i

(Please be reminded that Data Privacy

Act of 2012 (R.A. 10173) STRONGLY
PROHIBITS sharing of files or
information without the consent of the
owner. Penalty will be imposed to
those found guilty of sharing files or
information without the owner’s
consent.)

(To follow the school format for research

outputs, sample words/phrases/sentences
or entries highlighted in yellow must be
REPLACED with those that are
appropriate to your own study. Take note
of the different color pairs between the
sub-problems and the hypothesis(es).
They indicate pairs of sentences between
these two parts. REPLACE them with
words appropriate to your study. Follow
instructions highlighted in grey before
deleting them.)
 [ENCODE THE TITLE OF THE RESEARCH PAPER IN CAPS & BOLD. ADD]

[THIS SECOND LINE FOR THE RESEARCH TITLE WHEN NEEDED, AND]

[THIS THIRD LINE FOR THE TITLE WHEN STILL NEEDED.]

An Undergraduate Research Proposal

Presented to the Faculty of the College of [Encode the Name of the College which

may use this next line if the College Name is long.]

Mater Dei College

Tubigon, Bohol, Philippines

In Partial Fulfillment

of the Requirements for the Course

[Encode Course Code] - [Encode Course Title]

by

RESEARCHER1 FIRST NAME MIDDLE INITIAL AND FAMILY NAME

RESEARCHER2 FIRST NAME MIDDLE INITIAL AND FAMILY NAME
RESEARCHER3 FIRST NAME MIDDLE INITIAL AND FAMILY NAME
RESEARCHER4 FIRST NAME MIDDLE INITIAL AND FAMILY NAME
RESEARCHER5 FIRST NAME MIDDLE INITIAL AND FAMILY NAME
RESEARCHER6 FIRST NAME MIDDLE INITIAL AND FAMILY NAME

Month (in Title Case) Year

 ii

APPROVAL SHEET

This research paper with the title [RESEARCH TITLE IN BOLD & FULL
CAPS] prepared and submitted by [First Names M.I. Last Names in bold & Title
Case separated by commas] in partial fulfillment of the requirements for the course
in [Course Number] ([Course Title]) has been examined and recommended for
acceptance and approval for Oral Examination.
THESIS COMMITTEE
[FIRST NAME M.I. LAST NAME, Degree]
Thesis Adviser

[FIRST NAME M.I. LAST NAME, Degree] [FIRST NAME M.I. LAST NAME, Degree]
Member Member

[FIRST NAME M.I. LAST NAME, Degree]

Chairman

ACCEPTED as partial fulfillment of the requirements for the course in

[Course Number] - [Course Title]

[FIRST NAME M.I. LAST NAME, Degree]

Chairman/Dean, College of [Name of College]
----------------------------------------------------------------------------------------------------------------
PANEL OF EXAMINERS

APPROVED by the Tribunal at the Oral Examination with the grade of ________.

[FIRST NAME M.I. LAST NAME, Degree]

Thesis Adviser

[FIRST NAME M.I. LAST NAME, Degree] [FIRST NAME M.I. LAST NAME, Degree]
Member Member

[FIRST NAME M.I. LAST NAME, Degree]

Chairman

Oral Examination Date: [Date]

[FIRST NAME M.I. LAST NAME, Degree]

