Fci - Participants Consent Form

PARTICIPANTS CONSENT FORM
I understand that by returning the questionnaire, I am giving my informed consent as a participating volunteer in this
research. I understand the benefits that might be realized from this study. I am aware that the information is being sought in a
specific manner so that no identifiers are needed and so that confidentiality is guaranteed. I realized that I have the right to
refuse to participate and that my right to withdraw from participation at any time during the study.
Name (Optional): _________________________________________________

Surname Given Name M.I
Note: Fear Respondents, we will truly appreciate your cooperation and willingness to give your response. We
promise to keep your identity and responses confidential.
DEMOGRAPHIC INFORMATION
TRIBES: YEAR LEVEL: CIVIL STATUS: GENDER:

AGE:
[ ] Chavacano [ ] 1ST YR. [ ] SINGLE [ ] MALE
[ ] 17-20 yrs. old [ ] Bisaya [ ] 2ND YR. [ ] MARRIED [ ] FEMALE
[ ] 21-25 yrs. old [ ] Yakan [ ] 3RD YR. [ ] SEPARATED
[ ] 25-28 yrs. old [ ] Tausug [ ] 4TH YR. [ ] WIDOW
[ ] 29-35 yrs. Old [ ] Sama
[ ] 36 and above Other:
______________
PROBLEM:
Options Assigned Points
VH – Very High 4
H – High 3
L – Low 2
VL – Very Low 1
PROBLEMS VH H L VL
PHYSICAL ENVIRONMENT
How satisfied are you with the overall condition of your school building?
How often do you find the temperature in your classroom to be comfortable for learning?
How would you rate the quality of lighting in your classrooms?
How often are you distracted by noise levels in your school?
How would you rate the availability of space in your classrooms for learning activities?
TECHNOLOGICAL RESOURCES
How often do you use technology in your classes?
How would you rate the availability of technology resources in your school?
How helpful are technology resources in understanding the subject matter?
How often do you use technology for research or accessing information outside of class?
SOCIAL INTERACTION
How often do you feel supported by your classmates in your learning?
How often do you participate in collaborative learning activities in your classes?
How would you rate the overall social climate in your school?
How would you rate the opportunities for social interaction outside of class in your school?
ACADEMIC PERFORMANCE
How would you rate your overall academic performance in your current classes?
How satisfied are you with your learning experience in your current classes?
How much do you feel you've learned in your current classes?
1. How does the quality of the physical environment within educational
facilities impact students' learning outcomes and academic performance?
Can you describe a time when the physical environment of your school made it
difficult for you to learn? What happened, and how did it affect you?
_________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_____________________________________________________
What are some things about the physical environment of your school that you
wish were different, and why?
_________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
____________________________________________________
2. What is the role of technological resources in influencing student

engagement, information accessibility, and ultimately, their learning
outcomes within educational settings?
How often do you use technology in your classes, and what types of technology
do you use most often?
_________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_____________________________________________________
Can you describe a time when technology helped you learn something new or
understand a concept better?
_________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_____________________________________________________
3. To what extent does social interaction, including peer support and

collaborative opportunities, mediate the relationship between students'
experiences in educational facilities and their academic performance and
learning achievements?
How important is it to you to feel supported by your classmates in your learning?

Can you give an example of how peer support has helped you?
_________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_____________________________________________________
How often do you participate in collaborative learning activities, and what are
your experiences with those activities?
_________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________

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Fci - Participants Consent Form

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PARTICIPANTS CONSENT FORM

Name (Optional): _________________________________________________

TRIBES: YEAR LEVEL: CIVIL STATUS: GENDER:

2. What is the role of technological resources in influencing student

3. To what extent does social interaction, including peer support and

How important is it to you to feel supported by your classmates in your learning?

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