FORMAL QUESTIONNAIRE FOR DETERMINING THE EXTENT OF RISK EXPERIENCED BY

GARBAGE COLLECTORS IN NAGA CITY

BACKGROUND:
LAST NAME

HOME

FIRST NAME

MIDDLE INITIAL

DATE

ADDRESS

AGE

SEX

TELEPHONE

DATE OF BIRTH

CIVIL STATUS

CEL

Please indicate the highest level of education attained:

Some Elementary Elementary Education Some High School High School
Degree
Some College Education College Degree Vocational/Associates Degree
Employment Status: Part time Employee Full time Employee Provisional
Employee
Length of Service (please indicate in years and months):
___________________________

PHYSIOLOGICAL ASPECT

Strongly
Agree

Agree

Disagree

Strongly
Disagree

Statement:
1. I feel that I am not able to
competently do my job
because of the unsanitary
conditions.
2. My job negatively
influences my personal
health
3. I feel that I have
potentially acquired
illnesses from my job.
4. How often do you
experience the following
infections and indicate
the severity

Always

Frequency
Someti
Seldo

Neve

Degree of Severity
Profou
Seve Modera Mild

mes

nd

re

te

Impeksiyon sa Balat
1. Impeksiyon mula sa
Bakterya
tagihawat
pigsa
kulatoy
2. Fungal Infections
An an
Alipunga
Buni sa anit
Buni sa kamay
Buni sa singit
Hadhad
3. Viral Infections
Sugat(sore) sa bibig
Sugat(sore) sa ari
Kulugo
Pantal galling sa
impeksyong viral
Respiratory Illness
1. Baradong ilong
2. Sipon
3. Pamamaga/Impeksyon
ng lalamunan
4. Pamamaga ng trakeya
dahil sa bacteria
5. Pulmonya
Gastrointestinal
1. Pag kabulok ng ngipin
2. Singaw sa bibig o sa
dila
3. Ulser sa bituka
4. Impeksiyon mula sa
Parasite
(Entamoebahistolytica,
Necatoramericanus,
Enterobiusvermicularis
Ascarislumbricoides,
TaeniasoliumTaeniasagi
nata etc.)
5. Sakit sa tiyan galing sa
mga bayrus (Pagtatae)
6. Lason mula sa pagkain
7. Viral Hepatitis
(Hepatitis A virus,
Hepatitis C virus,
Hepatitis B virus etc.)

PSYCHOLOGICAL ASPECT
Strongly
Agree
Statement:
1. I do not enjoy my job.
2. My work is being belittled in

Agree

Disagree

Strongly
Disagree

the community I serve.

3. My job is causing me
emotional stress.
4. I worry over my personal
health and safety whenever
at work.
5. I am unsatisfied with my job.
6. I feel inferior, that others are
more capable and qualified
than me.
7. I am unsatisfied with my
current position in life
8. I have trouble sleeping due to
work-related stress.
9. I feel physically and mentally
drained because of my job.
10.I feel that my job is tiring and
debilitating.
11.I feel ashamed of my
profession.
12.I feel rejected by the persons
who I love the most
SOCIAL ASPECT
Strongly
Agree
1. I feel that no one listens
to me in the community
because I am a garbage
collector.
2. I experience
discrimination because
of my job.
3. I feel being avoided by
others because of my
job.
4. People are hesitant to
interact with me
because of my job.
5. I feel dishonored by
others with what I do.
6. My job is keeping me
away with my normal
social activities with
family and friends.
7. My job hinders me to do
my hobbies and
recreational activities.
8. My job prevents me
from interacting with
other people outside of
work.

Agree

Disagree

Strongly
Disagree