Survey Questionnaire

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ST.

PETER’S COLLEGE OF TORILL, INC


Mac Arthur Highway, Crossing Bayabas, Toril, 8025 DavaoCity

PERSONAL INFORMATION

Name: Age: Religion:


Gender: Status:
Year of Residency
Educational Attainment: Occupation:
No. of children:
Name Age Work/education level
______________________ ____ ____________________
______________________ ____ ____________________
______________________ ____ ____________________
______________________ ____ ____________________

No. of household:

A. Respondent

Name: _______________________________________ Religion: _____________________

Age: _________ Gender: _____________________

Question 1: Do you often participate in your barangay activities?

Yes No

Why? _____________________________________________

Question 2: If you can suggest a program what is it?

Answer: ____________________________________________

Question 3: Do you often get information from your barangay?

Yes No

Why? ____________________________________________
Question 4: Did you experience assistance in the barangay?

Yes No

What kind of assistance? ____________________________________________

B. Barangay Fair Good Very


Good
?
How comfortable are you living in this barangay?

How clean is your barangay?


Ho
How was the service of your barangay?
Ho
How safe are you and your family?
Ho

SURVEY QUESTIONNAIRE

1. In what ways do you feel your community supports at-risk youth?

2. What services and programs would you like your local library to provide?

3. What time, skills, or expertise can you offer as a community center volunteer?

4. What parks and recreation services and programs do you enjoy?


5. Which services are relevant to you and your family?

6. Which ones do you feel need improvement? In what ways?

7. Has food insecurity affected you or your family in the past year? If so, how?

8. What are the common problem that your barangay failed to fulfilled?

9. As a citizen is the medical health center help you to provide your common problem?

10. How can you ensure that all members of the family have access to affordable health care?

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