Chairman/Dean, College of [Name of College]
 iii

TABLE OF CONTENTS

Page
TITLE PAGE ………………….………………..…………….………… i

APPROVAL SHEET ……………………………………………………….…... ii

TABLE OF CONTENTS ……………………………………………………………. iii

LIST OF TABLE(S) AND FIGURE(S) ..………………………………………………. iv

INTRODUCTION ………………………………….……………………………………. 1

Rationale of the Study ……………………….………….………………… 1

Theoretical Background ………………….………….……………………… 3

THE PROBLEM ………………………………………….………….………………… 12

Statement of the Problem ……………..………………..…………………..… 12

Research Hypothesis(es) (whenever applicable) ……..………....………….. 14

Significance of the Study …………………………..……………….………… 15

RESEARCH METHODOLOGY ………………….……..…………………………… 16

Design ………………………….…………………… 16

Environment ………………………….…………………… 16

Participants …..………………………….………………… 17

Instrument(s)/Sources of Data …..………………………..………………. 18

Procedures ….…………………………….……………… 20

Gathering of Data ……………………………………….…………… 20

Statistical Analysis/Treatment of Data ………….…………………… 21

DEFINITION OF TERMS …………………………………………….….…… 22

ORGANIZATION OF THE STUDY………………………………………….……… 56

REFERENCES ……………………………………………….…………… 57
 iv

APPENDICES

A. Letters & Informed Consent Form ……………..……….….………… 60

B. Research Instrument(s) ………………….………………………… 63

C. [Give a Title to Other Relevant Document(s), if any] ……………….… 68

CURRICULUM VITAE ………………………………………….………… 70

LIST OF TABLES AND FIGURES

Table Title Page

1 [Encode Table 1 Title here.] ……………………………………………. [23]

2 [Encode Table 2 Title here.] ……………………………………………. [30]

3 [Encode Table 3 Title here.] ……………………………………………. [33]

4 [Encode Table 4 Title here.] ……………………………………………. [43]

.
 v

Figure

1 [Encode Figure 1 Title here.] ……………………………………………. [19]

2 [Encode Figure 2 Title here.] ……………………………………………. [39]

3 [Encode Figure 3 Title here.] ……………………………………………. [42]

4 [Encode Figure 4 Title here.] ……………………………………………. [33]

 INTRODUCTION

Rationale of the Study

[The Rationale of the Study will be presented here in one or two paragraphs.

This may take around 1½ to two pages. ……………………………………………………

………………………………………………………………………………………..…………

………………………………………………………………………………………………….]

Theoretical Background

Theory/Theories

[The presentation of the theory or theories used in the research paper will be

made here. The theory or theories are presented as foundation of the present

research topic chosen. State how the theory(ies) are made the anchor of your topic.

This part may take two or more pages depending on the number of theories.

……………………………………………………………………………………..…………..

…………………………………………………………………………………………………]

Legal Basis(es)

[The presentation of the Legal Bases used in the research paper will be made

here. Paragraphs follow as the related legal bases are presented. This part may

take one to three pages. ……………….……………………………………..…………..

…………………………………………………………………………………………………

…………………………………………………………………………………………………

…………………………………………………………………………………………………]

Related Literature and Related Studies

 2

[Presentation of the related literature that discusses concepts or variables

related to the present study will be made here. The pieces of related literature are

presented with focus on the concepts or variables related to the present research of

the students. Take note on emphasizing how the concepts or variables that are

related or used in the present study were used in the previous studies and what

results or findings were revealed about them. Do not forget to cite the author, the

title of his/her study, the place where the study was conducted and who were the

research participants. This may take around three or more pages depending on the

number of variables or concepts that your chosen topic contains. .......................……

……………………………………………………………………………….……….………..

………………………………………………………..…………….………………..………]

Synthesis

[This paragraph synthesizes all presented theories, legal bases, related

literature and related studies and establishes their connection to the present research

study of the students. This may contain three or more sentences. …………..….….

…………………………………………………………………………………………………

………………………………………………………………………………………………..]
 3

THE PROBLEM

Statement of the Problem (This is just a sample on how your SOP is written.)

This study investigated the health-related quality of life and the job

satisfaction of private school teachers in the province of _____________ during the

time of pandemic from March 2020 to the present. In addition, analysis was

conducted on how their health-related quality of life was related with their job

satisfaction.

Specifically, this study sought answers to the following questions:

1. What is the demographic profile of these participants in terms of

1.1 sex;

1.2 age;

1.3 educational attainment;

1.4 frontliner type; and

1.5 number of months working as frontliner?

2. What is the perceived health-related quality of life of the participants in

terms of:

2.1 overall Quality of Life;

2.2 general health;

2.3 physical health;

2.4 psychological health;

2.5 social relationships; and

2.6 environment?

