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School Feeding Program Evaluation

This document is a questionnaire for a school-based feeding program at Cabarasan Daku Elementary School for the 2021-2022 school year. It collects information on: (1) the program preparation including beneficiary lists and nutritional assessments; (2) the release of funds from the School Division Office and dates received; (3) orientation and partnerships; (4) program management details such as start date and procurement methods; (5) developing health and nutrition values; (6) complementary activities like deworming; (7) submission of required forms; and (8) issues like some deformed breads.

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Donnabell Latoza
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158 views2 pages

School Feeding Program Evaluation

This document is a questionnaire for a school-based feeding program at Cabarasan Daku Elementary School for the 2021-2022 school year. It collects information on: (1) the program preparation including beneficiary lists and nutritional assessments; (2) the release of funds from the School Division Office and dates received; (3) orientation and partnerships; (4) program management details such as start date and procurement methods; (5) developing health and nutrition values; (6) complementary activities like deworming; (7) submission of required forms; and (8) issues like some deformed breads.

Uploaded by

Donnabell Latoza
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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SBFP Form 11(2021)

School-Based Feeding Program


QUESTIONNAIRE FOR THE PROGRESS MONITORING AND EVALUATION
(Division Level)
SY 2021 – 2022

School: CABARASAN DAKU ELEMENTARY SCHOOL Date:

1. Preparation of Data for the Program


 List of beneficiaries
 Nutritional Assessment
Number Number
SW 4 SS
W 7 S
N 72 N
OW T
O Total
Total 83

 School Work and Financial Plan YES


____________________
 Cycle Menu NO
____________________
 Project Procurement Management Plan ____________________
2. Release of Funds from SDO to School
 Amount released in School
 1st tranche _____________ _____________
 2nd tranche _____________ _____________
 Date Received _____________ _____________
 No funds Allocated _____________ _____________
3. Orientation of SBFP
 With orientation YES
_____________________
 No orientation _____________________
4. Partnership with various stakeholders in the school
 NGO ______________________________
 GO ______________________________
 LGU ______________________________
 Foundation ______________________________
5. Program Management
 Date Started November 10, 2021
______________________________
 Expected No. of days of completion _____________________
 Procurement method followed _____________________
 Nutrition Education during feeding _____________________
 Weighing scale used in school _____________________
 Compliance to cycle menu ______________________________
 Attendance of the beneficiaries ______________________________
 Parents involvement ______________________________
6. Development of Health and Nutrition Values
 Proper handwashing YES
______________________________
 Prayer before and after meal YES
______________________________
 Good grooming and personal hygiene YES
______________________________
7. Complementary Activities
 No. of beneficiaries dewormed 83
______________________________
 With functional School Garden YES
______________________________
 Waste segregation and composting YES
______________________________
 Adherence to food safety YES
______________________________
8. Submission of SBFP forms
 With report ______________________________
 Without report ______________________________
9. Submission of Liquidation Report
 With liquidation ______________________________
 Without liquidation ______________________________
10. Issues and concerns
1. Some of the breads were deformed.
2. The weight of the bread is

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