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COLUMBIO NATIONAL HIGH SCHOOL

Columbio, Sultan Kudarat

SURVEY QUESTIONAIRE

Researcher-Modified Questionnaire on Determinants of Student’s


Retention Competence of Columbio National High School S.Y. 2019-
2020.

STUDENT’S NAME: _____________________________ TRIBE: _________


PARENT’S MONTHLY INCOME: __________________________
ADDRESS: ___________________________________________

I. Internal/Personal Determinants

Direction: Please check (√) and rate yourself honestly based on what you
do on the given the statements using the following scales:

Scale Description
5 Always
4 Often
3 Sometimes
2 Seldom
1 Never

A. Math Phobia 5 4 3 2 1
1 I cringe when it is a time for Math class
2 I am nervous about going to the board in a math
class
3 I am frightened to ask questions in math class
4 I am worried about being called on in math class
5 I recognize math now, but I worry that it’s going to
get difficult soon
6 I fear math tests more than any other subjects’
tests
7 I don’t know how to study for math tests
8 It’s clear to me in math class, but when I go home
and open my notes it’s like I was never there

B. Self- Confidence
1 I am confident that I can understand and solve
problems in math
2 I am not nervous of solving boardwork in math
class
3 I can explain math to my friends to help them
understand
4 I can get good grades in math
5 When I see new math problem, I can use what I
have learned to solve the problem
C. Interest
1 I make myself prepared for the Mathematics
subject
2 I listen attentively to the lecture of my Math
Teacher
3 I actively participate in the class discussion, group
activities, seatwork/boardwork and/or clarifying
things I did not understand
4 I want to get high scores/grades on quizzes,
assignments, projects and exams
5 I get frustrated when the discussion is interrupted
or when the teacher is absent
D. Study Habit
1 I do my assignment regularly
2 I exert more effort when I have difficulties in
answering my assignments and reviewing my
math lessons
3 I spend my vacant time in doing assignments or
studying my lessons
4 I study the lessons I missed if I was absent in the
class
5 I study and prepared for quizzes and exams
6 I study harder when I got lower grades
7 I spend less time with my friends during school
days to concentrate more on my studies
8 I prefer finishing my studying ang assignments
first before watching any television program
9 I see to it that extra-curricular activities do not
hamper my studies
1 I have an organized study room at our home
0 which I am using daily

II. External Determinants

Direction: Please rate each item as to the extent that your external
determinants affect your acquisition of learning in Mathematics
using the following scales:

A. Social Media Addiction


1 I am using multiple social networking sites such as
Facebook, twitter, viber, skype and others
2 I stay up late night or get up early to spend more
time on Facebook and other social networking
sites
3 I used to ignore a responsibility like math
assignments or chores because of social
networking sites
4 I spend so much time in social networking sites
5 I have more friends in social networking sites than
in actual life.
6 I become frustrated or angry when a social
networking site goes down or unavailable.
B. Parent’s Support
1 My parents check if I do my math assignments
2 My parents make sure that I set aside time for
reviewing lessons, practice solve problems and
doing homework
3 My parents are asking me daily about what I have
learned that day
4 I talk about my math schoolwork with my parents
5 My parents attending school meeting and other
school activities
6 My parents give full financial support with my
studies
C. Family Structure
1 I am living with my intact parents and siblings
2 My whole family spends vacation or outing during
holidays or weekend
3 I am attending church with my parents
4 I am watching movies/television with my family
5 My mother/father is working in a distant place or
abroad
D. Health
1 My parents are the one who preparing my meals
and baon to school
2 I am eating healthy meals three times a day
3 I have enough healthy food for snacks during
recess at school
4 I attend math class with my full tummy
5 My parents attended community health education
E. Community Factors
1 I have a peaceful home surroundings
2 Most of the children at our place are students
3 My friends are all students too
4 There are parents at our place that biologically
related with each other
5 There are families that have marital conflict at our
place
F. Teaching Strategy
1 My teacher is giving bite-sized math lessons daily
2 My teacher is integrating/connecting math lessons
to a story
3 I have daily group activities, group projects and
peer tutoring in math class
4 It has more practice exercises given to master our
math lessons
5 My math class is using visual aids or power point
presentation
6 My teacher is motivating students to have positive
attitude toward mathematics

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