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Survey Form

This document contains a self-assessment survey for students about their use of technology and how it impacts their studies. The survey has students rate statements about how often technology hinders their studying and whether they prefer using technology over doing schoolwork. It also has multiple choice questions about what activities students prefer to do when they get home and where they get most of their information. The document encourages students to honestly reflect on their technology habits and how it affects their learning.

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Kathleen Ginmer
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38 views2 pages

Survey Form

This document contains a self-assessment survey for students about their use of technology and how it impacts their studies. The survey has students rate statements about how often technology hinders their studying and whether they prefer using technology over doing schoolwork. It also has multiple choice questions about what activities students prefer to do when they get home and where they get most of their information. The document encourages students to honestly reflect on their technology habits and how it affects their learning.

Uploaded by

Kathleen Ginmer
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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NORZAGARAY ACADEMY, INC.

NAME (optional): DATE:

GRADE&SECTION:

I. Please check (√) and rate yourself honestly based on what you actually do given the statements using
the following scales.

1 - ALWAYS 2- SOMETIMES 3 - NEVER

Description of items 1 2 3
1 I use these electronic means for leisure, rather than studying.
2 I forgot to study my lessons because of the excessive use of gadgets.
3 I see to it that electronic gadgets do not hamper my studies.
4 I prefer finishing my studying and my assignments first before using any
electronic device.
5 I understand the lessons in class more due to the availability of modern
technology.
6 My grades are affected negatively because of using these electronic device.
7 I allot more time in using these gadgets rather than doing my tasks and
responsibilities.
8 I avoid using technology when I can.
9 Do I get enough sleep for using these electronic devices?
10 Technology is one of the reasons of my tardiness.

II. Among the given set of choices. Encircle the letter of your choice.
1. When I got home, what do I prefer to do first?
a. Doing school works
b. Surfing the net for entertainment
2. Which do I prefer?
a. Reading educational books
b. Reading your friends’ posts
3. Where do I get more information?
a. Textbooks
b. Internet (Google)
4. Which among the two have a longer time of use?
a. Studying at home
b. Surfing the net
5. Where do I put my notes?
a. Notebook
b. Gadget
III. Please study these words carefully and answer it honestly put check either “yes” or “no”.

YES NO

1. I would find internet useful in my studies.

2. Using internet will enable me to accomplish tasks more quickly.

3. Using internet will increase my chances of getting better grades.

4. I believe that I can improve my language skills using the benefits of the internet.

5. Can I live without technology for a day?

6. When I’m using too much technology, I forgot to study my lessons.

7. I’m into online activities that keep me up all night.

8. Using technology affects my hearing ang eyesight.

9. Over using of technology cause me stress sometimes.

10. I think, as Junior High School Students, we still need to continue technology

education class when we step up and become Senior High School Students.

THANK YOU FOR YOUR COOPERATION 

Blessed are the pure in heart,


for they will see God.
Matthew 5:8

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