SURVEY QUESTIONNAIRE

Part I. Profile of the Respondents

DIRECTIONS: Please check the appropriate boxes corresponding to your answers:
1. Name (Optional)
___________________
2. College Level of Respondent / Position of Respondent
1st yr. 2nd yr. 3rd yr. 4th yr.

Faculty Staffs

3. Age
17-22 23-28 29-34
35-40 45-50 51 and above

4. Sex
Male Female

5. College Department
________________

6.    Educational attainment

         Post Graduate      College Graduate           

College Undergraduate Vocational         

High School Graduate High School Undergraduate

      Elementary Graduate       Elementary Undergraduate

Part II. Level of Disaster Preparedness of University of Perpetual Help System-

Dalta
DIRECTION: The following are statements measuring the Level of Disaster
Preparedness of the University of Perpetual Help System-Dalta. Feel free to express
your opinion by putting a checkmark on the appropriate columns provided opposite
each item statement.

LEGEND:
Point Value Mean Scale Descriptive Rating
3.20-4.00 5 Very Effective (VE)
2.40-3.19 4 Effective (E)
1.80-2.39 2 Least Effective (LE)
1.00-1.79 1 Not Effective (NE)

4 3 2 1
SA A D SD
1.1 Disaster Preparedness is an effective solution to
protect lives among the students, faculty, and staff.
1.2. The Disaster Preparedness steps and procedure
and well-known to the people of the University.
1.3 The Disaster Preparedness are helpful in facing an
unexpected phenomenon

1.4

4 3 2 1
SA A D SD
1.1 UPHSD provides a variety of health-related
information and instructions in the event of a medical
emergency when a disaster occurs.

1.2 UPHSD allocates funds necessary for the execution

of aid assistance, and supplies necessary for
disaster preparedness.
1.3 UPHSD provides immediate assistance and
evacuation plan for the students, faculties, and other
personnel as preparation for disaster occurrence.

1.4
1.5
Community Support 4 3 2 1
SA A D SD
1.1 Attended meetings or received written information
on natural disasters or emergency preparedness?
1.2 Talked with members in your departments about
what to do in case of a natural disaster or emergency
1.3 Been trained on First Aid or Cardio-Pulmonary
Resuscitation during this last year?
1.4 Developed a “University Emergency Plan” in
order to decide what everyone would do in the event
of a disaster?
1.5 Previously cooperated to the University Drills

Concerning preparedness supplies and actions 4 3 2 1

SA A D SD
1.1 The Perpetualites prepared flashlight and extra
batteries
1.2 The Perpetualites knows the signal of help
1.3 The Perpetualites prepared first aid kit