Instrument Validation Form
Name of Validator : IRENE MARCOS PALOMATA
Degree : BSSE-Mathematics/MAED-Measurement and Evaluation
PhD (Dissertation)
Position : Professor/SST-I
No. of Years in Teaching : 21 years
To the evaluator: Please check the appropriate box for your ratings.
Scale: 5 – Excellent 4- Very Good 3- Good 2- Fair 1-Poor
5 4 3 2 1
1. Clarity and Directions of Items
The vocabulary level, language, structure and conceptual
level of participants. The test directions and the items are
within in a clear and understandable manner.
2. Presentation and Organization of Items
The items are presented and organized in logical manner
3. Suitability of Items
The item appropriately presented the substance of the
research. The questions are designed to determine the
skills that are supposed to be measured.
4. Adequateness of the Content
The number of the questions per area is a representative
enough of all the questions needed for the research.
5. Attainment of Purpose
The instrument as a whole fulfils the objectives needed for
the research
6. Objective
Each item question requires only one specific answer or
measures only one behaviour and no aspect of the
questionnaires suggests in the past of the researcher.
7. Scale and Evaluation Rating
The scale adapted is appropriate for the item.
REMARKS: ____________________________________________________________
______________________________________________________________________
__________________________
Signature Over Printed Name
SURVEY QUESTIONNAIRE
FOR GRADE 8 STUDENTS
Name: ____________________________ Gender: __Male__Female Age: _____
Direction: Below are the possible students’ perceptions on the importance of Experiential Reflective
Writing on the enhancement of their values formation focused on the core values in learning
Edukasyon sa Pagpapakatao (EsP). Using the scale below, rate each item as to how often do you
construct your experiential reflective writing relating it to the different learner’s observed values based
on the Core Values of learning Please answer them by putting a check (/) mark for your response
under the corresponding column.
3 – Always (Palagi)
2- Sometimes/Paminsan-minsan
1-Never/ Hindi Kailanman
In constructing my Experiential Reflective Writing, I consider the importance of this activity on
the enhancement of my values formation and therefore I see to it that I relate it to one or more or all of
the core values in learning. (Sa pagbuo ng aking Karanasan na Sumasalamin sa Pagsulat,
isinasaalang-alang ko ang kahalagahan ng aktibidad na ito sa pagpapahusay ng aking pagbuo
ng mga pagpapahalaga at samakatuwid ay nakikita kong nauugnay ko ito sa isa o higit pa o
lahat ng mga pangunahing pagpapahalaga sa pagkatuto.)
A. MAKA-DIYOS
Always Sometimes Never
(Palagi (Paminsan- (Hindi
) minsan) Kailanman)
1. I express my ideas/feelings/emotions based on my
spiritual beliefs while respecting the spiritual beliefs of
others.
(Ipinapahayag ko ang aking mga ideya / nararamdaman /
emosyon batay sa aking paniniwalang ispiritwal
samantalang nirerespeto ko rin ang paniniwalang
ispiritwal ng iba.)
2. I show adherence to ethical Principles while upholding
truth. (Nagpapamalas ako ng pagsunod sa mga
Prinsipyong etikal habang pinaninindigan ko ang
katotohanan.)
B. MAKATAO
Always Sometimes Never
(Palagi) (Paminsan- (Hindi
minsan) Kailan
man)
1. I am sensitive to one’s personal, social, and cultural
differences of an individual. (Sensitibo ako sa pansarili,
panlipunan, at kultural na pagkakaiba-iba).
2. I demonstrate conrtibutions toward solidarity. (Nagsasagawa
ako ng tulong/kontribusyon tungo sa pakikiisa).
C. MAKA-KALIKASAN
Always Sometimes Never
(Palagi) (Paminsan- (Hindi
minsan) Kailanman)
1. I care for the environment and utilize resources wisely,
judiciously and economically. (Pinapahalagahan ko ang
kapaligiran at ginagamit ang mga likas ng yaman nang
buong talino, may pagkasinop.)
2. I practices waste management and conserve energy and
resources. (Isinasagawa ko ang wastong pamamahala
ng basura at ginagamit ng maayos ang enerhiya at mga
mapagkukunan.).
D. MAKABANSA
Always Sometimes Never
(Palagi) (Paminsan- (Hindi
minsan) Kailanman)
1. I manifest pride in being a Filipino, exercise the rights and
responsibilities of a Filipino citizen. (Ipinapakita ko ang
pagmamalaki sa pagiging isang Pilipino, isinasabuhay
ang mga karapatan at responsibilidad ng isang
mamamayang Pilipino.).
2. I demonstrate appropriate behavior in carrying out
activities in the school, community and country. (Pinapakita
ko ang naaangkop na pag-uugali sa pagsasagawa ng
mga aktibidad sa paaralan, pamayanan at bansa.
Prepared by:
MARIA CHRISTINA D. MANZANO
Researcher
Master Teacher 1 (ESP)
Validated by:
IRENE M. PALOMATA
MAED, Statistics and Measurement
Noted by:
DR. LUCILA A. CRUZ
PSDS/OIC-Principal
