Example of Questionnaire

1. FACULTY OF EDUCATION
MASTER OF EDUCATION ( VISUAL ART EDUCATION )
Dear respondent,
I am Nur Nabihah Bt Mohamad Nizar ( UiTM Student ID No : 2013151033 ) from the
Faculty of Education, INTEC, UiTM Shah Alam. Currently, I am pursuing a master program
in Master of Education ( Visual Art Education ). As a requirement for my EDU 702 :
Research Methodology subject, I am conducting a survey on 'The Study On Teaching And
Learning Mathematics Through Art By Using An Educational Game Among Students At
Secondary School in Malaysia'
Therefore, I need your cooperation to complete this questionnaire. Thank you for
participating in my research. I would appreciate if you would spend a few minutes of your
time to answering this questionnaire. Your answer from this survey will be used for academic
purpose only and your identity will kept strictly confidential.
Your time and cooperation is much appreciated. Thank you.
Researcher,
....................................................
( Nur Nabihah Bt Mohamad Nizar )

2. SECTION A - Demographic Information
Directions : Please read each statement carefully and tick your answer.
1. Gender : Male Female
2. Age : 13 years old 14 years old 15 years old
3. Race : Malay Chinese Indian
Others : Please State ______________
SECTION B - Teaching and learning approach in Mathematics subject.
For each statement, please indicate your answer using the following scale.
Strongly
Disagree
Disagree Mixed Feeling Agree Strongly
Agree
1 2 3 4 5
Directions : Please read each statement carefully and tick your answer.
No. Questions 1 2 3 4 5
4. My Mathematics' teacher used a Mathematics textbook
during teaching and learning process.
5. My Mathematics' teacher used an interactive whiteboard
during teaching and learning process.
6. My Mathematics' teacher used Flash Card as teaching
aid during teaching and learning process.
7. My Mathematics' teacher used Interactive Multimedia
(such as : Power Point ) as teaching aid during teaching
and learning process.
8. My Mathematics' teacher used an images to make me
easier to understand the lesson.
9. An educational games are used during teaching and
learning process.
SECTION C : Interest to learn Mathematics through Art Education
For each statement, please indicate your answer using the following scale.
Strongly
Disagree
Disagree Mixed Feeling Agree Strongly
Agree
1 2 3 4 5
Directions : Please read each statement carefully and tick your answer

3. No. Questions 1 2 3 4 5
10. I am interested in the subject of Visual Art Education.
11. I ever learn Mathematics' subject through Art.
12. I believe learning mathematics through art is something
enjoyable.
13. I am a gamers.
14. Games is something enjoyable.
15. I believe learning mathematics through Art by using an
educational games is more interesting.
16. I already used an educational game as one of my
learning approach.
SECTION D : Games improve academic performance
For each statement, please indicate your answer using the following scale.
Strongly
Disagree
Disagree Mixed Feeling Agree Strongly
Agree
1 2 3 4 5
Directions : Please read each statement carefully and tick your answer
No. Questions 1 2 3 4 5
17. By using an educational games in teaching and learning
process, will make me more understand the lesson.
18. By using an educational games in teaching and learning
process, it will help to improve my academic
performance.
19. Did you think the uses of an educational games as learning aid will help you in
improving your academic performance ? Explain why.
___________________________________________________________________
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End of questionnaire
Thank you for your sincere cooperation