Week 4
What’s More
Direction: Rewrite and answer the following sample of survey questionnaire below. Use one whole sheet of
paper.
Cavite National High School-Senior High School
SDO, Cavite City
A Survey Questionnaire
The Use of Available Gadgets and Devices at Home
Name (Optional): issey Miyake trias ___________________________
Age: 17___________________________________ ___
Address: 789 don pedro Bautista st., dalahican, cavite city
Please answer the questions honestly. Put a check (a) that corresponds to your answer.
A. Available Gadget / Device at home
1. Do you have a computer and laptop at home?
___Yes _a_No ___Others (specify) _________________
2. Do you have internet connection at home?
__a_Yes ___No ___Others (specify) _________________
3. Do you have android phone?
_a__Yes ___No ___Others (specify) _________________
4. How many gadgets do you have at home?
___1 ___2 _a_3 or more
5. What kind of gadgets do you have?
_a_Cellphone ___Desktop ___Laptop
___Tablet ___Others (specify) _________________
6. Should students have computers or any gadgets at home?
__a_Yes ___No
B. Provisions on Technology
1. If your answer in no.1 is “NO”, what is the reason?
___bacause we don’t have money to buy expensive things like laptops and
computers.________________________________________________________
2. If your answer in no.2 is “YES”, what kind of Internet connection do you
have?
__a_WIFI ___LINE ___Others (specify) _________________
3. If your answer “YES”, which of the following are your reasons?
_a__It is useful for school works.
___Everybody has it already.
___It can be used for business.
___Others (specify) _________________
4. If your answer “NO”, which of the following are your reasons?
___It is expensive.
___ It is not needed.
___Cellphones can be used in its place.
___Others (specify) _________________
What I Can Do
Directions: Design your survey questionnaire by rewriting the format below on The Impact of Enhanced Community
Quarantine due to Covid-19 Pandemic in your community. Write it on one whole sheet of paper.
Cavite National High School-Senior High School
SDO, Cavite City
A Survey Questionnaire
_______________________(Write your Title)________________________
Name (Optional): _______________________________
Age: ______________________________________ ___
Address: ______________________________________
(State your Direction here) ____________________________________________________________
A. ____________(Part A – Write here Demographic Survey question)________________________
1. _______________________________________________________________________
B. ____________(Part B – Write here Multiple Survey questions)____________________________
1. _______________________________________________________________________
2. _______________________________________________________________________
3. _______________________________________________________________________
4. _______________________________________________________________________
C. ____________(Part C – Write here Partially-Open Ended questions)________________________
1. _______________________________________________________________________
2. _______________________________________________________________________
3. _______________________________________________________________________
D. ____________(Part D – Write here Visual Analog Scale question)__________________________
1. _______________________________________________________________________
Name of the researcher:
