PART 1: GENERAL INFORMATION

Directions: Please answer the question below, put “✓” mark in your appropriate answer.

A. AGE

o 18-24 years old

o 25-34 years old
o 35-44 years old
o 45-54 years old
o 55 years old and above

B. GENDER

o Male
o Female

C. CURRENT POSITION

o Supervisor
o General Manager
o Front Office Manager
o Other (please specify): ___________

D. HOSPITALITY ESTABLISHMENT YOU WORK FOR

o (Please specify): ___________

PART 2: SUPPLIES AND EQUIPMENT KITS IN THE ESTABLISHMENT

Directions: Please answer the question below, put “✓” mark in your appropriate answer.

A.) Does your workplace have the necessary equipment and supplies to respond to a natural
disaster?

o Yes

o No

B.) If yes, what type of equipment and supplies are available?

Supplies and Equipment Kits

Fire Extinguisher Lifejacket of Lifebuoys

Fire Ladder Foods

Dust Mask Water

Fire Axe Small Radio

Fire Proximity Suit Hammer and Nails

First Aid Kits Sleeping bags, blankets or space

blanket

Flashlight Walkie-talkie set

Batteries Boots hard toe steel shank

Wire Cutter Cash Money

Emergency Ropes, Bungees, and Portable Generator

Cords

Shovel Whistle to signal for help

 Sledge Hammer Emergency rescue stretcher

Claw Hammer Emergency Stove

Brick Hammer Emergency Lights

Metal Cutter Rescue boat

Gloves Safety Helmets

PART 3: LEVEL OF NATURAL DISASTER PREPAREDNESS

Directions: Please indicate your level of preparedness of each of these statements regarding
Natural Disaster Preparedness. Place a “✓” mark in the box of your answer.

Rating scale:

5 – Highly Prepared

4 – Prepared

3 – Neutral

2 – Unprepared

1 – Highly unprepared.

Natural Disaster Preparedness 5 4 3 2 1

Available vehicles for pre-emptive evacuation

Generator sets and its accessories for an evacuation center

Kitchen equipment and utensils for disaster command center

Activation of Incident Command Center committees

Available Damage Assessment Forms, log books, office supplies,
etc.

Available communication units and facilities

Serviceable chainsaw, ropes, and other rescue equipment

JEMRU vehicles and ambulances ready for emergency

Reserved funds of P100,000 for mobilization and emergency

purchases

Emergency Contact No.s to members of NDRRMC, 33 BDRRM

Action Officers, 33 barangay captains, Tarsier 117, PDILG, OCD
7, NDRRMC.

Lists of LGU manpower for the operation and duty at the

Command Post

Emergency equipment such as electric drill, jackhammer, steel

cutter, etc.

Packed relief goods ready for distribution

Empty drums, containers, blankets, sleeping mats

Rechargeable lamps, flashlights, extension wires, etc.

Motor sirens, early warning devices, flood indicators, etc