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Barangay Profile Questionnaire

Year 2023

NOTE: The respondent for this questionnaire should be the Chairperson or the Secretary of the Barangay

Name of Respondent: RODRIGO V. AGON

Position:

Date:

Time Started:

Time Ended:

Name of Enumerator:

Signature of Enumerator:

I. Physical and Demographic Characteristics

(1) Province:

(2) City/Municipality:

(3) Barangay:

(4) Classification: 1 Rural 2 Urban (enter code)


(5) Number of Puroks/ Sitios:

(6) Land Area:


(7) General Description and Characteristics of the
Barangay: 1 Yes 2 No

1 Plain

2 Upland

3 Mountainous

4 Coastal

5 Others, specify

(8) Boundaries:

East West
South
North

(9) Major Sources of Livelihood:

Total Area (in square kilometer


[km])
Residential
Commercial
Industrial
Agricultural
Mineral
Timberland
Special Classes
Total Land Area

Page 1 of 9 CRA Barangay Profile 2022


(Adopted CBMS Form 2)
Barangay ID

Total Female Male


Above normal
Normal
Below normal (moderate)
Below normal (severe)
Total

Demographic Reference:
(10) Population: Male: (enter number)
Female:
Total: (enter number)
Reference period:
Source of data: (enter number)

(11) Number of Households/Families Households: (enter number)

Families: (enter number)


Reference period:
Source of data:

(12) Registered Voters: Male: (enter number)


Female:
Total: (enter number)
Reference period: (enter number)
Source of data:

(13) Number of Barangay Personnel:


Total Female Male

a. Tanod (enter number)

b. Health Worker (enter number)

(enter number)
c. Nutrition Scholar
(enter number)
d. Purok Leaders
(enter number)
e. Librarian
(enter number)
f. Day Care Worker
(enter number)
g. Utility Worker
(enter number)
h.Others, specify
(e.g. Midwife)
Reference period:
(14) Nutritional Status of Children 0–5 Years Old:

(enter number)
(enter number)
(enter number)
(enter number)
(enter number)
Reference period:
Source of data:

Page 2 of 9 CRA Barangay Profile 2022


(Adopted CBMS Form 2)
Barangay ID

II. Service Institutions and Infrastructure


(15) IF YES IN (15) IF NO IN (15)
Is the facility (16) (17) (18) (19) (20)
present in the How many facilities are present in the barangay? Does the facility Does the facility Geopoint What is the
barangay? List the name/s of facilities in the space provided. have access to safe have access to distance from
Facility drinking water? sanitary toilets? 1 the barangay
1 Yes (GO TO 16) 1 Yes 2 No Yes 2 No hall to the
Latitude Longitude
nearest facility
2 No (GO TO 20)
(in km)?

Health Facility (16A) (16B)

a. Barangay Health Center

1.
b. Hospitals
2.

1.
c. Maternity Clinic
2.

1.
d. Child Clinic
2.

1.
e. Maternity and Child Clinic
2.

1.
f. Private Medical Clinic
2.

g. Botika ng Barangay 1.

h. Botika ng Bayan 1.

1.
i. Private Drugstores
2.

1.
j. Others, specify
2.

(16C) Levels
Educational Facility (15) (16A) (16B) offered (e.g., (17) (18) (19) (20)
Grade 1–4)

1.
a. Day Care Centers
2.

1.
b. Preschool
2.

1.
c. Elementary
2.

1.
d. Secondary
2.

1.
e. Vocational
2.

1.
f. College/University
2.

1.
g. Others, specify
2.

Page 3 of 9 CRA Barangay Profile 2022


(Adopted CBMS Form 2)
Barangay ID

( IF YES IN IF NO IN
1 (15) (15)
5
)
Facility and Input Dealer (16) (17) (18) (19) (20)
Is the facility
How many facilities are present in the Does the Does the What is the
present in the
barangay? List the name/s of facilities in the facility have facility have Geopoint distance from
barangay? space provided. access to safe access to the barangay
drinking sanitary hall to the
water? toilets? Latitude Longitude nearest facility
1 Yes (GO TO 16)
1 Yes 2 No 1 Yes 2 No (in km)?
2 No (GO TO 20)
Service Facility (16A) (16B)
a. Multipurpose Hall

b. Police Station

c. Women's/Crisis Center

1.
d. Bank
2.
e. Post Office

f. Market

g. Others, specify

Agricultural Facility (16 (16B)


A)
1.
a. Rice Mill
2.
b. Corn Mill 1.
2.
c. Feed Mill 1.
2.
d. Agricultural Produce 1.
Market
2.
(bagsakan/bulungan)
1.
e. Others, specify
2.
Input Dealer
1.
a. Fertilizer Dealer
2.
1.
b. Pesticide Dealer
2.
1.
c. Seeds Dealer
2.
1.
d. Feeds Dealer
2.
1.
e. Others, specify
2.
Public Transport
(21) What types of public transportation are present in the barangay?
1-Yes 2-No
1 Bus
2 Taxi
3 Van/FX
4 Jeepney
5 Tricycle
6 Pedicab
7 Boat
8 Others, specify

