Name (Optional): _________________________________________________________
Year level:
Sex: [ ] Male [ ] Female
Family structure: [ ] Intact family [ ] Non-intact family
Socioeconomic status: [ ] [ ]
1. What is your general average during the first quarter?
o 74 – below o 80-84 o 90-94
o 75-79 o 85-89 o 95 above
2. What subject that often demands academic facilities? Rank “1” the subject that demands facilities
the most. Rank 5 if the subject demands the least.
___ SCIENCE ___ T.L.E (cookery, ICT and Smaw)
___ FILIPINO ___ ENGLISH
3. What activities are required in Science subject?
4. What activities are required in Filipino subject?
5. What activities are required in T.L.E subject?
6. What activities are required in English subject?
7. Do you used computer laboratory for personal usage ( studying, encoding, researching)
o Yes o No
If YES, check the activities that apply.
o Encoding o Studying o Researching
If NO, State the reason/s why:
________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
___________________________
8. Do you used library for personal usage?
o YES o NO
If YES, Check the activities that apply.
o Encoding o Studying o Researching
If NO, State the reasons why
________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
9. What is your grade in Science?
o 74– below o 85 – 89
o 75 – 79 o 90 – 94
o 80– 84 o 95 – above
10. What is your grade in English?
o 74 – below o 75 – 79
o 80 – 84 o 85 – 89
o 90– 94 o 95 – above
11. What is your grade in T. L. E?
o 74– below o 85 – 89
o 75 – 79 o 90 – 94
o 80 – 84 o 95 – above
12. What is your grade in Filipino?
o 74– below o 85 – 89
o 75 – 79 o 90 – 94
o 80 – 84 o 95 – above
