Survey Form Edited Sept 25, 2019

1) The document is a survey conducted by the PNP-WCPC (Philippine National Police Women and Children Protection Center) to improve their services for those who file complaints. 2) It asks for personal information like name, gender, age, address, civil status, education level, and occupation. 3) It also asks the complainant to rate the PNP-WCPC's services on a scale from 1-4 based on criteria like treatment, handling of complaints, and assistance provided.

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Survey Form Edited Sept 25, 2019

Uploaded by

Sänä Äĺĺ

We take content rights seriously. If you suspect this is your content, claim it here.

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Magandang Araw!

(Good Day!)

Isa itong uri ng pagtatanong o pagsisiyasat upang lalong mapaigting,

mapaganda at maging angkop ang serbisyo ng PNP-WCPC sa mga katulad ninyong
nangangailangan ng tugon sa inyong reklamo. Ito ay kumpidensyal at hindi puedeng
ibahagi sa iba. (This is a survey to make PNP-WCPC better and more appropriate for
those with similar needs in response to your complaint. It is confidential and cannot be
shared with others.)

I. Pagkakakilanlan (Personal Identification):

Buong Pangalan (Opsyonal) _____________________________________________

(Full Name (Optional)
Lugar kung saan ginanap ang pagsisiyasat o survey ________________________
(Place where the survey was conducted)
Kasarian (Gender)_____________________ Edad (Age)________________________

Lugar ng Tinitirhan (Address): ____________________________________________

______________________________________________________________________

Paki-Tsek ang naaayong sagot. (Please check ( ) the appropriate answer)

Estadong Sibil (Civil Status) Antas ng Napag-Aralan (Educational Attainment

____ Walang Asawa (Single) ____ Elementarya (Elementary)
____ May Asawa (Married) ____ Hayskul (High School)
____ Hiwalay sa Asawa (Separated) ____ Bokasyonal (Vocational)
____ Biyuda/Byudo (Widow/er) ____ Kolehiyo (College)
____ May Kinakasama (Live-in Partner) ____ Graduate Studies

Hanapbuhay (Occupation)
____ Estudyante (Student) ____ Kasambahay
____ Maybahay (Housewife) ____ May Sariling Negosyo
____ OFW ____ Consultant
____ Pribadong Empleyado (Private Employee) ____ Walang Trabaho
____ Empleyado ng Gobyerno (Government Employee) ____ Iba pa (Others)____________

Ano ang pangalan ng Social Worker o Pulis na tumulong at tumogon sa inyong

reklamo? (What is the name of the Social Worker or Police Officer who attended and
addressed your complaint?)

____________________________________________________________________________
II. Pagkilala sa serbisyo.

Kumusta ang serbisyo ng PNP-WCPC? Maari lamang na bigyan sila ng iskor ayon
sa sumusunod:(How do the PNP-WCPC services delivered? Give them a score
according to the following:)

4- Talagang Sumasang-Ayon (Strongly Agree)

3- Sumasang-Ayon (Agree)
2- Hindi Sumasang- Ayon (Disagree)
1- Talagang Hindi Sumasang-Ayon (Strongly Disagree)

_____ 1. Maayos ang pagtrato at pakikitungo sa akin, at hindi ako hinuhusgahan ayon sa aking
pang labas na kaanyuan o estado sa buhay. Kung hindi naman, bakit hindi? (They are all polite
and pleasant in accommodating me without any discrimination in my personal being. If not so,
why not?)

_____ 2. Binibigyan ako ng pagkakataon na maging mahinahon upang maayos kong mailahad
ang aking reklamo. Kung hindi naman, bakit hindi? (He/She gives me the opportunity to be
calm and patient so I can best handle my complaint.)

______3. Tiwala akong magbigay ng aking sinumpaang salaysay sa imbestigador/kinatawan ng

PNP-WCPC tungkol sa naranasan kong pang-aabuso. Kung hindi naman, bakit hindi? (I am
confident to give my sworn affirmation to the investigator / PNP-WCPC representative about my
experience of abuse).

_____ 4. Ipinaliwanag sa akin nang maayos at lubusan kung paano isasampa ang kaso at kung
ano-ano ang mga proseso kaugnay nito. Kung hindi naman, bakit hindi? (They explained to
me properly and thoroughly how to file the case and what processes are related to it.)

_____ 5. Naipabatid din sa akin ang mga hakbang at mga bagay-bagay na dapat kong gawin
para sa agarang kalutasan ng aking kaso. Kung hindi naman, bakit hindi? (All the steps and
the things I should do for the immediate resolution of my case were discussed.)

_____ 6. Naniniwala ako na tutulungan ako ng mga imbestigador/kinatawan ng PNP-WCPC

upang matapos at mapagtagumpayan ko anuman ang resulta ng aking isinampang kaso.
Kung hindi naman, bakit hindi? (I believe that PNP-WCPC investigators / representatives will
help me to finish and overcome whatever the result of my case.)

Mayroon ka bang komento o reklamo laban sa PNP-WCPC, o kaya’y suhestyon kung

paano mas mapapabuti ang aming serbisyo? (Do you have any comment or complaint against
the PNP-WCPC, or suggestions on how we can improve our services?)

____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
___________________________________________________________________________