SURVEY INSTRUMENT SAMPLE

Acceptability Test

(Survey Instrument)

Name of Respondent: _______________________________________________

Address: _________________________________________________________

Contact Number: ___________________________________________________

Occupation: _______________________________________________________

Dear Respondents,

Kindly evaluate our research entitled “Slider Cutter Support” in terms of its
functionality, reliability, efficiency, effectiveness, and accuracy. Please check the appropriate
box that correspondents to your assessment using the following scales:

5 – Strongly Agree 4 – Agree 3 – Moderately Agree 2 – Disagree 1 – Strongly

Disagree

Functionality

Variables 5 4 3 2 1

1. The “Slider Cutter Support” functions according to its intended

purpose.
(Ang “Slider Cutter Support” ay nagagamit ayon sa kanyang layunin)
2. The “Slider Cutter Support” is durable and long lasting.
(Ang “Slider Cutter Support” ay matibay at pangmatagalan.)
3. The “Slider Cutter Support” is convenient to used and easy to
operate.
(Ang ““Slider Cutter Support” ay madaling gamitin at paganahin.
 Reliability

Variables 5 4 3 2 1
1. The “Slider Cutter Support” can be used for straight cutting up to
60cm.
(Ang “Slider Cutter Support” ay kayang pumutol na haba hanggang
60cm.)
2. The “Slider Cutter Support” can satisfy the user’s needed output.
(Ang “Slider Cutter Support” ay may kakayahang makuha ang
kailangang resulta ng taong gumagamit nito.)
3. The “Slider Cutter Support” reliable in terms of strength and
capacity of its performance.
(Ang “Slider Cutter Support” ay maaasahan sa tibay at kakayahan
nitong pumutol.)

Efficiency and Effectiveness

Variables 5 4 3 2 1
1. The “Slider Cutter Support” meets the user’s objectives and
requirements.
(Ang “Slider Cutter Support” ay kayang makamit ang layunin at
pangangailangan ng taong gagamit nito.)
2. The “Slider Cutter Support” can be used to its maximum design
capacity.
(Ang “Slider Cutter Support” maaring gamitin sa pinakamataas
nitong kapasidad.)
3. The “Slider Cutter Support” operates efficiently and effectively.
(Ang “Slider Cutter Support” gumagana ng maayos at epektibo.)

Safety

Variables 5 4 3 2 1
1. The “Slider Cutter Support” is safe to end users.
(Ang “Slider Cutter Support” ay ligtas sa mga taong gagamit nito.)
2. The “Slider Cutter Support” has a proper and secured holder of
grinder.
(Ang “Slider Cutter Support” ay may maayos at ligtas na lagayan ng
grinder.)
3. The “Slider Cutter Support” has a lock on the holder of grinder to
prevent from moving.
(Ang “Slider Cutter Support” ay may panghinto sa lalagyanan ng
grinder upang hindi ito gumalaw. )
 Accuracy

Variables 5 4 3 2 1
1. The “Slider Cutter Support” can be used with minimal maintenance.
(Ang “Slider Cutter Support” ay nangangailangan lamang ng
kaunting pananatili.)
2. The “Slider Cutter Support” can adapt to changes to its working
environment.
(Ang “Slider Cutter Support” ay kayang umangkop sa mga
pagbabago sa kaniyang ginagawaang lugar.)
3. The “Slider Cutter Support” can guide the cutter to cut straight line
with minimal effort.
(Ang “Slider Cutter Support” ay kayang tulungan ang talim nito na
pumutol ng diretso na di masyadong mahihirapan. )