Questionnaire:

Name: (Optional)
Directions: Put check () on the box provided for your answer.

PART 1: Profile of the (responsibility) respondents.

1.1 Sex:
Female:
Male:
1.2 Age:
5-5
yrs. old
4 - 4 yrs. old
3 - 3 yrs. old
1.3 Parents
Occupation:
_________________________________________
1.4 Health Status
Obese:
Normal:
AB- Normal:

PART II. Used of play of the respondents

Directions: Put a check on the table that corresponds to your answer.
5 ALWAYS 4 SOMETIMES 3 OFTEN 2 RARELY 1 NEVER
2.1 PHYSICAL DEVELOPMENT
1. I can coordinate movements to
music.
2. I can throw and catch a small
ball.
3. I can hop using one foot for 10
times.
4. I can hold crayons, markers or
pencils like an adult.
5. I can copy a triangle and many
other shapes.
2.2 SOCIAL DEVELOPMENT
1. I can play with my classmates.
2. I can participate in every group
activities.
3. I can share my snacks to my
other classmates.
4. I can communicate well with my
teacher, classmates and family.
5. Sharing experiences with my
classmates.
2.3 EMOTIONAL DEVELOPMENT
1. I can express my feelings to
others whenever I feel happy and
delighted.
2. I am very sensitive with other
peoples feelings toward me.
3. I can control my feelings
whenever I feel scared and angry.
4. I am not afraid to show what I
can do in front of many people.
5. I must be very good in my
teachers eyes at all times.
2.4 COGNITIVE DEVELOPMENT
1. I can put the pieces together
(puzzle).
2. I can identify long and short
objects.

3. I can differentiate light and dark

colors.
4. I can memorize all the vegetables
from Bahay Kubo.
5. I can solve addition and
subtraction.