UNIVERSITY OF CEBU BANILAD

COLLEGE OF NURSING

To the respondents:

We are 4th year nursing student working on our study entitled the Dog
Bites and
National Rabies Prevention and Control Program Implementation in a Cebu City
Barangay. In this regard, we would like to seek your assistance in answering the attached
questionnaire.

Please be assured that all information gathered will be held in strict confidence.

Part I. Demographic Profile

Gender: [ ] Male [ ] Female

Age: Education Attainment: [ ] Elementary Level

[ ] Under 20 [ ] 41 45 [ ] High School Level
[ ] 21 25 [ ] 46 50 [ ] College Level
[ ] 26 30 [ ] 51 55 [ ] Out of school
[ ] 31 35 [ ] 56 65
[ ] 36 40 [ ] 66 or over

Number of Dog Bites Experience: []1

[]2
[]3
[ ] 4 or more

Part II. What are the respondents experiences regarding dog bites as to;
1. Situation of the dog bite
[ ] Provoked
[ ] Unprovoked

2. Type of dog bite

[ ] Superficial
[ ] Deep
[ ] Skin torn with severe bleeding

3. Related injuries experienced;

[ ] Lacerations
[ ] Broken bones
[ ] Muscle tears
[ ] PTSD
[ ] Bruises
[ ] Crush injuries
[ ] Facial injuries
[ ] Dislocations
[ ] Abrasions
[ ] Punctures
[ ] Scars
[ ] Infections
[ ] Sprains
4. Immediate treatment / Prophylaxis
[ ] Washed with water
[ ] Applied Soap
[ ] Used vinegar
[ ] Applied crushed garlic extract
[ ] Treated with Alcohol
[ ] Applied Betadine Solution
[ ] Others : ___________
Legend: Scale Descriptive rating
5 Strongly Agree - Program is highly implemented
4 Agree - Program is implemented but lacks consitency
3 Moderately Agree - Program was implemented
2 Disagree - Program was planned and introduced but not implemented
1 Strongly Disagree - Program was never implemented

II. What is the respondents level of perception of the

respondent on the implementation of the National
5 4 3 2 1
Rabies Prevention and Control Program?

The proper immunization, registration, and issuance of

corresponding dog tag;

strict enforcement of dog impoundment, control, and

elimination of stray dogs

promotion of responsible pet ownership through dog

leashing

allocation of funds in support for the implementation of

National Rabies Prevention and Control Program
enactment of additional local ordinances that prohibits
the usage of tandok as treatment for rabies
prohibition of dog meat trade

prohibition of dog meat trade

establishment of dog pounds where impounded dogs

shall be kept

establishment of dog pounds where impounded dogs

shall be kept

prohibition of the use of electrocution as a euthanasia

procedure
 appointment of a veterinarian and the establishment of a
veterinary office

requirement of posting of information about rabies and

responsible pet ownership by pet shops; and

collection of fines by the LGUs