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Sanaol Questionnaire

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Republic of the Philippines

Carlos Hilado Memorial State College


Talisay City, Negros Occidental
COLLEGE OF EDUCATION

EDASSL 1
Mock-up Questionnaire about Special Needs Education
1st Semester, A.Y. 2020-2021

Name: __________________________________________ Score:


_______________
Course/Yr. &Sec.: ______________________________ Date: ________________

Test I
A. Multiple Choice: Read the questions carefully and encircle letter of the correct
answer. (1point each)

1. Refers to uncorrectable vision loss resulting from disease, trauma, congenital, or


degenerative conditions. What type of disability or impairment is being discussed?
A. Hearing Impairment C. Visual Impairment
B. Physical Disability D. Balance Disorder
2. It refers to individuals who have difficulties in perceiving sound frequencies? What
type of disability or impairment is being discussed?
A. Hearing Impairment C. Visual Impairment
B. Physical Disability D. Balance Disorder
3. It encompasses any impairment that limits an individual’s mobility such as
accessibility in daily activities. What type of disability or impairment is being
discussed?
A. Hearing Impairment C. Visual Impairment
B. Physical Disability D. Balance Disorder
4. It causes an individual to feel unsteady while standing or walking and experiences
symptoms feeling wozzy, giddy, spinning or floating. What type of disability or
impairment is being discussed?
A. Visual Impairment C. Hearing Impairment
B. Physical Disability D. Balance Disorder
5. A broad range of disorders affecting the ability to comprehend processed
informations and individuals may find it difficult to adapt social situations as they
grow older. What type of disability is being discussed?

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A. Developmental Disability C. Sensory Disability
B. Intellectual Disability D. Mental Health and Emotional
Disability
6. Individuals typically displays abnormal development that falls outside of cultural
norms and impact how an individual feels, acts, thinks, and perceives the objective
world. What type of disability is being discussed?
A. Developmental Disability C. Sensory Disability
B. Intellectual Disability D. Mental Health and Emotional
Disability
7. Defects impeding the growth and development of a single or multiple parts of the
human body and exhibits behavioural problems, convulsions, inability to move and
communication difficulties. What type of disability is being discussed?
A. Developmental Disability C. Sensory Disability
B. Intellectual Disability D. Mental Health and Emotional
Disability

B. Matching Type: Match Column A with the corresponding answers in Column B.


Write your answer in Capital Letter in the space provided before the number.

Column A

______1. It is a reduced ability to see to a degree that causes problem for they
do not have access to glasses or contact lens.

______2. Impairments caused by congenital anomalies or diseases.

______3. It refers to a conditions characterized by difficulties with


social skills, repetitive behaviors, speech and nonverbal communication.

______4. Involves problems with general mental abilities that affect intellectual and
adaptive functioning.

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______5. An inability to learn that cannot be explained by intellectual, sensory, or
health factors.

______6. This condition is defined as partial or complete Hearing loss.

______7. It is an inability to see anything.

Column B
A. Autism Spectrum Disorder
B. Blindness. C. Deafness
D. Emotional Disturbance
E. Intellectual Disability
F. Orthopedic Impairment
G. Specific Learning Disability
H. Visual Impairment

Test II. True or False: Write TRUE if the statement is correct and FALSE if not.

_________ 1. A disability may be permanent or temporary.


_________ 2. Disabilities only exist from birth.
_________ 3.When interacting with person’s with disability, you should ask the
person how he/she got the disability.
_________ 4. Every child is entitled to a free and appropriate public education
(FAPE)
_________ 5. IDEA stands for Individuals with Disabilities Education Act.
_________ 6. According to IDEA, Special education is defined as specifically
designed instruction, at no cost to parents, to meet the unique needs of a child with
disabilities.
_________ 7. Special education is a broad field and has many different specialties.
_________ 8. Inclusive education happens through accepting, understanding, and
attending to students’ differences and diversity.

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_________ 9.
_________ 10.

III. Identification: Tell whether the statement defines/describes Push-in


Services, Pull-out Services, Inclusive Classroom, Exclusive Education,
Specialty Schools, or Residential Programs. Write your answer on the space
provided before the number. (1 point each)

__________ 1. The first step of special needs education process where students with
disabilities undergo minimal intervention.
__________ 2. This is where students with severe cognitive challenges and certain
physical abilities are placed.
__________ 3. Students with special needs are mended within the learners with
varying abilities.
__________ 4. Best for students who need an around the clock care beyond the
capability of their community can offer.
__________ 5. This is where students who struggle in reading, writing, or speech are
placed.
__________ 6. Students with similar educational needs are placed in a particular
classroom.

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IV. Essay Type: Answer the following essay questions in at least 3 to 5 sentences. (5
points each)
SCORING RUBRIC
Level: Exemplary Satisfactory Average Developing Beginning

Score: 5 points 4 points 3 points 2 points 1 point

Category:

Information Answers are Answers are Answers are Answers are not Answers are
and Content comprehensive, accurate and comprehensive comprehensive partial or
accurate, and complete. and accurate, yet or completely incomplete.
complete. Key Key points incomplet. Key stated. Key Key points are
ideas are clearly are stated and points are points are not clear.
stated, explained, supported. addressed and addressed but not
and well supported. well-supported.
supported.

Organization Well-organized, Quality Average Mediocre Organization


coherently organization organization and organization or and structure
developed, and and essay is nearly easy to development. detract from
easy to follow. easy to follow Structure of the the answer.
follow. essay is not easy
to follow.

Analysis and Uses convincing Uses relevant Uses partly Uses irrelevant Uses faculty
Evidence and compelling evidence or irrelevant evidence or analysis; lacks
evidence or example/s to evidence or example/s to of control
example/s to support the example/s to support the within the
support the analysis; support the analysis. idea; no
analysis; develops analysis; evidence or
develops essay essay develops essay example/s
thoughtfully and coherently. properly. used.
persuasively.

1.

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2.

3.

4.

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V. Illustration: Inside the box illustrate how inclusive education differs from
exclusive education. (10points)
Criteria for scoring:
Content ................................................................................... maximum of
5points
o Accurate and reflects
o complete understanding of the topic
Presentation ........................................................................... maximum of 3
points
o Neat, organized, logical, creative, and original
Mechanic ……............................................................................ maximum of 2
points
o Free of spelling, grammar, and Punctuation error

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