DOÑA ASUNCION LEE INTEGRATED SCHOOL

English Department
English 10: Research Paper Writing

VALIDATION FORM OF A RESEARCH INSTRUMENT (SURVEY TOOL AND SCALE)

Research Title: Effects of Excessive Use of Smartphones to Grade 10 Students

Decision Checklist
Statements or Items Remov
Retain Revise
e
1. My eyes are getting blurry because of too Suggestions/Revised Form: _______________________________
_____________________________________________________
much use of smartphone. _
_____________________________________________________
_

2. I am experiencing dizziness and headaches Suggestions/Revised Form: _______________________________

_____________________________________________________
due to too much use of smartphone. _
_____________________________________________________
_

3. I usually suffer from insomnia because of Suggestions/Revised Form: _______________________________

_____________________________________________________
excessive use of smartphone. _
_____________________________________________________
_

4. I feel nervous whenever I am not holding my Suggestions/Revised Form: _______________________________

_____________________________________________________
smartphone. _
_____________________________________________________
_

5. I skip my meal because I spend most of my Suggestions/Revised Form: _______________________________

time using my smartphone. _____________________________________________________
_
_____________________________________________________
 DOÑA ASUNCION LEE INTEGRATED SCHOOL
English Department
English 10: Research Paper Writing

Validated by:

JOHN EVIOTA
Name and Signature of Validator Expert

VALIDATION FORM OF A RESEARCH INSTRUMENT (SURVEY TOOL AND SCALE)

Research Title: Effects of Excessive Use of Smartphones to Grade 10 Students

Decision Checklist
Statements or Items Remov
Retain Revise
e
6. I usually have an argument with my parent Suggestions/Revised Form: _______________________________
_____________________________________________________
because of too much use of smartphone. _
_____________________________________________________
_

7. I do not have much time to spend with my Suggestions/Revised Form: _______________________________

_____________________________________________________
family and friends. _
_____________________________________________________
_

8. I usually ignore my friends because of my Suggestions/Revised Form: _______________________________

_____________________________________________________
smartphone. _
_____________________________________________________
_
 DOÑA ASUNCION LEE INTEGRATED SCHOOL
English Department
English 10: Research Paper Writing

9. I use my phone even though there are a lot of Suggestions/Revised Form: _______________________________
_____________________________________________________
things to do. _
_____________________________________________________
_

10. I usually use my phone while the teacher is Suggestions/Revised Form: _______________________________
_____________________________________________________
discussing. _
_____________________________________________________
_

Validated by:

JOHN EVIOTA
Name and Signature of Validator Expert

VALIDATION FORM OF A RESEARCH INSTRUMENT (SURVEY TOOL AND SCALE)

Research Title: Effects of Excessive Use of Smartphones to Grade 10 Students

Decision Checklist
Statements or Items Remov
Retain Revise
e
11. I use my phone even though I know that I Suggestions/Revised Form: _______________________________
_____________________________________________________
have to do my assignments. _
_____________________________________________________
_

12. I think that my phone decreases my Suggestions/Revised Form: _______________________________

_____________________________________________________
 DOÑA ASUNCION LEE INTEGRATED SCHOOL
English Department
English 10: Research Paper Writing

productivity at times. _
_____________________________________________________
_

13. My grades became low because of too Suggestions/Revised Form: _______________________________

_____________________________________________________
much use of smartphone. _
_____________________________________________________
_

14. I spend most of my time by texting, Suggestions/Revised Form: _______________________________

_____________________________________________________
tweeting or emailing than interacting with other _
people. _____________________________________________________
_

15. I treat my phone like a person. Suggestions/Revised Form: _______________________________

_____________________________________________________
_
_____________________________________________________
_

Validated by:

JOHN EVIOTA
Name and Signature of Validator Expert

VALIDATION FORM OF A RESEARCH INSTRUMENT (SURVEY TOOL AND SCALE)

Research Title: Effects of Excessive Use of Smartphones to Grade 10 Students

 DOÑA ASUNCION LEE INTEGRATED SCHOOL
English Department
English 10: Research Paper Writing

Decision Checklist
Statements or Items Remov
Retain Revise
e
16. I always find myself checking my phone Suggestions/Revised Form: _______________________________
_____________________________________________________
even when there is nothing important to see. _
_____________________________________________________
_

17. I always have my smartphone next to me Suggestions/Revised Form: _______________________________

_____________________________________________________
while I’m eating. _
_____________________________________________________
_

18. I always use my smartphone even though Suggestions/Revised Form: _______________________________

_____________________________________________________
it’s charging _
_____________________________________________________
_

19. I use my smartphone in the middle of the Suggestions/Revised Form: _______________________________

_____________________________________________________
night. _
_____________________________________________________
_

20. I sleep regularly with my smartphone under Suggestions/Revised Form: _______________________________

_____________________________________________________
my pillow or next to my bed. _
_____________________________________________________
_

Validated by:
 DOÑA ASUNCION LEE INTEGRATED SCHOOL
English Department
English 10: Research Paper Writing

JOHN EVIOTA
Name and Signature of Validator Expert

Steps in Instrument Validation

1. Face and Content Validation

2. Floating and Pilot testing
3. Item Analysis
4. Second Floating
5. Computing Reliability
6. Finalizing