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INFORMED CONSENT
Researchers:
Andres, Dharzielynn A. Mamuri, John Jasper B.
Austria, Franzen T. Panganiban, Precious Angel S.
Baquiran, Raven Nazzer Suba, Jamilla S.
Catalon, John Vic Tamani, John Michael C.
Lago, Jetrick Jay T. Vergara, Jayson A.
Lazo, Jannel Keith P.
Introduction:
The aforementioned researcher is extending an invitation to you to take part in a
research project. Kindly take a moment to go over this form and ask any questions you may
have before agreeing to take part in the study.
Purpose:
This study aims to determine whether smart shaming affects the academic performance
of the School of St. Joseph the Worker Inc.'s senior high school honour students.
Procedures:
If you choose to take part in this research, you will be required to answer questions
regarding your past experiences with smart shaming on a questionnaire. Your grade level,
strand, experiences with smart shaming, coping mechanisms, and academic achievement will
all be covered in the questionnaire. Additionally, you'll be asked to rate how much you agree or
disagree with statements about your level of self-esteem.
By signing below, you indicate that you have read this form, understand the
nature of the study, and freely consent to participate in this research study.
Signature: __________________________
Print Name: __________________________
Date: _________________________
QUESTIONNAIRE PROPER
Please fill in the information honestly and without reservation. All information
gathered from this questionnaire will be treated with utmost confidentiality and secrecy.
STRAND:
o STEM HUMSS ABM
Kindly indicate the response you agree with, disagree with, strongly disagree with, or
strongly disagree with for each item.
Kindly indicate the response you agree with, disagree with, strongly disagree with, or
strongly disagree with for each item.
Statements Strongly Disagree Agree Strongly
Disagree (2) (3) Agree
(1) (4)