Page 4 of 9 CRA Barangay Profile 2022


(Adopted CBMS Form 2)
BarangayID

III. Service Institutions and Infrastructure in Disaster Risk Areas


(15a) IF YES IN (15a) Are the facility prone to Disaster Risk Areas? (1 – Yes / 2 – No)
Is the facility (16a) (17a) (18a) (19a) (20a)
Facility present?
1-Yes/2-No FLOOD FLASHFLOOD LANDSLIDE FIRE EARTHQUAKE
Health Facility
a. Barangay Health Center

b. Hospitals

c. Maternity Clinic

d. Child Clinic

e. Maternity and Child Clinic

f. Private Medical Clinic


g. Botika ng Barangay

h. Botika ng Bayan

i. Private Drugstores

j. Others, specify

Educational Facility

a. Day Care Centers

b. Preschool

c. Elementary

d. Secondary

e. Vocational

f. College/University

g. Others, specify

Service Facility
a. Multipurpose Hall

b. Police Station

c. Women's/Crisis Center

d. Bank

e. Post Office

f. Market

g. Others, specify

Agricultural Facility

a. Rice Mill
b. Corn Mill

c. Feed Mill

d. Agricultural
Produce Market
(bagsakan)
e. Others, specify

Input Dealer

a. Fertilizer Dealer

b. Pesticide Dealer

c. Seeds Dealer

d. Feeds Dealer

e. Others, specify

Page 5 of 9 CRA Barangay Profile 2022


(Adopted CBMS Form 2)
BarangayID

Road Network
IF YES IN (22)
(22)
(23) (24) (25)
Are any of the following roads/streets present in the What is the length of the road/street? What is the present condition of the Who is maintaining the
barangay? 1-Yes (GO TO 23) (IN KM) road/street? road/street?
2-No (SEE CODES BELOW) (SEE CODES BELOW)

a. Concrete (IF NO, GO TO 26)


b. Asphalt (IF NO, GO TO 27)
c. Gravel (IF NO, GO TO 28)
d. Natural/Earth surface (IF NO, GO TO 28)

(24) Present condition of the road/street (25) Maintained by


1. Good 1. Private 4. Municipality/City
2. Fair 2. National Government 5. Barangay
3. Poor 3. Province 6. Others, specify
(26) If there are no concrete roads or streets in the barangay, what is the
(in kilometers)
distance from the barangay to the nearest concrete road or street?
(27) If there are no asphalt roads or streets in the barangay, what is the
(in kilometers)
distance from the barangay to the nearest asphalt road or street?

Water Supply
(28) Is the barangay being served by a water IF YES IN (28)
station/company ?
(29) (30) (31) (32)
1-Yes (GO TO 29) Is the source located in Geopoint
How many
2-No What is the name of the water the barangay?
households are
company? 1 Yes (GO TO 32) Latitude Longitude
being served?
2 No (GO TO 33)

1
a Level II water system b
1
Level III water system
2
(33) Are any of the following water facilities IF YES IN (33)
present in the barangay?
(34) (35) (36) (37) (38)
1-Yes (GO TO 34) Is the facility Geopoint
How many How many households
2-No functioning?
units/stations? Name are being served?
(Total)
1 Yes (GO TO 37) Latitude Longitude
2 No
1.
a. Deep Well (Level I) 2.
1.
b. Artesian Well (Level I) 2.
1.
c. Shallow Well (Level I) 2.
1.
d. Commercial Water Refill Stations 2.
1.
e. Others, specify 2.

Garbage/Waste Disposal System

IF YES IN (39) IF NO IN (39)


(39)
(40) (41) (42) (43) (44)
Are any of the following community garbage
How many Geopoint What is the distance from
disposal facilities present in the barangay? How many
1 - Yes (GO TO 40) households the barangay to the
units? Name
2 - No are being Latitude Longitude nearest disposal facility?
(Total)
served? (in km)

1.
a. Open Dump Site 2.
1.
b. Sanitary Landfill 2.
1.
c. Compost Pits 2.
1.
d. Material Recovery Facility (MRF) 2.
1.
e. Others, specify 2.

