Disruptive Behavior Questionnaire Page 1
THE EFFECTS OF DISRUPTIVE BEHAVIOR TO THE SCHOOL PERFORMANCE OF GRADE IV & V PUPILS IN CABANGLASAN DISTRICT Chapter 1 ; CHAPTER II ; CHAPTER III ; Chapter - 4 ; Chapter V APPENDIX A A QUESTIONNAIRE ON FACTORS ASSOCIATED WITH DISRUPTED VEHAVIOR AFFECTING THE SCHOOL PERFORMANCE OF GRADE IV & V PUPILS OF OLD CABANGLASAN ELEMENTARY SCHOOL. Information Data (Please fill in the following information) I - Personal Data 1.1 Name: __________________________ 1.2 School where you are teaching: ________________________ 1.3 Brief description on how you are attached to the child. 1.3.1 Teacher In charge 1.3.2 Teacher (adviser) 1.3.3 Subject Teacher 1.3.4 Others (specify) ________________ Name of the pupil (having disrupted attitude optional): ________________ Grade of the pupil: _________________ II-