Questionnaire

IMPLEMENTATION OF QUARTERLY EARTHQUAKE DRILL IN ISNHS

Part I: Personal Profile
Instruction: Please put a check mark on which corresponds to your answer.
Name (optional):_______________________
Sex:
__Male __Female
Years of service in the DepEd:
__1-5 __6-10 __11-15 __16-20 __21 Above
No. of trainings and seminars attended relevant to NSED and first aid:
__1-5 __6-10 __11-15 __16-20 __21 Above
Number of times facilitated an earthquake drill:
__1-5 __6-10 __11-15 __16-20 __21 Above
Highest Educational Attainment:
__Bachelor’s Degree
__Master’s Degree
__Doctorate Degree
__Bachelor’s Degree w/ MA Units

Part II: Implementation of Quarterly Earthquake Drill

Instruction: Read each statement carefully and decide whether you accept it or not. There are no right
or wrong answers. Its only purpose is to make you think about your knowledge, preparedness, and
application of the earthquake drill. You should indicate your response by putting a check mark (/) on
the following items.

LEGEND

Number Description
5 Very Highly Implemented
4 Highly Implemented
3 Moderately Implemented
2 Fairly Implemented
1 Poorly Implemented

5 4 3 2 1
2.1. Participation
A. Checking of Attendance
1. I make sure every student is inside the classroom before the alarm goes off.
2. I check the attendance of the students when everyone is in the assigned evacuation
area already to know if a student did not come to the evacuation area.
3. I do headcount to check the attendance of the students during the headcount phase.
4. I check my student’s in alphabetical order.
5. When checking the attendance, I make sure every student is accounted.
B. Guidance 5 4 3 2 1
1. I instruct my students to practice the duck, cover and hold
2. I guide my students to the assigned evacuation area.
3. I remind my students to refrain from pushing their fellow students during the drill.
4. I tell my students to walk accordingly.
5. I tell my students to keep the noise to minimum so they can hear the instructions.
C. Monitoring 5 4 3 2 1
1. I check the students’ participation in the drill.
2. I observe students if they are doing the drill properly.
3. I observe the students if they are taking the drill seriously.
4. I make sure the students are listening to the emergency personnel when they are
demonstrating/discussing.
5. I call out students that are not following the process of the Earthquake Drill
D. Documentation 5 4 3 2 1
1. During the drill, I take photos of my students doing the duck, cover and hold.
2. I take candid photos of my students doing the duck, cover and hold.
3. I take pictures prior the ring of the alarm.
4. I only take photos during the 1-minute alarm.
5. I take photos/documentation only because it is a requirement.
2.2. Evacuation 5 4 3 2 1
A. Introduce Evacuation Plan
1. I make sure the school evacuation map is posted in the classroom and bulletins.
2. I make sure every student knows where the assigned evacuation area is.
3. I make sure the students know the routes to the assembly/evacuation area.
4. I make sure my students familiarize the routes where they can go through during the
shaking/drill.
5. I inform my students where is the right way to exit the building.
B. Assign Class Marshal 5 4 3 2 1
1. I tell the class marshal to help make sure no one is left inside the classroom.
2. I order the class marshal to close the door when going out after the alarm rings.
3. I assign the class marshal to lead the class when proceeding to the assigned
evacuation area.
4. I assign the class marshal to help bring the first aid kit.
5. I tell the assigned class marshal to help other students if needed.
C. Assistance 5 4 3 2 1
1. I instruct the class marshal to assist the persons with disabilities (PWD).
2. I take note of persons with disabilities (PWD) .
3. I identify the location of the persons with disabilities (PWD).
4. I assist my students throughout the conduct of earthquake drill.
5. In case of emergency, I will assist my students go to the clinic.
2.3. Post-evacuation 5 4 3 2 1
A. Evaluation
1. I ask my students what they learned in the earthquake drill.
2. I ask my students if the instructions given were clear and were they able to follow it.
3. I identify and ask my students if they encountered problems during the drill.
4. As an observer, I will give my comments regarding the performance of the students
during the drill.
5. I give suggestions on how will the drill be improved.
B. Report 5 4 3 2 1
1. I report if there are students injured during the conduct of the drill.
2. I report the problems I have observed and identified during the drill that might need to
be addressed.
3. I report unwanted incidents observed during the drill.
4. I report if the students practiced the duck, cover and hold during the alarm phase.
5. I report if there are students missing after the drill.
C. Data 5 4 3 2 1
1. I submit the number/estimated number of students who participated/ attended the
drill.
2. The data or information will be sex-disaggregated.
3. I indicate the date/time when passing the data.
4. I put the name of the drill implementor on the evaluation form.
5. I indicate the place/location where the drill is conducted.