SURVEY ON
ASSESSING
SELECTED
COMMUNITY
ACTION
INITIATIVES
PREPARED BY:
MR.DOMINADOR S. FRONDA JR.
FREQUENTLY QUESTIONS
1. Have you
tried
answering a
survey form?
2
2. What was
the survey
form all
about?
Presentation title
3. What is the
purpose of
that survey?
20XX
1. What do you see in the
infographics?
2. How did they come up with
those results in the infographics?
3. 3. Can they plan a community
action with these data? How?
WHY DO WE NEED TO CONDUCT SURVEY IN ASSESSING
SELECTED COMMUNITY ACTION INITIATIVES?
WHY DO WE NEED TO CONDUCT SURVEY IN ASSESSING
SELECTED COMMUNITY ACTION INITIATIVES?
HOW SHOULD YOU PREPARE TO CONDUCT SURVEY IN SELECTED
COMMUNITY ACTION INITIATIVES?
PREPARE YOUR SURVEY FORM
SAMPLE AND PARTS OF
SURVEY
FORM/QUESTIONAIRES
SURVEY
DEMOGRAPGIC
ITEMS
SURVEY ITEMS
CLOSING
STATEMENTS
SURVEY TITLE
SURVEY
DIRECTION
DIRECTION:
In a 1 whole sheet of
paper, copy the whole
survey form and answer it
based
on
your
real
situation and perception
about your community
problems
related
to
environment. 50pts
10
Presentation title
20XX
SURVEY ON COMMUNITY PROBLEMS RELATED TO
ENVIRONMENT
NAME:
AGE:
GENDER:
BARANGAY:
GRADE:
SECTION:
DIRECTION:
PUT A MARK (/) BASED ON YOUR APPROPRIATE RESPONSE.
SURVEY ON COMMUNITY PROBLEMS RELATED TO
ENVIRONMENT
Q1:
Are there in this community have a serious problems related to:
YES
a. MOUSE/MICE
b. MOSQUITOES
c. COCKROACHERS
d. FLEAS
e. BUGS
f. FLIES
g. BATS
NO
SURVEY ON COMMUNITY PROBLEMS RELATED TO
ENVIRONMENT
Q2:
In this community, are there any:
YES
a. Garbage dumps that pollute the environment?
b. Stagnant waters?
c. Residuals from slaughter houses in public places?
d. Car workshops spilling oil into rivers?
e. Deforestation problems?
f. Other heavily polluting activities, please specify:
NO
SURVEY ON COMMUNITY PROBLEMS RELATED TO
ENVIRONMENT
Q3:
In the last 5 years, the situation of the environment in your community has:
YES
a. Improved
b. Worsened
c. Remained the same
NO
Lists atleast 3
community action
initiatives that you wish
to recommend in your
own community.
15
Presentation title
20XX