Academic Achievement Scale Questionnaire
Please complete this questionnaire to help us assess academic achievement and related factors.
Full Name
*
First Name
Last Name
Grade/Class
*
Age
*
Gender
Male
Female
Other
Prefer not to say
Please rate the following statements regarding your academic habits and performance.
*
Rows
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I complete my assignments on time.
1
2
3
4
5
I am motivated to do well in my studies.
6
7
8
9
10
I actively participate in class.
11
12
13
14
15
I seek help when I don't understand something.
16
17
18
19
20
I manage my study time effectively.
21
22
23
24
25
I feel confident about my academic abilities.
26
27
28
29
30
How would you rate your overall academic performance?
*
1
2
3
4
5
How many hours per week do you study outside of class?
Which subjects do you find most challenging? (Select all that apply)
Mathematics
Science
Language Arts
Social Studies
Other
Do you participate in extracurricular activities?
Yes
No
Please provide any additional comments or suggestions regarding your academic experience.
Submit
Should be Empty: