Nielsen Survey Form 1
Nielsen Survey Form 1
School ID : 100841
Street :
Division : Region : I
Province : La Union
Q3. Number or
QI. Number of Q2. Number of
Indigenous People
PROFILE Enrollees in 2017 Graduates in 2017
Stud In 2017
Male Females Males Females Males Male
TOTAL 43 26 43 26 43 24
Kinder 7 2 7 2 7 2
Grade I 6 4 6 4 6 4
Grade 2 4 9 4 9 4 9
Grade 3 4 1 4 11 4 1
Grade 4 5 5 5 5 5 5
Grade 5 11 3 11 3 11 3
Grade 6 6 2 6 2 6 1
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
TOTAL 2015 2016
Q4. Enrollees 59 66
Q5. Graduates 59 66
Department of Education
QII. What are die available transportation going school? Encircle all answers that
apply.
1 Animal-driven carriage 6 Jeepney
2 Bicycle 7 Motorcycle
3 Boat/ Raft 8 Pedicab/ Tricycle
4 Bus 9 Train (i.eMRT/LRT/PNR)
5 Grab/ Taxi/ Private Car 10 None
Q12. How far is the school gate to the nearest concrete road pavement? Please
answer in km. 0.01 km
Department of Education
Q13. Which of the following vehicles can access the road going to the school?
Encircle all answers that apply.
1 10-wheeler b-uck
2 Bus
3 Jeepney
Q14. Which of the following best describes the of the Barangay Health in your
school? Encircle one answer drat applies.
1 Complete
2 Partially constructed
3 Unfinished/ Abandoned
4 No school-based Barangay Health Station
Q15. Are there incidences ofarmed conflict in community in the past 12 months?
1 Yes
2 None
d00
010
pa
」1
・の
」
=
き
0
1 1
2 3
LSB LSB
130.94 M2 130.94 M2
GABLE GABLE
E
0
1
0
1
1
1
6
6
7 1
NONE
Department of Education
14 FVR 2000
IS Gabaldon Type
16 GOJ-EFIP Building
17 GOJ-TRSBP Building
18 Imelda
19 Let-nine and Public Use School Building fLAPUS)
20 Little Red School House
21 Maßavsav Tv pe
22 Marcos Type
23 Multi-Puroose Workshop Building
24 PAGCOR Building
25 Pre-School 'Kindergarten Building
26 Public-Private School Infrastructure Project (PSIP School Building)
27 RP-US Bavanihan
28 SB Readily Assembled Multi-ODtima Shelter (RAMOS)
29 SBP4BE Building - AusAid
30 Science Laboratory Building
31 SEDIP Building
32 SEDP Building (Carina Type) 33 Smnish Grant School Building
34 SPHERE Building - AusAid
35 Third Elemenurv Education Project (TEEP) School Building
36 Typhoon Resistant School Building Prom-am CTRSBP) - 'ICA
022. Building Condition
I Good Condition (Refers to a building which does not need repair)
2 Needs Minor Repair (Refers to the repair or replacernentofschool building
components which are not subjected to critical structural loads and m-esses which are
Department of Education
estirnated to cost less than ten percent (10%) of Ole cost of a standard building unit such as
of windows, doors. and the like)
3 Needs Major Repair (Refers to the repair or replacement of school building
components which are to critical structural toads and stresses and which are
to cost ten percent r 1090 or more Of the cost of a standard building unit such as roof frames.
posts and exterior
4 On-Biing Construction (Refers to the school building/structure that are not yet
completed and/or not vet turned over)
5 For Completion (Refers to a tillldlng/structure which was not completed according to
the desim (eg one storey building was completed using a two storey design building plan))
6 For Condernnadon (Refers to the school building/structure that are not safe for
occupancy and not currently used but without officail declaration from the Municipal 'City
Enøneer)
7 Condemned/For Demolition (Refers to a building officially declared by the
Q41.Whatare the sources of the school water connection? Encircle all answers that
apply. Ifschoot has no waær mnnecdon. skip co .
1 Piped water from local service provider
2 Deep Well
3 Free Flow/ Natural Source
4 Rainweater Catchment
S No water connection
Q42. Number of hours that connection is usually available in a day
4 hours
none
Q44. How often do you experience water connection disruption in a month? Encircle
one answer that applies.
I Orwe a or less
Z Two to three t:imø a monØi 3
Four times a month (once a week)
4 More than four times a month
Q4S. DCP batch number received by the school (Drcirck au barhß app&.)
IS no DCP received. Q49.
