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Background Information:
We are a 5th Year Electronics Engineering students that designed a
device intended especially to help persons with sight disability in
opening locked door on their homes. This Research questionnaire aims
to gather data and answer questions with regards on our finished
device as a partial fulfillment in our Research Project.
We will gladly appreciate your time with us by filling out the
following inquiries. Any information obtained for this study will
remain confidential.
Respondent’s Details:
Name/Pangalan:_________________________
Age/Edad:________
Gender/Kasarian(Male/Female):___________
Survey Scale
1 2 3 4 5
(Strongly (Disagree) (Neutral/No (Agree) (Strongly
Disagree) opinion) Agree)
Questions 1 2 3 4 5