INDIVIDUAL SURVEY ON SCHOOL SAFETY

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- Highest level of education attained:
Primary school ( )
Secondary School ( )
Diploma ( )
Degree/Master/ PhD ( )
No formal education ( )

8- How many children in your household are currently attending school?

1 ( )
2 ( )
3 ( )
4 ( )
5 ( )
6 ( )
More than 6 ( )



9- Describe your relationship to the children attending school.
Mother ( )
Father ( )
Grandparents ( )
Legal guardian ( )
Other ( )
10-