Appendix D: Survey Questionnaire COMMUNITY-BASED POLITICAL PARTICIPATION. Put a check
mark () on the item that corresponds to your answer.
SAINT LOUIS UNIVERSITY ITEMS Never Sometimes Often Always
Navy Base Road, Baguio City 2600 1) I actively participate when School of Humanities it comes to decision- making in our community regarding healthcare programs Date: ________________________ and/or livelihood activities. 2) I actively participate on Dear Respondent, gender issues particularly gender Good day to you! inequality and homosexuality I am Princess Erma Ricel M. Erese, a bona fide BA Political Science student 3) I actively participate to conducting a research entitled Relationship between Citizens Age and come up with effective Level of Activeness in Political Participation in Navy Base as a partial solutions in addressing fulfillment for Political Science 8B. community problems such as solid wastes and water In relation to this, I am requesting for your participation to this study by shortage. answering the following questionnaire. The researcher assures to you that your 4) I actively participate on response will be kept confidential and will be strictly utilized for academic recreational activities in purposes only. our community such as Thank you so much! Zumba sessions, etc. 5) I actively participate when Respectfully yours, it comes to social networking sites Princess Erma Ricel M. Erese, BA Polit Sci III expressing my sentiments about socio-political Noted: concerns in the community. Dr. Mary Grace C. Baywong, Faculty-in-charge 6) I actively volunteer myself in those cases that man- I. PERSONAL INFORMATION power is very much Name (optional): ________________________ Sex: Female Male needed in the community. Age: 18-31 32-45 46-59 60 and above Religion: ____________ Educational Attainment: ______________________ Occupation: _________________ B) As a citizen, how do you perceive regarding the severity (gaano Monthly Income (estimated): ____________________ kalala) of the following socio-political problems in the country? Civil Status: Single Married Widow/Widower Separated You may put a check mark.
II. SURVEY-QUESTIONNAIRE Not at all Slightly Very Extremely
PROBLEMS Severe Severe Severe Severe A) Rate your level of participation to the following conditions given. POVERTY (You may put a check mark (). CORRUPTION (e.g. PDAF) Not POLITICAL Extremely Very Slightly ACTIVITIESs at all DYNASTY Active Active Active active FOOD ELECTIONS (local, SHORTAGE national) PRICE POLITICAL ACTIVISM INCREASE (e.g. rally) POLLUTION SOCIO- SECURITY ENVIRONMENTAL THREAT MOVEMENT (e.g. terrorism) (e.g. tree planting) COMMUNITY 1) Do you believe that your active participation can help in addressing ACTIVITIES (e.g. feeding any of the socio-political problems provided above? program) YES NO COMMUNITY FORUM 2) Do you believe that your active participation is necessary to improve (e.g. human rights, gender the current conditions in the city? equality) YES NO JOINING POLITICAL 3) Do you believe also that your active participation is significant to GROUPS(e.g. Gabriela, improve the current conditions in the country? AKBAYAN) YES NO Signature of the Respondent: