You are on page 1of 5

IMPACT SURVEY OF PROJECT PARTICIPANTS

Kalamansi Laborers

FOR THE PERIOD AUGUST 2008 SEPTEMBER 2009

1.0. Personal and Household Information

1.1. Respondent (Surname) ____________________ (First Name) ________________


1.2. Age____ Sex____ Civil Status ______ Primary occupation (pls. specify)_________________________
1.3. Name of Spouse (if married) ________________________ Age _______ Occupation of Spouse________________
1.4. Residence (Brgy) ________________ (Municipality/City) ______Siay ____ (Province)___Zamboanga Sibugay____
1.5. Highest educational attainment (Respondent) ____________
1.6. Highest educational attainment (Spouse) ____________________
1.7. Number of children______ Total number of household members ________ Total No. of dependents________________
1.8. Total number of household members who can help in farm labor __________
1.9. Do you own land? (Yes/No)_______________ If yes, Location __________________ Land Area ________
1.10. Crops Planted in owned land __________________________
2.0. Income (Labor in Kalamansi)
August 08 September 08 October 08 November 08
Qty Price Total Qty Price Total Qty Price Total Qty Price Total
per Amount per Amount per Amount per Amount
Activities Unit unit unit unit

Picking (per pail)


Hauling (per
crate/burike)
Pruning (per tree)
Weeding (per tree)
Spraying (per
tank)
Sorting (per
crate/burike)
Land prep.
Seed Sowing
Cultivating
Drainage
Maintenance
Total

1
December 08 January 09 February 09 March 09
Qty Price Total Qty Price Total Qty Price Total Qty Price Total
per Amount per Amount per Amount per Amount
What do you do: Unit unit unit unit
Picking (per pail)
Hauling (per
crate/burike)
Pruning (per tree)
Weeding (per tree)
Spraying (per
tank)
Sorting (per
crate/burike)
Land prep.
Seed Sowing
Cultivating
Watering/Irrigating
Total

April 09 May 09 June 09 July 09


Qty Price Total Qty Price Total Qty Price Total Qty Price Qty
per Amount per per per
What do you do: Unit unit unit unit
Picking (per pail)
Hauling (per
crate/burike)
Pruning (per tree)
Weeding (per tree)
Spraying (per
tank)
Sorting (per
crate/burike)
Land prep.
Seed Sowing
Cultivating
Watering/Irrigating
Total

2
August 09 September 09
Qty Price Total Qty Price Total
per Amount per
What do you do: Unit unit
Picking (per pail)
Pruning (per tree)
Weeding (per tree)
Spraying (per tank)
Sorting (per crate/burike)
Hauling (per crate/burike)
Land prep.
Seed Sowing
Cultivating
Watering/Irrigating
Total

2.1 How does kalamansi labor affect your household responsibilities? (in terms of domestic chores; purchase of household
products.; childcare, etc.)
For the period Aug 07 July 08________________________________________________________________
For the period Aug 08 Sept. 09 _______________________________________________________________________

2.2 What activity have increased and what activity have decreased by checking the appropriate box under column 1 and
classify in column 3 if such activities have ( I )- increased, ( D ) - decreased, ( R ) - replaced, ( S ) - same, and ( A ) -
additional, then write in column 4 the activities that have decreased, increased, removed and replaced. (Ex: if in column 3
the answer is I (increased), then write in column 4 the activities that have decreased (unless number of hours worked have
really increased))? (ex. kalamansi labor (such as pruning, weeding, picking, hauling, sorting), domestic chores; purchase
of household products.; childcare, etc.)
1 2 August 2007 July 2008 August 2008 July 2009
3 4 5 6
Activities I,D,R,S,A Activities that have change I,D,R,S,A Activities that have change
1. Picking
2. Pruning
3. Weeding
4. Spraying
5. Sorting
6. Hauling
7. Land Prep.
8. Seed sowing
9. Cultivating
10. Irrigating
11. Clean the house
12. Cook/Prepare
food
13. Wash
clothes/dishes
14. Childcare
15. Purchase
household products
16. Others (Pls. list)
17. Trainings
Total

3
3.0. Source of Income aside from income from kalamansi labor

List other sources of household income aside from kalamansi (ex: own store, tricycle, rendering skilled labor
(carpentry, electrician), donations from family/relatives, others)
Other sources of income Amount of Annual Income

3.1. Do you borrow money? Yes ____ No _____ Please give details below:
Interest
Terms of Payment (pls
Purpose Amount Charges (pls
specify)
specify)
1. Own
2. Financier (ex: buyers,
traders, others)
3. Bank
4. Others (landowner,
relatives, others)

3.2. Able to pay loan? Yes _______ No ________ Reason: ____________________


4.1. Who makes the financial decision in the family? _________
4.2. Estimated Average Monthly Household Expenses (includes food, utilities, education, transpo, medicine, others)
For the period Aug. 2007 July 2008: Php________________________
For the period Aug. 2008 Sept. 2009: Php________________________
4.3. How many meals do you have in a day? (Pls. check below)
For the period Aug. 2007 July 2008: ___ (3) Three meals ___(2) Two meals ___ (1) One meal ___ more than (3) meals
For the period Aug. 2008 Sept. 2009: ___ (3) Three meals ___(2) Two meals ___ (1) One meal ___ more than (3) meals

4.4. What is the estimated average amount per meal?


For the period Aug. 2007 July 2008: Php___________
For the period Aug. 2008 Sept 2009: Php___________

4.5. Source of money to buy meals (monthly) (Pls. check and write the estimated (average amount)
Sources of income Aug 2007 July Aug 2008 Sept.
2008 2009
Average amount Average amount
Income from kalamansi labor
Income from salary - non
kalamansi related work
Other Income (provide list if
needed)
Total

4.6. Have you increased your food consumption or number of meals eaten per day because of income earned from kalamansi
labor?
For the period Aug. 2007 July 2008: Yes ____ No ____ Why? __________________________________________

For the period Aug. 2008 Sept 2009: Yes ____ No ____ Why? __________________________________________

4
5 .0. Family Assets
Family Assets Details Value
1.
2.
3.
4.
Total

6.0. Family living status (This should not be asked. By observation of the enumerator only)
6.1. Type of House (by observation) 8.2. Household Appliances owned (by
observation)
Feature Material 1. 5.
Roof (GI sheet, nipa, etc.) 2. 6.
Wall (concrete, plywood, etc.) 3. 7.
Floor (concrete, bamboo, etc.) 4. 8.

____________________________ _____________________
Interviewer Date

_______________________
Supervisor

You might also like