QUESTIONNAIRE
QUESTIONNAIRE
QUESTIONNAIRE
The purpose of this activity has been fully clarified to me and I understand the
explanation. The description of any risks and discomforts has been provided and discussed in
detail to me.
I have been given an opportunity to ask whatever questions I may have had and all
such questions and inquiries have been answered in my satisfaction.
I understand that any data or answers to questions will remain CONFIDENTIAL with
regards to my identity.
I testify to the best of my knowledge and belief that I have no physical or mental
illness or weakness that would hinder the viability of my responses.
I am participating in this activity in my own free will and I have not been coerced in
any way to participate.
I, undersigned, was present when the study was explained to the subject/s in details
and to the best of my knowledge and belief it was understood.
Dear Respondent,
The Senior High School Students of Rosario NHS are presently conducting a
research thesis titled, INFLUENCES OF TEACHERS' MINDSET, ABILITY-BASED
PRACTICES AND ADVERSITY QUOTIENT TO THE STUDENTS PERFORMANCE IN THE
DISTRICT OF ROSARIO
In connection to this, may we request your utmost cooperation by answering the
research questionnaire. rest assured that all information that shall be retrieved will be
treated with utmost confidentiality and will be utilized for scholarly purposes only.
Noted:
DAVID G. PARSONS, LPT, RN, EdD
Research Adviser
(RESEARCH INSTRUMENT)
Name : ____________________________________________________(Optional)
Age : ________________
STATEMENT 5 4 3 2 1
1. My belief in students' ability to learn
significantly impacts my teaching practices.
STATEMENT 5 4 3 2 1
1. I group students based on their perceived
academic abilities for instruction.
STATEMENT 5 4 3 2 1
1. I feel nervous when presenting in front of the
class.