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NSTP Community Assessment

The document appears to be a community needs assessment form from a group of students assessing a community in the Philippines. It collects demographic information about community members and leaders and asks questions about current community activities, facilities, perceived needs, and issues. It also has sections for evaluators to identify needs, current actions, and available local resources. The form aims to gather pertinent data to create an action plan and project proposal to address community needs.

Uploaded by

Cristina Zibal Oblianda
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
146 views

NSTP Community Assessment

The document appears to be a community needs assessment form from a group of students assessing a community in the Philippines. It collects demographic information about community members and leaders and asks questions about current community activities, facilities, perceived needs, and issues. It also has sections for evaluators to identify needs, current actions, and available local resources. The form aims to gather pertinent data to create an action plan and project proposal to address community needs.

Uploaded by

Cristina Zibal Oblianda
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 8

Republic of the Philippines

UNIVERSITY OF RIZAL SYSTEM


Province of Rizal

Tanay Campus

Names: GROUP 5 Date: __________ Score: ________


Aquino, Mark Kyle Subject and Course: NSTP 2(LTS) BEED
Combate, Analyn Year and Section: BEED 1
Cornel, Japheth Instructor: Prof. Nenita F. Ramos
Decatoria, Christian
Gallo, Fides Andrea
Oblianda, Ma. Cristina
Tating, John Aries

Community Needs Assessment Form

1. Name of Community/Institution Being Assessed

__________________________________________________________________

2. Venue or Description of the Location

__________________________________________________________________

3. Names of Company Leaders and Representatives

__________________________________________________________________

4. Description of the Community and Basic Community Statistics

__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
_________________________________________________________________
I. Respondent’s demographic profile

1. Name(optional)
2. Age
3. Sex
a. Male
b. Female
4. Educational Attainment
a. Elementary
b. Highschool
c. College
d. No Education
5. Occupation
a. Unemployed
b. Student
c. Professional
d. Self- employed
e. Public Servant
g. Retired
6. Family’s Monthly Income
a. 5, 000 – below
b. 6, 000 – 10, 000
c. 11, 000 – above
7. Relationship to the Head of the Household
a. Head of the household
b. Spouse
c. Children
d. Parent
e. Grandparent
f. Relatives
g. Not related
8. Number of Member in the Household

II. Community Leaders and Members’ Opinions

1. What activities are usually currently conducted?


_____Social
_____Educational
_____Spiritual
_____Recreational
_____Livelihood
_____All of the Above
_____Others, please specify _________
2. How frequent are the activities being conducted?
_____Weekly
_____Semi-monthly
_____Monthly
_____Semi-annually
_____Annually
_____Others, please specify__________________________

3. Who conducts the activities?


_____Barangay Council
_____Nongovernmental Organizations
_____Combination
_____Community/Civic Groups
_____Youth/Students
_____Others, please specify__________________________

4. What is the rating of the community leaders and members for the following
community current programs? Encircle your rating for each question using
the scale below:

0 - Not in a position to evaluate/No idea at all


1 - Poor/Never
2 - Needs improvement/very seldom
3 - Satisfactory/Seldom
4 - Very satisfactory/Oftentimes
5 - Excellent/Always

0 1 2 3 4 5

Social Activities (parties, singing/dancing contests, feast


day celebration, swimming, etc.)
Spritual activities (recollection, retreat, mass, etc)
Recreational activities (sportsfest, league, etc.)
Educational Activities (seminars, trainings, workshops,
etc.)
Livelihood Activities (microfinancing, subsidies, etc.)
Environmental Activities (cleaning, waste management,
garbage collection, etc.)
5. Who are the active participants of the community activities being
conducted?
_____Parents
_____Mothers
_____Fathers
_____Youth
_____Students
_____Out-of-school youth

6. What are the facilities available in the community?


_____Livelihood activities
_____Jobs fair
_____Spiritual activities
_____Feeding Program
_____Social mobilization
_____Others, please specify__________________________

7. What activities are perceived to be mostly needed by the community?


_____Livelihood activities
_____Jobs fair
_____Spiritual activities
_____Feeding Program
_____Social mobilization
_____Others, please specify__________________________

8. Issues, problems, and opportunities present in the community


_____Family problem
_____Lack of support for activities
_____Drug addiction
_____Education
_____Vices
_____Garbage
_____Health
_____Peace and Order
_____Sanitation
_____Others, please specify_____

9. Issues/concerns that the community leaders/members think should be


prioritized
_____Cleanliness
_____Livelihood
_____Peace and Order
_____Sports
_____Others, please specify__________________________
III. Evaluation by the Team Conducting the Needs Assessment

1. Needs identified by community leaders and members


__________________________________________________________________
2. Current action being taken to meet community needs
__________________________________________________________________
3. Local resources available to help meet community needs
__________________________________________________________________
4. Name/s of Assessor/Evaluator:
___________________________________________________________________________
Learning Activity 3.1

Learning Activity 3.1

Name: _______________________________ Score: ___________________


Section: ______________________________ Facilitator: Prof NENITA F. RAMOS

Due to the limitations brought about by the COVID-19 pandemic, make your own
Needs Assessment Survey form to be able to determine essential information from
an individual or group of individuals within your household or immediate community
who could be your target project beneficiary. Conduct a mini survey making sure that
all questions are properly answered to get the pertinent data needed in making an
action plan and project proposal.

Done with the activity? Reminder!!!


Your output should be submitted via Google Classroom on or before February 21, 2022.
Learning Activity 3.2

Learning Activity 3.2

Name: _____________________________ Score: ___________________


Section: ____________________________ Facilitator: Prof NENITA F. RAMOS

Based on the sample Community Needs Assessment form presented, conduct


a survey in your own community. Make sure that all questions are properly answered
to get the pertinent data needed in making an action plan and project proposal.

Done with the activity? Reminder!!!


Your output should be submitted via Google Classroom _ on or
before February 28, 2022.
Rubrics

96-100 91-95 86-90 81-85


All group members All group members Some group Only a few
are prepared and are prepared members are members are
have mastery of the prepared prepared and have
topic mastery of the topic
All group members All group members Some group Only 1 or 2 group
participate equally participate members participate members participate
All group members Most group Some group Only 1 or 2 group
speak clearly and members speak members speak members speak and
easy to understand clearly and easy to clearly but are can be understood
understand difficult to
understand
Presentation is Presentation is Presentation is Presentation is
visually organized organized and complete disorganized and
and complete complete incomplete
Output Output includes Output includes few Output includes few
includes many some necessary details or no details
necessary details details

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