QUESTIONNAIRE
PART A (ABOUT ABSENTEEISM)
Please put a check mark (√) on each answer you choose. You may only choose (1) answer.
For these following questions, please rate according to the following.
NO. STATEMENT Sometimes Always Never
1 Absenteeism is voluntary nonattendance
without valid reasons.
2 We have ultimate responsibility for managing
absenteeism.
PART B (TO IDENTIFY THE POSSIBLE CAUSES OF ABSENTEEISM)
NO. STATEMENT Sometimes Always Never
PHYSICAL FACTORS
1 House is too far from school.
2 It is unsafe to go to school.
3 No one accompanies me to school because of
distance.
4 Health factors (toothache, stomach ache, headache,
fever/flu, and diarrhea.
PERSONAL ATTITUDE
1 I am not interested in my studies.
2 I feel lazy.
3 My friends tell me to be absent.
4 I can't concentrate on my studies.
5 I didn't wake up in time.
6 I did not study or do my homework.
7 I was playing computer or mobile games.
TEACHER- RELATED REASONS
1 My teacher scolded me.
2 I can't understand my teacher's lessons.
3 I don't like my teacher.
CLASSROOM ENVIRONMENT
1 Our classroom is hot and uncomfortable.
2 It's noisy in our classroom.
3 Classmates bully me.
4 I have no friends in my class.
HOME FACTORS
1 My parents told me to be absent.
2 My parents quarreled.
3 My parents don't care about my studies.
4 I do too many household chores.
5 I have no money to buy snacks at school.
6 We have no food. I did not eat.
PART C (TO IDENTIFY THE POSSIBLE EFFECTS OF ABSENTEEISM)
NO. STATEMENT SOMETIMES ALWAYS NEVER
1 Low academic performance.
2 Subject knowledge is outdated compared to other
students in the class.
3 Lectures perception on your ability is low.
4 Fail to pass the quizzes and tests.
5 Family problems.
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PARENTS SIGNATURE
NAME OF RESPONDENT: _______________________