Appendix

Department of Education
Division of Negros Oriental
Dauin District

MOTIVATION AND STUDY HABITS SURVEY QUESTIONNAIRE

Name: __________________________________________ Age: _________ Sex: _____________

Dear Student:
Please answer diligently and honestly the questionnaire below. Always remember, there are no
right or wrong answers. Your answers will be kept highly confidential.
Instructions. Answer each question by shading the circle below the answer of your choice.
Choose only one answer out of the five choices.

Choices (choose only one answer)

Very
Average Far
Near Near (2-
Distance (Around Very Far (5
Interview Questions (Less 3
(Approximately 3-4 minutes or
than 1 minutes
5 minutes minutes more riding
minute walking
walking riding distance)
walking distance)
distance) distance)
distance)

How far is your home from school? ⑤ ④ ③ ② ①

Choices (choose only one answer)
Very
Much Just Enough Few None at All
Plenty
Do you have books available for reading at home? ⑤ ④ ③ ② ①
Choices (choose only one answer)
Very
Always Sometimes Rarely Never
Often
Do you have internet access/connection at home or
⑤ ④ ③ ② ①
neighboring pisonet (internet-for-rent) ?
Choices (choose only one answer)
Very
Always Sometimes Rarely Never
Part 1: Motivation Often
Do you come to school early? ⑤ ④ ③ ② ①

Do you finish your assignment on time? ⑤ ④ ③ ② ①

Do you give maximum effort to your work? ⑤ ④ ③ ② ①

Do you like the lessons in your Science class? ⑤ ④ ③ ② ①

Part 2: Study Habits ⑤ ④ ③ ② ①

Do you take notes during lectures? ⑤ ④ ③ ② ①

Do you review your lessons each night? ⑤ ④ ③ ② ①

Do you like to read related material at home? ⑤ ④ ③ ② ①

Do you have a regular schedule for focused study at
⑤ ④ ③ ② ①
home?