Survey Questionnaire

Satisfactory Essays
Survey Questionnaire

Direction: Please fill in the blanks or check the boxes or parentheses provided below that best correspond to your answer

SOP I. Personal Profile
1.1 Name: (optional):_______________________
1.2 Age
___0-15 years old or below ___46-60 years old
___16-30 years old ___60 years old or above
___31-45 years old
1.3 Civil Status
___Single ___Separated
___Married ___Widow/er
1.4 Number of Dependents:
___4-6 ___10 or above
___7-9
1.5 Educational Attainment
___Elementary ___College Graduate
___High-school ___vocational

1.6 Occupation
___None ___Regular
___Contractual ___Others (Please specify)________________
1.7 Average monthly earnings
___ 2,500 Php or below ___ 7,501-10,000 Php
___2,501-5,000 ___10,000 Php or above
___5,001-7,500 Php

1.8 Assets owned
___ Television ___ Washing machine
___Electric fan ___Gas stove
___Computer ___Others (please specify)___________________

1.9 Cash Grants Received
___500 Php ___1,100 Php
___800 Php ___1,400 Php or more
Part II. How do the beneficiaries allocate in their daily living the following: 2.1 Monthly income 2.2 Cash Grants from the 4Ps
2.1 Where do you spend your monthly income?
___Food ___Health
___Shelter ___Clothing
___Education ___Others (please specify)____________________

2.2 Where do you spend your Cash Grants from the 4Ps?
___Health care program ___Others (please specify)____________________
(Note: Specific questions about how the beneficiaries allocate their earnings and cash grants will be asked during the interview)
PART III. How does the DSWD monitor the progress of the beneficiaries of the program in terms of: 3.1 Following the condition 3.2 Alleviating from poverty 3.3 Health status 3.4 Education status 3.5 Maternal health
3.1 How often does the DSWD monitor your progress during the 4Ps program?
___Regularly ___Frequently
___Seldom

PART IV Based on the recipient’s experience, to what extent is the contribution of the 4Ps

You May Also Find These Documents Helpful

  • Satisfactory Essays

    QUESTIONNAIRE FOR SURVEY

    • 303 Words
    • 2 Pages

    QUESTIONNAIRE FOR SURVEY The questions listed in the below questionnaire are for gathering data for a research exploration aimed at evaluating “The influence of social networks on the online marketing process in the United Kingdom”. The data gathered through this questionnaire will be used for answering the research questions. No respondent will be held liable for their responses. ABOUT THE RESPONDENT 1) Age of respondent? Between 18 and 25 Between 25 and 35 Between 35 and 50 Above 50 2) Do…

    • 303 Words
    • 2 Pages
    Satisfactory Essays
  • Satisfactory Essays

    Survey Questionnaire

    • 413 Words
    • 2 Pages

    College of Technology (SOCOTECH) is presently conducting a research entitled “Information System and Corporate Performance of Paseo de San Francisco Suites” as a course requirement. In this juncture, we would like to ask assistance to answer survey questionnaire instrument. Rest assured that the information gathered will be treated with utmost confidentiality. Thank you and more power! Respectfully…

    • 413 Words
    • 2 Pages
    Satisfactory Essays
  • Satisfactory Essays

    Survey Questionnaire

    • 266 Words
    • 2 Pages

    ______________________________________________________________________________________________________________________________ __________________________________________________________________ Thank you very much for taking part in our survey. God bless and good day!…

    • 266 Words
    • 2 Pages
    Satisfactory Essays
  • Powerful Essays

    Survey Questionnaire

    • 10347 Words
    • 47 Pages

    World Journal of Agricultural Sciences 8 (6): 568-584, 2012 ISSN 1817-3047 © IDOSI Publications, 2012 DOI: 10.5829/idosi.wjas.2012.8.6.1688 An Insight in Statistical Techniques and Design in Agricultural and Applied Research Ajay S. Singh and Micah B. Masuku Department of Agricultural Economics and Management, Faculty of Agriculture, University of Swaziland, Swaziland Abstract: Advance applied science researches have experienced a dramatic change in knowledge and an exponential increase…

