Republic of the Philippines

Department of Education
Region VII, Central Visayas
DIVISION OF MANDAUE CITY
Jose L. Briones St.,Mandaue City

SURVEY
QUESTIONNAIRE
English for Academic and Professional
Purposes (EAPP)

SELF-LEARNING KIT
 This self-learning kit will serve as a guide in designing,
testing and revising survey questionnaire. This will serve as aid
in learning new knowledge on the structure and parts of a
questionnaire and develop skills in creating a good
questionnaire as a tool in gathering research data.

This contains the objectives, the learning competency,

pre-test activities, discussion, and exercises for mastery of
learning and skills. It is expected to be accomplished in one
week.

NOW LET’S START YOUR JOURNEY!

Let me know your details.
NAME: ____________________________________________
GRADE AND SECTION: ______________________________
DATE SLK RECEIVED: _______________________________
DATE SLK SUBMITTED: ______________________________

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CONTENT STANDARD
The learner understands the principles and uses of surveys,
experiments, and scientific observations.

PERFORMANCE STANDARD
The learner produces a well-written report for various
disciplines.

LEARNING COMPETENCY
 Designs, tests and revises survey questionnaire
(CS_EN11/12A-EAPP-IIe-j-6)

OBJECTIVES
In this lesson, you are expected to:
 define a survey questionnaire;
 determine the parts of a survey questionnaire;
 identify the guidelines in writing a survey questionnaire; and
 create an effective survey questionnaire.

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 PRE-ASSESSMENT
ACTIVITY
Read and answer honestly the sample personal survey
and answer the questions that follow.
Everyone has different goals in life. Please study this list carefully and then rate
each item in terms of how important it is to you in your daily life on the scale
indicated.
Indicators Extremely Important Not Unimportant Extremely
Important sure unimportant
Sense of
belonging
Fun and
enjoyment in life
Warm relationship
with others
Self-fulfillment

Being well
respected
Excitement

A sense of
accomplishment
Security

Self-respect

Based on the survey above, answer the following questions.

1. Was it easy to answer the survey? Explain.
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________

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 2. Was the instruction of the questionnaire clear? Explain.
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
3. What changes are needed to improve the survey
questionnaire given?
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________

 What is a survey questionnaire?

A questionnaire is a research instrument that consists of a
set of questions or other types of prompts that aims to collect
information from a respondent. It is more quantifiable
compared to other types of research instruments.
 Parts of a Survey Questionnaire

1. Personal Information Section – includes the name (optional),

age, date of birth, address, educational background and
other personal information about the respondent. Note that
only personal information relevant to the research study
should be asked.

2. Basic questions Section- serves two purposes. The first one is

to establish that the person you are asking is the right
person for the study. The second purpose (which is only
applicable to interview) is to establish rapport with the
interviewees. 5
 3. Main questions Section – contains questions that are
directly related to your research. It is ideal to have multiple
questions for each specific research questions. The greater
the number of questions, the greater the possibility of more
conclusive results.

4. Open-ended question section – asks for a brief explanation

or response to an open-ended question.

 Characteristics of Survey Questionnaire

1. Uniformity
Questionnaires are very useful to collect demographic
information, personal opinions, facts, or attitudes from
respondents. One of the biggest characteristics of
questionnaires is uniform design and standardization. Every
respondent sees the same questions. This helps in data
collection and statistical analysis of this data.
For example, the retail store evaluation questionnaire
template contains questions for evaluating retail store
experiences. Questions relate to purchase value, range of
options for product selections, and quality of merchandise.
These questions are uniform for all customers.

2. Exploratory
To collect qualitative data, the questionnaire should be
exploratory. There is no restriction to questions that can be in
your questionnaire or the specific objective of the questions.
For example, you use a data collection questionnaire and
send it to the female of the household to understand her
spending and saving habits relative to the household
income. Open-ended questions give you more insight and
allow the respondents to explain their habits. A very
structured question list could limit the data collection.
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 3. Question Sequence
A questionnaire typically follows a structured flow of
questions to increase the number of responses. This
sequence of questions is screening questions, warm-up
questions, transition questions, skip questions, difficult
questions, and classification questions.
For example, our motivation and buying experience
questionnaire template covers initial demographic questions
then asks for time spent in sections of the store as well as the
rationale behind purchases.

 Guidelines in Preparing a Survey Questionnaire

1. Introduce the questionnaire through a cover letter. The

cover letter should explain the purpose and relevance of
the study, the length of time in completing the
questionnaire, how the data will be processed, your
contact details, and expected date and time in
completing the questionnaire.
2. Keep the questionnaire as short as possible by focusing only
on the essential questions.
3. Ensure confidentiality of information.
4. Pilot the questionnaire to ensure that you have missed any
important question.
5. Use a follow-up reminder.
6. Give the respondents a sufficient time to answer the
questionnaire.
7. Make all directions and questions clear and unequivocal;
do not use words with double meanings or complex
questions.
8. Ensure that your grammar is correct.
9. Use questions that will elicit objective responses as much as
possible.
10. Make the questionnaire as brief as possible without
sacrificing content.
11. Arrange and categorize the questions logically (e.g.
based on research questions). 7
 12. Relate all questions to your research topic and make
sure the responses drawn out are sufficient for your analysis.
13. In relation to the previous guideline, try to make as many
questions as possible without being redundant.
14. Avoid embarrassing, unnecessary questions.
15. Explain and illustrate difficult questions.
16. State questions affirmatively.
17. Make the respondent anonymous, if necessary.
18. Avoid biased and leading questions.