3. What is the perceived job satisfaction of the participants in terms of the

 4

3.1 intrinsic factors; and

3.2 extrinsic factors?

4. Are there significant differences in the physical health, psychological

health, social relationships, environment, and overall quality of life and general

health when participants are classified according to

4.1 sex;

4.2 age;

4.3 educational attainment;

4.4 frontliner type; and

4.5 number of months working as frontliner?

5. Are there significant differences in the intrinsic and extrinsic job satisfaction

when participants are classified according to

5.1 sex;

5.2 age;

5.3 educational attainment;

5.4 frontliner type; and

5.5 number of months working as frontliner?

6. Is there a significant degree of correlation between health-related quality of

life and job satisfaction of the participants?

Research Hypothesis(es) (whenever necessary, and based on the SOP)

In the conduct of this study, the following research hypotheses were proposed:
 5

1. There are significant differences in the physical health, psychological health,

social relationships, environment, and overall quality of life and general health when

participants are classified according to

1.1 sex;

1.2 age;

1.3 educational attainment;

1.4 frontliner type; and

1.5 number of months working as frontliner.

2. There are significant differences in the intrinsic and extrinsic job satisfaction

when participants are classified according to

2.1 sex;

2.2 age;

2.3 educational attainment;

2.4 frontliner type; and

2.5 number of months working as frontliner.

3. There is a significant degree of correlation between health-related quality

of life and job satisfaction of the participants.

Significance of the Study

[Write the groups of people who can benefit from your study and how

they will benefit from it starting from those who will benefit the most. Write this

part in PARAGRAPH form. This usually takes one page. ………….……..…………

………………………………………………………………………………….……………….

………………………………………………………………………………………………….]
 6

RESEARCH METHODOLOGY

Design (Sample ONLY for studies not using any mixed methods design)

[This study employed the cross-sectional design of the survey approach

(Edmonds & Kennedy, 2017), also named as cross-sectional explanatory design

(Johnson & Christensen, 2016). This study gathered the data at one point in time

from the research participants with the aid of the standardized questionnaires called

World Health Organization Quality of Life (WHOQOL-BREF) for the health-related

quality of life and the Minnesota Satisfaction Questionnaire (MSQ) for job satisfaction.

The data were used to describe the degree of health-related quality of life and the job

satisfaction of the COVID-19 frontliners at the time of the pandemic and to analyze

and explain the relationship between the health-related quality of life and job

satisfaction of these COVID-19 frontliners.]

Design (Sample ONLY for studies using mixed methods design)

[This study employed the data-validation design of the convergent-parallel

approach (Edmonds & Kennedy, 2017) which is one of the mixed methods. This

study gathered the quantitative data through a questionnaire containing the

standardized questionnaires called World Health Organization Quality of Life

(WHOQOL-BREF) for the health-related quality of life and the Minnesota Satisfaction

Questionnaire (MSQ) for job satisfaction. The qualitative data that were gathered

through one-on-one interview were used to validate the information from the
 7

quantitative results. The data were used to describe the degree of health-related

quality of life and the job satisfaction of the COVID-19 frontliners at the time of the

pandemic and to analyze and explain the relationship between the health-related

quality of life and job satisfaction of these COVID-19 frontliners.]

Environment

[This section will describe fully the place where the study will be conducted. If

possible, the environment descriptions will be written with specific information

relevant to the nature of the research to be conducted. This may take less than one

page. …………………………………………………………………….………...……………

……………………………………………………………………………………...……………

……………………………………………………………………………………...……………

…………………………………………………………………………………………………..]

Participants

[This section will describe fully the research participants of the study. This

includes the descriptions of the intended participant classifications in the profile of the

SOP. If possible, the description of the research participants will be written with

specific information relevant to the nature of the research to be conducted. Describe

also the sampling design with specification on how you will get the sample units from

the population whenever you will not use the entire population of your study, and how

the sampling size will be computed including its specific sample size value. This may

take one or more pages. ………………….………………………..……………..…………

……………………………………………………………………………………...…………..]

