A questionnaire is a research instrument that consists of a set of questions for the purpose of gathering information from respondents through survey or statistical study. A research questionnaire is typically a mix of close-ended questions and open-ended questions.

1. QUESTIONARE
Dear Respondent,
As part of my research thesis at the University of Southern Mindanao, I
am conducting a survey that can answer about Dance Effects on Mental, Emotional
health and self -confidence among Junior and Senior High Dancer: A Comparative
Study. I will appreciate if you could complete the following table. Any
information obtained in connection with this study that can be identified with
you will remain confidential.
Direction: Kindly fill up on the given space provided
PART 1. Socio- demographic profile of the respondent
Name (optional): AGE:
Sex: Genre:
Highest competition Attended: Yr/School:
Mental and Emotional Health
Questions YES NO
Does dance benefit you mentally? (ie. memory, focus, alertness, etc.)
Do you consider yourself to have a good memory?
Did you benefit mentally from dance ? (ie. memory, focus, alertness, etc.)
Do you think you could recall the combinations learned from today’s classes?
Did you consider yourself to have a good memory today during classes?
Do you feel better, mentally after dancing?
Does dance benefit you emotionally? (ie. confidence, self-esteem, self- image, etc.)
Do people give you positive feedback on your work and achievements?

2. Did you keep trying today, even after seeing others getting frustrated?
When you faced something challenging today or had a difficult time, did you feel hopeless
and negative?
SELF- CONFIDENCE
QUESTION YES NO
Are you more generally positive, energized, and self-confident after today's
classes?
Do you consider yourself to have good self-confident?
Do you keep trying, even after others give up?
When you experiencing success early when learning something is important will
you continue?
When you overcome confusion or an obstacle, do you think about the lessons
learned?
I believe that if I work hard, I'll achieve my goals.
When you set goals, do you achieve them?
I have contact with people of similar skills and experience who I consider successful
I keep trying, even after others have given up
I relate to people who practice very hard, and still don't accomplish their goals.