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Age and Level of Political Participation 28

Appendix D: Survey Questionnaire COMMUNITY-BASED POLITICAL PARTICIPATION. Put a check


mark () on the item that corresponds to your answer.

SAINT LOUIS UNIVERSITY ITEMS Never Sometimes Often Always


Navy Base Road, Baguio City 2600 1) I actively participate when
School of Humanities it comes to decision-
making in our
community regarding
healthcare programs
Date: ________________________ and/or livelihood
activities.
2) I actively participate on
Dear Respondent, gender issues
particularly gender
Good day to you! inequality and
homosexuality
I am Princess Erma Ricel M. Erese, a bona fide BA Political Science student 3) I actively participate to
conducting a research entitled Relationship between Citizens Age and come up with effective
Level of Activeness in Political Participation in Navy Base as a partial solutions in addressing
fulfillment for Political Science 8B. community problems such
as solid wastes and water
In relation to this, I am requesting for your participation to this study by shortage.
answering the following questionnaire. The researcher assures to you that your 4) I actively participate on
response will be kept confidential and will be strictly utilized for academic recreational activities in
purposes only. our community such as
Thank you so much! Zumba sessions, etc.
5) I actively participate when
Respectfully yours, it comes to social
networking sites
Princess Erma Ricel M. Erese, BA Polit Sci III expressing my sentiments
about socio-political
Noted: concerns in the
community.
Dr. Mary Grace C. Baywong, Faculty-in-charge 6) I actively volunteer myself
in those cases that man-
I. PERSONAL INFORMATION power is very much
Name (optional): ________________________ Sex: Female Male needed in the community.
Age: 18-31 32-45 46-59 60 and above
Religion: ____________ Educational Attainment: ______________________
Occupation: _________________ B) As a citizen, how do you perceive regarding the severity (gaano
Monthly Income (estimated): ____________________ kalala) of the following socio-political problems in the country?
Civil Status: Single Married Widow/Widower Separated You may put a check mark.

II. SURVEY-QUESTIONNAIRE Not at all Slightly Very Extremely


PROBLEMS
Severe Severe Severe Severe
A) Rate your level of participation to the following conditions given. POVERTY
(You may put a check mark (). CORRUPTION
(e.g. PDAF)
Not POLITICAL
Extremely Very Slightly
ACTIVITIESs at all DYNASTY
Active Active Active
active FOOD
ELECTIONS (local, SHORTAGE
national) PRICE
POLITICAL ACTIVISM INCREASE
(e.g. rally) POLLUTION
SOCIO- SECURITY
ENVIRONMENTAL THREAT
MOVEMENT (e.g. terrorism)
(e.g. tree planting)
COMMUNITY 1) Do you believe that your active participation can help in addressing
ACTIVITIES (e.g. feeding any of the socio-political problems provided above?
program) YES NO
COMMUNITY FORUM 2) Do you believe that your active participation is necessary to improve
(e.g. human rights, gender the current conditions in the city?
equality) YES NO
JOINING POLITICAL 3) Do you believe also that your active participation is significant to
GROUPS(e.g. Gabriela, improve the current conditions in the country?
AKBAYAN) YES NO
Signature of the Respondent:

___________________________________________________