Letter For Validation With Instrument

ILOLO DOCTORS’ COLLEGE
COLLEGE OF DENTISTRY
TIMAWA AVENUE, MOLO, ILOILO CITY
October , 2023
DR. GERALD JONES BERONDO

Faculty
College of Dentistry
Iloilo Doctors’ College
Dear Dr. Berondo:

We, the undersigned 5th year Dentistry students, are presently conducting our research
study entitled, “Parental Knowledge, Attitudes and Practices on Oral Care : its Impact
on Childs Oral Hygiene as a requirement for our research subject.
In line with this, we humbly request your expertise in validating the questionnaire to be
utilized for the said study. We believe that your wisdom is unparalleled and hope that you
aid us in the finalization of the document. Each item included is to be evaluated whether
acceptable (A), not acceptable (NA) or needs revision (NR)Comments will be written before
each number.
Please feel free to make comments or corrections as you see fit.
Thank you very much!
Yours sincerely,
ALIAH BAYABAN
VENUS GANACA
ANDREA PABLICO
PRINCESS MARIE PAGMANOJA
NOVE JOY SALVADICO
HADASSAH CHEENNE SUMIDO

Researchers
Noted
--------------------------------------------
--------------------------------------------
Approved:
___________________________
DR. GERALD JONES BERONDO

The Instrument
This research instrument is intended to gather data from parents in order to

determine the impact of Parental knowledge, Attitudes and Practices on Childs Oral
Hygiene. The result of this will serve as the base line of our research paper.
In this connection, kindly answer the items as sincerely and truthfully as you can.
Please do not leave any item unanswered. Rest assured that the data gathered will be
treated with strict confidentiality.
Survey questionnaire on Parents knowledge, Attitudes and Practices on Childs Oral

Hygiene
General Direction
Please read each item carefully and fill in the needed information. Please do
not leave any item blank.
Part I. Personal Data
Direction: Please fill in accurately the needed information
Name ( Optional ) ____________________________________________________

Age: ______________________ Address: ________________________________
Sex : [ ] Male [ ] Female
Age : [ ] Teenage parent below 20 years old

[ ] Young 20-40 years old
[ ] Old - 40 years old and above
Highest Educational Attainment:
[ ] Elementary Level [ ] High School Level [ ] College Level
[ ] Masters Degree [ ] Doctoral Degree
Occupation
[ ] Business Related [ ] Labor work force related [ ] Education Related
[ ] Military Related [ ] Medical Related [ ] Unemployed
Family Income
[ ] Low income 12,030 to 23,999
[ ] Middle income 63,700 – 109,200 per month
[ ] High income 109,200– 182,000 per month
Family Size/ Number of Children
[ ] Small1 -2 children [ ] Medium 3 – 4 children [ ] Large 5 and more
Length of years as parent ( Counting from 1st child)

[ ] Young Parents 1 – 5 years
[ ] Middle Parents 6- 10 years
[ ] Adult Parents More than 10 years
Questionnaire:
Strongly Agree Dis- Strongly FOR VALIDATOR ONLY

Agree Agree Dis-
Agree
Knowledge ( 10 ) Acceptable Not Needs REMARKS

Acceptable Revision
Pls indicate your level

of agreement with the
following statement
1. I believe that
brushing my child's
teeth twice a day is
essential for their oral
health.
2. I know that sugary

drinks can damage my
child's teeth.
3. I am aware that
using a soft-bristled
toothbrush and fluoride
toothpaste is important
for my child's oral
hygiene.
4. I understand that
regular dental visits are
important for my child's
oral health, even if they
don't have any
apparent problems.
5. I know that thumb-

sucking and pacifier
use can negatively
impact my child's oral
development.
6. I am aware that
sharing utensils with
others can increase the
risk of transmitting
tooth decay-causing
bacteria.
diet plays a significant
role in maintaining
good oral health.
8. I know that it's

important to limit my
child's consumption of
sugary drinks and
snacks.
9. I am aware that
brushing my child's
teeth too hard can
damage their gums
and enamel.

my child's teeth should
be cleaned gently,
using circular motions.

Agree Agree Dis-
Agree
Section 2: Parental Acceptable Not Needs REMARKS

Attitudes Acceptable Revision
Pls indicate your level

of agreement with the
following statement
1. I believe that oral

health is an important
part of my child's
overall health.
2. I am motivated to
help my child develop
good oral hygiene
habits.
3. I feel confident in my
ability to teach my child
how to brush their teeth
properly.
4. I believe that it is
important to take my
child to the dentist for
regular checkups.
5.I am concerned
about the potential
negative impacts of
poor oral health on my
child's overall well-
being.
6. I believe that it is my
responsibility to ensure
that my child receives
proper oral care.
7. I am willing to make
changes in my own
oral care habits to set a
good example for my
child.
8. I believe that oral

health is a family affair,
and that everyone
should be involved in
promoting good oral
hygiene habits.
9 . I am open to
learning more about
oral health and how to
best care for my child's
teeth.
10.I believe that

investing in my child's
oral health is a wise
decision that will
benefit them
throughout their lives

Agree Agree Dis-
Agree
Section 2: Parental Acceptable Not Needs REMARKS

Attitudes Acceptable Revision
Pls indicate your level of

agreement with the following
statement
1. I brush my child's teeth

twice a day.
2. I supervise my child's
brushing to ensure they are
doing it properly.
3. I use a soft-bristled
toothbrush and fluoride
toothpaste for my child.
4. I take my child to the

dentist for regular checkups.
5. I encourage my child to
drink water instead of sugary
drinks.
6. I limit my child's
consumption of sugary
snacks.
7. I monitor my child's thumb-

sucking or pacifier use and
encourage them to stop.
8. I make sure my child

brushes their teeth after each
meal or snack.
9. I teach my child about the

importance of good oral
hygiene.
10. I involve my child in

choosing their toothbrush and
toothpaste

Letter For Validation With Instrument

Uploaded by

Copyright:

Available Formats

Letter For Validation With Instrument

Uploaded by

Document Information

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Letter For Validation With Instrument

Uploaded by

Copyright:

Available Formats

ILOLO DOCTORS’ COLLEGE

DR. GERALD JONES BERONDO

Dear Dr. Berondo:

PRINCESS MARIE PAGMANOJA

NOVE JOY SALVADICO

HADASSAH CHEENNE SUMIDO

DR. GERALD JONES BERONDO

This research instrument is intended to gather data from parents in order to

Survey questionnaire on Parents knowledge, Attitudes and Practices on Childs Oral

Part I. Personal Data

Direction: Please fill in accurately the needed information

Name ( Optional ) ____________________________________________________

Age : [ ] Teenage parent below 20 years old

Length of years as parent ( Counting from 1st child)

Strongly Agree Dis- Strongly FOR VALIDATOR ONLY

Knowledge ( 10 ) Acceptable Not Needs REMARKS

Pls indicate your level

2. I know that sugary

5. I know that thumb-

8. I know that it's

10. I understand that

Strongly Agree Dis- Strongly FOR VALIDATOR ONLY

Section 2: Parental Acceptable Not Needs REMARKS

Pls indicate your level

1. I believe that oral

8. I believe that oral

10.I believe that

Strongly Agree Dis- Strongly FOR VALIDATOR ONLY

Section 2: Parental Acceptable Not Needs REMARKS

Pls indicate your level of

1. I brush my child's teeth

4. I take my child to the

7. I monitor my child's thumb-

8. I make sure my child

9. I teach my child about the

10. I involve my child in

You might also like