Instrument(s)/Sources of Data (This is a sample only but you may use this pattern.)
 8

The instrument that was utilized to collect the data in this study was a

questionnaire that composed of three parts. The first part was researcher-made that

asked for the profile of the participants. The second part was a standardized

questionnaire called World Health Organization Quality of Life instrument, short form

(WHOQOL-BREF) which was derived from the WHOQOL-100 that measured the

health-related quality of life of the research participants. This standardized

questionnaire appeared to be reliable with Cronbach’s Alpha coefficient greater than

0.70 (Van Esch, Den Oudsten & De Vries, 2011). The WHOQOL-BREF contained

four domains of Physical health, Psychological health, Social relationships, and

Environment with additional two items about Overall QOL and General health. It was

answered using a 5-point rating scale. The parameters used in this standardized

questionnaire were as follows:

a. For the Quality of Life question,

Code Response Interval Interpretation

5 Very Good 4.21 – 5.00 Very High quality of life
4 Good 3.41 – 4.20 High quality of life
3 Neither Poor nor Good 2.61 – 3.40 Moderate quality of life
2 Poor 1.81 – 2.60 Low quality of life
1 Very Poor 1.00 – 1.80 Very Low quality of life

b. For the General Health question,

Code Response Interval Interpretation

5 Very Satisfied 4.21 – 5.00 Very High quality of life
4 Satisfied 3.41 – 4.20 High quality of life
3 Neither Satisfied nor Dissatisfied 2.61 – 3.40 Moderate quality of life
2 Dissatisfied 1.81 – 2.60 Low quality of life
1 Very Dissatisfied 1.00 – 1.80 Very Low quality of life

c. For questions 3 to 9 that ask how much certain things have been experienced,

Code Response Interval Interpretation

5 An extreme amount 4.21 – 5.00 Very High quality of life
 9

4 Very much 3.41 – 4.20 High quality of life

3 A moderate amount 2.61 – 3.40 Moderate quality of life
2 A little 1.81 – 2.60 Low quality of life
1 Not at all 1.00 – 1.80 Very Low quality of life

d. For questions asking how completely things are experienced or done,

d.1 Questions 10 to 14:

Code Response Interval Interpretation

5 Completely 4.21 – 5.00 Very High quality of life
4 Mostly 3.41 – 4.20 High quality of life
3 Moderately 2.61 – 3.40 Moderate quality of life
2 A little 1.81 – 2.60 Low quality of life
1 Not at all 1.00 – 1.80 Very Low quality of life

d.2 Question 15:

Code Response Interval Interpretation

5 Very Good 4.21 – 5.00 Very High quality of life
4 Good 3.41 – 4.20 High quality of life
3 Neither Poor nor Good 2.61 – 3.40 Moderate quality of life
2 Poor 1.81 – 2.60 Low quality of life
1 Very Poor 1.00 – 1.80 Very Low quality of life

d.3 Questions 16 to 25:

Code Response Interval Interpretation

5 Very Satisfied 4.21 – 5.00 Very High quality of life
4 Satisfied 3.41 – 4.20 High quality of life
3 Neither Satisfied nor Dissatisfied 2.61 – 3.40 Moderate quality of life
2 Dissatisfied 1.81 – 2.60 Low quality of life
1 Very Dissatisfied 1.00 – 1.80 Very Low quality of life

d.4 Question 26:

Code Response Interval Interpretation

5 Never 4.21 – 5.00 Very High quality of life
4 Seldom 3.41 – 4.20 High quality of life
3 Quite Often 2.61 – 3.40 Moderate quality of life
2 Very Often 1.81 – 2.60 Low quality of life
1 Always 1.00 – 1.80 Very Low quality of life

A letter through email was sent to the World Health Organization (WHO) on

the use of this questionnaire when it was approved for data gathering and WHO
 10

responded positively through email. Lastly, the third part was from the standardized

questionnaire called the short form of the Minnesota Satisfaction Questionnaire

(MSQ) of the University of Minnesota that was composed of 20 questions. The

original version of the MSQ was 100-item long designed by Dr. Weiss in 1967. The

20-item MSQ contained two factors classified as Intrinsic and Extrinsic Satisfaction of

the job. Questions 1, 2, 3, 4, 7, 8, 9, 10, 11, 15, 16, and 20 asked for intrinsic job

satisfaction while questions 5, 6, 12, 13, 14, 17, 18, and 19 for extrinsic job

satisfaction. This short-form used the same response categories in the 1977 long

form that contains the following parameters:

