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Title:

    __________________________________________________________________  
 
By:       __________________________________________________________________  
(Name,  Date,  Class)  
 
PROBLEM     ____________________________________________________________________________  
 
 
  ____________________________________________________________________________  
 
 
HYPOTHESIS    
 
____________________________________________________________________________  
 
____________________________________________________________________________  
 
 
MATERIALS  
 
*  _________________________   *  ____________________________  
 
    *  _________________________   *  ____________________________  
 
    *  _________________________   *  ____________________________  
 
 
DESIGN     Manipulated  Variable:     ____________________________________  
 
    Responding  Variable:     ____________________________________  
 
    Controlled  Variables:    ____________________________________  
 
          ____________________________________  
 
 
PROCEDURE  
 
 
1.     __________________________________________________________________  
 
  __________________________________________________________________  
 
2.     __________________________________________________________________  
 
  __________________________________________________________________  
 
3.   __________________________________________________________________  
 
  __________________________________________________________________  
 
4.   _______________________________________________________________________________  
 
  _______________________________________________________________________________  
 
5.     _______________________________________________________________________________  
 
  _______________________________________________________________________________  
 
RESULTS/OBSERVATIONS  
 
  Qualitative  Observations:     _____________________________________________________  
 
  _______________________________________________________________________________  
 
  _______________________________________________________________________________  
 
  Quantitative  Observations:   Graph  “_______________________________________________  
 
_____________________________________________________”  
 
          Table  “  _______________________________________________  
 
          ______________________________________________________”  
 
 
CONCLUSION  
 
 
 
 
 
 
 
   
 
EXTENSION  
 
 
 
 
 
 
 
 
 

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