Survey Questionnaire for baranggay Case Study
Survey Questionnaire
(Kagawad/Punong Baranggay)
I. Personal Data
Direction: Kindly provide exact information to the items below by checking () the appropriate box or supplying the answers on the space provided.
Name: _______________________________ (optional)
Barangay: _________________________________
Gender: ( ) Male ( ) Female
Educational Attainment:
( ) First Year ( ) College level
( ) Second Year ( ) College graduate
( ) Third Year ( ) Masteral Degree
( ) Fourth Year ( ) Doctoral Degree
Others please specify: ________________________
Age: ( ) 25 years old
Others please specify: ____ years old
II. Barangay Policies
Instruction: Kindly evaluate the Brgy. Policies, Ordinance and Rules that are being applied or implemented by your barangay by putting a check () on the corresponding boxes.
Rater scale: 5 – Excellent 4 – Very Satisfactory 3 – Satisfactory 2 – Very Good 1 – Good
QA. Barangay sustainability on Environmental project.
1
2
3
4
5
1.Maintenance of waterways cleaning operation.
2.Committee on cleaning operation.
3.Policy on smoke belching.
4.Barangay community safety measures.
5.Maintenance of fumigation.
QB. Projects proposal by the Brgy. Kagawad
1
2
3
4
5
1.Giving free vitamins for minor ages.
2.Monthly inspection of waterways.
3.Policy on illegal logging.
4.Sustainability of cleanliness in water stores/other basic needs
5.Clean and Green project.
QC. DPWH Project Implementation
1
2
3
4
5
1.Clearing right of way for electrification.
2.Maintenance of Box culvert.
3.Traffic lights tool.
4.Appropriate street signages.
5.Maintenance of road works.
QD. Brgy. Policy/Ordinance/Implementation
1
2
3
4
5
1.Policy on underage/children.
2.Ordinance on Curfew hour.
3.No Loitering.
4.Animals implementation on animals policy.
5.Rehabilitation of plants and trees.
(Kagawad/Punong Baranggay)
I. Personal Data
Direction: Kindly provide exact information to the items below by checking () the appropriate box or supplying the answers on the space provided.
Name: _______________________________ (optional)
Barangay: _________________________________
Gender: ( ) Male ( ) Female
Educational Attainment:
( ) First Year ( ) College level
( ) Second Year ( ) College graduate
( ) Third Year ( ) Masteral Degree
( ) Fourth Year ( ) Doctoral Degree
Others please specify: ________________________
Age: ( ) 25 years old
Others please specify: ____ years old
II. Barangay Policies
Instruction: Kindly evaluate the Brgy. Policies, Ordinance and Rules that are being applied or implemented by your barangay by putting a check () on the corresponding boxes.
Rater scale: 5 – Excellent 4 – Very Satisfactory 3 – Satisfactory 2 – Very Good 1 – Good
QA. Barangay sustainability on Environmental project.
1
2
3
4
5
1.Maintenance of waterways cleaning operation.
2.Committee on cleaning operation.
3.Policy on smoke belching.
4.Barangay community safety measures.
5.Maintenance of fumigation.
QB. Projects proposal by the Brgy. Kagawad
1
2
3
4
5
1.Giving free vitamins for minor ages.
2.Monthly inspection of waterways.
3.Policy on illegal logging.
4.Sustainability of cleanliness in water stores/other basic needs
5.Clean and Green project.
QC. DPWH Project Implementation
1
2
3
4
5
1.Clearing right of way for electrification.
2.Maintenance of Box culvert.
3.Traffic lights tool.
4.Appropriate street signages.
5.Maintenance of road works.
QD. Brgy. Policy/Ordinance/Implementation
1
2
3
4
5
1.Policy on underage/children.
2.Ordinance on Curfew hour.
3.No Loitering.
4.Animals implementation on animals policy.
5.Rehabilitation of plants and trees.