Sample Questionnaire Essay Example for Free

Sample Questionnaire EssayThe purpose of this deal is to determine to what extent the different factors in attitude do and take on interest affects individual.Enclosed you will find a self-addressed, stamped envelope to use when returning the survey. recreate feel free to include any additional comments you moderate necessary or relevant to improving the behavioral aspect of individual. Be assured that each(prenominal) your answers ar highly confidential and will be set with privacy. Your response and time is greatly appreciated. Thank youSincerely,Floriden DairoCamille PunzalanMarilyn VargsaMary Grace RomeroJohn Paul Bernaldez(BSE III-B, English)Below is a list of line of reasonings. Please indicate how you feel more or less eachstatement by checking the box of your answer.How family background does affect your behavior and interest in study habits? 1. My parents re totallyy care for me(_) True(_) False2. I fasten along well with my parents and siblings(_) True(_) Fa lse3. My parents really listen to I suck to say(_) True(_) False4. My parents care whether I come at home in truth late at night (_) True(_) False5. My parents didnt pay attention to what I have to say.(_) True(_) False6. My parents didnt appreciate my effort(_) True(_) False7. My parents everlastingly fight(_) True(_) False8. My return always nagged me especially if we do not have enough money (_) True(_) False9. My parents didnt support our studies(_) True(_) False10. My parents advance me to have an occupation at an early age (_) True(_) FalseHow do gadgets affect your attitude and interest in the study? Check your answers.1. What gadgets do you have?(_)Cellular phone (_) IPod (_) Television (_) Radio (_) Digital Camera (_) others 2. Do you really want to play games, listen to music, etc. quite a than studying your lesson? (_)Yes (_) No3. Whenever your mother does the household chores, do you help her? (_)Yes (_) No4. At night, do you prefer to listen in the radio, instead of taking a rest?(_) Yes (_) No5. kind of of playing outdoor activities, do you prefer to stay at home and play with your gadgets? (_) Yes (_) No6. Did your parents bought whatever you ask, like all your gadgets for you to be in with your armadas? (_)Yes (_) No7. Did radio, television, and other technologies sometimes help you to do your enlighten activities? (_) Yes (_) No 8. Do you use your gadgets to degrade your classmates for not having it? (_)Yes (_) No9. Did you spend more time with your gadgets rather than with your family? (_)Yes (_) No10. Did your parents allowed you to addict in all gadgets that may cause of losing your interest with your studies. (_)Yes (_) NoHow do peers and peer pressure affects your attitude and study interest? Do you prefer to do things independently?(_) Yes (_) NoDo you prefer to do things with the help of your friends?(_) Yes (_) NoDo your friends affect largely your decision-making?(_) Yes (_) NoDo you always decide based on your peers decisions ?(_) Yes (_) NoDo you consider your friends judgments before making friends to others? (_) Yes (_) NoI am conscious about what I will wear before my friends might tease me. (_) Yes (_) NoAre you afraid on bullying?(_) Yes (_) NoIf yes, do you have a feeling that if you neglect your friends judgments, they might bully you? (_) Yes (_) NoIf no, do you believe that if you dont do something wrong, nought should be shame of? (_) Yes (_) NoDo you agree that self-progression is through your own hard work and perseverance? (_) Yes (_) NO1) How familiar are you with your schools mission statement for school guard duty Very Familiar approximatelywhat familiarNot too familiarNot at all Familiar2) How familiar are you with your schools emergency response plan? Very FamiliarSomewhat familiarNot too familiarNot at all FamiliarPlease tell us how much you agree or disagree with the sideline statements. 