Survey Questionnaire

Name: _______________________________________ Grade & Section: ________________

School: _______________________________________ Gender: ________ Age: ___________

Instruction: Using the 5-point scale below. Rate the following questions by placing a check (✔)
in the box. Please answer the question honestly. Do not leave each item unanswered.
Strongly Agree Agree Neutral Disagree Strongly
Disagree

1 2 3 4 5

Questions 5 4 3 2 1

1. Heavy school bags causing back pain and discomfort.

2. Difficulty understanding complex concepts in certain subjects.

3. Bullying or social conflicts with peers.

4. Feeling overwhelmed by homework assignments and projects.
5. Lack of motivation or interest in certain subjects.

6. Struggling with time management and meeting deadlines.

7. Pressure to perform well in exams and tests.

8. Feeling anxious or stressed about school performance.

9. Lack of sleep due to late-night studying or electronic device usage.

10. Unhealthy eating habits or lack of nutritious food options at school.

11. Feeling isolated or lonely in social settings.

12. Coping with distractions in the classroom.

13. Lack of access to resources like textbooks or technology.

14. Balancing extracurricular activities with academic responsibilities.

15. Dealing with strict rules and regulations at school.