COMMUNITY PROFILE SURVEY FORM
Site/Community: ___________________________________________________ Province: _________________________________________________________
District: ____________________________________________________________ City: ______________________________________________________________
PART 1. COMMUNITY GENERAL DESCRIPTION
A. POPULATION OF THE PROGRAM SITE
Total No. of Population: ____________________________________________ No. of Families: ___________________________________________________
Male Female
Total Population of Working Age (18-60): ___________________________
Number of Under/Unemployed: ____________________________________
Persons with Disabilities: ___________________________________________
Other relevant groups: _____________________________________________
B. GEOGRAPHIC FEATURES
Nearest towns/cities with influence on the program site: _________________________________________________________________________________________________________
General Landscape: ☐ Flat ☐ Hilly ☐ Mountainous
Natural land/water resources Comments
________________________________________________________________________________________________________________________________
River
________________________________________________________________________________________________________________________________
Sea
________________________________________________________________________________________________________________________________
Farming Land
________________________________________________________________________________________________________________________________
Mining Source
________________________________________________________________________________________________________________________________
Forests
C. CLIMATE
Season Period
(a) Rainy _________________________________________________________________________________________________________________________
(b) Wet _________________________________________________________________________________________________________________________
D. EDUCATIONAL FACILITIES
Type Number Location Distance from Program Site (in kms)
Preschool
Elementary
High School
Vocational
College
Others: ___________________
E. HEALTH FACILITIES
Type Number Location Distance from Program Site (in kms)
Clinic
Hospital
Rural Health Unit
F. CREDIT SOURCES FOR SMALL/INFORMAL ACTIVITIES
Name Type Location Comments
G. AVAILABLE SERVICES
Utility Comments
Water
________________________________________________________________________________________________________________________________
- Home use
________________________________________________________________________________________________________________________________
- Irrigation
________________________________________________________________________________________________________________________________
Power/Lighting
________________________________________________________________________________________________________________________________
Transport
H. ECONOMIC AND SOCIAL ORGANIZATIONS SUPPORTING COMMUNITY ACTIVITIES
Organizations Community Activities
PART 2. GENDER ANALYSIS
Level of Constraints
SITUATION
(Most common constraints to women’s full participation in training and economic activities) Not
High Medium Low
Applicable
Low literacy and basic education
Lack of vocational skills
Low gender sensitivity in training institutions
Lack of childcare facilities at training sites
Household chores leave little time for training and economic activities
Work burden at home not shared by spouses
Assisting husband in family’s main source of income
Traditional economic activities for women not profitable
Women are discriminated against in wage employment
Lower pay for work of equal value
Lack of childcare facilities in the workplace
Women do not own land
Lack of confidence to become entrepreneurs
Families, spouses and in-laws unwilling to see women leave their traditional roles as homemakers
PART 3 RAW MATERIALS AND OTHER PRODUCTION INPUTS
i.e amount of raw material/production input available for new businesses
(Score as 1 = Scarce; 2 = Enough; 3 = Plenty; 4 = Abundant)
Score Comment
Crop Production
Land _________ ______________________________________________________________________________________________________
Fertilizers _________ ______________________________________________________________________________________________________
Seeds Supply’ _________ ______________________________________________________________________________________________________
Tools _________ ______________________________________________________________________________________________________
Machinery _________ ______________________________________________________________________________________________________
Livestock _________ ____________________________________________________________________________________________________
Animals _________ ____________________________________________________________________________________________________
Young _________ ____________________________________________________________________________________________________
Animal Feeds _________ ____________________________________________________________________________________________________
Veterinary Supplies
Shelters _________ ____________________________________________________________________________________________________
Fishing
_________ ____________________________________________________________________________________________________
Boats
_________ ____________________________________________________________________________________________________
Fish Source
_________ ____________________________________________________________________________________________________
Nets
_________ ____________________________________________________________________________________________________
Engines
Forestry
_________ ____________________________________________________________________________________________________
Soft Woods
_________ ____________________________________________________________________________________________________
Hard Woods
_________ ____________________________________________________________________________________________________
Tools
Food Processing
Mills _________ ____________________________________________________________________________________________________
Cold Stores _________ ____________________________________________________________________________________________________
Tools _________ ____________________________________________________________________________________________________
Processing _________ ____________________________________________________________________________________________________
Materials
Crafts
_________ ____________________________________________________________________________________________________
Raw Materials
_________ ____________________________________________________________________________________________________
Tools
_________ ____________________________________________________________________________________________________
Workshops
Clothing/Textiles
_________ _________________________________________________________________________________________________________
Cloth
_________ _________________________________________________________________________________________________________
Tools
_________ _________________________________________________________________________________________________________
Workshops
Mining
_________ _________________________________________________________________________________________________________
Minerals
_________ _________________________________________________________________________________________________________
Tools
_________ _________________________________________________________________________________________________________
Equipment
_________ _________________________________________________________________________________________________________
Clothing
Services
_________ ________________________________________________________________________________________________________
Repair Shops
_________ ________________________________________________________________________________________________________
Construction
Retailing _________ ________________________________________________________________________________________________________
Others: Tourism (?)
_________ ________________________________________________________________________________________________________
PART 4. PRESENT SOURCES OF INCOME
PART 5. DEVELOPMENT PROJECT IN THE COMMUNITY
Agency/Organization Project Name Status Comment