Code Response Interval Interpretation

5 Very Satisfied 4.21 – 5.00 Very High job satisfaction
4 Satisfied 3.41 – 4.20 High job satisfaction
3 Neutral 2.61 – 3.40 Moderate job satisfaction
2 Dissatisfied 1.81 – 2.60 Low job satisfaction
1 Very Dissatisfied 1.00 – 1.80 Very Low job satisfaction

The Chinese translation of this questionnaire was used lately in the study on

job satisfaction of frontline medical staff during COVID-19 pandemic in China by Yu et

al. (2020). The short form of MSQ had been used in several researches already since

it was found to be stable over time with excellent coefficient alpha values from 0.85 to

0.91 and was more parsimonious compared to other instruments of job satisfaction

(Martins & Proenca, 2012). MSQ has now been declared to be free of charge and

can be used without written consent provided due acknowledgment will be given to

Vocational Psychology Research, University of Minnesota as the source (University

of Minnesota, 2021). However, a letter asking permission for its use in this study was

sent through email to the University.

Procedures
 11

Gathering of Data

[This section presents the chronological activities or steps to be done starting

from the writing of the letters to the Dean and the Heads of Office(s) concerned

where the research participants are located to ask for their permission towards how

the research participants will be identified, approached, and made to participate in

the study. This section also describes how the research participants will participate

in the research study. This will conclude with how the Data Privacy Act of 2012 or

Republic Act 10173 will be ensured for the research participants. This section may

take more than one page. ……………………………………………..……………………

…………………………………………………………………………………………………]

Statistical Analysis/Treatment of Data (This is a sample from a study not using mixed methods)

The statistical tools utilized were the frequencies, percentages, weighted

means, independent t-test, one-way analysis of variance (ANOVA), and Pearson

Product Moment Correlation. The frequencies and percentages were used to

analyse the demographic profile of the participants. The weighted mean was used to

compute for the categories of and the overall health-related quality of life and the job

satisfaction of the participants. The analysis on the significance of the differences in

health-related quality of life and job satisfaction of the participants according to

profile made use of the independent t-test for sex and one-way ANOVA for age,

educational attainment, frontliner type, and the number of months working as

fontliner. Lastly, the significance of the degree of relationship or correlation between

the health-related quality of life and the job satisfaction of the participants was
 12

investigated through the use of Pearson Product Moment Correlation. All

computations were done through the use of Excel.

DEFINITION OF TERMS

[This part will start with a new page with the title encoded in the first line. The

terms to be defined here must come from the content words of the Statement of the

Problem only.

The terms will be encoded in bold but their definitions are not. Arrange the

terms defined in alphabetical order.

Definitions will be indented……………………………………………………………

…………………………………………………………………………………………………..]
 13

ORGANIZATION OF THE STUDY

[This section presents the organization of your study. This is usually

presented in chapter forms]

Chapter 1 presents the Problem and its Scope which consists of the rationale

of the study, theoretical background, and synthesis.

Chapter 2 deals with …[Refer to old copies of researches that are found in the

library].

Chapter 3 includes ……[Refer to old copies of researches that are found in the

library].
 14

REFERENCES [This section starts with a new page.]

Edmonds, W. A. & Kennedy, T. D. (2017). An Applied Guide to Research Designs:

Quantitative, Qualitative, and Mixed Methods (2 nd ed). SAGE Publications, Inc.

Johnson, R. B. & Christensen, L. (2016). Educational Research: Quantitative,

Qualitative, and Mixed Approaches (6th ed). SAGE Publications, Inc.

