Department of Education

Region V
Division of Camarines Sur
Sipocot National High School
Tara, Sipocot, Camarines Sur

Dear Respondent,

Greetings!

The SS10-EM of the Special Science Curriculum of Sipocot

National High School 2020-2021 is now conducting their research
entitled Rechargeable and Remote Controlled Floor Sweeper.
In this regard, we are asking for your time and effort to
answer all the questions in the questionnaire for the completion
of the study.
Rest assured that the data gathered will be treated with
utmost confidentiality.
Hoping for your kind consideration that this request will
earn your approval.
Thank you very much for your cooperation and God
bless.

Respectfully yours,

Researchers

I. Respondent’s information

Name (Optional):______________________________Zone:______________

II. Questionnaire Proper

A. Direction: Please indicate your level of acceptability with

each of these statements regarding the product. Put a check on

the spaces provided for each question that corresponds to your

observation. Please refer to the following indications for your

guidance.
 5 - Highly Acceptable

4 - Acceptable

3 - Moderately Acceptable

2 - Slightly Acceptable

1 - Not Acceptable

I. Acceptability of the Product

Indicators 5 4 3 2 1
1. Is the height If the If the If the If the If the
of the product product’ product’s product’s product’s product’s
accepted? s height height is height is height is height
is below 12.1- 13.1- 14.1- 15.1cm
12.0cm 13.0cm 14.0cm 15.0cm and above

2. Is the width If the If the If the If the If the

of the product product’ product’s product’s product’s product’s
accepted? s width width is width is width is width is
is below 35.1- 36.1- 37.1- 38.1cm
35.0cm 36.0cm 37.0cm 38.0cm and above

3. Is the length If the If the If the If the If the

of the product product’ product’s product’s product’s product’s
accepted? s length length is length is length is length is
is below 35.1- 36.1- 37.1- 38.1cm
35.0cm 36.0cm 37.0cm 38.0cm and above

4. Is the weight If the If the If the If the If the

of the product product product product product product
accepted? weighs weighs weighs weighs weighs
below 1 exactly between exactly 2 more than
kg 1kg 1.1 and kg 2 kg
1.9 kg

5. Is the product If the If the If the If the If the

still working product product product product product
after it was could could could could couldn’t
shaken for 30 still still still still function
seconds? function function function function after
and all but 1-2 but 3-4 but 5-6 shaking
the materials materials materials for 30
parts were were were seconds
are detached detached detached
still after after after
intact shaking shaking shaking
after for 30 for 30 for 30
shaking seconds seconds seconds
for 30
seconds

B. Direction: Please indicate your level of effectivity with each

of these statements regarding the product. Put a check on the

spaces provided for each question that corresponds to your

observation. Please refer to the following indications for your

guidance.
 5 - Highly Effective

4 - Effective

3 - Moderately Effective

2 - Slightly Effective

1 - Not Effective

II. Effectivity of the product

Indicators 5 4 3 2 1

1. Is the If the If the If the If the If the

product product can product can product can product can product
controllable? be only move move in two only move could not
controlled in three directions in one be
and move in directions direction controlled
all and not
directions move at
all

2. Is the If the If the If the If the If the

sweeper product can product can product can product can product
effective in collect all only only only cannot
terms of sizes of collect the collect collect collect
collecting lightweight small and small-sized tiny bits any waste
lightweight materials medium- lightweight of waste at all
materials? (small, sized materials lightweight
medium, lightweight materials
large) materials
3. Is the If the If the If the If the If the
sweeper product can product can product can product can product
efficient in sweep the sweep the sweep the sweep the cannot
terms of dust/sand dust/sand dust/sand dust/sand sweep the
sweeping without any with a but with but with dust/sand
dust? residues little visible too much at all
residue residues residues