This document contains a questionnaire for teachers regarding their use of technology in mathematics instruction. It has four sections: (1) demographic information of teacher respondents, (2) available technologies used in the classroom, (3) use of technology to facilitate teaching and learning, and (4) application of ICT skills by teachers in teaching mathematics. Teachers are asked to rate their familiarity with and use of various technologies like computers, software, internet, and their confidence in skills like word processing, presentations, spreadsheets, and databases. They are also asked to identify obstacles to successfully integrating technology.

1. QUESTIONNAIRE CHECKLIST
I. Demographic Profile of the Teacher-Respondents
Directions: The researcher is currently conducting a research entitled, “MATHEMATICS
INSTRUCTION OF SAN MANUEL DISTRICT THROUGH THE USE OF
TECHNOLOGY”. Please answer the questionnaire honestly and without any mental
reservations by ticking (√) the appropriate boxes or by filling in the blanks. Your
responses will be treated with utmost concern and confidentiality.
Name: (optional) ________________________________________________________
School: _______________________________________________________________
Age: 20 – 25 years old 46 – 50 years old
26 – 30 years old 51 – 55 years old
31 - 35 years old 56 – 60 years old
36 – 40 years old 61 years old and above
41 - 45 years old
Gender: Male Female
Civil Status:
Single Married
Separated Widow(er)
Highest Educational Attainment:
Bachelor’s Degree Graduate Ed. D/Ph. D. Graduate
MAEd Graduate Others (specify) _____
Present Position:
Teacher I Master Teacher I
Teacher II Master Teacher II
Teacher III Others (specify) _________

2. Latest Performance Rating:
Outstanding Satisfactory
Very Satisfactory
Length of Teaching Experience:
1 – 5 years 21 – 25 years
6 – 10 years 26 - 30 years
11 - 15 years 31 - 35 years
16 – 20 years 36 years and above
ICT Training Attended
National
Regional
Division
District
School

3. II. Available Technologies used in the Classroom
Directions: Please answer the questionnaire honestly by ticking (√) the appropriate boxes as to
your perception of the availability of technologies used in the classroom.
Legend:
5 – Very Much Available
4 – Available
3 – Moderately Available
2 – Slightly Available
1 – Unavailable
Available Technologies used in Classroom 5 4 3 2 1
1. Computer
2. Transparencies
3. Different Computer Software
4. Geographic maps
5. Internet
6. Overhead Projector.
7. Flyers & Folded Papers
8. Electronic Mail
9. Posters
10. Video
11. Wood Manipulative
12. Drawing Tools
13. Tools for Creating Models
14. Raw Materials & Real Things

4. 15. Television
16. Distance Learning Equipment and Infrastructure
17. Printer and Scanner
18. Spreadsheets
III. Use of Technology to Facilitate Teaching-Learning
Directions: Please answer the questionnaire honestly by ticking (√) the appropriate boxes as to
your perception on how often you use technologies to facilitate teaching-learning.
Legend:
5 – Very Often
4 – Often
3 – Sometimes
2 – Seldom
1 – Not at All
Use of Technology to Facilitate Teaching-Learning 5 4 3 2 1
1. I evaluate and use computers and related technologies to
support acoherent lesson.
2. Ifacilitate learning experiences using technology that
affirm diversity andprovide equity.
3. Iimplement a well-organized plan to manage available
technologyresources.
4. I facilitate learning experiences that use assistive
technologies to meet thespecial needs of students.
5. Idesign and teach a coherent sequence of learning
activities withappropriate use of technology by
connecting district, province, and nationalstandards.
6. I design, implement, and assess learner-centered lessons
with technologythat engage, motivate, and encourage

5. self-directed student learning.
7. I guide collaborative learning activities in which
students use technologyresources to solve authentic
problems in the subject area(s).
8. I develop and use criteria for ongoing assessment of
technology-basedstudent products
9. I design an evaluation plan that will determine students’
technologyproficiency.
10. I analyze instructional practices that employ technology
to improveplanning, instruction, and management.
11. I apply technology productivity tools to collect, analyze,
and interpret dataand to report to parents.
12. I select and apply suitable productivity tools to complete
tasks.
13. I model safe and responsible uses of technology and
develop classroomprocedures to implement school and
district policy.
14. I participate in on-line professional collaboration with
peers and experts aspart of a personally designed plan,
based on self-assessment, forprofessional growth in
technology
IV. Application of ICT Skills by Teachers in Teaching Mathematics
Directions: After reading each statement, please indicate the extent to which you agree or
disagree, by ticking (√) the appropriate boxes. Please respond to all statements, even
if you have not had a great amount of experience with a particular type of
instructional computer technology. Your responses should reflect your current level
of appraisal with the activity described in each statement.
Legend:
5 – Strongly Agree
4 – Agree
3 – Moderately Agree
2 – Disagree

