Professional Documents
Culture Documents
Draft Questionnaire For Community Assessment
Draft Questionnaire For Community Assessment
People:
a. How many people live in the area?
b. How many of those are women/ girls?
c. How many of those are men/ boys?
2. Facilities:
How many of the following are there and what are the main problems?
Facilities Quantity Problems
Primary school
High school
Church
Chapel
Clinic
Sport field
Community hall
b. What environmental practices do most people do in the community? (write all the different
kinds in different parts of your community and the problems faced)
Area Toilet Type Problems
c. Which of these methods do people use to dispose of the garbage? (write YES or NO)
Practices Answer
Burn it
Dump into empty lots
Dump into own patio
Dump into the sea
Dump in the streets
Wait for the garbage collection
Kaingin
d. What do most people use for power and cooking? (for example: wood, electricity, paraffin,
gas, coal, dung)
Area Fuel Type Problems
4. Community Problems
What are the major problems affecting the community? (Rans the three most important
problems)
1. Safety and crime
2. Water
3. Electricity
4. Poor access to health care
5. Poor access to education
6. Bad transport
7. Poor environment
8. Lack of environmental Awareness
9. Others (specify)___________________