VALIDATION OF SURVEY INSTRUMENT

Using the criteria developed for evaluating survey questionnaire set forth by Carter V.
Good and Douglas B. Scates, please evaluate the attached self-made survey instrument for the
proposed study. (Rating 1 as poor and 5 as excellent, kindly check respective boxes provided
herein). Thank you.

Criteria for Validity 1 2 3 4 5

1. This questionnaire is short and respondents respect it and would

not drain much of their precious time.

2. The questionnaire is interesting and has a face appeal such that

respondents will be induced to respond to it and accomplish it
fully.

3. The questionnaire can obtain some depth from respondents and

avoid superficial answer.

4. The items/questions and their alternative responses are not too

suggestive and not too stimulating.

5. The questionnaire can elicit responses which are definite but not
mechanically forced.

6. Questions/items are stated in such a way that the responses will

not be embarrassing to the person/persons concerned.

7. Questions/items are formed in such a manner as to avoid

suspicion on the part of the respondents.

8. The questionnaire is not too narrow nor restrictive nor limited in

its philosophy.

9. The reasons to the questionnaire when taken as a whole could

answer the basic purpose for which the questionnaire is designed
and therefore, considered valid.

________________________
Signature over printed name

_________________________
Date

Validation of Survey Instrument

 Summary Rating
Jury
Criteria for Validity Total Mean Verbal
1 2 3 Interpretation

1. This questionnaire is short and

respondents respect it and would not
drain much of their precious time.

2. The questionnaire is interesting and

has a face appeal such that respondents
will be induced to respond to it and
accomplish it fully.

3. The questionnaire can obtain some

depth from respondents and avoid
superficial answer.

4. The items/questions and their

alternative responses are not too
suggestive and not too stimulating.

5. The questionnaire can elicit responses

which are definite but not mechanically
forced.

6. Questions/items are stated in such a

way that the responses will not be
embarrassing to the person/persons
concerned.

7. Questions/items are formed in such a

manner as to avoid suspicion on the part
of the respondents.

8. The questionnaire is not too narrow

nor restrictive nor limited in its
philosophy.

9. The reasons to the questionnaire when

taken as a whole could answer the basic
purpose for which the questionnaire is
designed and therefore considered valid.

AVERAGE RATING