EFFECT OF PIGGERY FARMING TO THE SENIOR CITIZENS HEALTH

Informed Consent Form

[Name of Principal Investigator: Ms. Sarah Mae S. Molon]

[Name of Department/Institution: Department of Education – Santa Fe
National High School]
[Name of Proposal: EFFECT OF PIGGERY FARMING TO THE SENIOR
CITIZENS HEALTH

This Informed Consent Form has two parts:

 Information Sheet (to share information about the research with
you)
 Certificate of Consent (for signatures if you agree to take part)

You will receive a copy of the full Informed Consent Form.

PART I: Information Sheet

Introduction
I am a teacher at Santa Fe National High School. I am conducting the
action research entitled "EFFECT OF PIGGERY FARMING TO THE SENIOR
CITIZENS HEALTH." In line with this, I am inviting you to be a respondent of
this investigation and request you to spare a few minutes of your time to read
and answer this informed consent form honestly. If there are contents in this
form you do not understand and find ambiguous, please contact the
proponent. Rest assured that all the answers are treated with the utmost
confidentiality.

Purpose of the study

The purpose of the study is for the implementation of EFFECT OF
PIGGERY FARMING TO THE SENIOR CITIZENS HEALTH. Backyard
piggery owners may face legal violations due to environmental standards.
Living near a piggery farm can cause stress, health issues, and discomfort for
senior citizens due to noise, air pollution, water with toxic waste particles,
spread of species and waste to surrounding neighborhoods. Strict regulations
and proper waste management are crucial to protect community health and
well-being. The purpose of this study is to determine the effect of piggery
farming to the senior citizens health in how it can affect their well-being,
particularly in terms of health issues.

Type of Research Intervention

This research will involve observation and data mining.

Participant Selection
Senior Citizens are the participants of this action research.
Voluntary Participation
 Your participation in this research is voluntary. It is your choice whether
to participate or not. Whether you choose to participate or not, does not affect
your academic performance. It is not to be used against you later.

Study Procedures
The researcher will observe you in the conduct of the Effect of Piggery
Farming to the Senior Citizens Health. Portfolios submitted will be used
further as a data source for analysis and presentation of results.
To ensure that you will have a full understanding of the purpose of the
study, the proponent will first explain the objectives of the research and the
intended benefits of the respondents themselves.

Duration
The research takes place for three to six months. During that time, you
will be observed by the proponent in the actual implementation of the work
immersion program of the Effect of Piggery Farming to the Senior Citizens
Health, and the portfolios submitted will also be used as the source of data.

Risks
I am asking you to share information on the experiences and learnings
gained from the Effect of Piggery Farming to the Senior Citizens Health. You
may decline to answer any questions and you may withdraw your participation
at any time if you choose.

Benefits
Once the study is complete, I will be proposing to implement this
program in the DepEd Cebu Province.

Reimbursements
You will not be provided with any payment to take part in the research.

Confidentiality
Your responses in this research will be anonymous. The researcher will
make every effort to preserve your confidentiality, including the following:
1. Assigning codes/pseudonyms for participants that will be used on
all research notes and documents.
2. Keeping notes, interview transcriptions, and any other personal
identifiers in a locked cabinet that only the proponent will have
access to
PART II: Certificate of Consent

I have read the provided information, or it has been read to me. I have
had the opportunity to ask questions about it and any questions I have
been asked have been answered to my satisfaction. I understand that I
will be given a copy of this form, and the proponent will keep another
copy on file. I consent voluntarily to be a participant in this study.

Print Name of Participant _____________________________

Signature of Participant _____________________________
Date _____________________________
Day/month/year

Print Name of Proponent SARAH MAE S. MOLON

Signature of Proponent _____________________________
Date _____________________________
Day/month/year