Questionnaire
Questionnaire
Questionnaire
Name (optional):__________________________
Sex:
Male Female
Religion:____________________
Family Income (monthly):________________
Family Size:_________________
Type of School Attended
Private Public
Part II. Read each item then select an answer to indicate how you rate the level of your stress
under the situation. Check the box of your chosen rate.
Use “not at all stressful”, “rarely stressful”, “sometimes stressful”, “fairly stressful”, or
“extremely stressful” to indicate various degrees of stress level. “Not at all stressful” will be
used to indicate that there is no stress under the situation (i.e., excessive homework), and an
“extremely stressful” will indicate that you do have very strong stress under the situation.
NOT AT
RARELY SOMETIMES FAIRLY EXTREMELY
INDICATORS ALL
STRESSFUL STRESSFUL STRESSFUL STRESSFUL
STRESSFUL
1. Final Grades
2. Excessive
Homework
3. Term Papers
4. Examinations
5. Studying for
Examinations
6. Class Speaking
7. Waiting for Graded
Tests
8. Fast- Paced Lectures
9. Pop Quizzes
10. Forgotten
Assignments
11. Incomplete
Assignments
12. Unclear
Assignments
13. Unprepared to
respond questions
14. Announced
Quizzes
15. Studied Wrong
material
16. Incorrect Answers
in class
17. Missing Class
18. Buying Textbook
19. Learning new skills
20. Unclear course
objectives
21. Hot Classrooms
22. Nonnative
Language Lectures
23. Boring Classes
24. Attending wrong
class
25. Late Dismissals of
Class
26. Cold Classrooms
27. Arriving late for
class
28. Forgetting pencil/
pen
29. Note-taking in
class
30. Noisy classroom
31. Crowded classes
32. Classes with open
discussion
33. Poor classroom
lighting