A member of the

La Consolacion College Tanauan Unified La Consolacion College

– South Luzon

BARANGAY DISASTER RISK REDUCTION AND MANAGEMENT SURVEY

Name:
Age:
Sex:
Address:
1. What is the likelihood of the following disasters to Definitely Probably Possibly Probably not Definitely
affect the area you live in? not
Earthquake
Floods
Droughts
Tsunami
Hurricane
Tornado
2. How concerned are you with disaster Not Concerned Not very Neutral Somewhat Very
management knowledge you have about the concerned concerned concerned
following disasters?
Earthquake
Floods
Droughts
Tsunami
Hurricane
Tornado
3. What level of knowledge do you have about A great deal Almost Somewhat Little nothing
disaster management for the following disasters? everything
1
 A member of the
La Consolacion College Tanauan Unified La Consolacion College
– South Luzon

Earthquake
Floods
Droughts
Tsunami
Hurricane
Tornado
4. To what level have you prepared yourself for any Don’t want to Not able to do Have not done I plan to do Have done
disasters that might occur? do
I have collected the information
I have spoken to disaster management representatives in my
area
I have prepared a family emergency plan
I have prepared a neighborhood emergency plan
I have prepared disaster survival kits
I have taken special training
I have trained other members in the community
I have signed up with entities that provide emergency news
or alert systems
5. Please answer the following questions about Yes No Not sure
disaster management
Is there a disaster management or emergency plan for the
area you stay in?
Are there laws or policies that deal with disaster
management in your barangay?
Has the community created its own laws or policies for
disaster management?
Has you or your family ever been affected by a disaster?

2
 A member of the
La Consolacion College Tanauan Unified La Consolacion College
– South Luzon

Is there another person in your family who can carry out the
emergency plan, apart from you?
Do you live in an area which is heavily crowded?
6. Have you arranged for the following, in case of an Yes No In the process Not sure
emergency or a disaster?
A minimum of 72 hours of water supply
A minimum of 72 hours of food supply
A mode of communication which is not dependent on
electricity
Enough flashlights or light sources
Evacuation vehicles
Enough First aid kits
An alert system for family and community
Necessary hygiene and sanitation products
Tools that can come in handy
Disaster kits
Long lasting battery cell phones with power banks
Necessary medications
Money
Alternative source to get in the house
Evacuation plan
Emergency operational plan
Insurance coverage
7. In your opinion, how will the community receive
information about a disaster or an emergency
situation

3
 A member of the
La Consolacion College Tanauan Unified La Consolacion College
– South Luzon

Newspaper
Television
Family or Friend
Cellphones
Internet/ social media
8. As per your knowledge, what are the health-
related issues that have occurred when a disaster
struck?
Severe injuries
Disease outbreaks
Water contamination or shortage
Food shortage
Damage to the hospitals
Others:
9. How do you prefer to receive information about
disaster management?
Brochures
Public meetings
Radio
Television
Cellphones
Emails
Social Media
Meetings
Others:

4
 A member of the
La Consolacion College Tanauan Unified La Consolacion College
– South Luzon

10. As per your knowledge, what would be the

approximate population of the community you
live in?
Less than 50
51-100
101-500
501-1000
1000 above
Do you have any comments/suggestions to reduce health risks and improve disaster management preparedness?

Name of Student: