SET A
LCS Form 2 FINAL 2010
LIVING CONDITIONS SURVEY
Interview Schedule for Barangay Official
Good (morning, afternoon), I’m ______and we are conducting a survey on your community. The purpose of this survey is to find out about your living conditions. The accuracy of the results of the whole survey will depend on your sincere and precise answers. Your input would benefit future planning and monitoring of programs. The information you give to us will be kept confidential. You and other barangay council members will not be identified by name or address in any of the reports we plan to write.
Thank you for your participation.
A. IDENTIFICATION AND OTHER INFORMATION
FIELD CONTROL
Name of Interviewer ______
Date Time Started Remarks Visit 1 Visit 2 Visit 3
IDENTIFICATION CODES
Region: ______Province: ______Municipality: ______Barangay: ______Name/s of Respondent/s: ______
Name Designation
1. Is the Barangay Captain incumbent or new? (1) Incumbent (2) New
1 SET A B. POPULATION PROFILE
2. How many families are there in the barangay? ______
3. How many people are there in the barangay? ______
4. When was the latest population census conducted? ______
5. How many women aged 35 and above are in the barangay? ______
6. Are there indigenous people (IP) in your barangay? (1) Yes (2) None
7. If yes, to what group do they belong? ______
8. How many are they? ______families ______individuals
9. Can you identify certain families in your barangay that never participate in any community activities?
(1) Yes (2) No
10. Who are they? (Please identify by surname) ______
______
______
______
11. What do you think are their reasons for not participating?
______
______
______
______
C. PRESENCE/ ACCESS TO FACILITIES
Road Network 12. What types of road traverse through the barangay?
13. What proportion of the roads are (type)? (specify % distribution)
Please Types of Road % check Dirt
Gravel
Asphalted
Cemented/All Weather Road
2 SET A
14. How do you sustain the maintenance of these roads? (allow multiple response) 1 Collect user fees 2 Subsidy from bgy IRA 3 Subsidy from Mun IRA 4 Subsidy from CDF/PDAF 5 Subsidy from others, specify ______
15. How much of the barangay IRA is allotted to maintenance? ______
Establishments 16. Is there a (establishment) in your barangay?
17. (for e-h, j, k and s only) If there is no (establishment), how far is your barangay to the nearest (facility)? Please indicate if it is in minutes or kms.
18. How do you sustain the maintenance of facilities (for e, f, g, i, k and p)? allow multiple response 1 Collect user fees 2 Subsidy from bgy IRA 3 Subsidy from Mun IRA 4 Subsidy from CDF/PDAF 5 Subsidy from others, specify ______
19. How much of the BLGU IRA is allotted to maintenance (for e, f, g, i, k, p and t)?
If none, Sustaining Indicate if Please distance When the How Establishment in check to nearest built? maintenance much? mins/kms facility of the facility
a. Town or Provincial Hall b. Church c. Plaza d. Cemetery e. Market place mins/kms f. Elementary School mins/kms g. Secondary School mins/kms h. College or university mins/kms i. Public Library j. Hospital mins/kms k. Health Center mins/kms l. Housing Projects m. Telephone lines n. Telegraph o. Postal Service p. Waterworks System q. Stores r. Financing Institution s. Post Harvest Facilities mins/kms t. Barangay hall
3 SET A
D. PRESENCE AND REPRESENTATION OF ORGANIZED SECTORS 20. Are there people’s organizations present in the barangay? (1) Yes (2) No Ö go to Q. 29 Codes for Primary Functions Codes for Exclusive for whom 21. What are these? 1 Environment preservation/ Community beautification 1 Barangay residents 22. When was ______established? 2 Spiritual 2 Farmers/ Workers’ group 23. Is ______registered with the Securities and Exchange Commission? 3 Provide training and skills 3 Women 24. When was ______registered with the SEC? 4 Provide financial assistance to members 4 Youth 25. What are their primary functions? 5 Provide support and assistance to gov’t programs 5 Senior citizen 26. How many are their members? 6 Women empowerment 6 Others, specify ______27. Is membership exclusive? If yes, for which groups? 7 Others, specify ______28. Is it an accredited member of the Barangay or Municipal Local Development Council (LDC)?
Registered w/ When Accredited When SEC? registered w/ How many member of Bgy/Mun Community Organizations established 1 Yes 2 No SEC? Primary functions members Exclusive for whom LDC? 1 Yes 2 No (21) (22) (23) (24) (25) (26) (27) (28)
4 SET A
E. DEVELOPMENT ACTIVITIES IMPLEMENTATION & BARANGAY DECISION-MAKING
29. Over the past year, what development projects have been Codes for Development Projects Codes for Source of Funds implemented in your barangay? Codes for O&M 1 Roads 1 Barangay Fund 1 Collect user fees 30. How much did the project cost? 2 Water Supply 2 Municipal Fund 2 Subsidy from bgy IRA 31. Where did the funds come from? 3 Toilet 3 Provincial Fund 3 Subsidy from Mun IRA 32. How much was financed by the barangay? 4 Livelihood 4 Congressional Development Fund 4 Subsidy from CDF/PDAF 33. Who decided on the choice of the project? How? 5 Education (CDF) 5 Subsidy from others, specify 34. When was this sort of project first proposed? (Specify the year) 6 Electrification 5 National government agencies ______35. When was the project approved? (Specify the year) 7 Health and Nutrition (e.g. DSWD, DA, etc.) 36. How do you sustain the maintenance of these projects? 8 Others, specify ______6 ODA ( Foreign-assisted projects) 37. How much of the BLGU IRA is allotted to maintenance? 7 KALAHI-CIDSS 8 Others, specify ______
Cost Sustaining the Source of Sharing When When maintenance IRA allotted to Development projects Cost of project funds (%) Decision Mechanism proposed approved (allow multiple response) Maintenance (29) (30) (31) (32) (33) (34) (35) (36) (37)
5 SET A
F. ACCESS TO SERVICES
38. What are the 3 most pressing problems of your barangay?
Are these Problems being addressed Problems properly? Kindly explain your answer 1 Yes 2 No
39. Over the past six months, how many times did the following personnel visit your barangay either to consult with the community or provide services?
