CLAS-RU- FORM 11

CERTIFICATION
Statistical Validation of a Research Instrument

(Date)

This is to certify that the data gathering tools used in the study entitled (Title of the
Study), conducted by (Name of the Researcher/s), was audited and reviewed by the
undersigned to establish its validity.

Attached is the result of the tool assessment.

(Signature over printed name)

Signature over Printed Name of Expert

Affiliated Agency/
License Number
Contact Details: Email/ Mobile Number

Note: Expert must be available for verification of the authenticity of the contents of this document, thru email or phone call.

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Form CLAS-RU F11 Version 1.0 Series of 2019
 (Title of the Study)

Evaluation of the questionnaire to be used in the data gathering for the study stated above
to establish its validity.

Scale Interpretation Description

The questionnaire is valid and can provide
5 Very Highly Valid unbiased data for the investigation,
allowing 0-5% error
The questionnaire is valid and can provide
4 Highly Valid unbiased data for the investigation,
allowing 6-10% error
The questionnaire is valid and can provide
3 Valid unbiased data for the investigation,
allowing 11-15% error
The questionnaire is valid and can provide
2 Less Valid unbiased data for the investigation,
allowing 16-20% error
The questionnaire is valid and can provide
1 Not valid at all unbiased data for the investigation,
allowing 21-25% error

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Form CLAS-RU F11 Version 1.0 Series of 2019
 Validator’s Questionnaire Assessment

Indicators Rating
The indicators in the questionnaire consistently and accurately measure each
variables of the investigation.
The questionnaire fits with the variables under investigation, thus measuring
what it tends to measure.
The questionnaire has the capability to measure items of variables within a
given time frame.
The questionnaire has the ability to distinguish the characteristics or the
properties of differing attributes of subjects under study.
The questionnaire has the ability to gather factual data, eliminating biases
and subjectivity.
Quick and complete data can be generated by the questionnaire within the
time frame allowed to obtain the data.
The questionnaire has no influence on the variables being measured.
The questionnaire is framed clearly and simply in order to avoid risk of error.
The questionnaire is capable of generating data that will be of value and
practical use to the sectors concerned in the investigation.

Comments and Suggestions:

Expert’s Name and Signature

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Form CLAS-RU F11 Version 1.0 Series of 2019