Republic of the Philippines

Department of Education
REGION VIII
DIVISION OF SOUTHERN LEYTE
DISTRICT OF HINUNANGAN I
HINUNANGAN NATIONAL HIGH SCHOOL
BANGCAS A/B, HINUNANGAN, SOUTHERN LEYTE
Letter of Consent

Dear Respondents,

Greetings with peace!

We, the Grade 12 STEM Gloria Macapagal-Arroyo, of Hinunangan National High School, are
conducting a study entitled “Addressing Health Discrepancies: A Quantitative Analysis of the
Relationship between Low-Income Residents and their Access to Quality Healthcare in Hinunangan”
as a prerequisite fulfilment of the Practical Research II subject. The said research aims to know the status
of healthcare accessibility of residents in the municipality of Hinunangan in connection to their low-
income status.

In line with this, we are writing to seek your consent for participation in the research study. We, the
researchers in this study values the insights and experiences regarding access to healthcare as a low-
income resident in Hinunangan. Your participation will involve answering the survey questionnaires
given by the researchers.

Your personal information will be kept confidential and used solely for research purposes and your
identity will be anonymized in any reports or publications resulting from this study. Your consent is
integral to the successful completion of this research project. By agreeing to participate, you are giving
us permission to use the data collected for analysis and reporting.

For any inquires and clarification, please contact the researcher’s gmail at mr.giosalupan@gmail.com or
just text to the given phone number (09063997466). If you agree to participate, please sign the attached
copy of the consent and return it to us.

Thank you for participating in this research.

Sincerely,

SERGIO C. SALUPAN
Group Representative
 CONSENT FORM

I understand the purpose and nature of the study, and I am aware that my participation will involve
answering survey questionnaires regarding to the said study. I willingly agree to participate and
understand that my personal information will be kept confidential and used strictly for research
purposes.

I acknowledge that my participation is voluntary and that I am free to withdraw at any stage of the
study without any repercussions or prejudice. I have been given the contact details and understand that
I can reach out for any further information or questions regarding the study.

I give my consent for the information collected during the study to be used in publications,
presentations, or reports, ensuring anonymity and confidentiality. Therefore, I voluntarily agree to be
part in this study.

Participant’s Signature Date

Researcher’s Signature Date