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1 NEEDS-assessment-questionnaire
1 NEEDS-assessment-questionnaire
Dear _____________________,
We, the Bachelor of Science in Agriculture (BSA), major in Animal Science, are conducting our
Thesis, entitled, “NEEDS ASSESSMENT OF BACKYARD SWINE AND POULTRY RAISERS IN PILAR,
SORSOGON” to assess the training capacity and needs of swine and poultry farmers in the municipality
of Pilar.
We would like to request to take some of your time to give us your honest answers to the
following questions that will serve as our basis in providing services that is adaptable and suitable to the
community.
Furthermore, rest assured that any data that you will provide are confidential and will only be
used for the purpose of TRAINING NEEDS ASSESSMENT.
Thank you very much.
Name: ________________________________________________
Address: _____________________________________________________________________________
Age: ____________ Sex (M/F): __________
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Respondent No. ______
b. Are you a member of an organization, related to agriculture or livestock raising? If yes, what is
the name of the organization, what position do you hold, and how long are you a member?
o YES __________________________________________________________________
o NO
c. What particular topic on swine or poultry raising are you most familiar with? Rate your
knowledge/skill level in each topic by putting a check mark () on the respective column.
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Respondent No. ______
b. How do you handle/manage the problems/challenges in your livestock raising? Please rank your
answer (1 = your priority person/agency to consult, 6 = least priority)
_____ Consultation with faculty or extensionist
_____ Consultation with veterinarian
_____ Consultation with technician
_____ Consultation with Agricultural Supply Store personnel
_____ Consultation with Municipal/City Agriculturist Office
_____ Consultation with Municipal/City Veterinary Office
_____ Online search
_____ Others: ____________________________________________________
b. Put a check on the topics for trainings and seminars that you would like to attend to learn new
knowledge and/improve your skills as swine and poultry raisers.
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Respondent No. ______
Time preference
o Morning
o Afternoon
o Whole day
o Can accommodate two to three days training/workshop
Venue
o Within the barangay
o Within the municipality
o Within the province
o Online
Platform preference
o Zoom
o Google Meet
o Facebook live
o Others ___________________________________________________
I do hereby signify to the correctness of the data presented in this survey questionnaire.
I also give my CONSENT TO USE THE DATA that I have provided for the purpose of the above mentioned
thesis.
_____________________________________ _______________________
Signature over Printed Name of Respondent Date
_____________________________________
Signature over Printed Name of Interviewer
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