A.

Personal Data
Name: _______________________________
Gender: ______________________________

B. Instructions: Read each statement carefully. Encircle the number corresponding your answer.
Please answer it honestly and accurately.

Table 1: Environmental Factors regarding modular distance learning approach

INDICATORS Strongly Rarely Agree Disagree Strongly

Agree Agree Disagree
(3) (2)
(5) (4) (1)

1. The level of lighting in my study area

allows me to see clearly what is
around, as well as to concentrate when
answering modules.
2. I can control the level of lighting in
my study area when answering
modules (for example:
opening/closing blinds, curtains;
having a table lamp; dimmers within
reach).
3. I have privacy in my study area when
Answering modules.
4. The noise level (coming from devices,
people’s talks, external sources) in my
study area allows me to concentrate,
take the class, and clearly hear my
teacher and classmates.
5. I can control the noise level in my
study area (example: opening/closing
doors/windows).
6. I can control the temperature in my
study area (for example:
opening/closing windows, turning
ventilators on/off) when
Answering my modules
7. The air quality in my study area is
appropriate for answering my modules
8. The level of lighting (from lamps,
computer screen) in my study area
allows me to have visual comfort.
9. I don’t have any technological devices
and internet connection to use when
answering my module.
10. I live in a remote area which is
difficult to have internet connection.
Table 2: Family Factors regarding modular distance learning approach

INDICATORS Strongly Rarely Agree Disagree Strongly

Agree Agree Disagree
(3) (2)
(5) (4) (1)

1. Parents with high income can support

the educational needs of the student.
2. Family size and Parental attitudes
(interest) towards the student’s
academic work/activities enhances
student’s academic performance.
3. The existences of cordial relationship
e.g. unity, Love and care in the
student’s family can enhance student’s
academic performance.
4. The academic level of the student’s
parents and positive attitude towards
education can enhances the student’s
academics performances.
5. Provision of modern gadgets at home
and good communication network in
the home enhances the student’s
academic performances.
6. None provision of adequate education
materials/supervision of the students’
academic work when return from
school.
7. The socio-economic status of the
family influences a child’s self-esteem
and confidence in school.
8. A broken home can affect a student
academic performance.
9. The household size can affect the
academic performance of a student.
10. Disagreement between parents can
affect a student academic
performance.