SCHOOL ENVIRONMENT AND WELL-BEING OF ELEMENTARY PUPIL’S

Survey Questionnaire
PART I. PUPIL’S PROFILE OF THE RESPONDENTS
Put a check mark on the information that corresponds to your profile in terms of
age and gender. To secure confidentiality, anonymity, and security on your end,
indicating your name is left optional.
Name (Optional): _________________________
Age: 9 – 10 11 – 12 13 - 14
Gender: Female Male LGBTQ

PART II. LEVEL OF SCHOOL SAFETY AND SECURITY MEASURES

Please assess the level of the following school environment factors in terms of
physical safety and security measures in your school in terms of Physical Conditions,
In-school Practices and Behavior, Health and Hygiene, Legislations and Rules,
Environment, and Violence. Refer your scoring on the scaling provided below.
4 – Strongly Agree
3 – Agree
2 – Disagree
1 - Strongly Disagree

Physical Conditions 4 3 2 1
1. The school’s perimeter walls are safe.
2. Our school is well equipped for natural disasters
(earthquake, flood, hurricane, fire, etc.)
3. Necessary measures are taken against the
accidents that may occur in the water and
heating system in our school and periodic
checks are performed.
4. The entrance and exit of the school, stairs and
handrails and the safety of door and window
equipment are checked.
5. School playgrounds are adequate and suitable
for the students to move safely.
6. For disabled students, necessary measures in
the school building, toilet, sink lift, seat etc. and
suitable areas for use.
7. In the laboratory and workshops, necessary
 safety measures (such as toxic, flammable,
explosive, etc.)areas for use.
8. I think that the teachers on duty in our school do
their duties about school safety.
Hygiene 4 3 2 1
1. The source where the students meet the water
needs is hygienic (weekly, monthly check by
those concerned).
2. The school administration works in close
cooperation with health institutions against the
deadly epidemics (avian influenza, Chinese flu,
Crimean Congo, etc.) announced in the media.
3. Regular checks are performed by taking
necessary precautions against the parasitic
diseases that may be encountered in our school
(bits, fleas, tapeworms, fungae, etc..)
School Security 4 3 2 1
1. There are terrorist incidents in our school.
2. There are drug users and dealers around our
school.
3. There are security risk in the vicinity of the
school, such as transformers , fuel stations,
base stations or airports.
Violence
1. I have witnessed the introduction of firearms or
cutting tools to the school by the
students/teachers/administrators/other
personnel.
2. I witnessed parents’ physical violence against
teachers.
3. Mobbing (psychological pressure, mobbing,
intimidation, harassment )events are
experienced in our school.
4. At school, students use physical violence
against teachers.
5. In our school, there are often threats and
blasphemy incidents.
6. There have been
students/teachers/administrators/parents who
suffered or died in violence incidents in our
school.
Means Access and Egress 4 3 2 1
1. There are valid keys to enter any school facilities
(like classrooms and offices).
2. There are specific access restrictions or areas
within the school zone that require additional
 authorization.
3. There are designated entry points or gates that
should be used for access.
4. There is a specific times when access to any
school buildings/facilities is restricted.
5. The emergency exits are clearly marked and
easily accessible throughout the building.
6. Number of fire exits satisfies the occupancy as
per the code .
7. Travel distance for reaching the fire exists is not
more than 22 m.
8. Assembly areas are assigned and clearly
demonstrated.
9. Fire exits are continually accessible to the
assembly areas.
10. Fire exits are illuminated throughout their
avenues.
Fire Protection Systems 4 3 2 1
1. Fire extinguishers are provided throughout the
school, with a travel distance that is not
exceeding 22 m from any point of the building.
2. Fire extinguishers are provided in each
laboratory space.
3. Fire extinguishers are installed in clear locations
in the building.
4. Fire extinguishers are renewed annually.
5. Fire alarm systems are provided throughout the
compartments of the building.
6. Fire alarms are inspected periodically and kept
in an operational mood.
7. Smoke detectors are provided throughout the
building spaces.
8. Smoke detectors are inspected periodically and
kept an operational mood.
Electrical Systems 4 3 2 1
1. Electrical rooms are clearly distinguished in the
building by posting the expression
“ELECTRICAL ROOM” on their doors.
2. Power taps are connected directly with
permanent receptacles.
3. Flexible power taps are not be extended through
doors, partitions, ceilings or floors.
4. Electrical plugs are overloaded throughout the
building spaces.
5. Electrical extension cords are not overloaded by
further appliances.
 Housekeeping Practices 4 3 2 1
1. Storage rooms are identified in the building.
2. Storage rooms are not accessible to the
students.
3. Combustible and any harmful substance are
stored in shelves away from any source of
hazard.
4. Storage rooms of laboratory spaces are not
overload by combustibles.
Learning Environment 4 3 2 1
1. Does your classroom have enough ventilation?
2. Is your work desk enough for you to do your
school works?
3. Do you like the class sitting arrangement?
4. Are you having problems with the visual aids
due to the classroom setting?
5. Does your classroom population exceed 40?
6. Are you able to approach your
teachers/professors with ease?
7. Do your teachers teach enthusiastically?
8. Do you experience any type of bullying inside
your class?
9. Do you agree with the rules and regulations
implemented in your class?
10. Do you feel safe and comfortable inside your
class?
11. Are you able to fully comprehend the lessons
taught by your teachers?
12. Do you have any failing grade in any particular
subject?
13. Do you have any issues relating to your
classroom environment that is affecting your
academic performance?
Community Engagement 4 3 2 1
1. Our school participate to any program in our
community.
2. Our school has active PTO, PTA, or other parent
organization.
3. Our school involves parents in organized,
ongoing, and timely ways in planning, reviewing,
and improving school programs.
4. Our school offers after-school programs for
students with support from community
businesses, agencies, and volunteers.
5. I receive information from the school about how
 to access other educational resources in the
community or online.
6. Our school organizes joint co-curricular and
cultural activities with the local community.
7. Our school makes information about such social
support services as community health, nutrition,
safety, culture, recreation, guidance and
counseling available to the pupils and the
parents.
8. Our school has the full support of Barangay
Local Government Unit (BLGU) and the local
professional including merchants, civil
organizations and other agencies who offer their
support for school activities.
9. Our school helps to match the community’s
contributions to the school’s goals.
10. Our school works with family and apply for
grants to further pupil learning

