QUESTIONNAIRE FOR SCHOOL HEADS

Name:________________________________________________________________

Part I: Implementation of Feeding Program

Direction: Below are objectives outlined by the Department of Education towards the
successful implementation of the program. Opposite each activity, please indicate the
level of implementation your school achieved in your implementation of the program by
putting check mark opposite.

Numerical Rating Implementation

1……………… Very Low

2……………… Low

3……………… High

4……………… Very High

Objectives 1 2 3 4
1. Promoting Public Awareness and Emerging Involvement in
Feeding Program
a. Utilizing the developed advocacy and marketing materials from
the SBFP.
b. Conducting extensive awareness campaigned and other
marketing activities which may include interview among parents
for the feeding program.
2. Generating Resources
a. Determine target resources and volunteers
b. Meeting potential partners, volunteers, community
leaders/officials and members to engage support from the
community and local business enterprises.
c. Ensuring that the pledges/commitments of partners are
delivered.
d. Accepting donation from partners.
3. Directing and Monitoring the Implementation
a. providing guidance and directions to work teams in the
performance of assigned tasks.
b. Ensuring program of work are accomplished as planned.
c. monitoring of actual accomplishments vis-à-vis identified needs
and planned activities.
4. Providing Administrative Support and Managing Funds
a. Ensuring that all financial assistance from both governmental
and private sources are used in accordance with applicable
rules and regulations.
b. Providing logical support to volunteers such as but not limited
to, work materials, refreshments ,etc.
c. Accounting the usage of all materials thru the conduct of daily
inventory.
d. Preparing documents required for tax incentives availment by
partners such as, but not limited to:
a. Memorandum of agreement
b. Deed of donation and/or deed of acceptance.
5. Preparing the Necessary Documentation and Reports
 a. Taking photos and/or video footages of activities, especially
the activities done in the school ( before, during, and after
photos ).
b. Keeping and maintaining records and pertinent papers and
documents
-Daily report on donations on donations received
-Daily attendance of volunteers.
c. Summarizing and consolidating the different forms as a
basis for drafting the Feeding school accomplishment form.

Part II: Level of Management Skill of School Heads in the Implementation of The
Feeding Program

Direction: Please check the column that corresponds to your perception about the level
of your management skills in terms of certain dimension using the 5-point rating scale,
as follows.

Numerical Value Implementation

5………………… Very Skillful

4……………….. Skillful

3……………….. Moderately Skillful

2……………….. Slightly Skillful

1……………….. Not Skillful

Management Skill 1 2 3 4 5
A. Communication Skill.
1. I greet and show interest in teacher and other
stakeholder in the implementation of the program.
2. I use words that show care and interest to collaborators
of the program.
3. I allow others to state their opinions without interruption.
4. I explain and or negotiate and agenda during meetings
carefully.
5. I give stakeholders an opportunity to correct or add
previous statements.
6. I ask stakeholders concern and expectation about the
program.
7. I respond explicitly to stakeholder’s ideas, feelings and
suggestions during discussions
8. I explain topics using words that teachers, parents and
others will understand
9. I use polite words in asking teachers and other if they
have questions.
10. I use appropriate language when sending
communication letters to teachers and when talking to
them in person.
B. Decision- Making Skills
1. I encourage participation of collaborators in working
together about budgeting.
2. I make effective decisions in the areas of staffing,
directing personnel and resource allocation.
3. I analyze data about the performance of each group of
collaborators in the program.
 4. I use professional expertise and capabilities of
participants in making commendations and recognitions.
5. I empower the qualified staff the needed flexibility and
resources to save the schools inadequacies.
6. I adopt shared decision making with stakeholders to
promote transparency in the management of the
program.
C. Planning Skill
1. I strived for the attainment of the goals of the School
Based feeding Program.
2. I create an ideal working environment for the
stakeholders.
3. I ensure proper use of resources in accordance with the
relevant regulations and guidelines.
4. I examine school plans regularly to see if they are in line
with the actual circumstances as well as the direction of
school development.
5. I develop school development strategies that meet the
requirements of the government education policies.
6. I build up relevant network with other agencies and
secure community resources to enhance school
preparedness.