3) School staff and administration uphold all topic policies. strongly differDisagree candidA greeStrongly Agree4) The school provides adequate training for staff on school policies and procedures. Strongly DisagreeDisagreeUndecidedAgreeStrongly Agree5) Emergency response plans are known by all teachers and administration. Strongly DisagreeDisagreeUndecidedAgreeStrongly Agree6) Emergency response drills are performed regularly by teachers and students. Strongly DisagreeDisagreeUndecidedAgreeStrongly Agree7) The school has an unnamed student hotline for reporting potential safety problems, such as threats. Strongly DisagreeDisagreeUndecidedAgreeStrongly Agree8) The school takes all threats and rumors of violence seriously and investigates arrogately. Strongly DisagreeDisagreeUndecidedAgreeStrongly Agree8) All visitors to the school are acknowledged and accounted for at all times. Strongly DisagreeDisagreeUndecidedAgreeStrongly AgreePlease tell us how contented or dissatisfied you are with the following 9) How satisfied are you with the level of control the school maintains on all entrances and exits? Very well-to-doSatisfiedDissatisfiedVery DissatisfiedDont Know10) How satisfied are you with the exterior safety lighting? Very SatisfiedSatisfiedDissatisfiedVery DissatisfiedDont Know11) How satisfied are you with the interior safety lighting? Very SatisfiedSatisfiedDissatisfiedVery DissatisfiedDont Know12) How satisfied are you with the level of support the administration gives to teachers for dealing with discipline problems? Very SatisfiedSatisfiedDissatisfiedVery DissatisfiedDont Know13) Overall, how safe do you feel in your classroom?Very SafeSome what safeNot too safeNot at all SafeDont Know14) Overall, how safe do you feel outside on the school grounds? Very SafeSome what safeNot too safeNot at all SafeDont Know15) Overall, how satisfied are you with your schools safety policies? Very SatisfiedSatisfiedDissatisfiedVery DissatisfiedDont Know16) Overall, how satisfied are you with your schools emergency response plan? Very SatisfiedSatisfiedDissat isfiedVery DissatisfiedDont KnowPlease indicate the extent to which the following are problems for you.Always-3 Often 2 Sometimes -1 Never 0Cutting classesSaying bad wordsBulliedSmokingFinancial problemAbsenteeismExcessive use of alcoholSleeping during the classLate homeworkLatecomercheatFighting with others students using cell phones/iPods/electronics during class hour Being honest about all rulesPlease indicate the extent to which the following are the appropriate assessment for the behavioral development of the students. Strongly Agree-3 Agree-2 Disagree-1 strongly disagree-0Conducting seminars and ProgramsMaking organizations having counselingPunishmentsDismissal of the students from schoolDetentionReferencesDurand, V. M., Crimmins, D. B. (1992). Motivation assessment scale. Topeka, KS Monaco Associates Incorporated.Iwata, B. A., DeLeon, I. G. (1995). The functional analysis covering tool (FAST). Unpublished manuscript, University of Florida.Lewis, T.J., Scott, T., Sugai, G. (1994). The problem behavior questionnaire A teacher-based instrument to develop functional hypotheses of problem behavior in general education classrooms. Diagnostique, 19(2-3), 103-115.Mason, S. A. Egel, A. L. (1995). What does Amy like? Using a mini-reinforcer assessment to increase student participation in instructional activities. Teaching Exceptional Children, 28, 42-45.ONeill, R. E., Horner, R. H., Albin, R. W., Storey, K., Sprague, J. R. (1997). Functional assessment and program development A practical handbook. Pacific Grove, CA Brookes/Cole Publishing Company.Singh, N. N., Matson, J. L., Lancioni, G. E., Singh, A. N., Adkins, A. D., McKeegan, G. F., Brown, S. W. (2006). Questions about behavioral function in mental illness (QABF-MI). Behavior Modification, 30(6), 739-751.https//www.google.com.ph/search?q=sample+survey+questionnaire+about+family+backgroundtbm=ischtbo=usource=univsa=Xei=BWpdUp62E8fxiAfUiIGIDwved=0CGIQsAQbiw=1366bih=664facrc=_imgdii=_imgrc=bWprTi6c_vvXQ M%3A%3B9lwusfzU6z3OBM%3Bhttp%253A%252F%252Fwww.uncssp.org%252Fimages%252Fsspsamplequestions_school11ak.gif%3Bhttp%253A%252F%252Fwww.uncssp.org%252Fabout_samplequestions.asp%3B300%3B392Questionnaire(SOCS II)Submitted byCamille PunzalanFloriden DairoMarilyn VargasMary Grace RomeroJohn Paul BernaldezSubmitted toMs. Mileth Caraan(SOCS 2 Teacher)GOODBYE By AnonymousI wish I hadnt met somebody like you Someone who is good to be true Someonewith charms of dreams, of fiction Someone youd be willing to pour out your affection adieu for me, I wont look back Your jokes so funny, youd make me crack Your laughter, your smile, voice so sweet Your lips so red, your eyes so deep.To my questions you are the answer You are the bonfire in the cold day of winter You are the rain that makes flower bloom You are the light that comes from the moon. but goodbye for now, we must part Youll always occupy a place in my heart As I turn my back, forget and be buoyant Rather than remember and be sad Just wipe your eyes and smile once more Hope youd find what youre tone for Goodbye my life, my strength, my love, A gift of fate from heavens above.