Republic of the Philippines Form No.

: FM-DPM-CFCST-RER-06
Issue Status : 01
COTABATO FOUNDATION COLLEGE OF SCIENCE AND TECHNOLOGY Revision No. : 00
Barangay Doroluman, Arakan, Cotabato Date Effective
Approved
: 27 January 2022
: President
Contact No. +639685331496 / +639670025670
Email Address: admin@cfcst.edu.ph Website: www.cfcst.edu.ph

RESEARCH ETHICS REVIEW

INFORMED CONSENT ASSESSMENT FORM (Form D)
Control No.: GS-MAEd-103

TEACHERS’ QUESTIONING STRATEGY AND

Study Protocol Title INSTRUCTIONAL BEHAVIOR TOWARDS PROFESSIONAL
COMMITMENT
Researcher SAMSUDIN B. GIOSOP
Department GRADUATE SCHOOL
Date Submitted MARCH 17, 2023

C NC N/A
1 Informed consent form is attached
The information sheet is free of technical terms, is written in lay-persons’
2
language, and is easily understandable, complete, and adequate
3 The proposal makes it clear that the proposed study is research
The proposal explains the purpose of the study and the justification of the
4
participants’ eligibility in participating in the study
5 The proposal clearly states the period to accomplish the study
The proposal provides the participants full description of the nature, sequence and
6
frequency of the procedures to be carried out
The protocol provides a description or explanation as to the nature and likelihood
of anticipated discomfort or adverse effects, including psychological and social
7
risks, if any and what has been done to minimize these risks, and the action to be
taken if they occur
The proposal describes/ enumerates the possible benefits, if any, to the research
8
participants
The proposal describes/ enumerates the possible benefits, if any, to the
9
community or to society
The proposal describes/ enumerates the procedure that will be followed to protect
10 the confidentiality of participants’ data (either that provided by participants or
that derived during and from the research itself
The proposal contains a description conveying to a participant that confidentiality
11
is waived due to the research design of the study
Provisions on voluntary participation, which include the participants are free to
12 decide not to participate, refusal to participate (or discontinue participation) with
no penalty or loss of medical benefits to which they are otherwise entitled to
The proposal provides a description of the nature of any compensation or
13 reimbursement to be provided (in terms of time, travel, man-days lost from work,
etc.)
14 The proposal includes other options of participation
The proposal provides the description of procedure that will be followed to keep
15
the participants informed of the progress and outcome of the research
The proposal includes the contacts such as the name and contact details of a
16
person who can provide more information about the research projects at any time

Provisions on participants/ subjects incapable of reading and signing the written

17
consent form (e.g. illiterate patients) (Please explain on another sheet/s of paper)
Provision describing incapability of participants to giving personal consent (e.g.
because of cultural factors, children or adolescents less that the legal for consent
18 in the country in which the research is taking place, participants with mental
illness, etc.) to express their decision. (Please explain on another sheet/s of
paper)
19 The consent certificate includes the statements “I have read the foregoing
information, or it has been read to me. I have had the opportunity to ask questions
about it and any question I have asked have been answered to my satisfaction. I
consent voluntarily to participate as a subject in this study and understand that I
 Republic of the Philippines Form No. : FM-DPM-CFCST-RER-06
Issue Status : 01
COTABATO FOUNDATION COLLEGE OF SCIENCE AND TECHNOLOGY Revision No. : 00
Barangay Doroluman, Arakan, Cotabato Date Effective
Approved
: 27 January 2022
: President
Contact No. +639685331496 / +639670025670
Email Address: admin@cfcst.edu.ph Website: www.cfcst.edu.ph

have the right to withdraw from the study at any time without in any way it is
affecting my person or reputation.”
Legend: C – Complied NC – Not Complied N/A – Not Applicable

Submitted by:

SAMSUDIN B. GIOSOP
Researcher Name & Signature

Endorsed/Recommended by:

MAHIRAH B. SALIK, EdD

Research Adviser/ Mentor
Date Endorsed: ______________