HABI-BAYAN Changemaker Survey Form

HABI-BAYAN

User

HABI-BAYAN Changemaker Survey

All fields marked with * are required

Personal Information

1. First Name * Last name (Optional)

2. Gender *

3. Age *

4. Which Province are you from in the Philippines? *

5. Total number of years living and/or working abroad *

6. What country do you live/work in? *

ALSE OF-LIFE Information

7. ALSE OF-LIFE Batch Number *

8. ALSE Country *

Remittances

For Consumption

9. Frequency *

Average Range *

For Savings

10. Frequency *

Average Range *

For Investments

11. Frequency *

Average Range *

Donations

12. Do you give or donate to non-family members for the last 3 years?(Check all that apply) *

during disasters, such as typhoons, floods, earthquakes for hometown or community activities (fiestas, sports fests etc) for development types of projects (classrooms, scholarships, medical supplies etc) others

Please select at least one option

Insurance

13. Do you have insurance? (Check all that apply) *

Life Accident Medical Fire, disaster for house and properties Others

Please select at least one option

Investments in the Philippines

14. Which of the following investments do you have in the Philippines? (Check all that apply) *

house or other properties for rent land for agriculture or other purposes business/social enterprise savings deposit/time deposits bonds/stocks others

Please select at least one option

Cooperative Membership

15. Are you a member of a cooperative? *

Yes No

In which province? *

How long have you been a member? *

16. Range of your share capital and savings/investments *

Retirement Planning

17. Do you think you have enough investments to be able to retire and live according to what you have planned? *

Yes No

18. Do you have a pension on retirement? *

Yes No

I am giving consent to Habi-Bayan to collect and process my information for any activities under this online platform such as data reports.

I confirm that I have understood and agreed to the Data Privacy Agreement above. *

You must agree to the Data Privacy Agreement before submitting.