Commission on Audit

Commonwealth Avenue, Quezon City

Gender and Development (GAD) Survey Questionnaire

Date
Dear Respondent,

In connection with the COA-GAD data build-up, may we request you to provide the necessary
data called for and answer the questions correctly and truthfully.

Please return the accomplished survey form not later than .

Thank you.

Very truly yours,

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1. First Name: Middle Name: Last Name:

2. Sex: Male Female Gender Preference:

3. Age:

4. Civil Status: Single Married Widow Separated

5. Present Address:

6. Permanent Residence

7. Position:

8. Designation SA SC/DC ATL ATM Others (Specify)

9. Present Assignment:

10. Office Address:

11. Indigenous Group/ Cultural Identity/ Tribe:

12. Religion:

13. Solo Parent: Yes No Not Applicable

14. Total Annual Family Income: (include income of spouse and fixed

financial support from children and others)

15. Dependents: Father Mother Children No: Brothers/Sisters No:

Uncles/Aunts No: Others (Specify

16. No. of Children:

Name Date of Birth Employed Schooling With Disability

(Y/N) (Y/N) (Pls. Indicate)
NA

17. Relatives in Government (up to the fourth degree of consanguinity or affinity)

Name Relationship Office

18. Existing Health Problems:

Physically Challenged/Impaired
Hypertension/ High Blood Pressure
Heart Ailment
Cancer
Diabetes
Migraine
Eye Problem
Others (specify)

19. Gender Roles:

20.1. Economic Empowerment

a. Productive Role (activities/tasks which contribute to the family income and

economic welfare/advancement of the household or community)
 1. Are you a breadwinner of the family? Yes No
If yes, what are your sources of income? (Check all that is applicable to you)

COA Employment
Others, please specify:

Farming
Subsistence
Direct Selling
Financing
Buy and Sell
Food Processing/home-based industries
Refrigeration/Air-conditioning Services

2. Do you have access to your family financial resources? Yes No

3. Do you participate in decision-making involving family finances? Yes No

b. Reproductive Role (activities carried out to reproduce and care for the household)
NOT APPLICABLE

1. Is your family at the child bearing/rearing stage? Yes No

If yes, do you plan the number of children you want to have? Yes No

2. Does your spouse share in the responsibility of child caring/rearing?

Yes No

3. If child/children is/are in school age, do both of you attend to his/her/their

school needs? Yes No
If no, specify who takes the responsibility and why?

c. Household Managing Role (carried out to meet the family basic needs)

1. Do your family members participate in the household tasks? Yes No

2. Do you make decision/s in the management of household affairs? Yes No

If no, please explain

3. Do you have a household help? Yes No

d. Community/ Politics Role

1. Are you actively involved in professional/ civic/religious/cultural/sports/

other community organizations or associations? Yes No
State name/s of your organization:
 2. Do you exercise your right of suffrage? Yes No

3. Is there any cultural/religious/political barrier between:

You and your spouse? Yes No
You and your officemates? Yes No

20.2 Social Development Rights and Protection

1. Do you live in a house/ property your family own? Yes No

2. Are the following available to you and your family:

a. Light/power Yes No
b. Clean Water Yes No
c. Telephone/mobile phone Yes No
d. Television/cable Yes No
e. Garbage collection by the LGU Yes No
f. Health care by the Government Yes No

3. Do you have a regular physical/medical/dental check-up? Yes No

4. Do you attend church or religious gathering with your

family? Yes No

5. Do you have any regular recreation activity by yourself? Yes No

With your family? Yes No

6. Do you have enough time to rest? Yes No

7. Do you manage your stress well? Yes No

8. Do you undertake activities that will enhance your Yes No

capabilities or empower you as an individual?
If yes, please give examples of these activities.

