“LEVEL OF AWARENESS ON THE DUTIES AND
RESPONSIBILITIES OF BARANGAY IPIL HEALTH
  WORKERS AND ITS EFFECT TO THEIR PERFORMANCE”
Name (Optional):                                             No. of years as a BHW:
Age:                                                         Assigned sitio as BHW:
DIRECTIONS: Please indicate your level of awareness about your duties and responsibilities as
BHW in your barangay. Use the scale below.
                                                  SCALE
                                           5- Highly Aware
                                           4- Aware
                                           3- Moderately Aware
                                           2- Less Aware
                                           1-Not Aware
PART I:
        1.) What is the level of your awareness to your duties and responsibilities as a BHW
            in your barangay?
                     DUTIES AND RESPONSIBILITIES                              5       4   3   2   1
       1.) Keeping the first aid kit available.
       2.) Keeping equipment sterilized.
       3.) Assisting in health center activities.
       4.) Maintaining cleanliness in workplace.
       5.) Maintaining records and making reports (attendance, making
           reports about seminars, workshops, etc.)
       6.) Participating in community meetings.
       7.) Monitoring, and assisting in nutrition education, and feeding
           program.
       8.) Monitoring, dispensing, and assisting in immunization education.
       9.) Assisting in family planning services.
       10.)      Assisting in sanitation and hygiene promotion and
           education.
DIRECTIONS: Please indicate your level of performance about your duties and responsibilities
as BHW in your barangay. Use the scale below.
                                              SCALE
                                         5- Outstanding
                                         4- Very Satisfactory
                                         3- Satisfactory
                                         2- Fair
                                         1- Poor
PART II:
       2.) What is the level of your performance as a BHW in the execution of your duties
           and responsibilities?
                    PERFORMANCE EVALUATION                                    5   4   3   2    1
     1.) As a BHW, I always have first aid kit.
     2.) I keep the healthcare equipment sterilized.
     3.) I assist in health center activities in our barangay (feeding,
         vaccination, check-ups, etc.)
     4.) I maintain cleanliness in our workplace.
     5.) I maintain records and make reports regarding on the activities in
         our barangay (attendance, making reports about seminars,
         workshops, etc.)
     6.) I participate in our community meeting.
     7.) I monitor and assist in nutrition education, and feeding program.
     8.) I monitor, dispense, and assist in immunization education.
     9.) I assist in family planning services.
     10.)      I cooperate in sanitation and hygiene promotion and
         education.
                                         Thank you!
Dear Respondents,
        The undersigned are currently conducting a study entitled, “Level of Awareness on the
Duties and Responsibilities of Barangay Ipil Health Workers and its Effect to their
Performance” as a requirement in our subject Inquiries, Investigations and Immersion. Please
provide the data being asked in this questionnaire. We assure you that the data you shared will be
treated with utmost confidentiality and will be used solely for the purpose of this research study.
Your cooperation, support and effort are highly appreciated.
Thank you very much for your cooperation and more power.
                                                               HANELLETT P. ORDILLANO
                                                               ELLA MARIE P. LAIT
                                                               WENDERELLA R. ZULUETA
                                                                   The Researchers
Dear Respondents,
        The undersigned are currently conducting a study entitled, “Level of Awareness on the
Duties and Responsibilities of Barangay Ipil Health Workers and its Effect to their
Performance” as a requirement in our subject Inquiries, Investigations and Immersion. Please
provide the data being asked in this questionnaire. We assure you that the data you shared will be
treated with utmost confidentiality and will be used solely for the purpose of this research study.
Your cooperation, support and effort are highly appreciated.
Thank you very much for your cooperation and more power.
                                                               HANELLETT P. ORDILLANO
                                                               ELLA MARIE P. LAIT
                                                               WENDERELLA R. ZULUETA
                                                                   The Researchers
                                     Division of Marinduque
                                  Landy National High School
                                      Landy, Santa Cruz
                                                                      February 10, 2018
HON. BENJAMIN PARAS
Barangay Captain
Brgy. Ipil, Santa Cruz, Marinduque
Dear Captain,
      The undersigned are conducting a study entitled “Level of Awareness on the Duties and
Responsibilities of Barangay Ipil Health Workers and its Effect to their Performance” as a
requirement for our subject Inquiries, Investigations and Immersion. In connection to this, we
would like to ask permission from your good office to allow us to distribute our questionnaires to
the Barangay Health Workers (BHW) in your barangay.
     We are hoping for your favourable response regarding our request.
     Thank you very much.
                                                     Respectfully Yours,
                                                              HANELLETT P. ORDILLANO
                                                              ELLA MARIE P. LAIT
                                                              WENDERELLA R. ZULUETA
                                                                   The Researchers
Noted by:
             EMALYN R. RODIL
               Subject Teacher
                                          Approved by:
                                     BENJAMIN PARAS
                                      Barangay Captain