SURVEY QUESTIONNAIRE
Romblon State University
                                      Romblon Campus
                                  Sawang, Romblon, Romblon
         SURVEY FOR THE MATH ANXIETY AF THE GRADE 12 STUDENTS
   1. Student`s Profile
      Name(optional): _______________________________________________
      Age: ___________
      Strand: ______________
Directions: The following are some of the characteristics of the students when dealing
with math subjects and math problems. Read carefully each item and indicate a check
mark in the box that will correspond to your answer.
         PERSONAL                  Strongly Moderately    Agree   Disagre    Strongly
                                    Agree     Agree                  e       Disagree
                                       5        4             3
                                                                     2
 1. My field of interest is not
 in Mathematics.
 2. I did not love
 computations, solving and
 numbers.
 3. I did not love doing my
 home works in
 Mathematics.
 4. I did not pay attention
 when the teacher is giving
 instruction regarding math
 problems.
 5. I did not write down
 important things in the
 discussion.
 6. I did not asked question
when I did not understand
some part of the
discussion.
7. I did not love memorizing
formulas.
8. When I am taking math
exam, I am not usually felt
at eased and relaxed.
9. I don’t believe everybody
has the nature to be
mathematicians.
10. I did not browse the
internet for additional
resources.
       ENVIRONMENT
1. My parents did not
encourage me to study
mathematics.
2. I am not afraid to my
mathematics teacher.
3. My math teacher was
not approachable.
4. The location of my
house did not affect my
study in math.
5. I did not have a strong
internet connection in the
house.
6. Parent’s pressure to
excel in mathematics
above other subject gives
burden to me as a student.
7. My friends pressure
gives me burden to excel in
math.
8. I am afraid that my
classmates will get a higher
score than me in the math
exams.
9. The school did not
provide enough learning
materials in math subject.
10. There is always
unnecessary noise when I
am studying.
     INTELLECTUAL
1. Mathematics is the most
difficult subject for me.
2. The language of algebra
is extremely abstract.
3. I am not good in
memorizing math formulas,
graphs and tables.
4. Calculus is very difficult
to understand.
5.The complexity of solving
mathematical equation
causes me to dislike math.
6.Using English language
as a medium of instruction
contribute to the difficulty of
the subject.
7. I am not good in
understanding math
problems.
8. It takes me a lot of time
to solve a problem in
calculus.
9. The statistical math
problems gives me a
feeling of discomfort.
10. I worry when my
teacher asked me some
questions to find out how
much I know about math.