SURVEY QUESTIONNAIRE

Region: ___________ Province: _________________________ Municipality: _______________________________

School: _________________________________________________________________________________________
School Address: __________________________________________________________________________________

1. Normal travel distance from school to regional center. (in kilometers)

 1-75 kms  76-150 kms.

 151-225 kms  More than 225 kms.

2. Mode/s of transportation for item number 1.

 By land only  By water only

 By air only  Hybrid (mixed)

If hybrid, please specify combination/s: _____________________________________

3. Type of transport for item number 2. (bus, jeep, van, tricy, banka, motorized boat, etc.)
a. If travelling by land: ____________________________________________________
b. If travelling by water: ___________________________________________________
c. If travelling by air: ______________________________________________________
d. Other types of transport: (e.g. human or animal powered, two-wheeled motorized vehicle, etc.)
__________________________________________________________

4. Road condition which is peculiar to the area: ______________________________________

___________________________________________________________________________

5. For purposes of delivery of procured school supplies and materials, is the school accessible by a four-
wheeled vehicle? Y/N: _______. If no, what is the best substitute? _____________
________________________________________

6. What is the lead time for delivery of school supplies from regional center to school premises? (approximate
number of hours/days) ___________________________________

7. How are supplies previously delivered to the school? ________________________________

8. Are special kind of transport required for its delivery? Y/N _______. If yes, what kind of transport is
required? _________________________________________________________

9. Please narrate a brief description on what is the itinerary/route for the delivery of school supplies if it comes
from regional center to school.
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________.

Office of the Director (ORDir), tel. Nos.: (032) 231-1433; 414-7399
Office of the Assistant Director (OARDir), tel. Nos.: (032) 255-4542
Administrative Service Division (ASD), Tel. Nos.: 414-7326, 414-4367, 414-7322; 414-4367
Education Support Services Division (ESSD), Tel. Nos.: (032) 254-7062
Curriculum Learning Management Division (CLMD), Tel. Nos.: (032) 414-7323
Field Technical Assistance Division (FTAD), Tel. Nos.: (032) 414-7324
Finance Division (FD), Tel. Nos.: (032) 256-2375; 253-8061, 414-7321
Human Resource Development Division (HRDD), Tel. Nos.: (032) 255-5239
Policy, Planning, and Research Division (PPRD), Tel. Nos. (032) 233-9030; 414-7063
Quality Assurance Division (QAD), Tel. Nos.: (032) 231-1071