Questionnaire English

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Factors that Affects the Academic Performance of Grade 7 Recipients of Pantawid Pamilyang Pilipino

Program (4P’s) in Laoac National High School

Dear students, we are conducting a study to recognize the Factors that Affects the Academic
Performance of Grade 7 Recipients of 4p’s. Your information will be kept confidential and will be
used for our research to improve the academic standing of our school.

Part I. Student’s Profile

Direction: Please provide information about yourself by filling in the blanks provided on by putting a
check ( / ) mark on and by answering information/data that includes your response.

Name : _________________________________________
Section: ______________________

A. Sex: Male: ( ) Female: ( )


B. Age : ( ) 11 – 12 years old ( ) 13- 14 years old ( ) 15-16 years old

C. Household size:

___1-5 member/s ___11-15 members


___6-10 members ___16 members and above

D. Monthly allowance of students:

___ 300-500 Pesos ___ 701-900 Pesos


___ 501-700Pesos ___901-1000 Pesos

E. Parent’s Occupation

Mother’s Occupation: LEGENDS:


Manual: Vocational: Technical: Professional:
___Manual ___Technical Carpenter Driver Electrician Teacher
___Vocational ___Professional Farmer Beautician Technician Police
___Others( specify ) Midwife Tailor Mechanic Engineer

Father’s Occupation :

___Manual ___Technical
___Vocational ___Professional
___Others( specify )

F. Monthly Income:
___ 4,999 pesos and below ___ 15,001 to 20,000 pesos
___ 5,000 to 10,000 pesos ___ 20,001 pesos above
___ 10,001 to 15,000 pesos

G. Number of family members who are 4p’s beneficiaries

___ 1 member ___ 4 members


___ 2 members ___ 5 members
___ 3 members

Part II. Academic Assistance

Direction : Put a check (/) in the provided space. Please be sure not to omit any items.

A. Class Attendance

___ once a week ___ four times in a week


___ two times in a week ___ always present
___ three times in a week

B. General Average

___ 74 and below ___ 85-89


___ 75-79 ___ 90-94
___ 80-84 ___ 95 and above

Part III. Effects of the program to the beneficiaries


Direction : Please check and rate yourself honestly based on what you actually do given the statements
using the following scale.

Legends:
5- Strongly Agree 4- Agree 3- Moderately Agree 2- Disagree 1- Strongly Disagree

A. MINIMIZING FINANCIAL BURDEN 5 4 3 2 1


1. I have an enough allowance when I go to school.
2. I have now the means to buy school supplies.
3.The grant didn’t minimize my financial burden because the
grant are still use for the purchase of medicines and other
necessities of family member.
4.The program has helped increase my parents promptness
in paying school dues.
5. I will no longer have to work for my allowance in school.

B. HELPING STUDENTS BENEFICIARIES TO FOCUS ON 5 4 3 2 1


THEIR STUDIES
1.I had a hard time focusing on my studies because of
hunger or financial worries.
2.I can afford to buy my snacks because of limited budget.
3.I go to school without eating breakfast.
4.I use my allowance for school expenses.
5.I go to school regularly since I have money for
transportation.

C. IMPROVING THE STUDENTS ACADEMIC 5 4 3 2 1


PERFORMANCE
1.I got high scores on exams, quizzes and activities because
I can review well.
2.I am excited going to school because of cash grants.
3.I can submit my projects or requirements on time because I
can afford to buy school supplies.
4. I can focus more on my studies.
5.My health condition improved after receiving the cash
grants.

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