[Add more references based on your citations in the body of your research
output. Please see to it that ALL your cited sources are also encoded in the
References and ALL listed sources in the References are cited in your work.
Always follow the 7th edition of the American Psychological Association (APA)
Publication Manual in listing all the references cited in your study.]
 15

Appendix A1

Mater Dei College

Tubigon, Bohol

[Date]

[DEAN COMPLETE NAME]

Dean, College of _______________
Mater Dei College

Sir/Madam:

Greetings!

We are presently working on our research study with the title [ENCODE THE TITLE
OF YOUR RESEARCH PAPER IN FULL CAPS AND BOLD]. The purpose of this research
is to [encode the purpose or main objective of your research here]. In this connection, we
would like to ask permission from your office that to conduct this study.
Your favorable consideration and approval to this request are very much appreciated.
Thank you very much and God bless us all!

Sincerely yours,

[RESEARCHER 1 COMPLETE NAME & Sig.] [RESEARCHER 2 COMPLETE NAME & Sig.]
[Course & Year] Student [Course & Year] Student

[RESEARCHER 3 COMPLETE NAME & Sig.] [RESEARCHER 4 COMPLETE NAME & Sig.]
[Course & Year] Student [Course & Year] Student

[RESEARCHER 5 COMPLETE NAME & Sig.] [RESEARCHER 6 COMPLETE NAME & Sig.]
[Course & Year] Student [Course & Year] Student

Noted:

[ADVISER COMPLETE NAME, ____]

Research Adviser
 16

Approved:

[DEAN COMPLETE NAME, ______]

Dean, College of _________

Appendix A2

Mater Dei College

Tubigon, Bohol

[Date]

[COMPLETE NAME OF HEAD OF ____]

[Designation]
[Specify the Office or Municipality]
[Address]

Dear ___________:
Greetings!
We are presently working on our research study with the title [ENCODE THE TITLE OF
YOUR RESEARCH PAPER IN FULL CAPS AND BOLD]. The purpose of this research is to
[encode the purpose or main objective of your research here]. In this connection, we would like to
ask permission from your office that to conduct this study in your [State here if municipality or
barangay, or office, etc.].
Your favorable consideration and approval to this request are very much appreciated.
Thank you very much and God bless us all!

Sincerely yours,

[RESEARCHER 1 COMPLETE NAME & Sig.] [RESEARCHER 2 COMPLETE NAME & Sig.]
[Course & Year] Student [Course & Year] Student

[RESEARCHER 3 COMPLETE NAME & Sig.] [RESEARCHER 4 COMPLETE NAME & Sig.]
[Course & Year] Student [Course & Year] Student

[RESEARCHER 5 COMPLETE NAME & Sig.] [RESEARCHER 6 COMPLETE NAME & Sig.]
[Course & Year] Student [Course & Year] Student

Attested:

[ADVISER COMPLETE NAME, ____]

Research Adviser
 17

Approved:

[OFFICE HEAD COMPLETE NAME, _____]

[Designation]

Appendix A[Encode number here.]

Mater Dei College

Tubigon, Bohol

Letter to the Research Participants

[Date]

Dear Sir/Madam,
Good Day!
We are presently working on our research study with the title [ENCODE THE TITLE
OF YOUR RESEARCH PAPER IN FULL CAPS AND BOLD]. In this connection, we would
like to invite you as one of our research participants to take part in the study. The purpose of
this study is to [encode the purpose or main objective of your research here].
This study involves absolutely NO risks in terms of physical, non-physical risks such
as social, psychological, or economic harm; criminal or civil liability; or damage to financial
standing, employability, or reputation. Your participation in this study is voluntary. It will only
take you [Encode how many minutes] minutes to respond. You have the right not to
participate at all, or to withdraw from this study at any time.
Rest assured that we will protect your responses from unauthorized disclosure and
treat your responses with utmost confidentiality and anonymity. If you decide to participate,
you will be asked to sign the Informed Consent Form.
Thank you very much.

