Solid Waste Management Program:

Survey Forms
* Required

1. Email *

The informations that you will provide in this form will remain confidential. The
Personal informations herein shall be used to quantify and qualify the data gathered for survey
purposes. Thank you for your understanding.
Profile

2. Age *

Mark only one oval.

1-10

11-19

20-29

30-39

40-49

50 above

3. Location *

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Iloilo Province

Guimaras Province
4. Guimaras Province

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Buenavista

Jordan

San Lorenzo

Sibunag

Nueva Valencia

5. Sex *

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Male

Female

6. Educational Background *

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Graduate (masteral, Ph.D.)

Undergraduate

Highschool

Elementary

Vocational

SURVEY
7. RA 9003 Awareness *

Mark only one oval per row.

Yes No

Are you aware that there is a law about solid

wastes (RA 9003-Ecological Solid Waste
Management Act of 2000)?

Are you aware that the LGU has the biggest

role in implementing RA 9003?

Are you aware that burning agricultural

wastes (ex. rice straws) is punishable by
law?

Are you aware that each Municipality should

have sanitary landfill?

Are you aware that non-segregation of

wastes is prohibited in RA 9003?

Are you aware what is Material Recovery

Facility?

Are you aware what is a landfill?

Are you aware of the characteristics of

hazardous, toxic or nuclear wastes?

Are you aware about RA 6969-Toxic

Substances and Hazardous and Nuclear
Waste Control Act of 1990?

Are you aware about the 5Rs in RA 9003?

8. Solid Waste Management Program Awareness *

Mark only one oval per row.

Yes No

Did your school have Solid Waste

Management Program?

Have you ever had training, seminars or

conferences about Solid Waste Management
practices?

Do you know how to characterize solid

wastes?

Do you fully understand the 5Rs in solid

waste management?

Do you know how to properly segregate solid

wastes?

Do you know when and where is the best

time and place to burn solid wastes?

Did you know that the use of styrofoam

products were banned starting 2013 in the
Philippines?

Do you know the advantages of "Clean as

you go" policy?

Do you know the corresponding penalties

when you break the solid waste
management policy of your school?

Do you know what are e-wastes?

Do you know how to handle e-wastes?

Did you know that e-wastes should be

handled carefully for they pose risks in both
the environment and your health?

Did you know that waste batteries are

hazardous and could cause water pollution?

Did you know that some waste light bulbs

contain mercury which is a hazardous
chemical?

Did you know that scavenging recyclables

from the Material Recovery Facility is
punishable by law?

Do you know how to create compost

beds/bins?

Do you know any possible way to speed-up

composting of biodegradables?

Did you know that you have to pay fines as

penalty for littering?

Did you know that you could be put to jail as

penalty for scavenging at dumpsites?

Did you know that if you cannot pay the fines

due to disobedience to Solid Waste
Management Policy, you will have to render
corresponding community services?

Do you know where the solid waste

collectors dispose your garbage?
9. Individual Perspective to Solid Waste Management Program *

Mark only one oval per row.

Yes No

It is my responsibility to properly segregate

my/our own waste produced.

It is my responsibility to study how to

effectively and efficiently take care of
biodegradables.

It is my responsibility to take initiative

whenever somebody is littering.

Everyone should take part in minimizing

solid waste generation in our community.

The knowledge on proper solid waste

management at home or anywhere should
be first learned at school.

The LGU should uphold and strongly

implement the solid waste management
program in our community.

The LGU should have proper infrastructure

with regards to solid waste disposal.

The LGU and the School Administrators

should collaborate and increase education
and information campaigns on solid waste
management.

The National Government should apprehend

LGUs that are not active in implementing
solid waste management programs.

It is my responisibility to recycle as much

solid wastes as possible.

I am satisfied with the current solid waste

collection in our community.
10. Status of Solid Waste Management Programs *

Mark only one oval per row.

Yes No

Solid wastes are collected regularly on a

weekly basis

Solid wastes that are not segregated are not

collected by garbage haulers.

Solid wastes are collected even when the

collection schedule is a holiday or
weekends.

Everyone in our community is aware of the

solid waste collection schedule.

The Material Recovery Facility is effectively

and efficiently function as it is supposed to.

Special wastes (ex. medical wastes) and

hazardous wastes are properly stored and
disposed.

Styrofoam products are completely banned

in our community.

There are no visible garbage on the roadside

in our community.

Agriculture wastes (ex. rice straws) are no

longer burnt by farmers.

Burning of solid wastes is banned in our

community.

There are some disobedient people that are

already punished by the authority.

There are existing recycling campaigns by

the LGU in our community.
11. Solid Waste Management critical points. *

Mark only one oval per row.

Yes No

Would you agree to construct a sanitary

landfill in your area?

Is social media an effective way to spread

awareness about SWM in your community?

This year, did you or any member of the

family participate in any community cleanup
activities or other voluntary cleanups?

Are you willing to pay higher for better

sanitation and other environmental
programs?

12. Solid waste management system problems *

Mark only one oval.

Unsegregated wastes

Rats

Odor

Flies

No problem

Other:

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