COLLEGE OF TECHNOLOGY

SURVEY FORM QUESTIONS LOW-INCOME AND MIDDLE-INCOME FAMILIES

Good day! We, the 5th year architecture students of the University of San Agustin are
currently conducting a survey regarding our thesis proposal entitled: A Proposed Sustainable
Medium Rise Housing Community for Urban Dwellers as a partial fulfillment of the
requirements for the Degree in Bachelor of Science in Architecture.

The results of this survey would help us to determine architectural solution based on the
answers to the questions provided. Your participation would be a great help in the success of our
study. Thank you for your cooperation and patience for answering our survey! God Bless you and
have a good day!

Name (optional): ___________________________________________ Gender: M F

Address: __________________________________________________ Age: ____________
Religion: ______________________________________Years of Residency: ____________
Work: _________________________________ Status: Single Married Widow

I. Lifestyle & Community: Please check the box for your response.
1. Are you contented on your current • No
living? 4. Do you think it’s safe to live in this
• Yes location?
• No • Yes
• No Choice • No
2. How comfortable are you in your • Maybe
present situation? 5. Do you want to relocate to a safer
• Very Comfortable site?
• Comfortable Enough • Yes
• Not Comfortable • No
3. Is your location here is safe for you • Maybe
and your family? 6. How many are you in your family?
• Yes • 1
• Sometimes • 2
 COLLEGE OF TECHNOLOGY

SURVEY FORM QUESTIONS LOW-INCOME AND MIDDLE-INCOME FAMILIES

• 3 • Multipurpose Hall
• 4 • Health Center
• 5 • School (Pre-school)
• If others (specify): _______ • Open courts
7. What transportation do you use? • Public Parks and Gardens
• Trisikad • If others (specify): _______
• Tricycle 9. How often do you have
• Motorcycle conversations with your neighbors?
• Jeepney • Daily
• If others (specify): _______ • Weekly
8. What community facilities you • Once a month
want to recommend to the 10. If you need someone to ask for
relocation site? (Check as many as money would you ask your
you want) neighbors?
• Training Center • Yes
• Livelihood Center • No
• Maybe

II. Livelihood & Financial Aspect: The next questions will regard your employment and
expenditures.
1. Can your income support your family?
• Yes
• No
• Not Really
2. Is your work place near the City?
• Yes
• No
Location (specify): ___________
3. What do you do for a living? (Father only)
• Driver
• Repair Shop
• Construction Shop
• Other Job (specify): ____________
4. What do you do for a living? (Mother only)
 COLLEGE OF TECHNOLOGY

SURVEY FORM QUESTIONS LOW-INCOME AND MIDDLE-INCOME FAMILIES

• House wife
• Cooking
• Employee
• Other Job (specify): _________
5. What other ways do you do to gain income?
• Sari-sari Store
• Selling Crops
• Eatery
• If others (specify): ________
6. Family salary every month?
• 100-500
• 501-1000
• 1001-1500
• 1501-above
7. If someone in this community needed a loan, from what sources might this be borrowed?
• Government Bank
• Private Bank
• Cooperative
• Community Group
• Family/Friends
• If others (specify): ________
8. Rate your daily expenses (Please check the following)

Daily P50-P150 P151-P550 P551-P1500 P1501-5500 P5501 or

Expenses more
Food
Transportation
Allowance
Total Expenses

III. Survey Form for the Design Units