Republic of the Philippines

DEPARTMENT OF EDUCATION
Region IX, Zamboanga Peninsula
Division of Zamboanga del Sur
TORIBIO MINOR NATIONAL HIGH SCHOOL
Gabay, Margosatubig Zamboanga del Sur

Dear Respondent,

We are a group of Grade 11 STEM students of this school. We are working on conducting
a survey to select Grade 12 students of this school determine their exit plan after senior high
school program. May we request a little of your time to answer the questions in this survey
questionnaire. The information you provide will enable our group to attain the purpose of the
survey. Rest assured that all the information you will share will be kept with utmost
confidentiality. Thank you for your cooperation.

Name (optional): ______________________________________________ Age: ______

PART I.
Age: ___________
Gender: _________
Track: __________
Strand: _________

Parent’s Job Status:

Employed Unemployed

Estimated Combined Monthly Income: __________________

Number of Siblings: ______

Number of Siblings in School: ______________
Number of Siblings Working: _______________
Part II.
Direction: Answer the following questions. Check the box of your answer.

1. What exit plan do you have after graduating senior high school?
College
Middle Skills
Employment
Local
Foreign
Business

2. Why do you choose this exit plan?

________________________________________________________________________
________________________________________________________________________

3. Who decided this exit plan?

Yourself

Parents

Influence by friends

Others ( Please specify)