Appendix 4e

SURVEY QUESTIONNAIRE

THE IMPLEMENTATION OF PANTAWID PAMILYANG PILIPINO

PROGRAM IN SITIO PANIPASAN, MARILOG DISTRICT: AN ASSESSMENT
Part I. THE DEMOGRAPIC PROFILE OF THE RESPONDENTS

Please check the box accordingly.

Name (optional):___________________________________

Occupation:

Unemployed Farmer

Laborer Government Employee

Private Employee ___ others (please specify)

Monthly Family Income:

Between P1, 000 – P3, 999 Between P10, 000-P11, 999

Between P4, 000-P6, 999 Between P12, 000-P15, 999

Between P7, 000-P9, 999 Over P16, 000

Number of Children under 4Ps:

3
 Appendix 4e

Part II. Checklist

1. What are the benefits that you receive from the program? Please check them.
Benefits Please check

1. Health grant: P500 per household every month, or a

total of P6,000 every year
2. Education grant: P300 per child every month for ten
months, or a total of P3,000 every year
3. Pre- and post-natal care for pregnant women
4. Parenting, health and nutrition seminars for parent
beneficiaries
5. Preventive health check-ups and vaccines for children
aging 0-5
6. Deworming pills twice a year for children aging 6-14
7. Others (please specify):

2. What are the problems that you encountered in the Pantawid Pamilyang Pilipino
Program (4P’s) as a beneficiary?

Problems Encountered by the Beneficiaries Please check

1. The releasing of cash assistance is always delayed.

2. The amounts received by the beneficiaries are not exact
or fixed from what they had expected.
3. The system of releasing the cash assistance is not
organized.
4. The place where the cash assistance was released is very
far from the place of the beneficiaries.
5. The Family Development Sessions (FDS) is not done
regularly.
6. There was no proper dissemination of information every
time there is program or seminars.
7. Others (please specify):
 Appendix 4e

Part III. Please read the following statements carefully and check whether the objectives

of Pantawid Pamilyang Pilipino Program are 4- Highly Attained (HA), 3

Attained

(A), 2- Poorly Attained (PA) and 1-Not Attained (NA) after each statement.

A.SOCIAL ASSISTANCE

Highly Attained Poorly Not

Attained Attained Attained
A.1. POVERTY ALLEVIATION
4 23 1

A. The cash assistance helps the

everyday expenses of the
family.
B. The cash assistance helps the
family to have an income
generating business.
C. The 4Ps program motivates me
to spend the cash assistance
wisely.
D. The 4Ps program decreases the
hunger incidence of the family.
E. The 4Ps program helps the
family in providing our daily
basic needs: (food, clothing,
shelter).

B.SOCIAL DEVELOPMENT

B.1.HEALTH and NUTRITION

PROGRAM
A. Children from 0-5 years old
were able to visit the health
center to avail immunization.

B. The children ages 0-2 years

old have monthly weight
 Appendix 4e

monitoring and nutrition

counselling

C. The program gives

deworming pills for children
ages 6-14 twice a year.

D. The 4Ps program is able to

help sustain the health needs
of the beneficiaries like
medicines and vitamins for
children.

E. The pregnant women visit the

local health center to avail
pre-natal and post-natal care
and avail appropriate delivery
services.

B.2. EDUCATION PROGRAM

A. The children are able to attend

classes every day.

B. Absenteeism of school
children has been reduced.

C. The parents/guardian are able

to give daily school allowance
(“baon”) to their children.

D. Parents are able to pay their

child’s school contributions.

E. Parents are able to provide

school requirements (projects,
school supplies, allowance,
etc.) to their children.
 Appendix 4e

B.3.FAMILY DEVELOPMENT
SESSIONS 4 3 2 1

A. The Family Development

Sessions are done at least once
a month.

B. There are seminars/workshops

for responsible parenthood and
family planning.

C. The pro different drug

awareness and fire prevention
seminars.

D. The program conducted

different livelihood learning
program or activities for the
beneficiaries.

E. The 4Ps program conducted

different community activities
that help to develop the social
involvement of women.