Questionnaire

This survey is conducted to investigate absenteeism among SHS Students

Name: Age:

Gender: Track/Strand:

I. Causes of Absenteeism: Please rate the degree according to how often it cause your
absenteeism (Encircle your answer)

Not a Cause Definitely a Cause

Possible Causes
1 2 3 4 5
 Preparedness (e.g. they don’t have books,
papers, pencil; haven’t completed their 1 2 3 4 5
homework).

 Students have behavioral and/or emotional

1 2 3 4 5
problems that interfere with learning.

 Students have inadequate health care, and so

1 2 3 4 5
are often sick.

 Students are not motivated. 1 2 3 4 5

 Students do not feel safe and secure at school. 1 2 3 4 5

 Students do not like the teacher. 1 2 3 4 5

 Students do not like the timing of the class. 1 2 3 4 5

 Students are not interested in a particular

1 2 3 4 5
subject.

 Students choose to have fun with friends

1 2 3 4 5
outside the school.

 Negative events in the student’s home life are

1 2 3 4 5
interfering with learning.