DR. FILEMON C.

AGUILAR MEMORIAL COLLEGE OF LASPIÑAS

Golden Gate Subd., Talon III, Las Piñas City
Tel No. 403-1985, 478-8671, 519-1960

Code:_______________

CONSENT FORM
I agree to participate in this survey research regarding the viability of ghost kitchens during
COVID-19 pandemic in Las Pinas City. I am involving myself as a participant on my own volition.
My participation in this study gives me the chance to experience being a part of a research study
and to contribute to a scientific inquiry that is particularly relevant to courses entailing research
methods. I understand that I am free to decline from participating without being penalized.
I have read and been informed about the following:
1. Description of the study. This research aims to identify the viability of Ghost kitchens
during COVID-19 pandemic in Las Pinas City.
2. Procedures. I understand that I am expected to accomplish survey questionnaires while
keeping my name confidential. My test data shall only be identified through a code number
during the process of data analysis.
3. Questions and Concerns. The researchers agree to answer questions pertaining to this
study Likewise, the researcher agrees to provide me a written explanation about the nature
of the study and a brief result profile upon my request.

Participant’s Signature Date

over Printed Name

Researcher’s Name:
Castroverde, Wency D.

Escalera, Cathlene S.
Estoque, Rico C.
Barolo, Shaina Mae

BSA 1-1