Republic of the Philippines

Camarines Norte State College

Graduate School
Daet, Camarines Norte

“EFFICIENCY OF WATER SUPPLY DELIVERY OF PRIMEWATER CAMARINES NORTE IN SERVICE

MUNICIPALITIES”

SURVEY QUESTIONNAIRE

Part 1 – Respondent’s Profile

Name (Optional) ________________________________________________________________________

Address _______________________________________________________________________________

Direction. Simply put a check mark ( ) on the space provided for.

A. Age

(/ ) 18-25 years old ( ) 50-57 years old

( ) 26-33 years old ( ) 58-65 years old
( ) 34-41 years old ( ) 66 years old and above
( ) 42-49 years old

B. Sex

(/) Male ( ) Female

C. Occupation

( ) Government Employee ( ) Self-employed

( ) Private Employee ( /) Others, please specify law student______

D. Monthly Household/Family Income

( ) ₱5,000 and below ( ) ₱20,001– ₱25,000

( ) ₱5,001 – ₱10,000 ( /) ₱25,001– ₱30,000
( ) ₱10,001 – ₱15,000 ( ) ₱30,001– ₱40,000
( ) ₱15,001– ₱20,000 ( ) ₱40,001 and above

E. Number of Years as Concessionaire

( ) 5 years below ( ) 26-30 years
( ) 6-10 years ( ) 31-35 years
( ) 11-15 years ( ) 36-40 years
( ) 16-20 years ( ) 41 years above
(/ ) 21-25 years

F. Average Monthly Water Consumption

( ) 01-10 cubic meters ( ) 31-40 cubic meters
(/ ) 11-20 cubic meters ( ) 41-50 cubic meters
( ) 21-30 cubic meters ( ) over 50 cubic meters

Part II – Efficiency Level of Water Supply Delivery of PWCN

Direction: Kindly check ( ) the efficiency of water supply delivery of PWCN in service municipalities in terms of
water availability, water quality, water supply operation technique and support services, based on your experiences
using below scale:
 Legend:

5 – Very Efficient 2 – Less Efficient

4 – More Efficient 1 – Not Efficient
3 – Efficient

2.1 Water Availability 5 4 3 2 1

2.1.1 Facilities to provide supply of water /
2.1.2 24-hour available water supply /
2.1.3 Water rationing to barangays during critical period /
2.1.4 High water pressure even during peak hours (6-8AM; 11AM-1PM; 6-8PM) /
2.1.5 Continuous supply of water /
2.2 Water Quality 5 4 3 2 1
2.2.1 Provision of potable water to the concessionaires /
2.2.2 Quality of water in terms of odour, taste and color /
2.2.3 Potability of drinking water /
2.2.4 Assurance given that water does not have unwanted particles /
2.2.5 Conditions of water free from water-borne diseases /
2.3 Water Supply Operation Technique 5 4 3 2 1
2.3.1 Replacement of dilapidated pipe lines /
2.3.2 Repair of leakages /
2.3.3 Replacement of aging water meters /
2.3.4Rehabilitation of transmission/main lines /
2.3.5Apprehension of illegal connection /
2.4 Support Services 5 4 3 2 1
2.4.1 Response for tapping and reopening applications /
2.4.2 Actions given/provided to applicants for new service and reopening /
connections and complaints
2.4.3 Availability of customer service assistants to accommodate complaints /
2.4.4 Strategic management procedures for over-all operation /
2.4.5 Availability of technical team 24/7 /

Part III. Factors Affecting the Efficiency Level of Water Supply Delivery of PWCN in Service Municipalities

Direction. Listed below are the attributes to the efficiency of water supply delivery. Please rate them accordingly by
putting a check ( ) in the column corresponding to your answer from the given criteria based on the efficiency of
water supply delivery.

Legend:
5 – Strongly Agree 2 – Disagree
4 – Agree 1 – Strongly Disagree
3 – Moderately Agree

Indicators 5 4 3 2 1
3.1 Storage tanks for water distribution to service areas /
3.2 Facilities and equipment to provide sufficient supply of water /
3.3 Height of response during force majeure conditions and events (typhoon, /
flooding, calamities, etc.)
3.4 Technical know-how of the personnel /
3.5 Execution of environmental initiative programs /
3.6 Partnership with other industries like government agencies such as DPWH, /
DENR and LGU’s
3.7 Interferences to road widening projects /
3.8 Cooperation with local authority for the implementation of various projects and /
activities
3.9 Environment phenomena such as climate change – El Niño, La Niña and /
typhoons
3.10 Condition or quality of watersheds /

___________________________________
Respondent’s Signature
Thank you very much.
 Republic of the Philippines
Camarines Norte State College
Graduate School
Daet, Camarines Norte

February 12, 2020

Dear Respondents:

I am carrying out a survey on “Efficiency of Water Supply Delivery of PrimeWater Camarines Norte in
Service Municipalities”, as a requirement in my Master’s degree in Business Administration at the
Camarines Norte State College Graduate School.

In this connection, I am asking for your assistance by answering the attached survey questionnaire as
respondents of this study. Rest assured that your responses will be treated with utmost
confidentiality and will be used only for the purpose of this study.

Thank you very much and more power!

Very truly yours,

EMILYN M. SAMANTE
Researcher

Recommending Approval:

DR. GIRLY H. NAVAL

Adviser