 Sample Survey Questionnaire

Customer Satisfaction on QRZ Family Restaurant
I. Introduction
Dear Customer,
Good day! The QRZ Family Restaurant is dedicated to
improving customer satisfaction. Through this brief survey, your
answers will be helpful in enhancing our services and meeting
your needs. Your response will only be used for survey
purposes. Attached is a meal coupon good for 3 months as a
token of our good will. In case you have any questions
regarding the survey, please call Johnny Smith at 123-456-
7890. Thank you very much for your time and suggestions.

II. Personal Information

Name (optional):_________________________________
Age: ____
Gender: ____
Number of Family Members:

□ 1-2
□ 3-5
□ 6-10
□ more than 10

Email Address (optional): _______________________________

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 III. Questions
Directions: Please indicate your level of agreement or
disagreement with each of these statements regarding QRZ
Family Restaurant. Place an "X" mark in the box of your
answer.
Q1: How many times per year do you visit QRZ Family
Restaurant?
____
Q2: Do you visit QRZ Family Restaurant with family or friends?
□ Yes □ No

Indicators Strongly Agree Neutral Disagree Strongly

Agree Disagree
1.The store is accessibly
located.
2.Store hours are
convenient for my dining
needs.
3.Advertised dish was in
stock.
4.A good selection of
dishes was present.
5.The meals sold are a
good value for the money.
6.Store has the lowest
prices in the area .
7.Meals sold are of the
highest quality.
8.Store atmosphere and
décor are appealing.

Q9: How would you rate your overall experience at the QRZ
Family Restaurant?
□ Highly satisfactory
□ Satisfactory
□ Neutral
□ Unsatisfactory
□ Highly Unsatisfactory

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 Q10: What could we do to make your restaurant dining
experience better?
____________________________________________________________
____________________________________________________________

Thank you for sharing your thoughts with us. Enjoy dining at QRZ
Family Restaurant.

EXERCISE 1
Tick the box before the statement which shows a good
survey practice.

□ Paulina’s research is about sanitary practices in fast-food

chains. In her questionnaire, she asks about the love life of
her participants.
□ For her research on teenage drug addiction, Justine
interviews the sari-sari store owner in her barangay.
□ Matthew thanked the respondents in his survey and offered
them copies of his completed research months afterwards.
□ Angelo used the data in his interview to blackmail one of his
respondents.
□ Stacy tells her respondents that the survey keeps outmost
confidentiality to the answers they have given
□ Dante attached a letter to the questionnaire to explain the
purpose of the conducted research.

EXERCISE 2.1
Write a sample survey of customer’s satisfaction on one
fast food restaurant. The survey needs to be complete in parts
with introduction, personal information, main questions and
thank you statement. Let 10 people answer the survey created
and tally their responses.

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 _________________________________________

I.Introduction

II. Personal Background

III. Questions

Indicators Strongly Agree Neutral Disagree Strongly

Agree Disagree
1.

2.

3.

4.

5.

6.

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EXERCISE 2.2
TALLY OF RESPONSES

Directions: Write the frequency/ number of responses for each

choice (strongly agree, agree, neutral, disagree, strongly disagree)
in the six indicators based on the questionnaires gathered from 10
people.

Example:
Indicators Strongly Agree Neutral Disagree Strongly Total
Agree Disagree
1.The foods served are 5 3 1 1 0 10
fresh and delicious

Indicators Strongly Agree Neutral Disagree Strongly Total

Agree Disagree
1. 10
2. 10

3. 10
4. 10

5. 10

6. 10

#Reflection Log

Write the learning/s you gained after this

lesson.
________________________________________
________________________________________
________________________________________
________________________________________
________________________________________
________________________________________
________________________________________
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________________________________________
________________________________________
________________________________________
Source: https://apliense.xtec.cat/arc/sites/default/files/A.2.3.%20Assessment%20Criteria.pdf

SCORES

Activity = ____/ 3 points

Exercise 1 = ____/ 3 points
Exercise2.1= ____/20 points
Exercise2.2= ____/ 6 points

TOTAL = ___/ 32 points

REFERENCES
Jessie S. Barrot and Philippe John F. Sipacio, English for Academic and
Professional Purposes for Senior High School Quezon City: C & E
Publishing, 2016.
Sarah Mae Sincero, “Questionnaire Example”, Explorable, accessed July 7,
2020, https://explorable.com/questionnaire-example

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 DEPARTMENT OF EDUCATION REGION VII
SCHOOLS DIVISION OF MANDAUE CITY
Plaridel St., Centro, Mandaue City

NIMFA D. BONGO, Ed.D., CESO V

Schools Division Superintendent

ESTELA B. SUSVILLA, Ph.D.

Assistant Schools Division Superintendent

JAIME P. RUELAN, Ed.D.

Chief Curriculum and Implementation Division

ISMAELITA N. DISABELLE, Ed.D.

LRMDS, Education Program Supervisor

MERCEDITA M. DEMORAL, Ed.D

Education Program Supervisor in English

SHILA MARIE A. PELEGRINO

Writer/Layout Artist

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It is hoped that you have understood and mastered the competencies
covered in the Self-Learning Kit. The skills you have learned will be of great
help as you take part in the challenging demands of society.
The enriching experiences you have gained through this learning material
enable you to know more about yourself, especially your capabilities.
Hence, you are ready to extend your horizons.
Learning the essential competencies in English for Academic and
Professional Purposes (EAPP) is to prepare you to become globally
competitive in the future. As you meet the complex demands of the global
world, you stand confident because of the wide range of competencies you
have mastered which made you more expressive of your thoughts and
ideas.
Bringing up rear, as productive learners, you are equipped with the 21st
century skills which you need to be ready for tomorrow’s world.

LearningResourceManagementandDevelopmentCenter (LRMDC)
Curriculum Implementation Division
Division of Mandaue City