EI Questionnaires For Validation
EI Questionnaires For Validation
Section A
Demographic Data
1. Age ( ) i. 20yrs-30yrs old ( ) ii. 31yrs-40yrs old ( ) iii. 41yrs-50yrs old
( ) iv. 51yrs & above
2. Gender ( ) i. Male ( ) ii. Female
3. Civil Status ( ) i. Single ( ) ii. Married ( ) iii. Widowed
4. Religion (Optional) ( ) i. Islam ( ) ii. Christianity
( ) iii. Other ________
5. Government Office _____________________________________________________
6. Individual Performance Commitment and Review Form _________________________
IPCRF Code:
( ) A – Department Head SG 26 ( ) C – Division Chief SG 22
( ) B – Assistant Department Head SG 24 ( ) D – Rank and File SG 1-20
Section B
Directions: Kindly put a check mark (/) under the codes corresponding to the degree of
relevance of the items under each criterion. The codes on the degree of relevance are as
follows:
Code Degree of Relevance
R Relevant
I Irrelevant
NR Needs revision
A. Personal Domain: Self-awareness and Self-management Assessment
Self-Awareness
R I NR SUGGESTIONS
Self-Management
R I NR SUGGESTIONS
Relationship Management
R I NR SUGGESTIONS