APPENDIX B

Consent Agreement Form

Title of the Study. “The Perception of Senior High students of Saint Peter’s College of
Toril on Street Food.”

Researchers:
Cyril Jess Astronomo
Cesar Baillo III
Jessica Bueno
Carmina Calingasan
Mitch-J Dipus
Leanne Plaza
Celvin Putian
Description of the Study
Thank you very much for participating to our conducted survey for our research paper.
Your participation is completely voluntary. You can choose not to participate at any time
or change your mind, and you can also stop answering questions at any time.
Your participation will be very helpful in providing information about a group that is often
marginalized and whose experiences are not often heard. We are interested in hearing
about your experiences with mobility experiences on hand. The researchers will give you
survey questionnaire. The entire survey will take about five-ten minutes.

Risk and Benefits

Some of our questions may be personal and may focus on your perception on street food.
There is a risk that you may experience feelings of anxiety, anger, or sadness as you
answer some of the questions. We encourage you to seek counselling if this interview
brings out issues that you would you like to someone about and therefore, you will be
provided with a list of counselling resources. You may request a break at any time or
refuse to answer question at any time.
Confidentiality
All the information that you share is confidential. We will never include your name or any
of your identification information with the information that we received from you. All
identifying material, including this singed consent form will be stored separately in a
locked filled cabinet. Other than ourselves, our adviser, who is overseeing our project, will
have access to these records. Records will be kept confidential to the extent provided by
the Republic of the Philippines or local law. However, the School of Teacher Education
of SPCT and or the government officials responsible for monitoring this study may inspect
the records. One copy of this document will be kept together.

Recognition/Appreciation
You will not incur any financial cost due to your participation in this study.

Contact Information
If you have questions or comments about this study, you may contact the primary
investigator, Ms. Mitch-J Dipus at any time. Her hand phone number is 09165643766.

Study Participation
CONSENT TO PARTICIPATE IN THIS STUDY:
I have read (or been informed) of the information given. _______________________ has
Offered to answer questions I may have concerning the study. I hereby consent to
participate in the study.
______________________________________________________________________
Name and Signature Date

CONSENT TO BE TAKEN PHOTO SHOTS:

Please put a check mark on the box provided before the statement.
󠇯 I am willing to have this survey documented through photo shots.
󠇯 I am willing to have the interview document but photo shots are silhouette or the back
portion only.
______________________________________________________________________
Name and Signature Date