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INSTRUMENT 4 QUESTIONNAIRE Ask the selected pupil several questions to measure the level of the pupils development (Physical, Cognitive, Language, Moral, Social and Emotions).
Pupils Name
: ____________________________________________________
LANGUAGE DEVELOPMENT
1) Ask the pupil to introduce him or herself (name, gender, age, class and hobby/hobbies). Jot down exactly what the pupil says. (eg. My name is Mary.) Did the pupil stutter when he / she speaks? How accurate is his / her sentence structure Scale 1 (Poor) to Scale 5 (Excellent) Scale of accuracy Name :
Gender
Age
Class
Hobby / Hobbies
2) Ask the student to pronounce these several words. Tick on the words that the pupil can pronounce. Does he/she face difficulties in pronouncing l and r?
No. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10.
Words Animal Rabbit Learn Ruler Robot Regret Homework Remember Interesting Extraordinary
Tick ()
EMOTIONAL DEVELOPMENT
2) Do you get angry easily when your classmates disturb you? Why?
INSTRUMENT 4 QUESTIONNAIRE
3) If the teacher invites you to speak in front, would you do that? Why?
4) Are you an expressive person or do you like to keep things to yourself? Why?
SOCIAL DEVELOPMENT
2) Do you like to talk to your friends? What will you talk about?
INSTRUMENT 4 QUESTIONNAIRE
3) Do you hold hands with your friends when you move in a group? Why?
4) If you have a new classmate, what is the first thing that you will do to him or her? Why?
COGNITIVE DEVELOPMENT
1) Observe the beakers in the picture. Do the beakers contain the same amount of water or one is more than the other? Why do you say so?
Picture 1
INSTRUMENT 4 QUESTIONNAIRE
2) The teacher gives you 20 oranges and you need to distribute them to your friends. You are also given a choice either to use a basket, a trolley or just by hand. Which of these three will you use? Why?
Pictures 2
3) Do you achieve any improvement in your examination results? (Provide evidence / evidences).
INSTRUMENT 4 QUESTIONNAIRE
MORAL DEVELOPMENT
2) At what time do you usually reach school? Are you always like that?
INSTRUMENT 4 QUESTIONNAIRE
PHYSICAL DEVELOPMENT
1) Take the picture of samples (exercise books, notes or exam paper) of the pupils handwriting the previous years and compare it with the current handwriting? Is there any changes?
INSTRUMENT 4 QUESTIONNAIRE
2) Do you enjoy Physical Education class? What activities that are usually carried out? (Take pictures as samples of the physical aspects develop during the Physical Education class). Points to focus. Can the pupil: Skip Stand on one foot (Balance his/herself) Gallop Cart wheel (*if possible)
INSTRUMENT 4 QUESTIONNAIRE