Questionnaire on Personal Information

1. Full
Name:______________________________________________________________________
 Address:_______________________________________________________________________
______________________________________________________________________________
_
 Age and Gender:_________________________________________________________________
 Standard:_______________________________________________________________________
 Family details: members, education, profession
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
2. Where do you study?
______________________________________________________________________________
3. What is your major planned?
______________________________________________________________________________
4. Why do you wish to pursue this major or career?
______________________________________________________________________________
5. How does this match with what you would like to achieve in your life after college?
______________________________________________________________________________
______________________________________________________________________________
6. What are your favorite academic interests?
______________________________________________________________________________
______________________________________________________________________________
7. Explain your academic strengths and weaknesses. Are there any items or trends on your transcript
that you think need explanation?
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
8. What are your daily activities?
______________________________________________________________________________
______________________________________________________________________________
9. What are your special achievements?
______________________________________________________________________________
______________________________________________________________________________
10. Please list personal hobbies or how you spend your time.
______________________________________________________________________________
______________________________________________________________________________
Student Survey Questionnaire

Direction: Read each question and analyze the statement according to yourself and circle the
most appropriate answer carefully.
1= True 2 = Mostly True 3 = Neutral 4 = Mostly False 5 = False

11. I like the School 1 2 3 4 5

12. I study in one of the best school in my locality 1 2 3 4 5

13. I have friends 1 2 3 4 5

14. My friends value me 1 2 3 4 5

15. I am a good friend 1 2 3 4 5

16. I exhibit an excellent attitude towards learning 1 2 3 4 5

17. My teacher value me 1 2 3 4 5

18. My teacher is helpful when I ask a question 1 2 3 4 5

19. My teacher makes me feel that he/she cares about me 1 2 3 4 5

20. My teacher appreciate me when I give right answer 1 2 3 4 5

21. My teacher encourage me to do my best 1 2 3 4 5

22. I exhibit a good attitude towards teacher and classmate 1 2 3 4 5

23. I respects the diversity in and outside the classroom 1 2 3 4 5

24. I involve myself in the classroom activities 1 2 3 4 5

25. My class stay busy and does not waste time 1 2 3 4 5

26. My classroom rules and ways of doing things are faire 1 2 3 4 5

27. I participate in all co-curricular activities of school 1 2 3 4 5

28. My family cares about me and my needs 1 2 3 4 5

School Survey Questionnaire

Direction: Read each below mentioned statement and analyze them according to yourself
and fill the most appropriate option in the space provided.
A = Always B = Sometimes C = Never

29. I feel safe in my school

30. I stand up for my self

31. I stand up for others

32. New students are welcomed by other students

33. The environment of school is conducive for learning

34. Have you ever seen bullying at your school?

35. I have been bullied by another student

36. I avoid doing things which I like because of bullying

37. Students seek help from an adult to stop bullying

38. Students seek help from a peer to stop bullying

39. You and your friend take step to stop bullying

40. The school management is very strict in regards bullying

41. Which of the following statements best describes the schooling available to students in
your location? (Please select one response.)

 There are two or more other schools in this area that compete for our students.

 There is one other school in this area that competes for our students.

 There are no other schools in this area that compete for our students.
42. Which of the following definitions best describes the community in which your school
is located? (Please select one response.)

 A village, hamlet or rural area (fewer than 3 000 people)

 A small town (3 000 to about 15 000 people)

 A town (15 000 to about 100 000 people)

 A city (100 000 to about 1 000 000 people)

Direction: Analyse the following statement according to yourself and choose the most
appropriate option. Please select one response in each row.

01 = Not at all 02 = Very little 03 = To some extent 04 = A lot

Q: In your school, to what extent is the learning of students hindered by the following
phenomena?

43. Student truancy

44. Students skipping classes

45. Students lacking respect for teachers

46. Student use of alcohol or illegal drugs

47. Students intimidating or bullying other students

48. Students not being attentive

49. Teachers not meeting individual students’ needs

50. Teacher absenteeism

51. Staff resisting change

52. Teachers being too strict with students

53. Teachers not being well prepared for classes

 Study Habit Questionnaire

Direction: Read each below mentioned statement and analyze them according to yourself and
fill the most appropriate option in the space provided.
A = Always B = Sometimes C = Never

Planning Time

54. Do you keep up to date with your assignment?

55. Do you use schedule to organize your time?

56. Do you set aside time each day for studying?

Getting Started

57. Are you easily distracted from studying?

58. Is your study desk large enough and free of distracting objects?

59. Is your study desk located in a quiet place?

Previewing Text Book

60. Do you look over the text as a whole before dealing with
chapter?
61. Do you look for main ideas in what you read?

62. Do you read section by section and then study that section before going on?

63. Do you make notes and question yourself on what you have just read?
64. Do you review regularly?

Remembering

65. Do you organize material to make it easier in order to remember?

66. When studying material to remember, do you quiz yourself?

67. During class do you search for main ideas?

Preparing for Assessment

68. Before a test, do you over learn the material?

69. Do you feel confident and relaxed when taking test?
70. Do you make up test question that you think will be asked?