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SURVEY QUESTIONNAIRE

Part I: Respondent’s Profile:

Name of District:

Age:

Gender:

 Male ( ) Female ( )

Part II. Loan Dependency:

Financial Stability

1 2 3 4 5
1. You improved healthcare and
better education as a result
of a personal loan.
2. The level of poverty in your
household has reduced
because of access to a
personal loan.
3. Personal loans earn extra
income and create
employment for family
members.
4. Economically empowered as
a result accessing personal
loans.
5. Household consumption has
improved because of
personal loans.
6. Unsecured personal loans
provide startup capital
enabling your families to earn
extra income.
7. Enables you to put up better
houses than before.
Teaching Performance

1 2 3 4 5
1. I constantly have an
increasing rate on student’s
evaluation.
2. I received positive feedback
from students.
3. I have met the established
performance evaluation
criteria for teachers.
4. I have received outstanding
award or rate as a teacher.
5. I have improved my
performance in teaching.

Part III. Quality of Life:

Emotional Wellbeing

1 2 3 4 5
1. I am able to balance work,
family, friends, and other
obligations.
2. I am able to make decisions
with less worry or stress.
3. Find ways to solve emotional
problems.
4. I am able to express my
feelings.
5. I am able to develop and
maintain close relationships.
Material Wellbeing

1 2 3 4 5
1. I feel comfortable and
contented with what I have in
life.
2. I can provide my family with
the necessities in life.
3. I can afford to buy my
personal needs and wants.
4. I can provide my children
with good education.
5. I feel that life is meaningful
with things that I posses.

Self Determination

1 2 3 4 5
1. I am happy with my chosen
career.
2. I look forward to my work
everyday.
3. I can talk to my co-workers
when work related problems
arise.
4. I am satisfied with my
workload.
5. I feel that my job contributes
positively to my overall well-
being.

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