Doc.
Code: SBO-QF-01
Revision No.: 03
Effective Date: March 21, 2023
Rapid Needs Assessment (RNA) Questionnaire
Typhoon Chatterboxes – Calbayog City
Date: March 17, 2025
Assessment Goals
The purpose of this Rapid Needs Assessment (RNA) is to gather immediate and critical
information about the impact of Typhoon Chatterboxes on the residents of Calbayog City.
This information will be used to:
• Identify urgent needs in food, water, shelter, health, and infrastructure.
• Assess the extent of damage to homes, roads, and public utilities.
• Determine the economic impact on livelihoods and employment.
• Understand the effectiveness and accessibility of relief efforts.
• Ensure cultural and social considerations are addressed in aid distribution.
Target Audience
This survey is intended for:
• Community members directly affected by the typhoon
• Displaced individuals and families
• Healthcare workers and emergency responders
• Local government officials and barangay leaders.
I. General Information
1. Name of Respondent: _______________________
2. Age: ______
3. Gender: ______
4. Barangay: _______________________
5. Contact Information (if available): _______________________
6. Household Members (Number of Adults: ____, Number of Children: ____)
7. Occupation: _______________________
8. Language Spoken: _______________________
II. Immediate Needs
9. Do you have access to clean water?
10. Do you have enough food for the next few days?
Rueda Street, Calbayog City, Samar, Philippines | +63 (055) 533 9857 | main@[Link] | [Link]
Doc. Code: SBO-QF-01
Revision No.: 03
Effective Date: March 21, 2023
11What are your most urgent needs right now? (Open-ended, limit to 3 responses)
12. On a scale of 1-5, how urgent are your needs? (1 - Not Urgent, 5 - Extremely Urgent)
13. How many days of food supply does your household currently have?
III. Health and Safety
14. Are there any injured or sick members in your household?
15. Are there any cases of the following in your community? (Check all that apply)
16. On a scale of 1-5, how would you rate the availability of healthcare services in your
area? (1 - Very Poor, 5 - Excellent)
17. What health concerns do you currently have? (Open-ended)
IV. Infrastructure Damage
18. What is the condition of your house after the typhoon?
19. Are roads in your area passable?
20. Do you have electricity?
Rueda Street, Calbayog City, Samar, Philippines | +63 (055) 533 9857 | main@[Link] | [Link]
Doc. Code: SBO-QF-01
Revision No.: 03
Effective Date: March 21, 2023
21. Do you have access to mobile network or internet services?
V. Livelihood Impact
22. Has your source of income been affected?
23. If affected, what type of assistance would help you recover your livelihood? (Check
all that apply)
VI. Relief and Assistance
24. Have you received any assistance from the government or NGOs?
25. What additional support do you need the most? (Check all that apply)
26. How would you rate the effectiveness of the relief efforts so far? (1 - Very Poor, 5 -
Excellent)
VII. Cultural and Social Considerations
27. Are there specific cultural or religious practices that should be considered in aid
distribution?
28. Have there been any issues related to discrimination in accessing aid?
VIII. Additional Comments
29. What are the biggest challenges you are currently facing? (Open-ended)
Rueda Street, Calbayog City, Samar, Philippines | +63 (055) 533 9857 | main@[Link] | [Link]
Doc. Code: SBO-QF-01
Revision No.: 03
Effective Date: March 21, 2023
30. Any additional suggestions or concerns? (Open-ended)
Thank you for your time. Your responses will help in disaster response and recovery
efforts.
Rueda Street, Calbayog City, Samar, Philippines | +63 (055) 533 9857 | main@[Link] | [Link]
Doc. Code: SBO-QF-01
Revision No.: 03
Effective Date: March 21, 2023
EMERGENCY PREPAREDNESS
AND SAFETY MANAGEMENT
(PED-110)
Group Names:
Leader: Sapinit, Brent Jedric S.
Members:
Fuenteblanca, Jericho S.
Escorido, Synai
Yrigan, Jonas
Millames, Daniel
Rontos, Jan Russel
Course Year And Section: BPED – 2
Rueda Street, Calbayog City, Samar, Philippines | +63 (055) 533 9857 | main@[Link] | [Link]
