APPENDIX C

QUESTIONNAIRE

I. Respondents Profile
First Name: ______________________Last Name: ____________________
Age : ______________________ Sex :____________________
Socio Economic Status: ____________ Position : ____________________
Monthly Income
[ ] Php 500 and below per month [ ]1Php 501-700 per month
[ ] Php 801-900 per month [ ] Php 701-800 per month
[ ] Php 901-1,000 per month [ ] Php 1,001 and above per month
Education Attainment
[ ] College graduate [] College level
[] High school graduate [] High school level
[] Elementary graduate [] Elementary level
II. Common Activities:
Direction: Answer the statement below by putting check [✔] mark on the
space provided.
[] strongly agree [] strongly disagree
[] agree [] disagree
[] undecided
1. Taking prohibited drugs is one of the activities of the bystanders in the
barangay
[] strongly agree [] strongly disagree
[] agree [] disagree
[] undecided

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2. The bystanders drink liquor
[] strongly agree [] strongly disagree
[] agree [] agree
[] undecide
3. The bystanders are engaged in Fraternity
[] strongly agree [] strongly disagree
[] agree [] disagree
[] undecided
4. The bystanders are engaged in playing cards
[] strongly agree [] strongly disagree
[] agree [] disagree
[] undecided
5. The bystanders are engaged in Cockfighting activity
[] strongly agree [] strongly disagree
[] agree [] disagree
[] undecided
6. The bystanders are engaged in Swertres.
[] strongly agree [] strongly disagree
[] agree [] disagree
[] undecided
7. The bystanders are engaged in Stealing.
[] strongly agree [] strongly disagree
[] agree [] disagree
[] undecided

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III. Activities and behaviors affecting the community:

Direction: Rate the following activities by putting check() mark on the space
provided. 5 is the highest and 1 is the lowest

5 4 3 2 1

1. Illegal drugs [] [] [] [] []
2. Drinking Liquor [] [] [] [] []
3. Fraternity [] [] [] [] []
4. Playing cards [] [] [] [] []
5. Cockfighting Activity [] [] [] [] []
6. Stealing [] [] [] [] []
7. Stealing [] [] [] [] []
8. Please, specify others:
____________________ [] [] [] [] []

IV. Management measures:

Direction: Answer the statement below by putting check [ / ] mark on the

space provided.
1. The Barangay Captain initiates educational activities for the bystanders
[] strongly agree [] strongly disagree
[] agree [] disagree
[] undecided
2. The Barangay Captain implement curfew hour in the Barangay. [] strongly
[] strongly agree [] strongly disagree
[] agree [] disagree
[] undecided

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3. The Barangay Officials provided job opportunity to the bystanders.
strongly agree [] strongly disagree
[] agree [] disagree
[] undecided

4. The Barangay Tanods are roaming around every night in the Barangay.
[] strongly agree [] strongly disagree
[] agree [] disagree
[] undecided

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