6. 1 – Strongly Disagree
1. Computer Skills
Computer Skills 5 4 3 2 1
I feel confident…
1. Working on a personal computer.
2. Getting the software up and running.
3. Using the user’s guide when help isneeded.
4. Exiting a program.
5. Understanding terms relating to thecomputer hardware.
6. Understanding terms relating to thecomputer software.
7. Handling a floppy disk properly.
8. Learning to use a variety of programs.
9. Learning advanced skills with software.
10. Making selections from a menu.
11. Using the computer to analyze numberdata.
12. Using a printer to produce a hard copy.
13. Copying a disk.
14. Copying an individual file
15. Adding or deleting information froma file
16. Moving the cursor around the screen
17. Describing the function of the computerhardware
(keyboard, monitor, CPU)

7. 18. Getting help for problems with thecomputer
19. Storing software disks properly
20. Explaining why a software programwill/will not run on a
computer
21. Using the computer to organizeinformation
22. Deleting files no longer needed
23. Organizing and managing files
24. Troubleshooting computer problems
2. Word Processing
Word Processing 5 4 3 2 1
I feel confident…
1. Using a word processing programto write a letter or a
report
2. Accessing saved files with a wordprocessing program
3. Making corrections whileword processing.
4. Formatting text (bold, underline)
5. Moving blocks of text while wordprocessing.
6. Using spell check.
7. Using the search/replace feature inword processing.
8. Printing files written in wordprocessing.
9. Saving documents written in wordprocessing.
10. Renaming a word processing file.

8. 3. World Wide Web
World Wide Web 5 4 3 2 1
I feel confident…
1. Finding information I need on theWorld Wide Web
2. Using the information I obtain on the World Wide Web
3. Accessing information within a website.
4. Copying information from a websiteto another location
5. Saving information off a website.
6. Moving the cursor around websites
7. Getting to a specific site on the World Wide Web
8. Using the World Wide Web as well asother sources of
information.
4. Presentation Programs
Presentation Programs 5 4 3 2 1
I feel confident…
1. Creating a slide presentation
2. Saving, closing, and openingpresentations
3. Editing a presentation
4. Adding pictures, sounds, and video
5. Working with presentation colors and backgrounds
6. Rearranging a presentation.
7. Printing a presentation
5. Spreadsheet Integration

9. Spreadsheet Integration 5 4 3 2 1
I feel confident integrating into my mathematics instruction…
8. Lessons that require students to usespreadsheet software
to graph mathproblem solutions.
9. Lessons that ask students to usespreadsheet software as
they problem-solvemath problems.
10. Student-directed organization, construction,and merging
of spreadsheet files.
11. Lessons that require students to usespreadsheet software
to calculate formulamath information.
1. Database Integration
Database Integration 5 4 3 2 1
I feel confident integrating into my mathematics instruction…
1. Lessons that require students to usedatabase software to
organize data.
2. Student use of database software toanalyze data.
3. Student-directed use of database softwareto organize a
directory of information.
4. Student-directed creating of database fields
III. Obstacles related to the Application of ICT Skills in Teaching Mathematics
Directions: Please answer the questionnaire honestly by ticking (√) the appropriate boxes as to
your perception of the obstacles related to the application of ICT skills in teaching
mathematics.
Legend:
5 – Very Serious
4 – Serious
3 – Moderately Serious
2 – Slightly Serious

10. 1 – Not a Problem
Obstacles Related to Successful Technology Integration 5 4 3 2 1
1. The teacher does not have much time to prepare and
implement them
2. Curricula are not ready to use such new technologies
3. Not enough encouragement to use them
4. Qualified staff for the labs are not available to help
5. Technologies are not available in schools