The Impacts of Procrastination on the Academic Performance of Grade 12 Students at Northern
Samar Colleges, Inc.
Dear Respondent,
Please answer this questionnaire as honestly as possible. There is no wrong answer so do
not leave any question unanswered. Let me assure you that your answer will be treated with
utmost confidentiality.
Thank you.
Part I: Demographic Profile
(Please check ✓ or write your answer in the space provided)
1. Name: __________________________
2. Grade Level:
▢ Grade 12 – ABM ▢ Grade 12 – GAS ▢ Grade 12 – STEM
▢ Grade 12 – HUMSS ▢ Grade 12 – H.E ▢ Grade 12 – ICT
3. Gender:
▢ Male ▢ Female ▢ Prefer not to say
4. Age: ___ years old
5. Address: _______________________________
Part II: CAUSES OF PROCRASTINATION
Rate each statement based on your experience with procrastinating as a student.
Scale: 5 – Strongly Agree 4 – Agree 3 – Neutral 2 – Disagree 1 – Strongly
Disagree
FEAR OF FAILURE 5 4 3 2 1
Strongly Agree Neutral Disagree Strongly
Agree Disagree
1. I delay starting tasks
because I am afraid I
will not meet my
teacher’s expectations.
2. I procrastinate because
I worry about making
mistakes in my
schoolwork.
3. I avoid doing
assignments
immediately because I
am not confident in my
abilities.
4. I put off starting tasks
because I fear receiving
a low grade.
5. I hesitate to begin my
work fight away
because I am afraid of
being judged by others.
PERFECTIONISM
1. I worry about how
others judge my
performance.
2. I set very high
standards for my self
3. I spend a lot of time
trying to make my work
perfect.
4. I compare my
achievements with
those of others
5. I fell anxious when I
cannot meet my own
expectations.
LACK OF MOTIVATION
1. I procrastinate because
I do not feel motivated
to start my school tasks.
2. I only do assignments
when I feel motivated.
3. Lack of motivation
makes me submit my
tasks late.
4. I sometimes lose
motivation when the
task is too difficult.
5. My grades are affected
when I procrastinate
due to low motivation.
POOR TIME
MANAGEMENT
1. I often delay important
tasks until the last
minute.
2. I struggle to create and
follow a schedule for
my work or studies.
3. I spend more time on
distractions (e.g., social
media, games) than on
my priorities.
4. I frequently
underestimate how long
tasks will take, causing
me to run out of time.
5. I miss deadlines or
submit tasks late
because I put them off.
LACK OF INTEREST
1. I procrastinate when the
subject or task is not
interesting to me.
2. I give less effort to
schoolwork if I have no
interest in it.
3. I usually delay tasks I
find boring or
irrelevant.
4. Lack of interest in a
subject makes me lose
focus and procrastinate.
5. My academic
performance is affected
when I procrastinate
because I am not
interested in the task.
LOW CONFIDENCE OR
SELF EFFICACY
1. I avoid starting tasks
because I doubt my
ability to complete
them well.
2. I feel overwhelmed
when faced with
challenging tasks,
which causes me to
delay them.
3. I believe others can
handle tasks better than
I can.
4. I procrastinate because
I am afraid of making
mistakes
5. I often hesitate to begin
tasks because I lack
confidence in my skills.
Part III: FREQUENCY OF PROCRASTINATION IN ACADEMIC PERFORMANCE
DOING HOMEWORKS OR
ASSIGNMENTS
1. I usually start only when
the deadline is really
close.
2. I often submit my
assignments late
because I delay doing
them.
3. I usually manage to
submit on time, even if I
procrastinate.
4. I rarely procrastinate
and finish my
assignments early.
5. I never procrastinate and
try to spread out my
work.
Thank you for your full cooperation and time. Your responses are highly valuable and
helpful to the researchers.