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SURVEY QUESTIONNAIRE

Good day! We are a 5th year civil engineering students at PHINMA- University of Pangasinan, conducting this survey for
our research in our thesis entitled “A PROPOSED 5 STOREY INTEGRATED GOVERNMENT BUILDING AT LINGAYEN
PANGASINAN”. The purposed of this survey is to determine what are the government agencies that can be included of
our propose project. Your individual responses and identity are used for survey only. Thank you so much for your time
and suggestions.

INDIVIDUAL PROFILE

Name/Pangalan: _________________________________________ Gender/Kasarian: Female Male


(Optional)
Age/Edad: _______ Town/Bayan:
Sual Labrador Bugallon
Aguilar Mangatarem
Binmaley Lingayen
__________________________________________________________________________________________________

Place check mark in the box of your answers.

1. What are the available government agency/agencies in your town and/or nearby? (please put the name of the town
in the blank if it is nearby.)
(Ano ang mayroong ahensya /ng mga ahensya ng gobyerno na mayroon na sa inyong bayan o sa kalapit na lugar?)(paki-
sulat kung saang bayan ito na malapit sa inyo.)
a. SSS ____________ g. BIR ____________
b. PSA(NSO) ____________ h. BFP ____________
c. GSIS ____________ i. PNP ____________
d. PAGIBIG FUND ____________ j. POSTAL OFFICE ____________
e. PHILHEALTH ____________ k. PDRRMO ____________
f. OTHERS (please specify) _________________________

2. What government agencies that you already went by from your place (ex. Home, office, school,etc…). (please put the
place where is the place of your chosen agency at the blank)
(Ano ang mga ahensya ng gobyerno ang iyong napuntahan (hal. Bahay, opisina, paaralan, atpb….). (pakilagay kung
saang lugar matatagpuan ang iyong napili na ahensya sa blanko.)
a. SSS ____________ g. BIR ____________
b. PSA(NSO) ____________ h. BFP ____________
c. GSIS ____________ i. PNP ____________
d. PAGIBIG FUND ____________ j. POSTAL OFFICE ____________
e. PHILHEALTH ____________ h. PDRRMO ____________
f. OTHERS (please specify) _________________________

3. Based on your chosen government agency/agencies, how long do you spend time in processing your documents?
(Please specify what government agencies they are beside your chosen time.)
(Base sa iyong napiling ahensya ng gobyerno, ilang oras ang ginugugol mo sa pagproseso ng iyong dokumento?)(Paki-
lagay sa tabi ng iyong napiling sagot ang ahensya ng gobyerno.)
a. 15-30 mins __________________________
b. 30-60 mins __________________________
c. 1-2 hrs. __________________________
d. 2-3 hrs. __________________________
e. 3-5 hrs. __________________________

4. How long do you spend time in travelling to that government agencies?


(Ilang oras ang iyong biyahe papunta sa ahensya ng gobyerno?)
a. 15-30 mins.
b. 30-60 mins.
c. 1-2 hrs.
d. 2-3 hrs.
e. 3-5 hrs.
5. What problems do you often encounter when you are processing the documents at the government
agency/agencies?
(Ano ang mga kadalasang problema na iyong naranasan habang ikaw ay naglalakad ng mga dokumento sa ahensya/ng
mga ahensya ng gobyerno?)
a. Tired of travelling (Pagod sa biyahe)
b. Annoyed because of slow process (Nayamot dahil sa mabagal na proseso)
c. Tired and irritated because of long queue (Napagod at nairita dahil sa matagal na pagaantay)
d. Incomplete Facilities/rooms (Kakulangan ng mga pasilidad o mga kwarto)
e. Others(please specify)__________________________________________________

6. What suggestion do you have for the improvement of our research?


(Ano pa ang iyong gustong imungkahi upang mas maging mabuti an aming pagsasaliksik?)
____________________________________________________________________________________
____________________________________________________________________________________
___________________________________________________.

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