Sincerely yours,

[RESEARCHER 1 COMPLETE NAME & Sig.] [RESEARCHER 2 COMPLETE NAME & Sig.]
[Course & Year] Student [Course & Year] Student

[RESEARCHER 3 COMPLETE NAME & Sig.] [RESEARCHER 4 COMPLETE NAME & Sig.]
[Course & Year] Student [Course & Year] Student

[RESEARCHER 5 COMPLETE NAME & Sig.] [RESEARCHER 6 COMPLETE NAME & Sig.]
[Course & Year] Student [Course & Year] Student t
 18

Attested:

[ADVISER COMPLETE NAME, ____]

Research Adviser

Appendix A[Encode number here.]

Mater Dei College

Tubigon, Bohol

Sulat Ngadto sa Mga Research Participants

[Write the VERNACULAR EQUIVALENT (the day-to-day language used by your

participants which may NOT be the pure Visayan or Cebuano) of your Letter to the

Participants here, whenever needed, depending on the nature of your research

participants. Be sure to submit the vernacular form for content validation to the

people who know English and their vernacular equivalents. This equivalent must be

written in the same format as its original letter in English.]

 19

Appendix A[Encode number here.]

Mater Dei College

Tubigon, Bohol

INFORMED CONSENT FORM

I understand that I was selected to participate in this study and I am giving my

consent by signing this document to be a participant of this research engagement
that will be conducted by [Encode the full name(s) with Middle Initial(s) and contact
numbers of the researcher(s) here.], [Specify if student(s)/faculty] of the College of
[Encode the College name here.], in this institution. I understand that the research
with the title [Write the research or thesis title in CAPS & bold here.] will be done in
partial fulfilment of the requirements of the course in [Write Course Number (Write
Course Title)] of the Bachelor in [Write the program title.] program.
I understand that the gathering of data shall be conducted through [Specify if
online, or in whose office, or in what place.]. I will be made to respond to the
questions included in the [Specify if questionnaire or interview or protocol or focus
group discussion or any data gathering technique] and it will only take me [Specify
number of minutes or hours.] to participate in this study with provision for a follow up
when needed so I understand that the researchers may contact me for more
information in the future.
I have been informed that participation in this research undertaking is entirely
voluntary and, after I sign this consent form, I am still free to withdraw at any time
and without giving a reason. I can refuse to answer any specific question. I have
been told that my answers to the questions will form part of the summarized
information in the undergraduate research paper. Withdrawing from this study will not
affect my relationship that I have, if any, with the researcher(s). If I withdraw from this
study before the data collection will be completed, my data will be destroyed.
[Explain the kind of benefit the participant will receive, whether it is a token, gift
certificate, expense reimbursement, education, new knowledge, etc. If there is no
direct benefit to the participant, state this. For example: I am informed that there will
be no direct benefit to my participation in the study.] I understand that the results of
this research will be given to me if I ask for them and that the [Specify if lead
researcher for group or researcher for individual.], is the person to contact if I have
any questions about the study or about my rights as a study participant.
I understand that my responses in this research will be confidential. Every
effort will be made by the researcher(s) to preserve my privacy by [Explain how the
researche r ( s ) will maintain the confidentiality of data with respect to both
information about the participant and information that the participant shares. Some
measures taken to ensure confidentiality are: (1) assigning codes/pseudonyms for
 20

participants that will be used on all research notes and documents, and, (2)
keeping notes, interview transcriptions, and any other personal identifiers in a locked
cabinet that only the researchers will have access to. If the research is sensitive
and/or involves participants who are highly vulnerable, explain any extra precautions
you will take to ensure safety and anonymity. For focus groups, provide a particular
challenge to confidentiality because once something is said in the group it becomes
common knowledge. Explain to the participant that you will encourage group
participants to respect confidentiality, but that you cannot guarantee it.]
Lastly, I am informed that this study was approved by the Research Ethics
Committee of Mater Dei College. If I have any questions at any time about this
study, or if I experience any risk as a result of my participation, I may contact
the researcher(s). If I have any questions regarding my rights as a research
participant, or if problems arise which I do not feel I can discuss with the researcher, I
can contact the Director of the Research Ethics Office through his cell phone number
09303383611 (TnT).

Signed this [Encode the Date as _th day of Month, Year].

