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Example of Questionnaire

The document outlines a survey to assess a municipality's disaster risk reduction and management programs. It contains questions to determine respondents' level of awareness of programs, the extent programs have been implemented, and problems encountered during implementation. The survey aims to understand how aware residents and officers are of programs, how fully programs have been carried out, and any issues that arose, in order to improve disaster preparedness and response efforts in the municipality.

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91 views

Example of Questionnaire

The document outlines a survey to assess a municipality's disaster risk reduction and management programs. It contains questions to determine respondents' level of awareness of programs, the extent programs have been implemented, and problems encountered during implementation. The survey aims to understand how aware residents and officers are of programs, how fully programs have been carried out, and any issues that arose, in order to improve disaster preparedness and response efforts in the municipality.

Uploaded by

ken
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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PROGRAM AND ACTIVITIES OF THE MUNICIPALITY AND MDRRMO IN SINILOAN,

LAGUNA

SURVEY QUESTIONNARE

Part I: This part aims to determine the demographic profile of the respondents.

Instructions: Kindly read each questions carefully. Check your answer and use the
scale below as your guide.

Name: (optional) _____________________________________

Group of Respondents:

a) First group (MDRRMO Officers)


b) Second group (Individual resident)

Scale Verbal Interpretation

5 Very much aware

4 Much aware

3 aware

2 Slightly aware

1 Not aware

Level of awareness of the programs 5 4 3 2 1

1. People joining the programs and showing


respect for the speakers and officers.

2. People volunteer for the first aid, to help


others.

3. Attending the seminar/webinar for


disaster preparedness.

4. People practicing the activities in their


own house to become ready for
disasters.

5. Participate the house to house interview


to become alert and aware.

No extent of implementation of the program 5 4 3 2 1

1. The lack of time and preparation to


extent the program.

2. People lack of action and knowledge to


the implemented program.

3. The municipality lacks of budgets to the


support the implementation of the
program.

4. People show of not interest to the


program.

5. Municipality and MDRRMO lack of


cooperation to the Barangay officials to
participate the implementation of
program.

Problems encountered on the 5 4 3 2 1


implementation of programs
1. People lack of self-discipline to control
their behavior.

2. Municipal and MDRRMO lack of the


Personnel to monitor the details and
preparation for the implementation of the
program.

3. People against the implementation of


the program.

4. People ignoring and make an issue


about the program that implemented.
5. People become irresponsible

Part II: Recommendation/Experience

Instructions: On the provided space below kindly write your experience in the program
and activities that conduct and recommendation/suggestion to the implementation of
program and activities.

______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
_____________________________________________________________.

Statement of the Problems

This study will try to answer the following sub-problems:

1. What is the assessment of the group of respondent on the level of awareness

of the programs?

2. What is the assessment of the group of respondent no extent of

implementation of the program?

3. What are the assessments of the respondent of the problems encountered on

the implementation of programs?

4. What are the relationship of the extent of implementation and problems

encountered?

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