Part III : Problems encountered By the School Heads and Teachers in the
Implementation of Feeding Program

Direction: Below are statements that you may have encountered in the implementation
of the feeding Program in your school. Put a check mark opposite the statement that
represents a problem to you.

Statement Yes No
1. Parents’ active participation in the program is difficult to obtain.
2. Barangay officials provide ery little support of the program.
3. Alumni support to the program very minimal.
4. Most pupils do not bother in participating the program.
5. The municipal government provides little support to the program.
6. Funds are very limited to make program running.
7. Resources for promotion for public awareness are not available.
 Questionnaires for Teachers

ParI : Implementation of School Based Feeding Program

Direction: Below are objectives outline by the Department of Education towards the
successful implementation of the program. Opposite each activity , please indicate the
level of implementation your school have achieved in your implementation your school
have achieved in your implementation of the program putting a check mark opposite.

Numerical Ratings Implementation

1…………………….. Very Low

2…………………….. Low

3……………………. High

4……………………. Very High

Objectives 1 2 3 4
1. Promoting Public Awareness and Emerging Involvement
in School Based Feeding Program.
a. Utilizing the developed advocacy and marketing materials
from the National secretariat to create mode of campaign.
b. Conducting extensive awareness campaign and other
marketing activities which may include
interview/advertisement with local radio, television and
newspapers, posting of campaign banners, showing
BrigadaEskwela music video, distribution of other
campaign materials and road shows, such as Brigada
Caravan.
2. Generating Resources
a. Determining target resources and volunteers.
b. Meeting potential partners, volunteers, community
leaders/officials and members to engage support from the
community and local business enterprises
c. Ensuring that the pledges/ commitments of partners are
delivered.
d. Accepting donations from partners.
3. Directing and Monitoring Implementation
a. Providing guidance and direction fro work terms in
performance of assigned tasks.
b. Ensuring program of work are accomplish as planned.
c. Monitoring of actual accomplishment vis-à-vis identified
needs and planed activities.
4. Providing Administrative Support and Managing
Funds
a. Ensuring that all financial assistance from both
government and private sources are used in accordance
with applicable rules and regulations.
b. Providing logistical support to volunteers such as but not
limited to, work materials, first aid kits, refreshments etc.
c. Accounting the usage of all materials thru the conduct of
daily inventory.
5. Preparing the Necessary Documentation and Reports
a. Taking photos and/video footages of the activities,
especially the improvements done on the Schools (before
and after the activities)
b. Keeping and maintaining records and pertinent papers
and documents.
 -daily report on donation received
-daily attendance of volunteers
c. Summarizing and consolidating the different SBFP
form as basis for drafting the School Based Feeding
Program Accomplishment Report.

Part II: Level of Management Skill of School Heads in the Implementation of the
School based Feeding Program

Direction: Please check the column that corresponds to your perception about your
school heads management skills in terms of certain dimension using the 5 point rating
scale, as follows:

