Survey Questionnaire

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Dear Respondents;

This is to introduce our group from 3rd year Bachelor in Early Childhood Education
students of Institute of Creative Computer Technology Colleges Foundation, INC. (ICCT
Colleges) Cainta Main Campus who intends to conduct survey in regards to our study
entitled “Assessing the Impact of COVID-19 Pandemic on Student Well-being at De
Castro Elementary School”. Our group is in need to ask for your knowledge and
experiences that would be a big help in the success of our study. 

We are requesting for your pure honesty in answering the questions based on your
personal view and observations. You have the right to not indicate your name and
personal profile for confidentiality of your identity. 

This is in accordance with Republic Act No. 10173 of the Philippines, Data Privacy Act
of 2012 all personal and/or sensitive information solicited and disclosed from these
questionnaires shall be only for the study alone and will remain confidential. You have
the right to sue us if ever we leaked information that will offend your personal life. 

Thank you for taking the time and effort in fulfilling to answer our survey. 

Respectfully yours;

THE RESEARCHERS
RESPONDENT’S PROFILE

NAME: GENDER:

AGE: EMAIL:

RESEARCH QUESTIONNAIRES:
Please be honest in your answers and base it on your own personal observations. This
question will be answered through rating scales in basis of your satisfaction and
opinion.

1. Do you teach? YES or NO _______________

2. How difficult or easy is it to use the distance teaching technology (computer, tablet,
video calls, learning applications, etc.)?

____Strongly difficult _____ Very difficult

____Extremely difficult _____Moderately difficult

3. How satisfied are you in the amount of time you spend speaking with your students?

____Strongly satisfied _____Very satisfied

____Extremely satisfied _____Moderately satisfied

4. How connected do you feel to the students at your school right now?

____Strongly connected _____Very connected

____Extremely connected _____Moderately connected

5. How concerned are you about child care?

____Strongly concerned _____Very concerned

____Extremely concerned _____Moderately concerned

6. How clear has communication from the school been about COVID-19 related safety
measures and protocols?
____Strongly clear _____Very clear

____Extremely clear _____Moderately clear

7. How concerned are you about students’ emotional, mental and social well-being right
now?

____Strongly concerned _____Very concerned

____Extremely concerned _____Moderately concerned

8. How helpful has leaderships at your school been resolving challenges so far this
year?

____Strongly helpful _____Very helpful

____Extremely helpful _____Moderately helpful

9. How concerned are you about students’ academic growth right now?

____Strongly concerned _____Very concerned

____Extremely concerned _____Moderately concerned

10. How engaged have students been in your virtual classes?

____Strongly engaged _____Very engaged

____Extremely engaged _____Moderately engaged

11. Compared to past years, how much harder is it to form relationships with your
students right now?

____Strongly compared _____Very compared

____Extremely _____Moderately compared

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