Part I.

Demographic Information
Name: __________________________ Date: __________
Age: _________ Sex: _________

Part II. Health and Sanitation Concerns

In this section, various issues in the specific category are presented. We want to know your
opinions about how important these issues are. Check (/) the appropriate box to indicate the
importance of each issue to you.

Legend:
1 – Most Important 4 – Least Important
2 – More Important 5 – Not Important
3 – Important

Importance of Health and Hygiene Matters 5 4 3 2 1

1. I am knowledgeable about health and sanitation programs that I can share in my
community.
2. We have sufficient supply of clean drinking water.
3. We eat healthy food every day.
4. I wash my hands before eating.
5. It is important that we have a clean toilet.
6. I dispose my trash properly.
7. We ask for the necessary medicines at the center when we are sick.
8. We ask for the assistance of our health workers to get tested physically.
9. I take a bath every day.
10. I change my clothes every day.

What other community health and sanitation issues do you consider important to you that are not
mentioned above?
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
 Importance of Environmental Issues in the Community 5 4 3 2 1
1. I want to have a decent place in the community to live.
2. I plant vegetables and flowering plants.
3. I take care of the river and the sea that are the source of our livelihood.
4. We catch fish in the community's river or nearby sea in an orderly manner.
5. I burn garbage in our community.
6. I want us to have a well-paved road.
7. I follow the ordinances that are be enforced regarding the dumping of garbage in
the river or around our community.
8. I clean the environment in my community like sweeping.
9. I look for wood that I can find around our community to use for cooking.
10. I keep our place clean to get rid of insects like mosquitoes.

What other types of environmental activities do you do that are not mentioned above?
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

Importance of Livelihood in the Community 5 4 3 2 1

1. I will sell vegetables and fruits in the public market.
2. I am fishing so that we can have something to drink and sell in the market
3. I sell various jewelries.
4. I beg in the public market and nearby places.
5. I work as a diver in the ocean, which provides me with pearls and other things.
6. I have been trading things in different places.
7. I made money working in construction.
8. I raise chickens in the community.
9. I have a small sari-sari store at home.
10. I venture abroad for work.

What other livelihoods do you do and want to have that are not mentioned above?
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
 Importance of Education in the Community
5 4 3 2 1
1. Free education for young Badjao in our community.
2. I want a complete set of academic supplies.
3. I have enough physical, psychological, emotional and financial support from my
family and community.
4. I participate in activities and active work at school.
5. I have access to public education.
6. I have enough money to pay for school expenses such as school projects,
photocopying, buying PE uniforms and so on.
7. I use books or other knowledge materials.
8. My teacher teaches me Tagalog language.
9. Even though I am a Badjao, I am finding friends with my fellow students.
10. I am happy with the progress of education in our community.

What other educational concerns do you have and would like to express that are not mentioned
above?
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

Importance of Government Programs and Assistance 5 4 3 2 1

1. We have Badjao leaders in our community.
2. I want my family to be qualified in the 4ps program.
3. Allowing and giving us the right to vote freely.
4. It is important to me that we have a livelihood.
5. I want us to have security or safety in our community
6. Immediate provision of first aid and assistance in the event of a calamity
7. Programs for our relatives who are addicted to bad vices such as illegal drugs.
8. Programs regarding the protection of the sea which is our source of our income.
9. Having feeding programs for those of us who are underweight.
10. Programs that maintain cleanliness in the community.
 What other programs do you think would help your community that are not mentioned above?
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

Importance of Community Safety and Security 5 4 3 2 1

1. I am safe in our community.
2. I think about the safety of my family in our community.
3. I value the safety of my fellow Badjaos in the community.
4. I am concerned about the disturbances in our community.
5. I care about peace and happiness in the community.
6. It is better to have administrators for maintaining peace in our community.
7. I am vigilant about important things in our home.
8. I want our barangay officials to resolve disputes and crimes between us Badjaos.
9. I live comfortably with my fellow Badjaos.
10. I avoid disturbances and any harm to our community.

What other safety and security concerns would you like to raise that are not mentioned above?
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

INTERVIEW
In this section, you are to express your opinion and answer each question. Researchers can also
provide additional questions.
1. How do you communicate your needs in the following categories:
a. Health and Sanitation
b. Environmental Concerns
c. Education
d. Livelihood
e. Government Programs and Assistance
2. How do you value the needs you have identified?