Questionnaire

Dear Respondents,

We, the Grade 12 students, are taking Inquiries, Investigation and Immersion (3I’s)
subject. One of the requirements in this subject is conducting a research study. In relation to this, our
group is conducting a research titled “ Factors Affecting Academic Performance Selected LGBTQ
Member Students Of Kaligtasan National High School”. Your participation is greatly needed for us
to gather the correct data. Rest assured that your answer will be treated.

Thank you very much.

Researchers

Name: Year&Section:

Direction: Please read each statement and put check(✓) on the column which corresponds your
answer. Refer to the scale below.

5-Always(A) 4-Often(O) 3-Sometimes(So) 2-Seldom(Se) 1-Never(N)

Part I Factors Affecting Academic Performance
1.1 Bullying A O So Se N
5 4 3 2 1
1. I have experience bullying in school.
2. I suffered physical experience because of my gender.
3. Teachers and staff at school do not take bullying seriously.
4. I feel uncomfortable reporting incidents if bullying to teachers
or staff.
5. I feel that the school is unsupportive and unsafe environment
for LGBTQ students.
6. I an subjected to insults or jokes.
7. I an rejected by a friend or family because of my gender.
8. I feel anxious everytime people talk about my flaws.
9. I feel bullied when someone disgraces me in front of our
classmates.
10. I experience name calling.

1.2 Discrimination A O So Se N
5 4 3 2 1
1. I feel discriminated because of my voice.
2. I feel discriminated the way I socialize with other students.
3. I feel discriminated because of my view or opinion about
sexuality.
4.I feel discriminated the way I dress.
5.I an subjected to slurs and jokes at school
6.I I am rejected as a friend because I’m part of LGBTQ+
7. I feel unwelcome to any kind of sports or activities because they
think I’m weak.
8. I am treated with less respect compare to straight people.
9. I feel that people dislike me.
10.I feel voiceless in raising up concerns at classroom because I am
part of LGBTQ+ community.

1.3 Favoritism A O So Se N
5 4 3 2 1
1. I feel that my teachers favor straight people more than LGBTQ
members in terms of self expression.
2. I feel that my teachers praise straight people more in presenting
projects and assignments.
3.I feel that my teachers listen to straight people more than those
members of LGBTQ+ community.
4. I experience teachers calling straight people more compare to
LGBTQ members in graded recitations.
5. I feel that some of my classmates like to be friend with straight
people compare to gay people.
6. I feel that my classmates only like to hang out with straight
people.
7. I feel neglected in my classroom because I am not straight.
8. I feel that straight students overpower LGBTQ members in
classroom’s rules and regulations.
9. I experience my teachers trusting straight students more in terms
of leadership compared to LGBTQ students.
10. I feel that my classmates have a solid bond with straight people
compare to those members of LGBTQ community.

1.4 Self- Confidence A O So Se N

5 4 3 2 1
1. I feel unconfident in my academic abilities.
2. I feel uncomfortable speaking up in class.
3. I feel that my ideas and opinions are not valued by my teachers
and peers.
4. I feel that cannot achieve my academic goals.
5. I feel unconfident in my ability to handle challenging
coursework.
6. I feel unsupported by my teachers and school staff in my
academic pursuits.
7. I feel that my personal identity and background are not valued by
my school.
8. I feel that my school provides dos not support my academic
success.
9. I feel that I am not able to balance academic and non- academic
commitments.
10. I feel unmotivated to excel in my academic pursuits.

Part II. Academic Performance

General Weighted Average First Quarter ____________ Second Quarter _____________