PAR III. WELL-BEING DIMENSIONS

Please check the following items carefully. Put a check (/) mark on the
appropriate column that corresponds to your best answer on the level of well-being you
have in school.
5 – Always
4 - Very Often
3 – Sometimes
2 – Rarely
1 - Never

5 4 3 2 1
WELL-BEING (Very (Someti
(Always) (Rarely) (Never)
Often) mes)
A. Physical Well-being
1. I am good at most sports and
games.
2. The adults in our school help us to
eat healthy foods
3. My body is healthy.
4. I don't easily get tired out.
5. I have lots of energy.
B. Social Well-being
1. Has friends in school.
2. Most teachers are friendly.
3. Has been bullied at least once a
week.
4. I feel close and connected with my
friends at school.
5. When I am with my friends at
school, I feel like I belong.
C. Emotional Well-being
1. I feel I am treated well at school.

2. Pupils behave well in school.

3. I feel safe in school.

4. Teachers treat pupils well in school.

5. I am doing well at school.

D. Mental Well-being
1. In the past week, how often have
you felt: sad, angry, happy, joyful,
proud, etc.?
2. Do you have a way of coping with
feelings of stress or anxiety?
3. Do you have someone to turn to
when you’re feeling down?
4. Are you facing any social or peer
pressure?
5. Do you feel comfortable seeking
help or support when needed?
 SCHOOL ENVIRONMENT AND WELL-BEING OF ELEMENTARY PUPILS
Survey Questionnaire

PART I. SCHOOL PROFILE

Name: ____________________________________________
School Address: _________________________________________
Number of Teachers: __________________
Number of Student Enrolled:
Kindergarten: _____
Grade 1: _____
Grade 2: _____
Grade 3: _____
Grade 4: _____
Grade 5: _____
Grade 6: _____
School Facility: Check the following facilities if available in the institution.
Canteen
Comfort Room
Playground
School Clinic
Library
Others (please specify): _________________
Location/Geography:
Located near at the residential area.
Near at the highway.
Near at the mountains.
Near at the gasoline station.