9. Does your home environment provide you with opportunities to grow and
reach your maximum potential as a person? Yes No
How about your office environment? Yes No
If no, cite reason/s:
10. Are you aware of the following Laws:

a. RA 6725: An act strengthening the prohibition on discrimination against women with

respect to terms and conditions of employment, amending for the purpose Article 135
of the Labor Code, as amended Yes No

b. RA 7192: Women In Development and Nation Building Act

An act promoting the integration of women as full and equal partners of men
in development and nation building and for other purposes. Yes No

c. RA 7877: Anti-Sexual Harassment Act of 1995

An act declaring sexual harassment unlawful in the employment, education, or training
environment and for other purposes. Yes No

d. RA 8972: Solo Parent’s Welfare Act of 2000

An act providing for benefits and privileges to solo parents and their children,
appropriating funds therefore and for other purposes. Yes No

e. RA No. 9710: An Act Providing for the Magna Carta of Women

Yes No

f. RA No. 9262: Anti-Violence against Women and their Children Act of 2004
An act defining violence against women and their children, providing for protective
measures for victims, prescribing penalties therefore, and for other purposes.
Yes No

11. Are these laws implemented in your COA office? Yes No

By your auditees (client agencies)? Yes No
If no, pls. give details:

12. Aside from the regular GAD Trainings undertaken by COA, what other trainings do you still
need?

Disaster Preparedness and Risk Reduction Management

Women Empowerment and Development Towards Gender Equality
(WEDGE) by PWC
Human Rights-Based Approach (HRBA) to Development Planning
and Basic Human Rights by CHR
Harmonized Gender and Development Guidelines (HGDG) by NEDA for
Project Development, Implementation, Monitoring and Evaluation
Others, pls. specify
20.3. Security, Justice and Peace

1. Have you experienced any of the following:

a. Physical harm? Yes No

b. Threats of physical harm? Yes No

c. Attempts of physical harm? Yes No

d. Fear due to an imminent physical harm? Yes No

e. Compulsion or attempts to compel to engage in conduct to which you and your

child/ children have the right to desist from? Yes No

f. Deprivation or threats to deprive you of your child’s custody? Yes No

g. Deprivation or threats to deprive you or your child/ children of any financial

support? Yes No

h. Deprivation or threats to deprive you or your child/ children of any legal

right? Yes No

I. Threats to inflict or inflicting of physical harm for purpose of controlling your

actions or decisions? Yes No

j. Causing or attempting to cause you and your child/ children to engage in any
sexual activity? Yes No

k. Emotional distress? Yes No

l. Being stalked in public and private places? Yes No

m. Being harassed? Yes No

n. Verbal and Emotional abuse? Yes No

o. Mental and Emotional anguish? Yes No

p. Public humiliation? Yes No

q. Sexual favors made as a condition in the hiring or in the employment, re-

employment or continued employment, or in granting of favorable compensation
terms of conditions, promotions or privileges? Yes No

r. Discrimination and intimidation in the work office due to a refusal to grant any
sexual favor to a person with influence or moral ascendancy? Yes No
 s . Being subjected to malicious or sexual (green) jokes? Yes No

t. Sexual advances by a co-worker? Yes No

2. Are you willing to discuss this experience/s with a guidance counselor/expert?

Yes No Not applicable

3. Do you see the need for a crisis/ counseling room manned by a guidance counselor/
expert in your office? Yes No

4. Do you have Violence Against Women (VAW) desk or Crisis/ Counseling room at
COA Regional Office or Central Office? Yes No

5. Is legal assistance provided by your office? Yes No

20.4. Environmental Climate Change

1. Does your COA office have GAD Program/Activities/Projects (PAPs) related to:
a. environmental protection and sustainable development? Yes No
b. disaster reduction? Yes No

2. Do you personally know what to do during disaster? Yes No

As a group, together with your: family members? Yes No
Officemates? Yes No

3. Does your office or official station undertake disaster drills like:

a. fire drill? Yes No
b. earthquake drill? Yes No

4. Do you have office personnel specially assigned and trained to act as marshals,
first-aiders/paramedics, etc? Yes No

5. Do you have the basic emergency equipment and necessities like flashlight,
whistle, rope, water, food, medicines, matches, etc. prepared at home?
Yes No partial only

20.5 Gender Responsive Governance

1. Do you have access to the resources of your office? Yes No

If yes, do you have control over its use/utilization? Yes No

2. Are ATMs or staff involved in the decision-making process of your office?

Yes No
3. At the workplace, are you consulted regarding:
a. work assignments Yes No
b. work area Yes No
c. work equipment/facilities Yes No

4. Is your immediate superior considerate of your personal circumstance and respect

your basic rights? Yes No

5. As a subordinate/peer are you treated with respect and recognized with dignity
as a person in your day-to-day dealings? Yes No

-THANK YOU-