Page 6 of 9 CRA Barangay Profile 2022


(Adopted CBMS Form 2)
BarangayID

Electricity Service
(45) What is the source of IF YES IN (45)
electricity in the barangay? (46) (47) (48) (49)
1 - Yes What is the name of the How many households Is there an electric Geopoint
(GO TO 46) company or association that is are being served by the substation present in
2 - No providing or maintaining the source of electricity? the barangay?
1 Yes (GO TO 49) Latitude Longitude
electricity supply?
2 No (GO TO 51)
1 Electric Company
2 Generator
3 Solar
4 Battery
5 Others, specify
6 None
IF NO IN (45.1)
(50)
What is the distance from the barangay to the nearest electrical station/company? (in kilometers)

Credit Institutions
(51) Are there credit institutions IF YES IN (51)
operating in the barangay? (52) (53)
Contact person and details
What are the names of the credit institutions? (Office Address, Telephone, E-mail)
1
1 Yes (GO TO 52)
2
2 No (GO TO 54)
3
Registered Business Firms (based on latest records of the barangay)
(54) How many business firms/establishments are registered in the barangay?
Reference period:

III. Significant Events in the Barangay During the Past 3 Years


(55) During the past 3 years, how many times did the event occur? Write the number in the box provided.
1 Typhoon 7 Tsunami 13 Armed Conflict
2 Flooding 8 Fire in Houses/Properties 14 Closure of Large Firm
3 Drought 9 Forest Fire 15 Closure of Many Small Firms 16
4 Earthquake 10 Epidemic Mass Layoff
5 Volcanic Eruption 11 Pest Infestation 17 Opening of Large Firm
6 Landslide 12 Livestock/Poultry Diseases 18 Opening of Many Small Firms

IV. Disaster Risk Reduction and Preparedness

(56) Does the barangay have a written disaster risk reduction plan? 1-Yes 2-No

(57) Does the barangay have a disaster/emergency response team? 1-Yes 2-No

(58) Does the barangay have any of the following disaster/emergency response equipment? 1-Yes 2-No
1 Rubber Boats 5 Flashlights 9 Others, please specify
2 Handheld Radios 6 Medicines/F rst Aid Supplies
3 Rain Gear (e.g., raincoats and boots) 7 Life Vests
4 Emergency/Service Vehicle 8 Megaphone
(59) Does the barangay have IF YES IN (59)
designated evacuation
(60) (61)
centers?
Geopoint
List the names of the evacuation centers Latitude Longitude
1 Yes (GO TO 60) 1
2 No (GO TO 62) 2
3

Page 7 of 9 CRA Barangay Profile 2022


(Adopted CBMS Form 2)
BarangayID

Page 8 of 9 CRA Barangay Profile 2022


(Adopted CBMS Form 2)
BarangayID

V. Evacuation Center

(62) Is there an Evacuation Center in the barangay? (1 – Yes / 2- No)

Does the Does the


facility have facility have
access to access to
Name of Evacuation safe separate Is there a
LOCATED IN
Center CAPACITY drinking sanitary room for
LOCATION/ FLOOR NO. OF DISATER RISK
FLOORS (No. of water? toilets for PWD/SC
GPS Location AREA AREA
families) 1 Yes 2 No Men/women 1 Yes 2 No
(1- YES/2 – NO)
1 Yes 2 No

Page 9 of 9 CRA Barangay Profile 2022


(Adopted CBMS Form 2)
BarangayID

VI. Peace and Order


(63) 1 - Yes IF YES IN (63)
Does the barangay have reported cases on (GO TO 64) (64) How many were the victims in the reported cases?
the following crimes during Male Female
2 - No
the past 12 months?
Total 18 years 18 years old &
0–17 years old & 0–17
Crimes against Persons Total Total above
old above years old
a. Murder/Homicide
b. Physical Injury
c. Rape
Crimes against Property
a. Theft
b. Robbery
Other Crimes
a. Prohibited Drug Use
b. Human Trafficking
c. Illegal Recruitment
d. Prostitution
e. Spousal/Partner Abuse
f. Sexual Harassment
g. Other types of crimes, specify

VII. Programs, Projects, and Activities (based on the barangay's Annual Investment Program during the past year)
(65) (66) (67) (68)
What programs, projects, and activities Provide a brief description of the How much was allotted for the How many benefited from
(PPAs) were implemented in the barangay PPA. PPA? the PPA during the past
during the past year? year?
(Indicate unit)
a.
b.
c.
d.
e.
f.
g.
h.
VIII. Budget, Revenue, and Expenditure
(69) How much was the barangay's budget, revenue, and expenditure during the past 3 years?
Year Budget Revenue Expenditure
1
2
3
IX. Spotmap
(Attach a duly accomplished spotmap of the barangay before submitting this form to the supervisor.)
(69) When was the spotmap prepared? (MM/DD/YY)
(70) Does the spotmap contain the locations of the following?: 1- Yes 2-No 3-Not Applicable
1. Creeks, Rivers, Waterfalls 4. Barangay Boundaries 8. Barangay Hall,
2. Road Networks, Bridges, 5. Schools Multipurpose Hall
Railroads 6. Hospitals, Clinics 9. Church, Chapel
3. Purok Boundaries 7. Barangay Health Center 10. Public Market

Page 10 of 9 CRA Barangay Profile 2022


(Adopted CBMS Form 2)

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