4Ps Questionnaire

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Part II.

Compliance Assessment 4Ps Beneficiaries

Directions: Please answer yes or no on the conditions being asked below.


A. Health and Nutrition Yes or No
1. Do pregnant women in the household have at least four (4) pre-natal
visits in a health facility?
2. Do pregnant women in the household give birth in a health facility and
attended by a skilled health professional?
3. Do postpartum women in the household have at least four (4) post-
natal visits in a health facility?
4. Do infant children in the household old get fully-immunized upon
turning 12 months old?
5. Do children in the household aged 0-5 years old get preventive health
and nutrition services ton include check-ups and vaccinations?
6. Do children in the household aged 1-14 years old avail deworming
pills at least twice a year?
B. Education
1. Do children in the household aged 3-4 years old attend day-care or
pre-school classes?
2. Do children in the household aged 5-18 years old attend elementary
or secondary classes?
C. Sustainability
1. Does the household attend family development sessions conducted
by the DSWD/MSWDO at least once a month?
2. Does the household a beneficiary of sustainable livelihood program of
the DSWD?

Part III. Impact Evaluation

Directions: Based on your compliance above, please rate the impact of the Pantawid
Pamilyang Pilipino Program (4Ps) to your household on the following indicators using the
scale given below:

1 – No Impact 2 – Slight Impact 3 – Moderate Impact 4 – Great Impact


A. Health and Nutrition 1 2 3 4
1. Improvement of health condition of pregnant women or
mother/s in the household.
2. Improvement of health condition of children in the
household.
3. Improvement of nutritional condition of children in the
household.
B. Education
1. Enhancement of school participation of children in the
household.
C. Sustainability
1. Enhancement of family relationship and community
participation of the household.
2. Improvement of economic status of the household.

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