SAMPLE QUESTIONNAIRE
Part I: Background Information
Direction: Please provide the needed data by filling in or checking the appropriate
information.
Name (Optional): ________________________________
Sex: _____
College level: _____
Length of Service: _____
Number of Seminars Attended: ______
Specialization: _____
Part II: Level of Teachers Instructional Practices
Name (Optional): _______________________
Directions: Below are indicators that describe instructional practices of teachers on students
learning. Please read each item carefully and check (/) the box that suits your answer for each
indicator using the given scale.
Rating Scale:
5- Always
4- Often
3- Sometimes
2- Rarely
1-Never
5 4 3 2 1
Instructional Practices
1. Develop clear, consistent, and respectful routines, procedures,
and expectations with students, allowing for a shared
understanding of what is expected, when and why.
2. Prepare lessons that stimulate and challenge students.
3. Use and analyze information about students to design
instruction that meets the diverse needs of students and leads to
ongoing growth and achievement.
4. Assess teaching materials for their relevance to the learning
competency attainment and needs of students.
5. Use present data of students to design instruction suited to their
individual learning needs.
6. Create and plan strategies that allow multiple learning areas to
be integrated in the lesson.
7. Access and use ICT in designing instruction that engages
students’ attention and improves the caliber of teaching.
8. Select appropriate content for instruction, resources, and
materials that are known and suited to the students for
differentiated learning.
9. Use formative data to respond promptly to students learning
needs by identifying gaps, removing barriers to learning and
providing targeted support and strategies within the classroom
to help them progress toward identified outcomes.
10. Adapt the physical learning environment to the tasks and to
meet the diverse needs of students, allowing for different
groupings and/or configurations that support collaboration,
independence, and engagement.
11. Develop lessons based on previous responses and feedback of
students to further improve the teaching-learning process.
12. Establish shared, explicit, meaningful learning outcomes with
students, presenting both short-term learning targets and long-
term goals in student-friendly language to ensure clarity and
accessibility.
13. Design practice opportunities that are universally accessible,
allowing students to work independently, collaboratively, and
with guidance to develop their understanding and skills.
14. Provide students with multiple, structured opportunities to
practice applying essential skills and knowledge in ways that
are aligned to standards and build their capacity for authentic
challenges.
15. Design learning experiences that include opportunities for
students to tackle culturally relevant and authentic challenges,
promoting the transfer and application of knowledge.
Instructional Delivery Practices
1. Help students make meaningful learning choices by providing
space and opportunities.
2. Use standards-aligned materials with multiple entry points for
activities to meet the needs of a variety of students, providing
equitable access to rigorous content.
3. Discuss lessons in increasing levels of complexity and
difficulty.
4. Connect prior knowledge of the students to new information
about the lesson.
5. Facilitate a learning environment where a sense of
belongingness through individual differences is respected.
6. Use varying perspectives, theories and methods of investigation
and inquiry in delivering instruction.
7. Provide opportunities for students to engage in inquiry and
critical thinking activities.
8. Use technology to support instruction and enhance learning.
9. Design learning experiences to develop learners’ skills in the
application of technology appropriate to the discipline.
10. Employ various ways of explaining concepts to scaffold
learning while correcting misconceptions and
misunderstandings.
11. Ensure that learning experiences of the students are relevant
and related to other curriculum content areas.
12. Incorporate experiences into instructional practices that are
relate to students’ current life.
13. Mistakes and multiple attempts are embraced as essential parts
of the learning process, fostering persistence and a growth
mindset.
14. Instructional materials and activities reflect the identities of the
learners in the community and the diversity of the world.
15. Engage every student in higher-order thinking throughout the
learning process by using differentiated strategies that meet
diverse learning needs, deepen understanding, and promote
critical thinking while maintaining high expectations for all
learners.
16. Adjust time and adapt classroom structures to provide targeted
interventions, extensions, and opportunities for reteaching,
ensuring each student has the support needed to succeed.
17. Guide students to think deeply and critically about complex and
authentic problems throughout the learning process.
Instructional Assessment practices
1. Use rubrics in assessing students’ performance and projects that
need criteria in rating.
2. Use written work, performance tasks, and term exams in evaluating
learning outcomes.
3. Give timely, specific, relevant, and actionable feedback that builds
on students’ strength and drives their individual goals.
4. Show relevance and connection between topic discussed vis-a vis
assessment strategy.
5. Use multiple assessment methods, including adjusted pacing and
flexible grouping to engage students in active learning opportunities
that promote the development of critical and creative thinking
problem-solving and performance capabilities.
6. Provide multiple assessment strategies for the differentiation and
accommodation of individual differences.
7. Provide assessment that allows students to work individually or in
group through independent/cooperative learning.
[Link] learning materials like activity/work sheets, etc. in evaluating
learning inside and outside the school.
9. Create and utilize suitable assessment methods regularly to trace
behavioral and cognitive development of students.
10. Model and support students in setting goals, interpreting feedback,
and using feedback effectively to refine their work and grow as
students.
11. Use instructional and assessment practices that encourage students
to apply complex skills across subjects and overtime, preparing them
for authentic and meaningful challenges,