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REVISED COMMUNITY NEEDS ASSESSMENT SURVEY QUESTIONNAIRE

Directions: Please answer the questionnaire honestly.

1. Rank from 1-7 the different areas for development that you feel needs most attention in your
community according to priority. (1 being the most priority and 7 being the least priority)

______Literacy ______Environmental Awareness


______Health ______Entrepreneurship & Livelihood
_____Safety & Disaster Management ______Morals of the Citizenry
_____Sports and Recreation

2. What projects have been implemented in your community?

____________________________________________________________________________________________________
____________________________________________________________________________________________________

3. What priority problems do you find in your area that needs the much attention?

____________________________________________________________________________________________________
____________________________________________________________________________________________________

4. What project/s do you want to be implemented in your area? Cite two (2) priority projects.

____________________________________________________________________________________________________
____________________________________________________________________________________________________

Interviewee: Interviewed by:

_________________________ _________________ _________________


NAME & SIGNATURE _________________ _________________
_________________ _________________
_________________ _________________
_________________ _________________

REVISED COMMUNITY NEEDS ASSESSMENT SURVEY QUESTIONNAIRE

Directions: Please answer the questionnaire honestly.

5. Rank from 1-7 the different areas for development that you feel needs most attention in your
community according to priority. (1 being the most priority and 7 being the least priority)

______Literacy ______Environmental Awareness


______Health ______Entrepreneurship & Livelihood
_____Safety & Disaster Management ______Morals of the Citizenry
_____Sports and Recreation

6. What projects have been implemented in your community?

____________________________________________________________________________________________________
____________________________________________________________________________________________________

7. What priority problems do you find in your area that needs the much attention?

____________________________________________________________________________________________________
____________________________________________________________________________________________________

8. What project/s do you want to be implemented in your area? Cite two (2) priority projects.

____________________________________________________________________________________________________
____________________________________________________________________________________________________

Interviewee: Interviewed by:

_________________________ _________________ _________________


NAME & SIGNATURE _________________ _________________
_________________ _________________
_________________ _________________
_________________ _________________

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