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We are students from the Faculty of Administrative Science and Policy Study, UiTM and, for our
Fundamentals of Research and Data Analysis course, we are conducting a survey on School Safety among
public. We would appreciate it if you could spend a few minutes to answer our questionnaire. Information
given will be kept confidential and used for this research only. Thank you
Section A: Respondents Profile
RESPONDENT: PLEASE TICK ONE ANSWER ONLY.
1- Gender:
Male ( )
Female ( )
2- Age:
21 30 ( )
31 40 ( )
41 50 ( )
51 60 ( )
60 above ( )
3- Status:
Single ( )
Married ( )
Divorced ( )
Separated ( )
4- Ethnicity:
Malay ( )
Chinese ( )
Indian ( )
Other ( )
5- Religion:
Islam ( )
Buddha ( )
Hindu ( )
Christian ( )
Other ( )
6- Profession:
Housewives ( )
Teacher ( )
Businessman ( )
Unemployed ( )
7- Household income per month:
RM0 - RM 1000 ( )
RM1001 RM2000 ( )
RM2001 RM3000 ( )
RM3001 RM4000 ( )
RM4001 RM5000 ( )
RM5001 and more ( )
8- Highest level of education attained:
Primary school ( )
Secondary School ( )
Diploma ( )
Degree/Master/ PhD ( )
No formal education ( )
9- How many children in your household are currently attending school?
1 ( )
2 ( )
3 ( )
4 ( )
5 ( )
6 ( )
More than 6 ( )
10- Describe your relationship to the children attending school.
Mother ( )
Father ( )
Grandparents ( )
Legal guardian ( )
Other ( )