Questionnaire Kindly answer the questionnaire honestly.

Kindly answer the questionnaire honestly.

I.1Profile of Students
I. Profile of Students Direction: Fill out the necessary information below.
Direction: Fill out the necessary information below.
Name (Optional):
Name (Optional):
Age:
Age:
Gender:
Gender:
Parents’ Marital Status:
Parents’ Marital Status: (Single, Married, Widowed, Separated,
(Single, Married, Widowed, Separated, or Live-in)
or Live-in)

II. 2nd Quarter Grade of Students in Mathematics

II. 2nd Quarter Grade of Students in Mathematics Direction: Check the box below to confirm your grade in ESP for the second
Direction: Check the box below to confirm your grade in ESP for the second quarter.
quarter.
90-100 85-89 80-84 75-79 Below 75 
90-100 85-89 80-84 75-79 Below 75 
III.1Perception of Students About the Medium of Instruction in Mathematics
III. Perception of Parents’ Relationship Direction: For each statement, check whether you Often (5), Always (4),
Direction: For each statement, check whether you Often (5), Always (4), Sometimes (3) Rarely (2) Never (1)
Sometimes (3) Rarely (2) Never (1)
5 4 3 2 1
5 4 3 2 1 (Often) (Always) (Sometimes) (Rarely) (Never)
(Often) (Always) (Sometimes) (Rarely) (Never)
A.
A.
1.
1.
2.
2.
3.
3.
4.
4.
5.
5.
B.
B.
6.
6.
7.
7.
8.
8.
9.
9.
10.
10.
C.
C.
11.
11.
12.
12.
13.
13.
14.
14.
15.
15.

Questionnaire