Sample Questionnaire

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SURVEY

Name: __________________________________________
Section: ________________________
I. Students related factors
Direction: Please check (/) and rate yourself honesty based on what you actually
do given the statements using the following scales:

4- Strongly Agree 3- Agree 2- Disagree 1- Strongly Disagree

A. INTERESTS 4 3 2 1
1. I’m always excited whenever the researchers provide us real-life
situation activity.
2. Aids me to relate condition in the problem to real-life contexts.
3. I actively participate in the discussion and answering activities
about real-life situation.
4. It makes me be aware of adapting ideas and strategies in solving
problems from the researchers after their intervention.
5. I make myself more interested when the researchers giving us real-
life situation activity.
B. SELF EFFICACY
1. The intervention boosts my confidence in answering math
problems on the board.
2. The discussion helps me to enhance my problem solving skills.
3. They provide us learning assessment that establishes my creativity,
conciseness and logical ability.
4. I can speak clearly and participate actively during class discussion.
5. I gain more knowledge about real-life situation after the
intervention of the researchers.
C. SOCIAL SKILLS
1. I made a lot of friends during intervention group activities.
2. I make eye contact during class activity while talking about a topic
about myself.
3. I improved my communication skills through interacting with my
classmates during group activities.
4. I don’t have difficulties expressing my feeling during the
intervention group activity.
5. I am accepting everyone’s idea during the class group activity.

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