1 Batch 1 16 Batch 16 31 Batch 31
2 Batch 2 17 Batch 17 32 Batch 32
3 Batch 3 18 Batch 18 33 Batch 33
4 Batch 4 19 Batch 19 34 Batch 34
Department of Education
E- LASSRO RATORY O
5 Batch 5 20 Batch 20 3S Batch 35
6 Batch 6 21 Batch 21 36 Batch 36
7 Batch 7 22 Batch 22 37 Batch 37
8 Batch 8 23 Batch 23 38 Batch 38
9 Batch 9 24 Batch 24 39 Batch 39
10 Batch 10 25 Batch 25 40 Batch 40
11 Batch 11 26 Batch 26 41 Batch 41
12 Batch 12 27 Batch 27 42 Batch 42
13 Batch 13 28 Batch 28 43 Batch 43
14 Batch 14 29 Batch 29 44 Batch 44
15 Batch 15 30 Batch 30 45 None
In answering QS2 please refer u:» the answer guide below.
Q5Z. Funding Source
1 PTA (Parent Teacher Asociation) 3 Local Private Sector
Z SEF (Special Education Fund)/ LGU (Local 4 Cong-ess
Governrnent U nit) S Foreißt Fund/ Donor
0 0 0 1 0 1 1
1 1 0 0 0 1 n/a
6 6 0 0 0 0 n/a
2 2 0 0 0 0 n/a
0 0 0 1 1 0 5
0 0 0 0 0 0 n/a
0 0 0 0 0 0 n/a
1 0 1 3 1 1 2
3 3 3 0 0 0 0
Facilities in the
Eclassroom/ Computer Q53. Number or working 054. Number or Defective
Laborato
Ai ndi 0 0
Mono chairs 8 0
0 0
E tic an 3 0
Electrical ti 1 0
Electrical Outi
rator 0 0
LAN Local N ork
QSSA. Number or E-classroom with Standard Size (7mx18m) 0
Department of Education
0
Department of Education
059. Does your school have a certification or proper electrical wiring and outlee?
I Yes
2 No
Q60. Is there a group or 3 people designated to be the school inspectorate team?
1 Yes
2 No
Q61. Frequency or E-classroom Usage (Number
of hours in a week)
Grade IFilipino
Grade 2 Grade
3 Grade 4
Grade 5EPP/TLE
Grade 6Commiter
Grade 7Araling Panlipunan (AP)
Grade 8Edukasvon sa Panmkatao (ESP)
Grade 9HE KASI Grade 10MAP EH
Grade 11
Grade 12
Q62. Does your school access Learning Resources portal?
I Yes
2 No
063. Reasons for not using the e-classroom at all
I Absence of training on teachers 5 Tertninals are not working
2 No xcesson online 6 No electriCitV
3 No internet access 7 No computer laboratory
4 Sow
SECURI
Q64. What are the security mechanisms present in Encircle all answers diat apply.
1 ccrv
2 Locks
3 Security Personnel/ Guard
4 Tanod/ Watchman
5 None
Q6S. What are the securiW mechanisms present in e:Nassr.QQ.m? Encircle all
answers that apply.
1 Locks
2 Door Grills
3 Window Grills
4 None
Department of Education
Q66. What is the source of the salary of the security personnel? Encircle all answers
that apply.
1 PTA (Parent Teacher Association)
2 SEF (Special Education Fund)/ LGU (Local Government Unit)
3 MOOE (Maintenance and Other Operating Expenses)
4 Local Private Sector
5 Congress
6 Foreign Fund/ Donor
4 None
CONNEC
In answering Q72, Q74 and Q77. please refer to the answer guide below.
Q72/Q77. Funding Source Q74. Type of Internet Connection
I PTA (Parent Teacher Association) 1 Mobile Data
2 SEF (Special Education Fund)/ LGU (Local 2 DSL
Governmelt Unit) 3 Fiber
3 MOOE (Maintenance and Other O}rrating Expenses) 4 Mobile
Broadband
4 Local Private Sector 5 Ethernet
5 Congress 6 VPN 6 Foreign Fund/ Donor
Department of Education
Phone Q70. Number of VI. Expense for Phone Q72. Funding Source for
Connection
Phone Connection Connection (in Feb 2018) Phone Connection
Service Provider
1 Globe
2 Smart
3 PLDT
4 tel
5 AT&T
Q78. In which areas is the internet available? Encircle all answers that apply.
I Makeshift rooms 8 Computer
Laboratory
2 Classroom 9 Faculty room
3 Administrative Office 10 Guidance Office
4 Audio-Visual Room 11 Library
5 Basketball Court/ Gym 12 Science Laboratory
6 ainic 13 Speech Laboratory
7 Conference room 14 Supply Room
Q79. Number or Desktop Computers and Virtual Terminals connected to Ole Internet
Desktop Computers 0
Virtual Terrninals 0
Q84. How frequent does the Division Office conduct visit inspection on DCP?
Encircle the answer diat applies.
1 Weekly
2 Monthly
3 Quarterly
4 Bi-annually
5 Annually
6 Never
1 1
2 3
LSB LSB
BUILDING BUILDING
130.44 130.44
m2 m2
GABLE GABLE
Minor Minor
repair repair
2010 2010
2008 2008
n/a n/a
n/a n/a
1
1
1