EMILIO AGUINALDO COLLEGE

Dasmarias City, Cavite

School of Nursing and Midwifery
(046) 416-43-41 to 42
www.eac.edu.ph
Consent Form for Participation in a Study on
RESPONSE TO STRESS AMONG THE ADOLESCENTS IN
SELECTED HIGH SCHOOL IN DASMARINAS CITY, CAVITE
VOLUNTARY PARTICIPATION: The nature, risks and benefits of the project have been
explained to me as are known available. I understand what my participation
involves. Furthermore, I understand that I am free to ask questions and withdraw
from the project any time, without penalty. I have read and fully understand the
consent form. I sign it freely and voluntarily. A signed copy has been given to me.
My response was assured to be kept fully confidential according to legal
requirements and will only be revealed when required as noted.

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SIGNATURE OF RESPONDENT AND DATE
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SIGNATURE OF RESEARCHER AND DATE
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SIGNATURE OF RESEARCHER AND DATE
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SIGNATURE OF RESEARCHER AND DATE
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SIGNATURE OF RESEARCHER AND DATE
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SIGNATURE OF RESEARCHER AND DATE