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    QUESTIONNAIRE

    Uploaded by

    Jimboy Saraspe
    This document contains a questionnaire for learners to complete regarding their profile, involvement in extracurricular activities, and the impact of those activities. The learner is asked to provide their sex, age, and family monthly income. They then check activities they participate in such as band, athletics, and scouting. The learner rates how activities impact their physical, social, cognitive, psychological, and emotional development on a scale of 1 to 4.

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    QUESTIONNAIRE

    Uploaded by

    Jimboy Saraspe
    29 views2 pages
    This document contains a questionnaire for learners to complete regarding their profile, involvement in extracurricular activities, and the impact of those activities. The learner is asked to provide their sex, age, and family monthly income. They then check activities they participate in such as band, athletics, and scouting. The learner rates how activities impact their physical, social, cognitive, psychological, and emotional development on a scale of 1 to 4.

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    This document contains a questionnaire for learners to complete regarding their profile, involvement in extracurricular activities, and the impact of those activities. The learner is asked to provide their sex, age, and family monthly income. They then check activities they participate in such as band, athletics, and scouting. The learner rates how activities impact their physical, social, cognitive, psychological, and emotional development on a scale of 1 to 4.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    29 views2 pages

    QUESTIONNAIRE

    Uploaded by

    Jimboy Saraspe
    This document contains a questionnaire for learners to complete regarding their profile, involvement in extracurricular activities, and the impact of those activities. The learner is asked to provide their sex, age, and family monthly income. They then check activities they participate in such as band, athletics, and scouting. The learner rates how activities impact their physical, social, cognitive, psychological, and emotional development on a scale of 1 to 4.

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    © All Rights Reserved
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    QUESTIONNAIRE

    Learner’s Profile

    Instruction: Read each question and answer it by making ticking a checkmark (√) the blank.

    1. Sex

    __________Male ________Female

    2. Age

    _______ 10-11 years old

    _______ 12-13 years old

    _______ 14-15 years old

    3. Monthly Family Income:

    _______ P 5,000 and below

    _______ P10,000 and above

    _______ P20,000 and above

    List of Extra-Curricular Activities

    Instruction: Below is the list of items comprise extra-curricular activities where the students are involved. Put a check

    mark (/) on the space provided that corresponds to your answer.

    _______ Lyre Band _______ Student Government

    _______ Academic Team and Clubs _______ District Athletic Meet

    _______ Dance Sports _______ Town Athletic Meet

    _______ Choir _______Congressional Athletic Meet

    _______ Street Dancing _______ Buwan ng Wika

    _______ Journalism _______ Vocal Solo

    _______ Boy Scout of the Philippines _______ Cheer Dance/Dance Palabas

    _______ Volunteer Work and Community _______ Girl Scout of the Philippines

    The Involvement in Extra-Curricular Activities in terms of:

    A. Physical Development 4 3 2 1
    I have an opportunity to…..
    1. explore surroundings, and practice fine and gross motor
    skills.
    2. serve as an enthusiastic role model for practices that support
    health and physical activity.
    3. balance rest and sleep with quiet and active play.
    4. engage in physical activities outdoor.
    5. maintain good health.
    B. Social Development
    I have a chance to…
    1. effectively communicate and interact with my peer,
    community and family.
    2. demonstrate caring and compassion attitudes towards other.
    3. understand positive and negative impact of peer pressure on
    self and others.
    4. demonstrate communication and social skills to interact
    effectively.
    5. follow rules that respect other needs and use polite language
    (example: wait for their turn, stand in line, let classmate
    finish speaking)
    C. Cognitive Development
    I have an opportunity to…
    1. maintain good grades in order to meet eligibility to
    participate in sports and other extra-curricular activities.
    2. acquire concept of democratic life.
    3. determine basic information, rules and responsibility.
    4. can solve the problem that may influence or affect the
    outcome.
    5. develop ability to think in a more abstract manner.

    D. Psychological Development
    I have a chance to….
    1. develop feeling of being left out or isolated because of in
    adequacy of fund.
    2. lower grades in my class.
    3. develop demotivation in my class and family.
    4. be isolated and left with other.
    5. develop fear of doing the activity .
    E. Emotional Development
    I have a chance to….
    1. gain confidence and character.
    2. have poor academic performance.
    3. have a family problem.
    4. exercise decision making.
    5. receive attention from other.

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