Professional Documents
Culture Documents
I .....................................hereby voluntarily
agree to take part in the research questionnaire study specified above.
withdraw from this research at any time without assigning any reason
whatsoever. I also understand that this study is confidential and all
information provided with regards to my identity will remain private and
confidential.
I* wish / do not wish to know the results of the tests performed on me.
* delete where necessary
Signature ..
(Respondent)
PERSONAL DETAIL
1. Respondents Age
(year)
2. Respondents Gender
3. Respondents Race
(a) Male
(b) Female
(a)
(b)
(c)
(d)
Malay ___________________
Chinese _________________
Indian ___________________
Other: ___________________
1
2
3
4
(Please state)
4. Home area?
5. CGPA
(a) Urban
(b) Rural
FAMILY BACKGROUND
Mother Characteristic
6. Age
Father Characteristic
7. Age
level on box)
6 = Diploma
7 = Bachelor
8 = Master
9 = PhD
10 = Others
LEVEL OF EDUCATION
0 = No formal education
1 = Primary school
2 = Secondaru school (PMR)
3 = Secondary school (SPM)
4 = Form 6 (STPM)
5= Certificate
6 = Diploma
7 = Bachelor
8 = Master
9 = PhD
10 = Others
(Please state)
(Please state)
RM
RM
SECTION B
PERSONALITY
Please tick the most closely selection that describe you in the following boxes.
Extremely
inaccurate
1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
A little
inaccurate
2
talkative
1
2
self-confident
1
2
touchy
1
2
kind
1
2
intelligent
1
2
open-minded
1
2
organized
1
2
energetic
1
2
selfish
1
2
relaxed
1
2
respectful
1
2
quiet LIFE SATISFACTION
1
2
creative
1
2
sloppy
1
2
lazy
1
2
extroverted
1
2
wise
1
2
Strongly
Disagree
boastful
1
2
disagree
generous
1
2
cheerful
1
2
1
2
SECTION D
Slightly accurate
Accurate
3
3
3
Extremely
accurate
5
SECTION
4
5
C
Slightly
4
5
disagree
4
5
4
Slightly agree
Agree
Strongly
agree
STRESS
1
2
3
4
5
Please tick the most closely selection that describe your feeling in the following boxes
1
2
3
4
5
6
7
8
9
10
Never
Almost Never
Sometimes
Fairly often
Very often
In the last month, how often have you been upset because of something that happened
unexpectedly?
In the last month, how often have you felt that you were unable to control the important
things in your life?
In the last month, how often have you felt nervous and stressed?
In the last month, how often have you felt confident about your ability to handle your
personal problems?
In the last month, how often have you felt that things were going your way?
In the last month, how often have you found that you could not cope with all the things
that you had to do?
In the last month, how often have you been able to control irritations in your life?
In the last month, how often have you felt that you were on top of things?
In the last month, how often have you been angered because of things that were
outside of your control?
In the last month, how often have you felt difficulties were piling up so high that you
could not overcome them?