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PACE ACADEMY

Talayan Campus
Senior High School Department

Date
Ms./Mr. _________________
Designation
School/Institution

Dear Ms./Mr._________________,

The undersigned are Grade 12 students of the Senior High School Department and
currently working on a research study entitled
“____________________________________________________________________”. Part of
the research procedure is to develop, validate and administer a research instrument.

In line with this, the signatories are requesting for your expertise to validate the attached
questionnaire/survey form in order to realize the objectives of the study. Rest assured that your
propositions and evaluations will be appropriately applied to further improve the relevance of this
study. Kindly use the rubrics below for your markings.
Thank you in advance for your kindest consideration for these academic undertakings.

God bless!

Researchers:

(name of the researchers)

Noted by:

_____________________________
Ms. Carbelyn M. Barte, LPT
Research Adviser
Evaluator
Educational Attainment
Position
Institution
Instructions : Listed below are criteria for evaluating the Name of Instrument. Please rate each item by
ticking (/) the corresponding equivalent on the four point scale.
Outstanding 4
Highly Satisfactory 3
Satisfactory 2
Needs Improvement 1

I. Format and Design 4 3 2 1


1. The printing is clear and readable.

2. The quality of the paper is acceptable.

3. The layout is attractive and uniform.

4. The fonts used are comprehensible and appropriate.

5. The spacing on the pages contributes to the ease of reading and


responding.
II. Language and Style 4 3 2 1
1. The language and style is appropriate.
2. The language used is consistent.

3. The checklist is free from grammatical errors.

4. The sentences are properly constructed and punctuated.

5. The words used in the checklist are simple and easy to understand.

III. Content 4 3 2 1
1. The facets are factual and objective.

2. The facets are free from ideological, sexual, and racial bias.

3. The facets reflect actual learning situations.

4. The choices for each facets are independent and do not overlap.

5. The facets are sound convenient, useful, and proper for a science
attitude inventory.
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