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APPENDICES

College of Nursing
Central Philippine University
Jaro, Iloilo City

March 27, 2018

MARIA SOCORRO I. MARTINEZ, M.D.


President, Friends for Cancer Kids Iloilo Foundation Inc. (FCKIFI)
Hydroturf Door 8, Golden Star Building
MH Del Pilar St., Molo, Iloilo City

Dear Doctor Martinez:

We, the third year students of Central Philippine University College of Nursing, are
currently conducting a research entitled “Animal Assisted Activity: Friends for Cancer
Kids Iloilo Foundation Inc. Experience”.

In line with this, we would like to ask permission from your good organization to conduct
an interview among the physicians, staffs, and volunteers of the cancer patients that are
members of Friends For Cancer Kids Iloilo Foundation Inc. present on the animal assisted
activity conducted last October 2017.

Your favourable response regarding this matter is greatly appreciated. Thank you very
much.

Respectfully yours,

NICOLLE S. CURTOM
Group Leader

Noted:

ADELFA D. DUSARAN, R.N, M.A.N.


Research Adviser
College of Nursing
Central Philippine University
Jaro, Iloilo City

Date _________

Dear ________,

Good day!

We, the third year students of Central Philippine University (CPU) College of Nursing, are
conducting an interview as part of a research study that aims to explore the experience of
Friends for Cancer Kids Iloilo Foundation Inc. (FCKIFI) on Animal Assisted Activity.

The interview takes around 30 minutes. We want to know your thoughts and perspectives
about the animal assisted activity that was implemented by the two organizations
(Southern Expo and Iloilo Tarantula Keepers) conducted last October 2017). Your
responses to the questions will be kept confidential. Each interview will be assigned a
number code to help ensure that personal identifiers are not revealed during the analysis
and write up findings.

There is no compensation for participating in this study. However, your participation will
be a valuable addition to our research and findings could lead to give awareness and new
types of activities for helping the patients.

If you are willing to participate please suggest a day and time that suits you and we’ll do
our best to be available. If you have any questions please do not hesitate to ask.

Thank you very much.

Respectfully yours,

NICOLLE S. CURTOM
Group Leader

Noted:

ADELFA D. DUSARAN, R.N, M.A.N.


Research Adviser
Definition of Consent and Informed Consent:

I am being asked by Junior Student Nurses of Central Philippine University College of


Nursing, ____________________ to participate in a research entitled “Animal Assisted
Activity: Friends for Cancer Kids Iloilo Foundation Inc. Experience”. In order to decide
whether or not to be a part of this research study, I should understand enough about its
risks and benefits to make a judgment. This process is called informed consent.

This consent gives information about the research study, which was discussed with
me. Once I understand the study, I will be asked to sign this form if I wish to participate. I
will have a copy for my own record.

Purpose of the Study:

I understand that Junior Nursing Students of Central Philippine University College of


Nursing is doing a study to explore the experience of Friends for Cancer Kids Iloilo
Foundation Inc. on Animal Assisted Activity.

Description of Research Procedure:

I understand that an in-depth interview will be used to gather data needed for the
study. The interview will include a personal information from which includes …

Right to Refuse and Withdraw:

I understand that the researchers of this study will provide me with information that
will encourage me to continue my participation in this project. I also understand that my
participation in this study is clearly voluntary, and that I may refuse to participate or
withdraw from the study at any time.
Privacy and Confidentiality of Records:

I understand that information learned from this study will be kept confidential to the
extent permitted by law, except explained in this paragraph. Information obtained from
this study may be published or given to other people doing research, but neither my name
will be mentioned.

By signing this document, I am saying that I have read it, that understood it, and that
I agree that I will participate in this study.

__________________ _____________________________

Date Name and Signature of Participant

_________________ _____________________________

Witness Name and Signature of Researchers


Central Philippine University
College of Nursing
Lopez, Jaena Street, Jaro, Iloilo City

Date:

Friends for Cancer Kids Iloilo Foundation Inc.

Hydroturf, Door 8, Golden Star Bldg., MH

Del Pilar St. Molo, Iloilo City Philippines 5000

Dear Ma’am/ Sir,

Good day!

This letter relates to our disclosure to you of certain confidential information, including any
information disclosed by or on behalf of us to you during the interview of the participants,
that at the time of disclosure is confidential in nature or may reasonably considered to be
sensitive and which relates to our study. All information being gathered including the
names of the participants will not be discussed in public and only for research purposes.

By signing below, you have agreed to take part in an interview and keep everything
confidential. You are indicating that you have read and understand the above agreement.

__________________ _____________________________

Date Name and Signature of Participant


College of Nursing
Central Philippine University
Jaro, Iloilo City

March 27, 2018

________________
________________
________________

Dear Ma’am/Sir,

Greetings!

We are Junior Student Nurses from Central Philippine University and it is part of our
requirements before graduation to conduct a research. Our research is entitled “Animal
Assisted Activity: Friends for Cancer Kids Iloilo Foundation Inc. Experience” but before
we actually conduct our research, pre-testing is a must to check the validity of our
instrument to ensure reliable results.

With this, we opt to get you as one of the validators of our instrument. We believe that your
expertise will surely make a difference in the progress of our research.

Thank you.

Sincerely yours,

NICOLLE S. CURTOM
Research Group Leader

Noted by:

ADELFA D.DUSARAN, R.N., M.A.N.


Research Adviser