1.
Physical Aspects
1.1 What is the size of the community? Are there any topographical features within the
community? (e.g valleys, rivers, etc)
1.2 Is the cleanliness of the surroundings observed and maintained by the people?
2. Infrastructure
2.1 What are the roads, bridges, modes of transportation (e.g local public tranportation,
train lines, etc.) within the community?
2.2 What are the different products and services available in the market of the
community? (electricity, water, land line and mobile telephone service, broadband
service, etc.)
3. Patterns of Settlements
3.1 Are there heavy industries located next to residential neighborhoods? If so, who
lives in those neighborhoods?
3.2 Are some parts of the community dangerous, either because of high crime and
violence or because of unsafe conditions in the built or natural environment?
4. Demographics
Name
Age
Address
Contact No.
Birthdate/Birthplace
Gender
Race and ethnicity
Religion
Marital Status
Educational Attainment
Occupation
No. of people in household
First language
5. History
5.1. How long has the community been in existence and how was it founded?
5.2. How has the community changed over time and what has caused those changes?
6. Community Leaders
6.1. Who are the formal and informal leaders in the community?
6.2. How do they lead and organize the community?
7. Community Culture
7.1 Are there any cultural activities within the community? (e.g. Sporting Events, Fiesta,
Charity Events, etc.)?
7.2 If yes, Specify:
7.3 If you answered 7.2 How often do you attend such activities? Always Sometimes
Never
8. Existing Groups
8.1 Are there any local/barangay groups within your community? Yes or No
8.2 If yes, Specify:
8.3 If you answered 8.2 Do you feel that these groups are active and well-presented?
(presence is felt through organized activities)
9. Existing Institutions
9.1 What are the institutions that are existing within the community such as educational
institutions (colleges, universities, libraries), religious institutions (religious charities and
religious schools) and medical institutions (hospitals, lying-in clinics, community health
centers)?
10. Economics
10.1 Who are the major employers in the community? What specific industry is the
community’s base?
10.2 How is wealth distributed within the community? Would you characterize the
community as poor, working, class, middle class, or affluent?
11. Government/Politics
11.1 What are your ideal type of leaders and community? Does your current leaders
and community embody your ideals?
11.2 Do you think that your community is publicly well served? In what way are public
opinion deemed significant and freedom of speech practiced in the community?
11.3 Is there a particular party, group, or individual in control of the community?
11.4 Who has the power and influence on the setting of policy and decision making?
Does fairness and equity exist or decisions favor the powerful ones?
11.5 Are community bylaws and regulations properly executed? If so, how?
11.6 Are those elected and appointed officials form family dynasties?
11.7 What are the recent political controversies in your community?
12. Social Structures
12.1 How would you describe the interaction or relation of the people in your community
to each other on a daily basis?
12.2 What kinds of activities does your community usually engage in? Rate how the
members of the community participate in events, programs or activities from 1 to 10 (1 –
uncooperative; 10 – very cooperative).
12.3 How are problems encountered in the community resolved and not resolved?
12.4 What do you believe are the symbols of status and respect in your community?
13. Attitude and Values
13.1 What does the community care about and what does it ignore?
13.2 What are the norms for interaction among those who with different opinions or
different backgrounds?
