Below is a Community Needs Assessment Questionnaire you can use for your NSTP research/project “PROJECT VERDE: Promoting Sustainability Through Vertical Gardening Using Recycled Materials” (Untitled document.docx). I patterned the sections and style after the Sample Community Needs Assessment Questionnaire (Filipino version) (Sample-of-Community-Needs-Assessment-Questionnaire.docx), but I tailored the questions to match your project goals (recycling + container/vertical gardening + herbs/vegetables + youth creativity/environmental responsibility) (Untitled document.docx).
PROJECT VERDE: Community Needs Assessment Questionnaire (Draft)
Pangalan: _______________________________ Petsa: ________________
Tirahan/Barangay: _________________________________________________
Edad: ______ Kasarian: ☐ Lalaki ☐ Babae ☐ Iba: _______
Contact No. (optional): ___________________
Layunin: Isinasagawa ang survey na ito upang malaman ang kalagayan at pangangailangan ng komunidad tungkol sa recycling/waste segregation at vertical/container gardening na gagamit ng recycled materials (hal. plastic bottles, cans). (Untitled document.docx)
Pakisagutan lamang po at ibalik sa kinauukulan.
A. Impormasyon sa Tahanan
-
Ilan ang pamilyang nakatira sa bahay na ito? _______
-
Ilan ang kabuuang bilang ng tao sa bahay? _______
-
Ilan ang edad ng mga nakatira? (Pakilagyan ng bilang)
- Babae: ___ 1–7 ___ 8–14 ___ 15–21 ___ 22–35 ___ 36–49 ___ 50–63 ___ 63 pataas
- Lalaki: ___ 1–7 ___ 8–14 ___ 15–21 ___ 22–35 ___ 36–49 ___ 50–63 ___ 63 pataas
(Pattern adapted from the sample age breakdown section.) (Sample-of-Community-Needs-Assessment-Questionnaire.docx)
- May kabuhayan ba sa inyong tahanan?
- Ilan ang naghahanapbuhay? ☐1 ☐2 ☐3 ☐4 ☐5 ☐6 ☐Wala (Sample-of-Community-Needs-Assessment-Questionnaire.docx)
- Pangunahing hanapbuhay: ______________________________ (Sample-of-Community-Needs-Assessment-Questionnaire.docx)
B. Kalagayan ng Kapaligiran at Basura (Waste)
- Lagyan ng tsek: Ano ang karaniwang isyu sa inyong paligid?
- ☐ Maduming kapaligiran / maraming nakakalat na basura (Sample-of-Community-Needs-Assessment-Questionnaire.docx)
- ☐ Kulang ang basurahan / collection schedule
- ☐ Hindi nasusunod ang waste segregation
- ☐ Marami ang plastic waste (bote/sachet)
- ☐ Iba pa: _______________________________________
- Nagsi-segregate ba kayo ng basura?
- ☐ Oo palagi ☐ Minsan ☐ Hindi
Kung oo, paano? ☐ nabubulok ☐ di-nabubulok ☐ recyclable ☐ hazardous
- Ano ang madalas na recyclable waste na meron sa bahay? (check all that apply)
- ☐ Plastic bottles (softdrinks/tubig)
- ☐ Cans (de-lata)
- ☐ Plastic containers (galon, lalagyan)
- ☐ Karton/papel
- ☐ Iba pa: _______________________
- Sa isang linggo, ilang plastic bottles/cans ang karaniwang naiipon?
- ☐ 0–5 ☐ 6–10 ☐ 11–20 ☐ 21 pataas
C. Kalagayan sa Pagtatanim (Gardening Situation)
- May mga tanim ba kayo sa bahay ngayon?
- ☐ Wala ☐ Meron (ilan?): ____
Kung meron, saan? ☐ paso ☐ bakuran ☐ rooftop ☐ wall/vertical ☐ iba: _______
- Ano ang mga dahilan kung bakit wala o kaunti ang tanim sa bahay? (check all that apply)
- ☐ Walang sapat na espasyo
- ☐ Kulang sa araw/sikat ng araw
- ☐ Kulang sa oras mag-alaga
- ☐ Walang kaalaman paano magsimula
- ☐ Walang puhunan/pambili ng paso/lupa
- ☐ May peste / madaling mamatay ang tanim
- ☐ Iba pa: _______________________
- Anong uri ng halaman ang interesado kayong itanim? (check all that apply)
- ☐ Herbs (hal. basil, tanglad, oregano)
- ☐ Gulay (hal. pechay, kangkong, talbos)
- ☐ Prutas (small/container-friendly)
- ☐ Ornamental
- ☐ Iba pa: _______________________
D. Kaalaman at Interes sa PROJECT VERDE (Vertical Gardening + Recycled Materials)
(This aligns with Project Verde objectives: sustainable gardening using recycled materials + educate community on container gardening and waste recycling.) (Untitled document.docx)
- Narinig o nakita mo na ba ang vertical/container gardening?
- ☐ Oo ☐ Hindi
Kung oo, saan? ☐ online ☐ kapitbahay ☐ school ☐ barangay program ☐ iba: ______
- Interesado ba kayong matutong gumawa ng vertical garden gamit ang recycled materials (plastic bottles, cans, reusable containers)?
