QUESTIONNAIRE

(for Student-Respondents)
Dear Student,
The undersigned is conducting a research entitled Factors Affecting the
Mathematics Performance of the Fourth Year High School Students of Laguna
Northwestern College S.Y. 2014 2015. You were chosen to participate by answering
the following questions. Please feel free in answering.
Very truly yours,
John Carlo Araojo
Rodeliza Jean Japson
Josephine Lestino
PART I. Personal Data
Name (optional): _________________________________________________
Gender:

______ Male

______ Female

Age: ________ years

Educational Attainment of Parents:
Father

Mother

_____ Post Graduate

_____

_____ College Graduate

_____

_____ College Level

_____

_____ High school Graduate

_____

_____ Secondary Level

_____

_____ Elementary Graduate

_____

_____ Elementary Level

_____

Occupation of Parents:
Father
_____ Businessman
_____ Overseas Filipino Worker
_____ Self Employed
_____ Government Employee
_____ Unemployed
Mother
_____ Businesswoman
_____ Overseas Filipino Worker
_____ Self Employed
_____ Government Employee
_____ Unemployed
Grades in Mathematics:

_______ 2nd Grading

_______ 3rd Grading

PART II. Student related Factors

Directions: The following are indicators of your Mathematics performance. Kindly check
the column that corresponds to the degree of your agreement.
5 Always

(Everyday/5x a week)

4 Often

(4x a week)

3 Sometimes

(3x a week)

2 Rarely

(Once or 2x a week)

1 Never

(None application at all)

INDICATORS OF MATHEMATICS PERFORMANCE

A. Study Habits

I read Mathematics books.

I solve word problems in Math at home.

B. Attitude towards Mathematics

I like Mathematics.

I like answering Math exercises (i.e. seat works, board

works, homework)

C. Engagement in Classroom Activities

I answer my teachers questions during Math

discussions.

I participate in classroom activities like group works,

graphing equations on the board, etc.

D. Level of Interest

I think clearly when working with Mathematics.

I participate in class discussions.

PART III. On Teacher-Related Factors

Directions: Below are the teacher-related factors that could influence and affect your
performance in Mathematics. Kindly check the appropriate column that corresponds to
the degree of utilization of each of your teacher in Mathematics as you observed it.
Please refer to the rating scale below.
5 Always

(Everyday/5x a week)

4 Often

(4x a week)

3 Sometimes

(3x a week)

2 Rarely

(Once or 2x a week)

1 Never

(None application at all)

INDICATORS
A. Mastery of the Subject Matter

My teacher defines Mathematical concepts clearly.

My teacher gives enough examples for each lesson.

B. Assessment Techniques

My teacher gives us daily quizzes or seat works after

every complete lesson.

My teacher gives us tasks to complete involving

Mathematical problems to be applied in real life

situations.
C. Utilization of Different Instructional Facilities and Materials

My teacher utilizes blackboard, chalk, Math books and

other learning materials in teaching Mathematics.

My teacher allows us to use graphic organizers to help

us in forming new concepts in Math.