Thank you for taking time to fill-up this survey.
Please tick the checkboxes provided or fill-up the space where necessary.
1) Bio Data
Mr.
Miss
Mrs.
Mdm.
Name
Years of service
1-2
3-5
6-10
10-15
16-20
>20
PE / Related Training
Degree in PE
Diploma in PE
Certificate in PE
PE as a subject in IE/NIE
Attended PE modules / courses / workshops
Others. Please specify
2) PE Deployment
PE Classes for 2002
Primary 1a
b
c
d
e
f
g
h
Primary 2a
b
c
d
e
f
g
h
Primary 3a
b
c
d
e
f
g
h
Primary 4a
b
c
d
e
f
g
h
i
j
k
Primary 5a
b
c
d
e
f
g
h
i
j
k
Primary 6a
b
c
d
e
f
g
h
i
j
k
l
Previous Years' Deployment
How many PE classes are you teaching in .........
2001None
1
2
3
4
5
>5(Fill-in no.)
2000None
1
2
3
4
5
>5(Fill-in no.)
Next Year's Deployment
Yes, I would like to teach PE next year.
No, please spare me.
3) Courses Attended Related to PE
2001
2000
1999
1998
Courses I would like to attend or
I need a workshop / sharing in the following areas:-
I would like to recommend the puchase of these equipment /
I would like to recommend the additional purchase of these equipment.
(Give a number if possible)
Comments about current PE Room (Container) /
Suggestions about PE Room after Prime