- ☐ Oo ☐ Hindi ☐ Depende
Kung “Depende,” ano ang kondisyon? _______________________________
- Handang magbigay o mag-ipon ng recyclable materials para sa proyekto?
- ☐ Oo ☐ Hindi
Kung oo, alin ang kayang ibigay? ☐ bottles ☐ cans ☐ tali/wire ☐ iba: _______
- Sino ang mas posibleng mag-aalaga/maintenance ng tanim sa bahay?
- ☐ Nanay/Tatay ☐ Anak/kabataan ☐ Lolo/Lola ☐ Lahat ☐ Iba: _______
E. Resources at Constraints (Para malaman kung feasible ang vertical garden)
- May sapat bang sikat ng araw sa inyong bahay para sa tanim (at least part of the day)?
- ☐ Oo ☐ Medyo ☐ Wala/Kaunti
- May mapagkukunan ba kayo ng tubig para sa regular na pagdidilig?
- ☐ Oo ☐ Minsan may problema ☐ Madalas walang supply
- Saan ninyo gustong ilagay ang vertical garden kung sakali?
- ☐ Pader sa labas ☐ Pader sa loob ☐ Bakod ☐ Balkon/terrace ☐ Iba: _______
F. Training Needs (Skills/Topics)
(Modeled after the “skills/training needs” portion of the sample.) (Sample-of-Community-Needs-Assessment-Questionnaire.docx)
- Lagyan ng tsek: Alin sa mga training ang kailangan o gusto ninyo?
- ☐ Paggawa ng vertical garden (step-by-step)
- ☐ Proper waste segregation & recycling (ano ang recyclable at paano linisin/ihanda) (Untitled document.docx)
- ☐ Basic gardening (lupa, pataba, punla, spacing)
- ☐ Container gardening techniques (paano tumubo sa bote/paso) (Untitled document.docx)
- ☐ Pag-aalaga ng herbs at gulay (watering, sunlight, harvest) (Untitled document.docx)
- ☐ Pest control (safe/organic)
- ☐ Composting mula sa kitchen waste
- ☐ Iba pa: _______________________
- Kailan kayo mas available umattend ng seminar/workshop?
- ☐ Umaga ☐ Hapon ☐ Weekdays ☐ Weekend
Iminungkahing oras: _______________________
G. Existing Programs at Community Priorities
(Modeled after “programa/proyekto sa barangay” and “dapat bigyang pansin” sections.) (Sample-of-Community-Needs-Assessment-Questionnaire.docx)
- May alam ba kayong kasalukuyang programa sa barangay tungkol sa:
- ☐ Paglilinis/pagpapaganda ng kapaligiran (Sample-of-Community-Needs-Assessment-Questionnaire.docx)
- ☐ Skills training/seminar (Sample-of-Community-Needs-Assessment-Questionnaire.docx)
- ☐ Recycling / solid waste management
- ☐ Urban gardening / gulayan sa barangay
- ☐ Iba pa: _______________________
- Ano ang sa tingin ninyo ang dapat bigyang pansin sa inyong barangay? (check all that apply)
- ☐ Kalinisan at kaayusan ng paligid (Sample-of-Community-Needs-Assessment-Questionnaire.docx)
- ☐ Kakulangan sa kaalaman para makatulong sa paghahanapbuhay (Sample-of-Community-Needs-Assessment-Questionnaire.docx)
- ☐ Problema sa kalusugan/nutrisyon (Sample-of-Community-Needs-Assessment-Questionnaire.docx)
- ☐ Iba pa: _______________________
- Kung may pangangailangan kayo, sino ang kadalasang nilalapitan ninyo?
- ☐ Barangay captain/opisyal (Sample-of-Community-Needs-Assessment-Questionnaire.docx)
- ☐ Nakatatanda sa lugar (Sample-of-Community-Needs-Assessment-Questionnaire.docx)
- ☐ Organisasyon sa barangay: _______________________ (Sample-of-Community-Needs-Assessment-Questionnaire.docx)
- ☐ Iba pa: _______________________
H. Suggestions / Open-ended
- Ano ang suhestiyon ninyong aktibidad na gusto ninyong gawin sa barangay tungkol sa:
- recycling / kalinisan / pagtatanim / nutrisyon?
(This matches the open suggestion area of the sample.) (Sample-of-Community-Needs-Assessment-Questionnaire.docx)
- May iba pa ba kayong komento o pangangailangan na gusto ninyong iparating?
Para sa NSTP Student/Surveyor (Optional – like the sample)
Pangalan ng mag-aaral na nagbigay ng survey: __________________________ (Sample-of-Community-Needs-Assessment-Questionnaire.docx)
Group No./Name: __________________________ (Sample-of-Community-Needs-Assessment-Questionnaire.docx)
Obserbasyon habang nagsu-survey: ____________________________________ (Sample-of-Community-Needs-Assessment-Questionnaire.docx)
Pisikal na kalagayan ng lugar: _______________________________________ (Sample-of-Community-Needs-Assessment-Questionnaire.docx)
Pakikitungo ng mga tao: ____________________________________________ (Sample-of-Community-Needs-Assessment-Questionnaire.docx)
Iba pang problema ng mga residente: __________________________________ (Sample-of-Community-Needs-Assessment-Questionnaire.docx)
If you want, I can also format this into a Word (.docx) questionnaire (same look as your sample) so you can print it and submit it easily.