Numerical Value Implementation

5……………. Very Skillful

4……………. Skillful

3……………. Moderately Skillful

2…………….. Slightly Skillful

1…………….. Not Skillful

Management Skill 1 2 3 4 5
A. Communication Skill:
1. He/she greets and shows interest in teachers and
other stakeholders in the implementation of the
program.
2. He/She allows others to state their opinions without
interruption.
3. He/she allows others to state their opinions without
interruptions.
4. He/she explains or negotiate and agenda during
meetings carefully.
5. He/she give stakeholders concern and expectation
about the program.
6. He/she gives stakeholders an opportunity to correct
or add previous statements.
7. He/she responds explicitly to stakeholder ideas,
feelings and suggestions during discussions.
8. He/she explains topics using words that teachers,
parents and others understand.
9. He/she uses polite words in asking teachers and
other stakeholders if they have questions.
10. He/she uses appropriate language when sending
communication letters to teachers and when talking
them in person.
B. Decision Making Skills
1. He/she encourages participation of collaboration in
working together on matters about budgeting.
2. He/she makes effective decisions in the areas of
staffing , directing personnel and resource
allocation.
3. He/She analyzes the data about the performance of
each group of collaborators in the program.
4. He/she uses professional expertise and capabilities
of participants in making recognition and
commendations.
5. He/she empowers qualified staff the needed
flexibility and resources to solve the schools
inadequacies
6. He/she adopt or shares decisions making with
stakeholder to promote transparency in the
management of the program.
C. Planning Skill
1. He/she strives for the attainment of the Goals of
School Based Feeding Program.
2. He/she looks forward towards the future of the
pupils.
3. He/she works towards level of performance.
4. He/she focuses a goal to attain achievement.
5. He or she shows creativity and vision for School
Feeding Program.
6. He/she discusses the problem with other
stakeholders.
7. He/she sees the segregate parts of the problem for
analysis.
8. He/she generates and identifies alternative
decisions when necessary.
9. He/she sees and analyzes relationship between
various pieces of information.
10. He/she establishes strategies to implement
decision.
D. Organizing Skill
1. He/she formulates policies that best suit the needs
of the school as well as the overall interest of the
stakeholders.
2. He/she creates an ideal working environment for the
stakeholder.
3. He/she ensures proper use of resources in
accordance with the relevant regulations and
guidelines.
4. He she examines school plans regularly to see if
they are in line with the actual circumstances as
well as the direction of the school development.
5. He/she develops school development strategies
that meet the requirements of the government
education policy.
6. He/she builds up relevant network with other
agencies and secure community resources to
enhance school preparedness.
Part III: Problems Encountered By School eads and Teachers in the
Implementation of School Based Feeding Program

Direction: Below are the statements that you may have encountered in the
implementation of the (SBFP) School Based Feeding Program in your school. Put
a check mark opposite opposite the statement that represent the problem to you.

Statement Yes No
1. Parents have active participation in the program is difficult to
obtain.
2. Barangay officials provide very little support to the program.
3. Alumni support to the program is very minimal.
4. Most pupils do not bother in participating in the program.
5. The municipsl government provides little support in the
program.
6. Funds are very limited tomake program running.
7. Resources for promotion of public awareness is not available.
 LETTER TO THE RESPONDENTS
NORTHWEST SAMAR STATE UNIVERSITY
Main Campus, Calbayog City
COLLEGE OF EDUCATION
Graduate School

Jose O. Abon, MA
District Supervisor
Calbayog 5 District
Calbayog City, Division

Sir:

Peace upon us all.

I am writing a thesis entitled“The Use of Mother Tongue Based Program in

Grade lll ofCalbayog 5 District, Calbayog City” for the course requirement in
Educational Program and Evaluation in Doctoral Degree program in Northwest Samar
State University, College of Education, Graduate School.

I therefore request to your good office to allow me to distribute questionnaires to

the respective respondents in I Calbayog 5 District, Calbayog City Division, Calbayog
City.

You approval in this regard is earnestly desired and will highly be appreciated.

Thank you very much!

Sincerely yours,

DINA ALVA J. MARCIAL

Northwest Samar State University
Graduate School Student

Noted by:

Dr. Enrique B. Montecalvo

Professor

Approved by:

JOSE O. ABON
District Supervisor
 LETTER TO THE RESPONDENTS
NORTHWEST SAMAR STATE UNIVERSITY
Main Campus, Calbayog City
COLLEGE OF EDUCATION
Graduate School

Jose O. Abon, MA
District Supervisor
Calbayog 5 District
Calbayog City, Division

Sir:

Peace upon us all.

I am conducting an “Evaluation regarding School Based Feeding program of

Calbayog 5 District, Calbayog City” for the course requirement in Educational
Program and Evaluation in Doctoral Degree program in Northwest Samar State
University, College of Education, Graduate School.

I therefore request to your good office to allow me to distribute questionnaires to

the respective respondents in I Calbayog 5 District, Calbayog City Division, Calbayog
City.

You approval in this regard is earnestly desired and will highly be appreciated.

Thank you very much!

Sincerely yours,

DINA ALVA J. MARCIAL

Northwest Samar State University
Graduate School Student

Noted by:

Dr. Enrique B. Montecalvo

Professor

Approved by:

JOSE O. ABON
District Supervisor