LGU Questionnaire
LGU Questionnaire
I. Introduction
This form aims to serve as a guide for personnel conducting key informant interviews (KIIs) with local
government units (LGUs) to assess the socio-economic climate and the existing condition of water
supply and sanitation services. This form also provides a list of initial data/information to be requested
from the LGU prior to the field work, to identify any needs for follow-up during the field visit.
As mentioned in the introduction, the following data checklist provides the same list of data requested
from the LGU prior to the site visit. Indicate whether or not each item is available and has been
provided to the Project Team.
Availability
Data Requested Year/s Ideal Format
(Y/N)
From Municipal/City Planning and Development Office (M/CPDO)
1. Comprehensive Land Use and Zoning Plan (CLUP) Most recent .pdf
2. Maps (administrative, topographic, land use, zoning, roads,
Most recent .pdf / .shp
natural waterways, drainage pipes, hazards, etc.)
3. Disaster Risk Reduction and Management Plan Most recent .pdf
4. Climate and Disaster Risk Assessment Report Most recent .pdf
5. Socio-Economic Profile Most recent .pdf
6. Land Area and Political Subdivision Most recent .pdf / .xls
7. Historical Population Statistics (by barangay) Past 10 Years .pdf / .xls
8. Information on Daytime Population/Transients Most recent .pdf / .xls
9. Major Future Developments in the LGU (expected large
In 5, 10, and 15
land developments, commercial buildings, etc. within the .pdf
Years
municipal/city)
10. List of Indigenous Peoples and Map of Ancestral Lands Most recent .pdf
From Municipal/City Environment and Natural Resources Office (M/CENRO)
11. List and Location of Water Bodies/Sources
Most Recent .pdf
See Table 1
Consultancy Services for the Preparation of Comprehensive
Urban Drainage and Sewer/Sewerage Master Plans and
Feasibility Studies for the City of Cotabato, BARMM
Availability
Data Requested Year/s Ideal Format
(Y/N)
12. List and Service Coverage of Water Service Providers
Most Recent .pdf
See Table 2
13. List of Septage Hauling Service Providers
Most Recent .pdf
See Table 3
14. List and Locations of Materials Recover Facilities,
Most Recent .pdf
Dumpsites, or Landfills (including proposed sites)
From Municipal/City Engineering Office (M/CEO)
15. Standard Septic Tank Characteristic (size and type) Most Recent .pdf
16. Electricity Provider and Rates Most Recent .pdf
17. Cost of Basic Construction Materials (steel, cement,
Most Recent .pdf
aggregates, fill material)
From Municipal/City Health Office (M/CHO)
18. Historical Health Statistics (Mortality and Morbidity) Past 10 Years .pdf
19. Reported Incidence of Water-borne Diseases Past 10 Years .pdf
20. Number of Households by Source of Drinking Water Past 10 Years .pdf
21. Number of Households by Source of Domestic Water Past 10 Years .pdf
22. Number of Households by Types of Sanitation Facility Past 10 Years .pdf
23. Results of Any Water Quality Testing Conducted Most Recent .pdf
24. List of Water Supply and Sanitation Related Programs of the
Most Recent .pdf
LGU
From Sangguniang Bayan Office/Secretariat
25. Ordinances related to Water Supply and Distribution Most Recent .pdf
26. Ordinances on Septage Management Most Recent .pdf
27. Ordinances related to Environmental Protection and
Most Recent .pdf
Management (such as collection of environmental fees)
28. Ordinances related to Gender and Development Most Recent .pdf
29. Local Public-Private Partnership (PPP) Ordinances Most Recent .pdf
30. Local Investments and Incentives Code Most Recent .pdf
From the Municipal/City Human Resources Management Office (M/CHRMO)
Organizational Structure of the LGU (include which division
31. Most Recent .pdf
handles Wastewater and Sanitation
From Office of the Municipal/City Accountant
32. COA Audited Report Past 5 Years .pdf
33. Local Revenue Code Most Recent .pdf
The following questions will be about the facilities and water resources of the Main Water Service Provider
Barangay Service Coverage
(Number of Barangays)
Water Coverage (Population with water
service/Population in Service Area, %)
Level of Service ☐ Level I (Point Source) – i.e., protected well, developed spring, etc. with
no distribution system
☐ Level II (Communal Faucet System or Stand Posts)
☐ Level III (Waterworks System with Individual House Connections)
Continuity of Service (availability of ☐ Available all-year round ☐ Insufficient all-year round
water in a year) ☐ Insufficient during summer ☐ Others: _____________________
Reliability of Service (average hours of
service per day)
If reliability is not 24 hours, indicate
schedule of water availability
Sufficiency (liters of production per
person in service area per day)
Non-revenue Water (NRW/Total Water
Produced, %)
Collection Efficiency (Cash collected
from customers/total billings, %)
Labor Productivity (Number of
Employees per 1,000 connections)
Operating Cost Ratio (Operating
Revenues/Operating Costs)
Water Rates (Php/m3) Residential/Domestic
If WSP uses a block tariff system, please Commercial/Industrial
provide the water rate schedule as an Institutional/Government
attachment. Bulk/Wholesale
Type of Source Used ☐ Deepwell ☐ Spring
☐ Dug well/Shallow well ☐ River
Total Capacity of Existing Sources (lps)
Maximum Capacity of Existing Sources
(lps)
Year of Main Water Source
Development
Year of Network Construction
Main Pipe Material ☐ Galvanized Iron (GI) ☐ PVC
☐ Cast Iron ☐ Others, please specify: ________
Type of Treatment ☐ Disinfection/Chlorination ☐ Reverse Osmosis
☐ Filtration ☐ Others, please specify: ________
☐ Coagulation _________________________________
Is the Water Quality Compliant with the ☐ Yes ☐ Do not know
DOH AO 2017-0010: Philippine National ☐ No
Standards for Drinking Water of 2017?