[Participant’s Signature over Printed Name]

Research Participant

[Researcher1’s Signature over Printed Name] [Researcher2’s Signature over Printed Name]
Researcher Researcher

[Researcher3’s Signature over Printed Name] [Researcher4’s Signature over Printed Name]
Researcher Researcher

[Researcher5’s Signature over Printed Name] [Researcher6’s Signature over Printed Name]
Researcher Researcher

Noted:

[Research Adviser’s Signature over Printed Name]

Research Adviser
 21

[Dean’s Signature over Printed Name]

Dean, College of ________________

Appendix A[Encode number here.]

Mater Dei College

Tubigon, Bohol

INFORMED CONSENT FORM (Vernacular)

[Encode the VERNACULAR EQUIVALENT (the day-to-day language used by your

participants which may NOT be the pure Visayan or Cebuano) of your Informed

Consent Form here, whenever needed, depending on the nature of your research

participants. Be sure to submit the vernacular form for content validation to the

people who know English and their vernacular equivalents. This equivalent must be

written in the same format as its original form in English.]

 22

Appendix B1

INSTRUMENT
[ENCODE THE TITLE/SPECIFICATION OF THE INSTRUMENT ABOVE.]

[Encode your Research Instrument here but you must specify in the title of this

Appendix if your Instrument is a Questionnaire, or Interview Guide, etc. and

REPLACE the highlighted word INSTRUMENT above with the word

QUESTIONNAIRE, or INTERVIEW GUIDE, etc. When the entire instrument is

researcher-made, indicate its title, not just a specification as a questionnaire, etc. and

it must replace the word INSTRUMENT as the title of this Appendix. When the

instrument is available in Google form or in any online form, please indicate it in the

Gathering of Data under the Procedures.]

 23

Appendix B2

INSTRUMENT
[ENCODE THE TITLE/SPECIFICATION OF THE INSTRUMENT ABOVE IN THE
VERNACULAR OF YOUR RESEARCH PARTICIPANTS.]

[Encode the VERNACULAR EQUIVALENT (the day-to-day language used by your

participants which may NOT be the pure Visayan or Cebuano) of your Instrument

here, whenever needed, depending on the nature of your research participants. Be

sure to submit the vernacular form for content validation to the people who know

English and their vernacular equivalents. This equivalent must be written in the same

format as its original instrument in English.]

 24

Appendix B3

INSTRUMENT
[ENCODE THE TITLE/SPECIFICATION OF YOUR NEXT INSTRUMENT ABOVE.]

[Encode your next Research Instrument here but you must specify in the title of this

Appendix if your Instrument is a Questionnaire, or Interview Guide, etc. and

REPLACE the highlighted word INSTRUMENT above with the word

QUESTIONNAIRE, or INTERVIEW GUIDE, etc. When the entire instrument is

researcher-made, indicate its title, not just a specification as a questionnaire, etc. and

it must replace the word INSTRUMENT as the title of this Appendix. When the

instrument is available in Google form or in any online form, please indicate it in the

Gathering of Data under the Procedures.]

 25

Appendix B4

INSTRUMENT
[ENCODE THE TITLE/SPECIFICATION OF YOUR LAST INSTRUMENT ABOVE IN
THE VERNACULAR OF YOUR RESEARCH PARTICIPANTS.]

[Encode the VERNACULAR EQUIVALENT (the day-to-day language used by your

participants which may NOT be the pure Visayan or Cebuano) of your Instrument

here, whenever needed, depending on the nature of your research participants. Be

sure to submit the vernacular form for content validation to the people who know

English and their vernacular equivalents. This equivalent must be written in the same

format as its original instrument in English.]

[All the remaining instruments of the research study must be written and

numbered under Appendix B as the previous ones.]

 26

CURRICULUM VITAE

[Encode the Curriculum Vitae of the Researchers with ID picture and contact details
such as Gmail/Email address, FB/Messenger account, Cell Phone Number,
Telephone Number (when possible), and residence address with their Baccalaureate
programs taken and their year level. They must follow the same format. They will be
guided by their Research Deans and Advisers.
27