QUESTIONNAIRE

Part I: Personal Information Name: Gender: Age: Civil status: Educational Attainment: Occupation: Income: Number of Children:

Part II: Assessment on the level of effectiveness in the attainment of the goals of the Pantawid Pamilyang Pilipino Program. A. Level of effectiveness in the attainment of the goals of the Pantawid Pamilyang Pilipino Program Direction: Check on the appropriate box on the right your assessment level of effectiveness in the attainment of the goals of the Pantawid Pamilyang Pilipino Program Legend: 4 Excellent 3 Good 2 Fair 1 Poor
Level of Effectiveness

Pantawid Pamilyang Pilipino Program Goals Eradicate Extreme Poverty and Hunger Achieve Universal Primary Education Promote Gender Equality Reduce Child Mortality Improve Maternal Health

B. Systematic Evaluation on the Development of the Pantawid Pamilyang Pilipino Program Direction: Check on the appropriate box on the right your assessment the development needed in the program Legend: 4 Very Much Needed VSN 3 Much Needed SN 2 Least Needed LN 1 Not Needed NN Degree of Need Program Development 1. Program Implementation 2. Financial support 3. Quality and range of services 4. Program management C. Impact of the Pantawid Pamilyang Pilipino Program Direction: Check on the appropriate box on the right your assessment on the degree of impacts to the lives of the beneficiaries of the Program Legend: 4 Excellent 3 Good 2 Fair 1 Poor Degree of Impacts 4 1. Sufficiency of the Financial support 2. Sufficiency of the Nutrition and Health support 3. Childrens access to education 4. Improvement in the lives of the beneficiaries 5. Teaching the parents as being responsible to their childrens needs 6. The program as a right solution to the problem of poor families 3 2 1 4 3 2 1