    • 10347 Words
    • 47 Pages
    Powerful Essays
  • Powerful Essays

    Survey Questionnaires

    • 1111 Words
    • 5 Pages

    Company : ChocOat Company Product name: ChocOat Product: Choco Oatmeal Cookies Objectives To know if our Product is Feasible Name (Optional) : ____________________ Gender: ______ Age: _____ Direction: Encircle you answer 1. Are you familiar with oatmeal cookies? a. Yes b. No 2. Do you eat cookies? a. Yes b. No 3. How often do you eat cookies (Any kind)? a. daily b. once a week c. once a month 4. Have you tried eating oatmeal…

    • 1111 Words
    • 5 Pages
    Powerful Essays
  • Good Essays

    University of Makati College of Business Administration SURVEY QUESTIONNAIRE To the Respondent, We the student of University of Makati, taking up Bachelor of Science in Marketing, would like to conduct a survey in relation to our subject Project Study Preparation. Kindly provide the information asked in the questionnaire. We guarantee you that the information given will be treated confidential and will be used only for research purposes. We value your answers and appreciate your full cooperation…

    • 396 Words
    • 2 Pages
    Good Essays
  • Satisfactory Essays

    HRM Survey questionnaire

    • 284 Words
    • 2 Pages

    SURVEY QUESTIONNAIRE Name: Designation: Employer: 1. How comfortable is your work environment? Extremely comfortable Quite comfortable Slightly comfortable Not at all comfortable 2. Are you satisfied with your employer's catered meals? Satisfied Neither satisfied nor dissatisfied Slightly dissatisfied Extremely dissatisfied 3. Are you satisfied with your employee benefits? Extremely satisfied Neither satisfied nor dissatisfied Quite dissatisfied Extremely dissatisfied…

    • 284 Words
    • 2 Pages
    Satisfactory Essays
  • Powerful Essays

    Mfi-Survey-Questionnaire

    • 5292 Words
    • 22 Pages

    Questionnaire No. _______ NATIONAL ANTI-POVERTY COMMISSION ENHANCING ACCESS OF THE POOR TO MICROFINANCE SERVICES IN FRONTIER AREAS Questionnaire for Microfinance Institutions( MFIs) DATE: TIME STARTED: TIME ENDED: ENUMERATORS NAME: TO BE FILLED UP BY THE RESPONDENT(S) 1. Name of the Organization:______________________________________________________ 2. Acronym: ___________ 3. Address: ____________________________________ (building number , street, zip code 4. ________________________ City/town/municipality…

    • 5292 Words
    • 22 Pages
    Powerful Essays
  • Satisfactory Essays

    Mse Survey Questionnaires

    • 353 Words
    • 2 Pages

    Survey Name (Optional) Age* Address (City)* Gender* Employment status* * Male - Employed * Female - Unemployed * Others - Self-employed 1. 2. If student, how much is your weekly allowance? * P 500 below * P 600-1000 * P 1,100 above 3. If employed, how much is your monthly salary? * P 10,000 below * P 11,000-17,000 * P 18,000 above 4. Primary mode of transportation: * PUJ * FX * Bus * Taxi…

    • 353 Words
    • 2 Pages
    Satisfactory Essays
  • Satisfactory Essays

    Good day! The researcher is conducting a study entitled, “Advantages and Disadvantages of a First Year Cadet who has a Cousin on the Senior Classes”. This survey will serve as an instrument in the fulfillment of the said study. The researcher also hopes for honest answers which will be based on your own experience inline with the study. The researcher also assures you that your response will be kept confidential. Truly yours, E/Cdt. Sesgundo, Jun Paulo B. Researcher Personal Information:…

    • 370 Words
    • 2 Pages
    Satisfactory Essays