Republic of the Philippines

Department of Education
REGION III – CENTRAL LUZON
SCHOOLS DIVISION OFFICE OF BATAAN
E. C. BERNABE NATIONAL HIGH SCHOOL
SENIOR HIGH SCHOOL
BRGY. ATILANO L. RICARDO, BAGAC, 2107, BATAAN

08/06/2023

EVALUATOR/S
Professional Science Teacher/s
E.C Bernabe National High School

Sir/ Madam:

Greetings of peace and gratitude!

The senior high school student of E.C Bernabe National High school is conducting the thesis entitled:
“Proposed Water Spinach (Ipomoea Aquatica Forssk) Plant Pigment Extract as Developmental Eco-Friendly
Dye”. An observation involving the authority of professional science teachers will be involved via the use of
a rating scale with a given criteria in evaluating the ink as respondents with water color as the highest score
for reference.
With the current coordinator of the Chemistry Laboratory in E.C Bernabe National Highschool as the
main evaluator, the researcher would like to ask for permission to use a weighting, and thermometer tool in
the span of days before the final research defense within the school vicinity.
This stated, the researcher would like your expertise to validate the attached research instrument and
scale to qualify for conduction. Knowing your experience in the field of research and education, I would like
to ask for your help in validating the said instrument before administering the output of this study.
I have attached here in sequence the validation sheet, standardized research instrument of this study,
rating scale with its corresponding criteria, and the informed consent letter. I will be glad to hear your
suggestions and comments for the improvement of the instrument. I am looking forward that my request
would merit your highly appreciated positive response.

Respectfully yours,

JOSE GABRIEL PANILO MANLAPAZ

Grade 12 Level and STEM Strand

Approved:
EVALUATOR/S
Professional Science Teacher/s

Address: Atilano Ricardo, Bagac, 2107, Bataan

Telephone No: (047) 613-4086
E-Mail Address: ecbernabenhs@yahoo.com
E.C. BERNABE NATIONAL HIGH SCHOOL

Research Instrument
The quantitative mediums in this study will be mortar and pestle, thermometer, containers, straining
tools, measuring, and weighting scale provided by the availability E.C Bernabe National Highschool has
located in Atilano L. Ricardo, Bagac, Bataan, Philippines. If eligible to be used for pressing and boiling, in
extracting the pigment of the Water Spinach flower. These instruments will enhance the precision in
observing the measurements of its input, processes, and output, hence, observation and tests will be used in
the experimental pilot trial. And the trials will be presented in a narrative manner therefore making it a mixed
method. A mixed method study includes both quantitative and qualitative instruments, the sole qualitative
instrument that will be used in this study is the 5-point Likert scale with an added criterion. This is to establish
the idea on how the product should be critiqued.
Data Processing
Performing the assessment on the extract on paper surface will be represented by a table of ink
qualities, that will also have a table and weights of 1-5 on a rating scale point with the modern ink as reference
set as the 5th rate standard. On avoiding bias, 5 valid professional science teachers regarding this topic will
participate, and act as a respondent to rate the product itself, shown in the tables and figure below:
General Assessment

Quality Descriptors Observational

Value
Viscosity

Drying

Texture

Color Saturation
Permanence

Table 1. Expected Table for The General Assessment of Inks of Proposed Water Spinach (Ipomoea
Aquatica Forssk) Plant Stem Pigment Extract as Developmental Eco-Friendly Dye
Criteria of Ink Assessment

Criteria Description
1 (Needs Foundation) The quality was not established
2 (Lacks Foundation) The quality was established weakly
3 (Moderate Foundation) The quality was barely established
4 (Acceptable Foundation) The quality was established
5 (Well Based Foundation) The quality is well established
Table 2. Expected Table for The Criteria of Ink Assessment of Proposed Water Spinach (Ipomoea
Aquatica Forssk) Plant Stem Pigment Extract as Developmental Eco-Friendly Dye

Address: Atilano Ricardo, Bagac, 2107, Bataan

Telephone No: (047) 613-4086
E-Mail Address: ecbernabenhs@yahoo.com
E.C. BERNABE NATIONAL HIGH SCHOOL

Informed Consent Form

Title: PROPOSED WATER SPINACH (IPOMOEA AQUATICA FORSSK) PLANT PIGMENT
EXTRACT AS DEVELOPMENTAL ECO-FRIENDLY DYE

Informed Consent Form for __________________________

(Name of TEACHERS, and ADMINISTRATOR)

This informed consent form is for the (TEACHERS, ADMINISTRATORS, and PARENTS) who will
participate in the conduct of the study.

