicit other pupils involvement in school
Activities.
4.Participate in physical improvement of the school
Like Brigada Eskwela.
5.Attend community consultations and activities
to increase knowledge about the different program,
rules and regulation implemented in the school.
6.Actively participates during homeroom and
general meeting.
7.Solicit other instructional materials from
other private personalities.
8.Follow the school policies implemented by the
School board and School officials.
9.Participate in the physical improvement of the
school like Brigada Eskwela.
11.Strengthen and emphasize the good values to
other specially to the young ones.

12.Abide by the rules and policies set by the


Community.
13.Share some comments and suggestions for the
Improvement of the community.
14.Conduct organization by zoning to establish
good rapport.
15.Conduct seminar workshop to educate other people.

You might also like