QUESTIONNAIRE

Part I.
1. Do you participate in class?
⃝ Yes ⃝ No

2. How often do you participate?

⃝ Once a week
⃝ Once a month
⃝ Every discussion

3. What affects you to participate?

⃝Teacher
⃝ Study habit
⃝ Speaking English Fluently
⃝ Subject
⃝ Environment
⃝ Classmates/Peer
⃝ Self-confidence
⃝ Family
⃝ Class hours

Others: (Please specify) ________________________________________________

4. Do you come prepared in class?

⃝ Yes ⃝ No
5. Does the surroundings of your school help you to concentrate?
⃝ Yes ⃝ No

6. If you answered 'No', do your surroundings of your school become more distracted?
⃝ Yes ⃝ No

7. Do these factors give you negative effects?

⃝ Yes ⃝ No

8. If no, do these factors give you negative effects?

⃝ Yes ⃝ No
II. Put a check to the column that corresponds to your answer in each statement.

Note: Answer this table if you check “Yes” in question number 7.

In order for you to answer this table, your basis will depend on your answers in question number 3.

● Teacher

Statement AGREE NEUTRAL DISAGREE

1.She/He makes me more
active in participation
2. She/He boosts my self-
confidence
3. She/He helps me to
share my knowledge
4. She/He helps me to
understand the lesson
easily
5. She/He enhances my
oral communication skills

● Study Habit

Statement AGREE NEUTRAL DISAGREE

1.It makes me more active
in participation
2. It boosts my self-
confidence
3.It helps me to share my
knowledge
4.It helps me to understand
the lesson easily
5. It enhances my oral
communication skills

● Speaking English Fluently

Statement AGREE NEUTRAL DISAGREE

1.It makes me more active
in participation
2. It boosts my self-
confidence
3.It helps me to share my
knowledge
4.It helps me to understand
the lesson easily
5. It enhances my oral
communication skills
● Subject

Statement AGREE NEUTRAL DISAGREE

1.It makes me more active
in participation
2. It boosts my self-
confidence
3.It helps me to share my
knowledge
4.It helps me to understand
the lesson easily
5. It enhances my oral
communication skills

● Environment

Statement AGREE NEUTRAL DISAGREE

1.It makes me more active
in participation
2. It boosts my self-
confidence
3.It helps me to share my
knowledge
4.It helps me to understand
the lesson easily
5. It enhances my oral
communication skills

● Classmates/Peer

Statement AGREE NEUTRAL DISAGREE

1.It makes me more active
in participation
2. It boosts my self-
confidence
3.It helps me to share my
knowledge
4.It helps me to understand
the lesson easily
5. It enhances my oral
communication skills
● Self-confidence

Statement AGREE NEUTRAL DISAGREE

1.It makes me more active
in participation
2. It boosts my self-
confidence
3.It helps me to share my
knowledge
4.It helps me to understand
the lesson easily
5. It enhances my oral
communication skills

● Family

Statement AGREE NEUTRAL DISAGREE

1.It makes me more active
in participation
2. It boosts my self-
confidence
3.It helps me to share my
knowledge
4.It helps me to understand
the lesson easily
5. It enhances my oral
communication skills

● Class hours

Statement AGREE NEUTRAL DISAGREE

1.It makes me more active
in participation
2. It boosts my self-
confidence
3.It helps me to share my
knowledge
4.It helps me to understand
the lesson easily
5. It enhances my oral
communication skills
NOTE: Answer this column if you answer “Yes” in question number 8.
In order for you to answer this table, your basis will depend on your answers in question number 3.

● Teacher

Statement Agree Neutral Disagree

1.She/He makes me more
lazy
2.She/He stops me to
participate
3.She/He makes me feel
anxious every time I want
to answer during class
discussion

● Study Habit

Statement Agree Neutral Disagree

1.She/He makes me more
lazy
2.She/He stops me to
participate
3.She/He makes me feel
anxious every time I want
to answer during class
discussion

● Speaking English Fluently

Statement Agree Neutral Disagree

1.She/He makes me more
lazy
2.She/He stops me to
participate
3.She/He makes me feel
anxious every time I want
to answer during class
discussion

● Subject

Statement Agree Neutral Disagree

1.She/He makes me more
lazy
2.She/He stops me to
participate
3.She/He makes me feel
anxious every time I want
to answer during class
discussion
● Environment

Statement Agree Neutral Disagree

1.She/He makes me more
lazy
2.She/He stops me to
participate
3.She/He makes me feel
anxious every time I want
to answer during class
discussion

● Classmates/Peer

Statement Agree Neutral Disagree

1.She/He makes me more
lazy
2.She/He stops me to
participate
3.She/He makes me feel
anxious every time I want
to answer during class
discussion

● Self-confidence

Statement Agree Neutral Disagree

1.She/He makes me more
lazy
2.She/He stops me to
participate
3.She/He makes me feel
anxious every time I want
to answer during class
discussion

● Family

Statement Agree Neutral Disagree

1.She/He makes me more
lazy
2.She/He stops me to
participate
3.She/He makes me feel
anxious every time I want
to answer during class
discussion
● Class hours

Statement Agree Neutral Disagree

1.She/He makes me more
lazy
2.She/He stops me to
participate
3.She/He makes me feel
anxious every time I want
to answer during class
discussion