Working title

Proponent

Type of study (Please tick one)

Historical (documents, official records, etc.)
Descriptive survey (Testing, questionnaire, interview, observational etc.)
Case study
Experimental (single group, experimental-control groups, replications)
Correlational
Others ______________________________

Time Frame (Please tick one)

Less than one grading quarter
One grading quarter
One semester
One school year

Does your proposed study need funding?

Yes. Esstimated cost _____________________________
No.

5 4 3 2 1

Title is clear and concise. 5 4 3 2 1

Objective of the study is clearly and adequately described. 5 4 3 2 1

Problem is anchored to the Deped Research Agenda 5 4 3 2 1

Decision for the type of study is clearly described/discussed. 5 4 3 2 1

Design is adequate and appropriate to the problem/s. 5 4 3 2 1

Design is adequately described. 5 4 3 2 1

Total