Name : ____________________________________________ Sex: Female Male

Name of School: ____________________________________ Age:__________ Home Zip Code:_________

As part of the curriculum goals of mathematics education at the basic education level, this questionnaire aims
to identify the factors affecting the academic performance of students in Mathematics. Gathering information from
students is a vital part of this process. Please respond honestly in completing the questionnaire. There is no right or
wrong answer. Any information obtained in connection with this study that can be identified with you will remain
confidential. Please check the box that corresponds your answer.

Educational Attainment of Father: Monthly Income of Father:

High School Graduate Below 5, 000
College Graduate 5, 000 10, 000
Post Graduate Degree 10, 000 15, 000
Others, please specify Above 15, 000

Educational Attainment of Mother: Monthly Income of Mother:

High School Graduate Below 5, 000
College Graduate 5, 000 10, 000
Post Graduate Degree 10, 000 15, 000
Others, please specify Above 15, 000

Part 1: Math Classroom Environment

Strongly Strongly
Questions Disagree Disagree Agree Agree
Teacher Support
1. The instructor is friendly to us.
2. The instructor tries to help us.
3. The instructor treats each student equally.
4. The instructor is concerned about our self-esteem
5. The instructor is considerate to our feelings
6. The instructor will help when we have difficulty in learning
7. We trust the instructor
8. The instructor is interested in our questions
9. The instructor has constant communications with students
10. The instructor often encourages us, and praises us for our
improvement.
Student Autonomy
1. We can choose the learning task and decide how to complete it.
2. We have the opportunity to pursue our own interests.
3. The instructor gives us a lot of free time in class.
4. We can learn at our own pace in Advanced Mathematics class.
Satisfaction of Learning Mathematics
1. We like the Advanced Mathematics class.
2. The Advanced Mathematics class is interesting.
3. We are glad to introduce what we learn in Advanced Mathematics
class to others.
4. The topics in the Advanced Mathematics class are interesting.
5. We are satisfied with classroom activities in the Advanced
Mathematics class.
6. I often feel satisfied after the Advanced Mathematics class.
7. I am very satisfied with Advanced Mathematics class at the end of
the course.
Difficulty of Learning Mathematics
1. I often have difficulty in learning.
2. I think Advanced Mathematics is difficult.
3. I have difficulty understanding the instructors words in Advanced
Mathematics class.
4. Advanced Mathematics is a heavy burden for our class.
5. It is difficult for us to finish the assignment of Advanced
Mathematics.
6. Most students find Advanced Mathematics assignments difficult.
7. It is too difficult for most students to answer the instructors
questions in Advanced Mathematics class.
 Strongly Strongly
Cooperation Among Students Disagree Disagree Agree Agree
1. I will help classmates who have difficulty in learning.
2. I like to share the learning materials with other students
3. I can cooperate with other students to complete the learning task.
4. I can get help from other students
5. We students work together to realize the goal of our class.
6. I can learn from other students in class.
Competition Among Students
1. We often compete with each other to see who performs better.
2. We all work hard in order not to be outperformed by others.
3. There is competition in learning among students.
4. The competition among students is very fierce.
5. Every student is afraid to fall behind in studies.
6. There is a strong competitive atmosphere in our class
Innovation of Teaching
1. The instructor plans creative activities for us.
2. The instructor employs creative and diversified methods in teaching.
3. The instructor gives award on students creative thinking and
achievement.
4. The instructor encourages students to innovate their learning.
Classroom Discipline
1. The Advanced Mathematics class is in good order.
2. Students can observe the discipline and regulations very well in class.
3. The behavior of Advanced Mathematics class is rather good in
comparison with other classes.
4. I know what I should do clearly in class.
Source: Yin et all (2013) Mathematics Classroom Environment and Cooperation among Students

Part 2: Mathematics Self-Efficacy and Anxiety

No
Some-
Resp Never Seldom Often Usually
times
onse
1. I feel confident enough to ask questions in my mathematics class.
2. I get tense when I prepare for a mathematics test.
3. I get nervous when I have to use mathematics outside of school.
4. I believe I can do well on a mathematics test.
5. I worry that I will not be able to use mathematics in my future career
when needed.
6. I worry that I will not be able to get a good grade in my mathematics
course.
7. I believe I can complete all of the assignments in a mathematics
course.
8. I worry that I will not be able to do well on mathematics tests.
9. I believe I am the kind of person who is good at mathematics.
10. I believe I will be able to use mathematics in my future career when
needed.
11. I feel stressed when listening to mathematics instructors in class.
12. I believe I can understand the content in a mathematics course.
13. I believe I can get an A when I am in a mathematics course.
14. I get nervous when asking questions in class.
15. Working on mathematics homework is stressful for me.
16. I believe I can learn well in a mathematics course.
17. I worry that I do not know enough mathematics to do well in future
mathematics courses.
18. I worry that I will not be able to complete every assignment in a
mathematics course.
19. I feel confident when taking a mathematics test.
20. I believe I am the type of person who can do mathematics.
21. I feel that I will be able to do well in future mathematics courses.
22. I worry I will not be able to understand the mathematics.
23. I believe I can do the mathematics in a mathematics course.
 No
Some-
Resp Never Seldom Often Usually
times
onse
24. I worry that I will not be able to get an
A in my mathematics course.
25. I worry that I will not be able to learn well in my mathematics
course.
26. I get nervous when taking a mathematics test.
27. I am afraid to give an incorrect answer during my mathematics
class.
28. I believe I can think like a mathematician.
29. I feel confident when using mathematics outside of school.
Source : Mathematics Self-Efficacy and Anxiety Questionnaire by Diana K. May

Part 3: Student Attitudes toward STEM

Neither
Strongly Strongly
MATHEMATICS Disagree
Disagree Agree nor Agree
Agree
Disagree
1. Math has been my worst subject.
2. I would consider choosing a career that uses math.
3. Math is hard for me.
4. I am the type of student to do well in math.
5. I can handle most subjects well, but I cannot do a good job
with math.
6. I am sure I could do advanced work in math.
7. I can get good grades in math.
8. I am good at math.
9. I am sure of myself when I do science.
10. I would consider a career in science.
11. I expect to use science when I get out of school.
12. Knowing science will help me earn a living.
13. I will need science for my future work.
14. I know I can do well in science.
15. Science will be important to me in my lifes work.
16. I can handle most subjects well, but I cannot do a good job
with science.
17. I am sure I could do advanced work in science.
18. I like to imagine creating new products.
19. If I learn engineering, then I can improve things that people
use every day.
20. I am good at building and fixing things.
21. I am interested in what makes machines work.
22. Designing products or structures will be important for
my future work.
23. I am curious about how electronics work.
24. I would like to use creativity and innovation in my future
work.
25. Knowing how to use math and science together will allow
me to invent useful things.
26. I believe I can be successful in a career in engineering.
27. I am confident I can lead others to accomplish a goal.
28. I am confident I can encourage others to do their best.
29. I am confident I can produce high quality work.
30. I am confident I can respect the differences of my peers.
31. I am confident I can help my peers.
32. I am confident I can include others perspectives when
making decisions.
 Neither
Strongly Strongly
Disagree Agree nor Agree
Disagree Agree
Disagree
33. I am confident I can make changes when things do not go as
planned.
34. I am confident I can set my own learning goals.
35. I am confident I can manage my time wisely when working
on my own.
36. When I have many assignments, I can choose which ones
need to be done first.
37. I am confident I can work well with students from different
backgrounds.

Not Not So Interested Very

Interested Interested Interested
at all
1. Physics: is the study of basic laws governing the motion, energy,
structure, and interactions of matter. This can include studying the nature
of the universe. (aviation engineer, alternative energy technician, lab
technician, physicist, astronomer)
2. Environmental Work: involves learning about physical and biological
processes that govern nature and working to improve the environment.
This includes finding and designing solutions to problems like pollution,
reusing waste and recycling. (pollution control analyst, environmental
engineer or scientist, erosion control specialist, energy systems engineer
and maintenance technician)
3. Biology and Zoology: involve the study of living organisms (such as
plants and animals) and the processes of life. This includes working with
farm animals and in areas like nutrition and breeding. (biological
technician, biological scientist, plant breeder, crop lab technician, animal
scientist, geneticist, zoologist)
4. Veterinary Work: involves the science of preventing or treating
disease in animals. (veterinary assistant, veterinarian, livestock producer,
animal caretaker)
5. Mathematics: is the science of numbers and their operations. It
involves computation, algorithms and theory used to solve problems and
summarize data. (accountant, applied mathematician, economist, financial
analyst, mathematician, statistician, market researcher, stock market
analyst)
6. Medicine: involves maintaining health and preventing and treating
disease. (physicians assistant, nurse, doctor, nutritionist, emergency
medical technician, physical therapist, dentist)
7. Earth Science: is the study of earth, including the air, land, and ocean.
(geologist, weather forecaster, archaeologist, geoscientist)
8. Computer Science: consists of the development and testing of
computer systems, designing new programs and helping others to use
computers. (computer support specialist, computer programmer, computer
and network technician, gaming designer, computer software engineer,
information technology specialist)
9. Medical Science: involves researching human disease and working to
find new solutions to human health problems. (clinical laboratory
technologist, medical scientist, biomedical engineer, epidemiologist,
pharmacologist)
10. Chemistry: uses math and experiments to search for new chemicals,
and to study the structure of matter and how it behaves. (chemical
technician, chemist, chemical engineer)
11. Energy: involves the study and generation of power, such as heat or
electricity. (electrician, electrical engineer, heating, ventilation, and air
conditioning (HVAC) technician, nuclear engineer, systems engineer,
alternative energy systems installer or technician)
12. Engineering: involves designing, testing, and manufacturing new
products (like machines, bridges, buildings, and electronics) through the
use of math, science, and computers. (civil, industrial, agricultural, or
 mechanical engineers, welder, auto- mechanic, engineering technician,
construction manager)
Friday Institute for Educational Innovation (2012). Middle/High School Student Attitudes toward STEM Survey. Raleigh, NC: Author.

Part 4: Self-Efficacy
Not at Very Fairly Quite Very
Academic self-efficacy All Little Well Well Well
How well can you get teachers to help you when you get stuck on
schoolwork?
How well can you study when there are other interesting things to do?
How well can you study a chapter for a test?
How well do you succeed in finishing all your homework every day?
How well can you pay attention during every class?
How well do you succeed in passing all subjects?
How well do you succeed in satisfying your parents with your schoolwork?
How well do you succeed in passing a test?
Social self-efficacy
How well can you express your opinions when other classmates disagree
with you?
How well can you become friends with other children?
How well can you have a chat with an unfamiliar person?
How well can you work in harmony with your classmates?
How well can you tell other children that they are doing something that you
dont like?
How well can you tell a funny event to a group of children?
How well do you succeed in staying friends with other children?
How well do you succeed in preventing quarrels with other children?
Emotional self-efficacy
How well do you succeed in cheering yourself up when an unpleasant event
has happened?
How well do you succeed in becoming calm again when you are very scared?
How well can you prevent to become nervous?
How well can you control your feelings?
How well can you give yourself a peptalk when you feel low?
How well can you tell a friend that you dont feel well?
How well do you succeed in suppressing unpleasant thoughts?
How well do you succeed in not worrying about things that might happen?

Not Very OK/ Very

1. How well do you expect to do this year in your:
Well Pretty Well Well
English/Language Arts Class?
Math Class?
Science Class?
2. In the future, do you plan to take advanced classes in: Yes No Not Sure
Mathematics?
Science?
3. Do you plan to go to college? Yes No Not Sure
4. More about you. Yes No Not Sure
Do you know any adults who work as scientists?
Do you know any adults who work as engineers?
Do you know any adults who work as mathematicians?
Do you know any adults who work as technologists?

Part 5: Why Do You Go to School?

1 2 3 4 5 6 7
Did not corresponds at all Corresponds a little Corresponds Moderately Corresponds a lot Corresponds Exactly

1 2 3 4 5 6 7
1. Because I need at least a high-school degree in order to find a
high-paying job later on.
2. Because I experience pleasure and satisfaction while learning
new things
3. Because I think that a high-school education will help me better
prepare for the career I have chosen.
4. Because I really like going to school.
 1 2 3 4 5 6 7
Did not corresponds at all Corresponds a little Corresponds Moderately Corresponds a lot Corresponds Exactly

1 2 3 4 5 6 7
5. Honestly, I don't know; I really feel that I am wasting my time in
school.
6. For the pleasure I experience while surpassing myself in my
studies.
7. To prove to myself that I am capable of completing my high-
school degree.
8. In order to obtain a more prestigious job later on
9. For the pleasure I experience when I discover new things never
seen before.
10. Because eventually it will enable me to enter the job market in a
field that I like.
11. Because for me, school is fun.
12. I once had good reasons for going to school; however, now I
wonder whether I should continue.
13. For the pleasure that I experience while I am surpassing myself
in one of my personal accomplishments.
14. Because of the fact that when I succeed in school I feel important
15. Because I want to have "the good life" later on.
16. For the pleasure that I experience in broadening my knowledge
about subjects which appeal to me.
17. Because this will help me make a better choice regarding my
career orientation
18. For the pleasure that I experience when I am taken by
discussions with interesting teachers.
19. I can't see why I go to school and frankly, I couldn't care less.
20. For the satisfaction I feel when I am in the process of
accomplishing difficult academic activities.
21. To show myself that I am an intelligent person.
22. In order to have a better salary later on.
23. Because my studies allow me to continue to learn about many
things that interest me.
24. Because I believe that my high school education will improve
my competence as a worker.
25. For the "high" feeling that I experience while reading about
various interesting subjects.
26. I don't know; I can't understand what I am doing in school
27. Because high school allows me to experience a personal
satisfaction in my quest for excellence in my studies.
28. Because I want to show myself that I can succeed in my studies.

Part 6: Feeling and Thinking about Experiences in Math: Achievement Emotions Questionnaire Mathematics
Strongly Strongly
BEFORE CLASS
Disagree(1) (2) (3) (4) Agree (5)
1. I look forward to my math class.
2. When thinking about my mathematics class, I get nervous.
3. When thinking of my math class, I get queasy.
4. Math scares me so much that I would rather not attend school.
Strongly Strongly
DURING CLASS
Disagree(1) (2) (3) (4) Agree (5)
5. I enjoy my math class.
6. I cant concentrate because I am so bored.
7. I worry if the material is much too difficult for me.
8. The material we deal with in mathematics is so exciting that I really enjoy
my class.
9. I am annoyed during my math class.
10. When I say something in my math class, I can tell that my face gets red.
11. I think the mathematics class is boring.
12. I enjoy my class so much that I am strongly motivated to participate.
13. I am so angry during my math class that I would like to leave.
 Strongly Strongly
Disagree(1) (2) (3) (4) Agree (5)
14. I am so bored that I cant stay awake.
15. I get angry because the material in mathematics is so difficult.
16. When I say something in my math class, I feel like embarrassing myself.
17. I get irritated by my math class.
Strongly Strongly
AFTER CLASS
Disagree(1) (2) (3) (4) Agree (5)
18. I think I can be proud of my knowledge in mathematics.
19. I am proud of my contributions to the math class.

Strongly Strongly
BEFORE STUDYING
Disagree(1) (2) (3) (4) Agree (5)
20. Just thinking of my math homework assignments makes me feel bored.
21. Im so scared of my math assignments that I would rather not start them.
Strongly Strongly
DURING STUDYING
Disagree(1) (2) (3) (4) Agree (5)
22. When doing my math homework, I am in a good mood.
23. I start sweating because I am worried I cannot complete my assignments
in time.
24. My mathematics homework makes me angry.
25. Im so bored that I dont feel like studying any more.
26. I am tense and nervous.
27. When I discuss the homework assignments with my classmates, I avoid
eye contact.
28. I am happy that I understand the material.
29. I get angry because my math homework occupies so much of my time.
30. I worry whether I will ever be able to completely understand the
material.
31. My math homework bores me to death.
32. I am very motivated because I want to be proud of my achievements in
mathematics.
33. When I dont understand something in my math homework, I dont
want to tell anybody.
34. I am so angry that I would like to throw my homework into the thrash.
35. I enjoy doing my math homework so much that I am motivated to do
extra assignments.
Strongly Strongly
AFTER STUDYING
Disagree(1) (2) (3) (4) Agree (5)
36. After having done my math homework, I am proud of myself.
37. I am embarrassed about my lack of knowledge in mathematics.

Strongly Strongly
BEFORE TAKING THE TEST / EXAM
Disagree(1) (2) (3) (4) Agree (5)
38. I am very nervous.
39. Because I look forward to getting a good grade, I study hard for the test.
40. I feel down.
41. Even before I take the math test I worry I could fail.
42. I keep thinking that I dont understand the material.
43. When I have an upcoming math test, I get sick to my stomach.
44. I keep thinking that I will never get good grades in mathematics.
45. I am so anxious that I would rather not take the math test.
Strongly Strongly
DURING TAKING THE TEST / EXAM
Disagree(1) (2) (3) (4) Agree (5)
46. I enjoy taking tests in mathematics.
47. When taking the math test, I am tense and nervous.
48. I am annoyed that the teacher asks such difficult questions.
49. During the math test, I feel hopeless.
50. I am ashamed that I cannot answer my math teachers questions well.
51. I am so anxious that I cant fully concentrate.
52. I would prefer to give up.
53. I am so angry that I would like to tear the exam paper into pieces.
54. I think that things are going great.
55. When taking the math test, I worry I will get a bad grade.
56. I have no energy.
57. I start sweating because my performance on the math exam embarrasses
me.
Strongly Strongly
AFTER TAKING THE TEST / EXAM
Disagree(1) (2) (3) (4) Agree (5)
58. After a math test, I am proud of myself.
59. I am proud of how well I have done on the math test.
60. After taking a test in mathematics, I feel ashamed.