Number of Government Official visits
Mayor/vice mayor/councilor
Municipal planning officer
Municipal agrarian reform officer
Municipal social worker
Agriculture extension worker
Government doctor / Municipal health officer
Government midwife
G. BARANGAY REVENUE SOURCES, SPENDING AND TRANSPARENCY
40. How much was your IRA the past year? ______
41. What other sources of revenue does your barangay have? Please check all that apply.
a. provincial government b. municipal government c. tax and other fees
i. business tax ii. real property tax iii. clearance iv. Official Development Assistance d. Community Development Fund (CDF) e. Others, pls. specify ______
6 SET A
42. What regular activities, projects and services are funded from the barangay revenue?
Regular activities, projects and services Percentage
43. How do you disseminate the information on the financial situation of the barangay to the residents of your barangay? How often is the reporting done?
i. How? ______
______
______
ii. How often? ______
H. PEOPLE’S PARTICIPATION IN BARANGAY GOVERNANCE
44. Who are the members of your BDC?
45. What is the designation of ______?
46. When was ______elected/appointed as member of the BDC?
When Name of members Designation (specify from what sector) (44) elected/appointed (45) (46) 1 2 3 4 5 6 7 8 9 10
7 SET A
47. How were the BDC members selected? 1 Identified by the Barangay Captain 2 Identified by the Barangay Council 3 Approved by entire barangay during a Barangay Assembly 4 Approved by entire barangay through a referendum 5 Others, specify ______
48. During the past year, how many times did the BDC meet? ______
49. During those meetings, was there a person involved in KALAHI-CIDSS who joined the meeting?
(1) Yes (2) No
50. During the past year, what activities did the BDC undertake?
Activity 1 2 3 4 5 6 7 8 9 10
51. During the past year, how many times did you meet with the barangay residents?
No. of Meetings Per Time Unit
Month Quarter
Year
Others, specify ______
52. On the average, how many barangay residents are present during the meetings? ______
53. On the average, how many barangay households are represented during the meetings? ______
54. During the past year, how many times did your barangay council meet?
No. of Meetings Per Time Unit
Month Quarter
Year
Others, specify ______
55. How many barangay officials do you have in your barangay?
56. On the average, how many of them are present during the meetings?
8 SET A I. LOCAL PLANNING
57. Does your barangay have a barangay development plan?
(1) Yes (2) No Ö go to Q. 60
58. When did you last update your BDP? ______
59. What’s the period covered? ______
60. Does your barangay have an annual investment plan?
(1) Yes (2) No Ö go to Q. 64
61. When did you last update your AIP? ______
62. Did KALAHI-CIDSS influence the annual investment plan?
(1) Yes (2) No Ö go to Q. 64
63. How so?
______
______
______
J. MONITORING AND EVALUATION
64. Do you collect data on the quality of life of your constituency? (1) Yes (2) No Ö go to Q. 74
[USE THE TABLE TO RECORD RESPONSES] 65. What indicators? (allow multiple response) 1 MBN-CBIS (33 indicators) 2 MBN-CBPIMS (33 indicators) 3 CLPIMS (14 indicators) 4 CBMS 5 Others, specify ______
66. Beginning 2007, how often do you collect?
67. When was the last data collection?
68. Who are involved in data collection?
69. Who are involved in data processing?
70. What is the method of data collection? 1 House-to-house interview 2 Key informants (FGD)
71. How are the respondents/ key informants selected?
72. How is the information disseminated?
73. Who are the users of the data?
74. In what way is it being used?
9 SET A
When did Beginning you last How are the 2007, how collect data respondents/ key How is the What indicators? often do on these Who are involved in Who are involved in What is the method informants information Who are the users In what way is it (allow multiple response) you collect? indicators data collection? data processing? of data collection? selected? disseminated? of the data? being used? (65) (66) (67) (68) (69) (70) (71) (72) (73) (74)
10 SET A
K. KALAHI-CIDSS EVALUATION
75. Are you satisfied with KALAHI-CIDSS? (Show flashcard) 1 Very satisfied 2 Satisfied 3 Neither 4 Unsatisfied 5 Very unsatisfied
76. What benefits did your barangay gain from KALAHI-CIDSS?
1.
2.
3.
4.
5.
77. What losses/negative impacts did your barangay experience as a result of KALAHI-CIDSS?
1.
2.
3.
4.
5.
78. Has the barangay passed resolutions and/or ordinances adopting within its regular planning and implementation the principles of people’s participation, transparency and accountability? (1) Yes (2) No Ö END OF INTERVIEW
79. If yes, how are these principles operationalized? ______
______
______
Thank you for your cooperation.
To the interviewer: Indicate the other sources of information: ______
______
______
FIELD CONTROL Time Ended: ______
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