Central Bicol State University of Agriculture

Calabanga Campus
Calabanga, Camarines Sur

CHECKLIST

Name:___________________________________________Gender____________
Course: ______________________________________Age__________________

I. Direction: Please respond to the following statement, by checking the

appropriate line.

1. Is your home or area classed as

___ Formal ____ informal ___don’t know
2. What is the employment status of your parents?
___ Employed Fulltime
___ Part-time
___ Unemployed
___ Self Employed
___ Pensioner

LEGEND:

5- Strongly Agree 3- Undecided

4- Agree 2- Disagree
1– Strongly Disagree

5 4 3 2 1
3. I love Math __ __ __ __ __
4. I will pass Math subject __ __ __ __ __
5. I always study in math subject __ __ __ __ __
6. Feel supported by family __ __ __ __ __
7. Feel supported by school __ __ __ __ __
8. I Learned algebra using auditory __ __ __ __ __
9. I Learned algebra using visual __ __ __ __ __
10. I Learned algebra using __ __ __ __ __
11. Comfortable in Classroom __ __ __ __ __
12. Comfortable in Class Size __ __ __ __ __