When was the water last tested? ☐ Within the last six (6) months ☐ Within the last four (4) years
☐ Within the last year ☐ Within the last five (5) years
☐ Within the last two (2) years ☐ Do not know
☐ Within the last three (3) years ☐ Others, please specify: ________
Does the Water Service Provider have ☐ Yes ☐ Do not know
water rights for all of its water sources? ☐ No
Are there additional sources that may ☐ Yes
be tapped (water bodies or ☐ No
groundwater sources?
Skip if Item #11 of Data Requests was
provided
Consultancy Services for the Preparation of Comprehensive
Urban Drainage and Sewer/Sewerage Master Plans and
Feasibility Studies for the City of Cotabato, BARMM
If Yes, are there existing studies done on ☐ Yes, please specify: ___________________________________________
these sources (such as hydrology, ☐ No
pumping tests, or geo-resistivity
studies)?
Consultancy Services for the Preparation of Comprehensive
Urban Drainage and Sewer/Sewerage Master Plans and
Feasibility Studies for the City of Cotabato, BARMM
V. Sanitation
Number of Households with Water-
sealed Toilets
See Item #22 of Data Requests
Number of Households still
Practicing Open Defecation
See Item #22 of Data Requests
Number of Households with Septic
Tank
Number of Households with Septic
Tanks conforming to the National
Standard of Septic Tank Systems set
by DOH AO 2019-0047?
Local Standard Septic Tank Tank Size:
Characteristics (used by the M/CEO Length: ________ m Width: ________ m Depth: ________ m
or OBO)
See Item #15 of Data Requests Number of Chambers/Compartments:
☐ One ☐ Two ☐ Three ☐ Four ☐ Others: ______________
Bottom:
☐ Concrete-lined
☐ Open bottom
☐ Others, please specify: _________________________________________
(if applicable) Number of
Households with Sewerage
Connections
Existing Wastewater Collection ☐ Sewerage System (piped) ☐ Others, please specify: __________
System ☐ Vacuum Trucks ☐ None
Name of Main Sanitation Service
Provider
Type of Service Provider ☐ Water District ☐ Privately operated
☐ LGU-operated ☐ Others, please specify: __________
Cost of Desludging (Php per service)
Average Frequency of Desludging
(every _ years)
Does the municipality/city have its ☐ Yes
own wastewater treatment plant ☐ No
(For domestic or public market
wastewater)?
If Yes, kindly answer the following questions, otherwise, skip to Part VI
Location of wastewater treatment
plant
Receiving water body (name of river,
approximate location, or barangay)
Water body classification of ☐ Class AA ☐ Class C ☐ Class SB
receiving water body ☐ Class A ☐ Class D ☐ Class SC
☐ Class B ☐ Class SA ☐ Class SD
Does the quality of treated
wastewater conform to the General
Effluent Standards set by DAO 2016-
08 and DAO 2021-19?
Consultancy Services for the Preparation of Comprehensive
Urban Drainage and Sewer/Sewerage Master Plans and
Feasibility Studies for the City of Cotabato, BARMM
VI. Socio-Economic
Population
Number of Households
Incidence of Water-borne Diseases ☐ Diarrhea - ____ ☐ Typhoid Fever - ____ ☐ Others, please
(Check and specify the average ☐ Amoebiasis - ____ ☐ Cholera - ____ specify: __________
number of incidences per year of the ☐ Hepatitis - ____ ☐ None - ____ ___________ - ____
applicable diseases)
Consultancy Services for the Preparation of Comprehensive
Urban Drainage and Sewer/Sewerage Master Plans and
Feasibility Studies for the City of Cotabato, BARMM
Notes:
1. DAO 2016-08: Water Quality Guidelines and General Effluent Standards of 2016
Notes:
1. Key informant interviews (KIIs) should also be conducted for each of the Water Service Providers