I am Jose Gabriel Panilo Manlapaz a STEM student of E.C. BERNABE NATIONAL HIGH SCHOOL who is
conducting a study entitled, “PROPOSED WATER SPINACH (IPOMOEA AQUATICA FORSSK)
PLANT PIGMENT EXTRACT AS DEVELOPMENTAL ECO-FRIENDLY DYE”.

(Below are only examples of statements of purposes why there is a need to conduct the study, assurance of
confidentiality of information of respondents, and how and where the data will be used. You will create yours
following this format)

 The current study aims to make Kangkong stem part as ink output
 Your participation in this research is entirely voluntary. It is your choice whether to participate or
not in the conduct of the study.
 Also, no monetary benefit will be derived from the conduct of the study.
 There is no conflict of interest since there is no monetary aspect that will be involved in the study.
 Your identity will be considered anonymous, and your answers will be treated confidentially.
 The data gathered will be retained for a maximum of two months after the data gathering processes.

JOSE GABRIEL PANILO MANLAPAZ ____________

Researcher Date

I have read and understood the conditions stated above and I decided to participate voluntarily in the
conduct of the study entitled “PROPOSED WATER SPINACH (IPOMOEA AQUATICA FORSSK)
PLANT PIGMENT EXTRACT AS DEVELOPMENTAL ECO-FRIENDLY DYE”.

__________________________________________ _______________

Name over signature of evaluator Date

Address: Atilano Ricardo, Bagac, 2107, Bataan

Telephone No: (047) 613-4086
E-Mail Address: ecbernabenhs@yahoo.com
E.C. BERNABE NATIONAL HIGH SCHOOL

Reference:

Oducado, R. F. (n.d.). SURVEY INSTRUMENT VALIDATION RATING SCALE. OSF. West Visayas State University, College of Nursing. Retrieved from
https://osf.io/yzatc/download

Address: Atilano Ricardo, Bagac, 2107, Bataan

Telephone No: (047) 613-4086
E-Mail Address: ecbernabenhs@yahoo.com
E.C. BERNABE NATIONAL HIGH SCHOOL

General Assessment (Sir Mar)4

Quality Descriptors Observational

Value
Viscosity 1

Drying 1

Texture 3

Color Saturation 2
Permanence 5

Table 1. Expected Table for The General Assessment of Inks of Proposed Water Spinach (Ipomoea
Aquatica Forssk) Plant Pigment Extract as Developmental Eco-Friendly Dye
1. 5
2. 4
3. 4
4. 4
5. 5
6. 5
7. 4
8. 4
9. 5
10. 3
11. 4
12. 5
13. 5
General Assessment (Ma’am Joan)3

Quality Descriptors Observational

Value
Viscosity 3

Drying 4

Texture 3

Color Saturation 3
Permanence 3

Table 1. Expected Table for The General Assessment of Inks of Proposed Water Spinach (Ipomoea
Aquatica Forssk) Plant Pigment Extract as Developmental Eco-Friendly Dye
General Assessment (Ma’am Imelda)1

Address: Atilano Ricardo, Bagac, 2107, Bataan

Telephone No: (047) 613-4086
E-Mail Address: ecbernabenhs@yahoo.com
E.C. BERNABE NATIONAL HIGH SCHOOL

Quality Descriptors Observational

Value
Viscosity 4

Drying 2

Texture 3

Color Saturation 4
Permanence 4

Table 1. Expected Table for The General Assessment of Inks of Proposed Water Spinach (Ipomoea
Aquatica Forssk) Plant Pigment Extract as Developmental Eco-Friendly Dye
General Assessment (Ma’am OIC)2

Quality Descriptors Observational

Value
Viscosity 4

Drying 4

Texture 3

Color Saturation 4
Permanence 3

Table 1. Expected Table for The General Assessment of Inks of Proposed Water Spinach (Ipomoea
Aquatica Forssk) Plant Pigment Extract as Developmental Eco-Friendly Dye
General Assessment (Sir Jeff)5

Quality Descriptors Observational

Value
Viscosity 2

Drying 4

Texture 3

Color Saturation 3
Permanence 2

Table 1. Expected Table for The General Assessment of Inks of Proposed Water Spinach (Ipomoea
Aquatica Forssk) Plant Pigment Extract as Developmental Eco-Friendly Dye
1. To 13. 4 all

Address: Atilano Ricardo, Bagac, 2107, Bataan

Telephone No: (047) 613-4086
E-Mail Address: ecbernabenhs@yahoo.com