QUESTIONNAIRE

Part I. Demographic Profile

Directions: Kindly answer each of the following questions honestly and

accurately. Put a check mark (/) on the items that correspond to your profile or provide

the correct term/word needed.

Profile of the respondents in terms of the following:

Name: (optional) _____________________________________

Gender:

Male Female

Course/program:______________________________________

Age:

15-16 19-20

17-18 above 20

Annual Gross Income:

5,000 below 10,000-15,000

5,000-10,000 15,000 above

Civil Status:

Single

Married

Others specify:_________________

Place of Origin: Urban Rural

PART II. Find out your multiple intelligence. Take this test.

This form can help you determine which intelligences are strongest to you. This

test is adapted from Dr. Terry Armstrong.

Instructions: Read each sentences carefully. Choose among of the following choices that

will determine how well the statement describes you. Put a check mark (/) on each

statement.

1- Statement does not describe you at all

2- Statement describes you very little

3- Statement describes you somewhat

4- Statement describes you pretty well

5- Statement describes you exactly

Linguistic Intelligence 1 2 3 4 5

1. I pride myself on having a large vocabulary.

2. I enjoy learning new words and do so easily.

3. I love to read and do so daily.

4. I enjoy hearing challenging lectures.

5. I like to keep daily journals of my daily

experiences.

6. I read and enjoy poetry and occasionally

write my own.

7. I talk a lot and enjoy telling stories.

Logical-Mathematical Intelligence 1 2 3 4 5

1. Using numbers and numerical symbols is

easy for me.

2. I often develop equations to describe

relationships and/or to explain my

observations.

3. I often see mathematical ratios in the world

around me

4. Math has always been my favorite class.

5. I like to think about numerical issues and

examine statistics.

6. I seem to understand things around me

through a mathematical sense.

7. I enjoy doing puzzles.

Musical Intelligence 1 2 3 4 5

1. Music is important to me in daily life

2. I have a wide and varied musical interests

including both classical and contemporary.

3. I have a very good sense of pitch, tempo and

rhythm.

4. My music education began when I was

younger and still continues today.

5. I am good at playing an instrument and

singing.

6. I can remember the tune of a song when

asked.

7. I take pride in my musical accomplishments.

Visual-Spatial Intelligence 1 2 3 4 5

1. I always know where I am in relation to our

school.

2. I do not get lost easily and can orient myself

with either maps or landmarks.

3. Knowing directions is easy for me.

4. I have the ability to represent what I see by

drawing or painting.

5. My ability to draw is recognized and

complemented by others.

6. I can easily duplicate color, form, shading,

and texture in my work.

7. Seeing things in three dimensions is easy for

me, and I like to make things in three

dimensions.

Bodily-Kinesthetic Intelligence 1 2 3 4 5

1. I consider myself as an athlete

2. I feel really good about being physically fit.

3. I have a good balance and eye-hand

coordination and enjoy sports which use a ball.

4. My outstanding coordination and balance let

me excel in high-speed activities.

5. I like being outdoors, enjoy the change in

seasons, and look forward to different physical

activities each season.

6. I like the excitement of personal and team

competition.

7. I like to move around.

Interpersonal Intelligence 1 2 3 4 5

1. I feel like people of all ages like me.

2. I like to be with all different types of people.

3. I respond to all people enthusiastically, free

of bias and prejudice.

4. I enjoy new or unique social situations.

5. I enjoy complementing others when they

have done well.

6. I am quick to sense in others dishonesty and

desire to control me.

7. I feel safe when I am with strangers.

Intrapersonal Intelligence 1 2 3 4 5

1. I often look for weaknesses in myself that I

see in others.
2. I often think about the influence I have on

others.

3. I believe that I am responsible for my actions

and who I am.

4. I try not to waste my time on trivial pursuits.

5. I often think about the problems in my

community, state, and/or world and what I can

do to help rectify any of them.

6. I am always honest with myself.

7. I enjoy being alone and thinking about my

life and myself.

Naturalist Intelligence 1 2 3 4 5

1. I strongly agree with protecting the

environment.

2. I enjoy watching nature programs on

television.

3. I like learning about nature.

4. I engage in clean-up days.

5. Pollution annoys me.

6. I notice similarities and differences in trees,

flowers, and other things in nature.

7. I enjoy planting.

Existential Intelligence 1 2 3 4 5

1. Most often I ponder on the question “Why

am I here in this world?”

2. I often reflect on why innocent people suffer.

3. I spend my time reading inspirational books.

4. I want to live my life meaningfully.

5. I think of what is my mission in life is.

6. I think if there is such a thing as hell.

7. I think of where I can find happiness.