Integrating Activity:

Make a community needs assessment in the barangay where you live. The needs
assessment questionnaires have different parts where you need to collect data on barangay
officials and residents of the barangay by interviewing them.

Barangay Data

I. Geographical Profile
Address of Barangay:

A. Location/Boundary (Pls. check)

( ) Within City/Poblacion
( ) Coastal
( ) Inland
( ) Upland

B. Topography (pls. check)

( ) Plain
( ) Rolling Terrain
( ) Hilly

C. Number of Puroks or Sitios:

D. Land Areas (sq.km.):

II. Demography
A. Total population:
Female:
Male:

B. Number of infants (0-11 mos.):

Female:
Male:

C. Number of toodlers (1 – 2 years old):

Female:
Male:

D. Number of Pre-schoolers:
(3 -5 years old)
Female:
Male:
E. Number of 5 -14 years old
Female:
Male:

F. Number of Families:
 G. Family Size
No. of family members No. of families corresponding
with size
More than 7
5–7
2–4
Less than 4

III. Agricultural Profile

A. Physical Structures (pls. Check)

1. Rice Mill Existing in the Barangay
a. Cono ( )
b. Kiskisan ( )

2. Irrigation System Existing in the Barangay

a. National (Constructed by NIA):
b. Communal (Constructed by farmers Ass.):
c. Pumps:
d. Mountain Spring

3. Existing Grain Warehouse

a. Government operated ( )
b. Privately operated ( )

4. Existing Cold Storage

a. Government operated ( )
b. Privately operated ( )

B. Major Food Crops Grown

1. Most Common Agri/Fish Products (pls. check)
a. rice ( )
b. corn ( )
c. roots crops ( )
d. vegetables ( )
e. fish ( )
f. crabs, shrimps, etc. ( )
g. seaweeds ( )
h. others (specify) ( )
2. Most Common Livestock/Poultry (pls. check)
a. swine ( )
b. goat ( )
c. chicken ( )
d. ducks ( )
e. Others (specify) ( )
3. Other products
a. rattan ( )
b. bamboos ( )
c. charcoal/firewood ( )
d. others specify) ( )
 4. Main Source of Income of the Barangay
(Percentage %)
a. Share from State Tax
b. Share from Development Fund
c. Business and other Taxes
d. Others (specify)

Household Data (Interview)

Name (optional): Joanne Mae Dela Cruz

Address: Blk.61 Lot 18 Lansones St. Brgy. San Juan Dasmariñas City,Cavite

A. Source of Income of the Household’s Main Earners (Pls. Check)

Level of Income (approximate)
( ) Employment in government or
private sector
( ) Farming
( ) Fishing
( x ) Self-employment/entrepreneurship 10.000 -15.000 monthly
( ) Overseas Contract Workers

B. Other source of income of the family

Father
Mother
Brother
Sister

C. Most Common Typed/Kind of Dwelling units (Pls. check)

( ) concrete ( x ) semi-concrete
( ) nipa/bamboo ( ) Wood
( ) Barong-barong ( ) Others (pls. specify)

D. Most common source of drinking water (pls. check)

( ) open dug wells ( ) spring
( ) Artesian wells ( ) deep wells
( x ) water works system

E. Most common type of toilet facilities (pls. check)

( x ) water sealed ( ) antipolo
( ) open pit ( ) none

F. Electricity and telephone services

% of total household
Electricity 100%
Telephone 0%
Cellphone 100%

G. Presence of School in the barangay (pls. check)

 Government Private
Day care ( x) (x )
Pre-school (x ) ( x)
Elementary ( x) (x )
High School ( x) ( )
Vocational ( ) ( )
College ( ) ( )

H. Health Facilities in the Barangay (pls. check)

1. Government
( x ) Barangay Health Station
( ) Health/Nutrition Center
( ) Community Hospital Clinic
2. Private
( x ) Dental Clinic
( ) Medical Clinic
( ) Hospitals

I. Infrastructure (Pls. Check)

Distance from the Barangay
Along Near Far None
National road/highway ( ) (x) ( ) ( )
Provincial road ( ) (x) ( ) ( )
Municipal road ( ) (x) ( ) ( )
Feeder road ( ) ( ) ( ) (x)
Seaport/pier ( ) ( ) ( ) (x)
Airport ( ) ( ) ( ) (x)

J. Most common transport facilities(pls. rank)

( ) Bus ( x ) Jeep
( ) Tricycle ( ) Boat
( ) Others (specify)

K. Presence of Cooperatives, NGOs, Pos, etc.

Number operating in the Barangay
Cooperatives n/a
Non-Government Organizations n/a
People’s Organizations n/a

L. Number of Households with at least one member belonging to an Organization

Number of Households
Cooperatives n/a
Non-Government Organizations n/a
People’s Organizations n/a

M. Predominant Religion ( pls. check)

( x ) Roman Catholic ( ) Aglipay
( ) Born Again ( ) UCCP
( ) INC ( ) Islam
( ) Jehova’s Witness ( ) Church of Latter Day Saints
 ( ) Others (pls. Specify)

N. Problems/issues encountered on living in barangay

1. Canals are clogged.
2. There's a lot of trash everywhere.
3. Noisy surroundings.
4. The streets are frequented by fast motorcyclists.
5. There's a lot of gossip.