APPENDICES

Appendix A. Survey-Questionnaire

Jake, by Jim Bartlett

Jake’s eyes snap open, and he quickly turns to the side. But like his aching heart, the spot
where Max always sat on the couch remains empty. He takes in a long, deep breath – really more
of a sigh and squeezes his eyes closed, hoping that by slipping into the darkness of a nap, he will
temporarily mask his sorrow. For fifteen years they were inseparable. Always side by side. The walks
on the beach with the gentle waves calling, the seagulls cawing. All those hikes on the trail where
the trees canopied over like arches, wrapping them in a soft cool shade on a hot sunny day. Even
just a ride to the grocery store for something Martha may have forgotten, they always. Went together.
Though he knows that in some ways he should be thankful for just having their time together those
moments forever etched in his heart and that the sickness took Max quickly rather than dragging
out the pain for weeks, maybe even months, he still feels cheated. That somehow he is missing
years that could have been. Unable to sleep, he looks around the all too empty room, letting his
gaze fall upon the leash, which still hangs from the peg by the door. It seems to wait patiently, ever
ready for that next big adventure. As his eyes well up, he realizes for the first time how much his
grief weighs, how hard it is to even rise with such a heaviness inside. It is then he hears a shuffle
from behind and turns to see Martha standing in the doorway, her shoulder resting against the frame.
“I thought you might be in here,” she says. She looks. Down at him for only a moment before her
stare drifts to the couch. “I miss him, too, Jake. More than you’ll ever know.” There’s a faraway
melancholy tone to her voice, but he knows that her heart, like his, has a hole too big to fill. His head
drops and he gives off another long sigh, which seems to prompt her to come over and kneel down
onto the carpet beside him. She slides a hand under his chin and lifts it up, then tucks back his long,
floppy ears, such that their teary eyes can meet. “I guess you do know, don’t you, Jake.”

Reading Comprehension Rubrics

Category 4 3 2 1
Answers are mostly Answers are often Answers are Answers do not
correct and correct and occasionally correct reflect accurate
Interpretation demonstrate demonstrate good and demonstrate an comprehension of
excellent comprehension. incomplete the topic(s).
comprehension. Opinions are comprehension of Opinions are
Opinions are always adequately the topic. Opinions unjustified.
fully justified. justified. are sometimes
justified.
 Detail Answers are mostly Answers are Answers contain Answers lack the
complete, usually complete some details. required detail or
extensive, and and include several are incomplete.
include many details details.
Use of Answers mostly Answers usually Answers include Answers do not
include supporting include supporting occasional include supporting
information evidence from the evidence from the supporting evidence evidence from the
text/lesson when text/lesson when from the text when text when
necessary. necessary. necessary. necessary.
Quotation or Quotation or
paraphrase are paraphrase are
often included in sometimes
answers. included.
Clarity Answers are very Answers are Answers are Answers are difficult
easy to understand. always easy to sometimes to understand.
They are clear and understand. understandable, but
concise. need to be more to
the point.
Mechanics Conventional Conventional Work contained Work contains
spelling and spelling and several spelling and many spelling and
grammar is mostly grammar is usually grammar errors. grammar errors.
correct. correct.

Directions: Reflect on and answer the question below. Write you answer on a separate sheet of
paper.

1. What did you feel after reading the story? Expound your answer.

2. Based on the story, who is Jake and why is he in a state of loneliness?

3. What words were used to help you figure out Jake’s identity?

4. Who was Max and what happened to him?

5. Do you believe in the adage, ‘A dog is man’s best friend? Elaborate on your answer.
 Directions: Answer the following by ticking the circle or filling in the needed response.

Part I: Demographic Profile

Name:(Optional) _________________ Sex:____ Date:_____

Age: _________(edad)

(Age in terms of years)

o 15-16
o 17-18
o 19-20

Part II: Strategies Questions

NO INDICATORS Strongly Agree Neutral Disagree Strongly

Agree Disagree

(5) (4) (3) (2) (1)

1 I imagine how the story will be

by reading the title.

2 If I don’t understand
something, I go back and read
it again.

3 I stop and explain what I’ve read

in my own words to make sure I
get it.

4 I picture things in my mind to

help me understand what I’m
reading.

5 I take notes or underline

important parts when I read.

6 Before I start reading, I quickly

look through the text to get an
idea of what it is about.
7 When I find words that I don’t
understand, I try to figure out
its meaning from the words
around it.

8 I read out loud to help me

understand better.

9 I take break while reading to

give my brain a test.

10 I use my finger to follow along

with the words as I read.

Part III: Challenges Questions

NO INDICATORS Strongly Agree Neutral Disagree Strongly

Agree Disagree

(5) (4) (3) (2) (1)

1 I imagine how the story will

be by reading the title.

2 If I don’t understand
something, I go back and
read it again.

3 I stop and explain what I’ve

read in my own words to
make sure I get it.

4 I picture things in my mind to

help me understand what I’m
reading.

5 I take notes or underline

important parts when I read.

6 Before I start reading, I

quickly look through the text
 to get an idea of what it is
about.

7 When I find words that I don’t

understand, I try to figure out
its meaning from the words
around it.

8 I read out loud to help me

understand better.

9 I take break while reading to

give my brain a test.

10 I use my finger to follow

along with the words as I
read.