“FACTORS AFFECTING THE ACADEMIC PERFORMANCE OF THE LEARNERS IN

SALAMAGUE ELEMENTARY SCHOOL S.Y. 2023-2024”

Survey Questionnaire Tool

Name: _______________________________________
Note: The researchers would like to investigate the the factors affecting the academic performance of
learners.

Part I

Please put a check mark on the box to show your answer.

1. Student Information

1.1. Age

☐6 ☐7 ☐8 ☐9 ☐10 ☐11 ☐12 ☐13 ☐14

1.2. Gender:

☐ Male ☐ Female

1.3. Grade Level:

☐ Grade 1 ☐Grade 2 ☐ Grade 3

☐ Grade 4 ☐Grade 5 ☐Grade 6

2. Family Background

2.1. Family Structure:

☐ Both parents ☐ Single parent

☐ Guardian/Relative ☐ Other (please specify): _______________

2.2. Parental Education Level:

Father’s Highest Education Level:

☐ No formal education ☐Some high school ☐High school graduate

☐ Some college ☐ Bachelor’s degree ☐Graduate degree

Mother’s Highest Education Level:

☐ No formal education ☐Some high school ☐High school graduate

☐ Some college ☐ Bachelor’s degree ☐Graduate degree

2.3. Socio-Economic Status:

☐ Low ☐ Middle ☐ High

3. Living Conditions

3.1. Type of Housing:

☐ Own home ☐ Rental

☐ Communal/Shared ☐ Other (please specify): _______________

3.2. Access to Learning Resources at Home:

☐ Books ☐ Gadget ☐ Internet

☐ Educational software/apps ☐ None of the above

4. Average for the First Quarter

☐ 70-75% ☐ 76-80% ☐ 81-85%

☐ 85-90% ☐ 91-95% ☐ 95% and above

5. Learning Environment

5.1. Classroom Conditions:

☐ Well-lit ☐ Comfortable seating

☐ Quiet ☐ Well-ventilated

5.2. Use of E-Learning Tools:

☐ Regularly ☐ Occasionally

☐ Rarely ☐ Never

6. Family Support

6.1. Frequency of Parental Involvement in Homework:

☐ Daily ☐ Weekly

☐ Monthly ☐ Rarely

6.2. Parental Attitude Towards Education:

☐ Supportive ☐ Neutral ☐ Unsupportive

7. Peer Influence

7.1. How often do you study or complete schoolwork with classmates?

☐ Often ☐ Sometimes

☐ Rarely ☐ Never
7.2. Do you feel that peer relationships positively or negatively impact your academic performance?

☐ Positively ☐ Negatively ☐ No Impact

8. Motivation and Engagement

8.1. What motivates you to perform well in school? (Check all that apply)

☐ Personal interest in subjects ☐ Parental expectations

☐ Teacher encouragement ☐ Peer competition

☐ Rewards and recognition

8.2. How often do you feel motivated to learn and participate in class activities?

☐ Always ☐ Usually

☐ Sometimes ☐ Rarely

Part II

Direction: Please use the following rating scale in making your judgement. Check the box that corresponds
to your answer.

5-Always 4-Often 3-Sometimes 2-Rarely 1-Never

A. Student Related Factors 1 2 3 4 5

1. How well do you listen to your teacher?

2. How well do you actively participate in the discussion, answering, and

clarifying things you did not understand?

3. How well do you want to get good grades on test, quizzes, assignments and
projects?

4. How well do you make yourself prepared for the subject.

5. How well do you get frustrated when discussion is interrupted or the teacher
is absent?

6. How do you exert more effort when your assignment is difficult?

7. How well do you study and prepare for quiz and test?

8. How well do you study and prepare for quiz and test?

9. How well do you see to it that extracurricular activities do not hamper your
studies?

10. How well do you have a specific place to study at home which you keep
clean and orderly?

11. How do you do your assignment regularly?

12. How well do you spend you vacant time doing assignment or studying your
lesson?

13. How well do you study harder to improve your performance when you get
low grades?

14. How do you spend less time with your friends during school days to
concentrate more on your studies?

15. How well do you prefer finishing your studying and your assignment first
before watching any television program?

B. School Related Factors

1. How well do you use the learning facilities provided by the school? (library
and chalkboard)

2. How well do you use the learning facilities in your academics?

3. How well do you think the facilities provided by the school meet the
standards for physical requirements (classroom size, lighting, air conditioning,
tables, and chairs)?

C. Home Related Factors

1. Are you motivated by your parents to improve your studies?

2. Do you use your learning materials like book suitable for your learning?

3. Do you have tutorial session after class?

4. Do your parents help you in your homework?

5. Do you ask guidance from elders or family?

6. Do you easily get distracted by your friends?

7. Do you do too many household chores?

8. Do you get disturbed by your siblings?

9. Do your gadgets distract you while studying your lesson?

10. Do your family experience financial problem?

D. Teacher Related Factors

1. Does your teacher have a good relationship with you and co-teacher?
2. Does your teacher impose proper discipline and are not lenient in following
the prescribed rules?

3. Does your teacher open to suggestion and opinion and is worthy of praise?

4. Does your teacher show smartness, confidence, and firmness in making

decision?

5. Does your teacher have an appealing personality with good sense of

humor?

6. Does your teacher explain the objectives of the lesson clearly at the start of
each period?

7. Does your teacher have mastery of subject matter?

8. Are your teachers organized in presenting subject matter by systematically

following course routine?

9. Does your teacher updates themselves with present trends relevant to the
subject matter?

10. Does your teacher shows various strategies, teaching aids/devices,

techniques in presenting the lesson?