Survey Questionnaire on Study Habits

Name_____________________________(optional)
Gender: _______
Year Level:_________________________
Specialization/Major: ________________
QPI 1
t
emeter: ___________________
!
nd
emeter:___________________
"irection: Please put check () on the space that corresponds to what you are actually
doing, thinking and feeling regarding the statement. There are no right and wrong answers
to this questionnaire. Rest assured that your answers will be treated in strictest and will be
used only for this study. Please be onest. Thank you!
A. Time Management
". I monitor m# time
___$l%a# ___Mot o& t'e (ime ___Sometime ___Never
#. I 'ave a )(o "o* lit
___$l%a# ___Mot o& t'e (ime ___Sometime ___Never
$. I 'ave a dail# %ee+ planner
___$l%a# ___Mot o& t'e (ime ___Sometime ___Never
%. I 'ave a mont'l# c'art o I can plan a'ead
___$l%a# ___Mot o& t'e (ime ___Sometime ___Never
&. I ma+e ,re I 'ave ,&&icient time &or leep- a %ell. /alanced diet- and &or lei,re
time
___$l%a# ___Mot o& t'e (ime ___Sometime ___Never
'. I prioritize m# ai0nment
___$l%a# ___Mot o& t'e (ime ___Sometime ___Never
(. I prepare &or dic,ion/ recitation /e&ore m# cla
___$l%a# ___Mot o& t'e (ime ___Sometime ___Never
). I c'ed,le m# time to 0o over lect,re note immediatel# a&ter cla
___$l%a# ___Mot o& t'e (ime ___Sometime ___Never
*. I c'ed,le ten min,te t,d# /rea+
___$l%a# ___Mot o& t'e (ime ___Sometime ___Never
"+. I c'ed,le a m,c' t,d# time a poi/le d,rin0 da#li0't 'o,r
___$l%a# ___Mot o& t'e (ime ___Sometime ___Never
B. Learning Skills
11 I am a%are o& m# learnin0 t#le and /eca,e o& t'at I am a/le to concentrate on
m# t,die1
___$l%a# ___Mot o& t'e (ime ___Sometime ___Never
!1 I am a/le to determine t'e level o& 2,etion t'at appear on m# e3am and
/eca,e o& t'at I am a/le to t,d# ,in0 appropriate trate0ie
___$l%a# ___Mot o& t'e (ime ___Sometime ___Never
41 $&ter t'e dic,ion o& m# teac'er- I re.read m# note
___$l%a# ___Mot o& t'e (ime ___Sometime ___Never
51 I loo+ ot'er re&erence to &,rt'er ,ndertand m# leon1
___$l%a# ___Mot o& t'e (ime ___Sometime ___Never
61 I revie% m# lect,re note &rom eac' cla ever# ni0't
___$l%a# ___Mot o& t'e (ime ___Sometime ___Never
71 I& I am a/ent &rom m# cla1 I a+ m# clamate %'at I mied1
___$l%a# ___Mot o& t'e (ime ___Sometime ___Never
81 I ta+e do%n note d,rin0 cla dic,ion1
___$l%a# ___Mot o& t'e (ime ___Sometime ___Never
91 I am a/le to &oc, %ell in cla dic,ion1
___$l%a# ___Mot o& t'e (ime ___Sometime ___Never
:1 I a+ m# teac'er a/o,t t'e topic %'ic' I cannot ,ndertand1
___$l%a# ___Mot o& t'e (ime ___Sometime ___Never
1;1 I tr# m# /et to t'in+ and anal#ze t'e leon e&&icientl#
___$l%a# ___Mot o& t'e (ime ___Sometime ___Never
C. Study Skills
11 I t,d# ri0't /e&ore and a&ter t'e cla
___$l%a# ___Mot o& t'e (ime ___Sometime ___Never
!1 I read a'ead /e&ore t'e teac'er dic,e t'e leon1
___$l%a# ___Mot o& t'e (ime ___Sometime ___Never
41 I eta/li' a place to t,d# &or eac' ,/ject1
___$l%a# ___Mot o& t'e (ime ___Sometime ___Never
51 I eta/li' a time ro,tine to t,d#1
___$l%a# ___Mot o& t'e (ime ___Sometime ___Never
61 I do a m,c' t,d# in da#li0't a poi/le1
___$l%a# ___Mot o& t'e (ime ___Sometime ___Never
71 I ta+e at leat ten min,te t,d# /rea+ ever# 'o,r o& t,d#1
___$l%a# ___Mot o& t'e (ime ___Sometime ___Never
81 I ma+e ,e o& camp, reo,rce ti en'ance m# t,d#1
___$l%a# ___Mot o& t'e (ime ___Sometime ___Never
91 I &ind at leat one or t%o t,dent in eac' cla to /e %it'1
___$l%a# ___Mot o& t'e (ime ___Sometime ___Never
:1 I %or+ on 'ardet ,/ject at a time %'en I am &re'1
___$l%a# ___Mot o& t'e (ime ___Sometime ___Never
1;1 I am 0ood to m# el& /# 0ivin0 little re%ard a&ter a lon0 period o& t,d#1
___$l%a# ___Mot o& t'e (ime ___Sometime ___Never
D. Study Environment
11 M# t,d# place i clean and %ell or0anized1
___$l%a# ___Mot o& t'e (ime ___Sometime ___Never
!1 M# t,d# place i %ell. ventilated1
___$l%a# ___Mot o& t'e (ime ___Sometime ___Never
41 M# t,d# place i &ree &rom an# ditraction1
___$l%a# ___Mot o& t'e (ime ___Sometime ___Never
51 M# t,d# place i %ell< li0'ted1
___$l%a# ___Mot o& t'e (ime ___Sometime ___Never
61 M# t,d# place i &,ll o& re&erence1
___$l%a# ___Mot o& t'e (ime ___Sometime ___Never