Name:
Date:
Year & Section : Choose and Check the no. if the sentence is reflecting on you
-
RESEARCHERS WHAT IS THE MAIN REASON OF HAVING A LOW SOCIO ECONOMIC STATUS IN OUR COUNTRY JUST () IF THE STATEMENT IS REFLECTING ON YOU 5) YES
4) NO 3) MAYBE 2) SOMETIMES 1) NEVER
REASONS 5 A.
INCOME
B.
LOW EDUCATION KNOWLEDGE
C.
OCCUPATION
D.
CORRUPTION
E.
NONE POLITICAL PARTICIPATION
F.
HOME ENVIRONMENT
H.
LAZINESS
4
3
SPECIFIC QUESTIONS: ANSWERS QUESTIONS YES 1. Do you think the income of your family is enough for your daily needs? 2. Is your study continuous? 3. Do you think your allowance affects your performance in school? 4. Do all your siblings have a continuous study? 5. Do you submit your school requirements on time? 6. Do you have any scholarship? 7. Do you have any personal computer at home?
NO
2
1
8. Do you have any laptops? 9. Do you have any failing grades? 10. Do you have any unfinished requirements last semester?
Name of Siblings
Age
Year Level Preschool
Elementary secondary
Academic Achievements College