Questionnaire Final

QUESTIONNAIRE SURVEY TO SUPPORT THE STUDY OF Implementation of Republic Act 9994 otherwise known as The Expanded Senior Citizens Act Providing survey in this study is voluntary. There is no penalty if you choose not to respond. However, maximum participation is encouraged so that the data will be complete and representative. Your survey instrument will be treated as confidential. Identifying information will be used only by persons engaged in, and for the purposes of the survey. 1. Profile of the respondents Age:

60-65 (__) 66-70 (__) 71-75 (__) 76-80 (__) 81 and above (__)

Sex: Male: (__)

Female: (__)

Source of income: Employment: ___________________

Others:__________________

Pension received: ________________ Barangay:_____________________________ Direction: Please put a check mark in the items below. Use the scale given in choosing your answer. Please feel free to answer questions in your most truthful opinion.

5- point Likert Scale on Extent of Implementation 12345-

Not implemented at all Low level of implementation Medium level of implementation High level of implementation Advanced level of implementation

Level of Implementation of Republic Act 9994 otherwise known as the expanded Senior Citizens act A. Rate the level of implementation of the following 5 benefits as to health services as mandated by the expanded Senior Citizens Act. 1. 20% discount and exemption from the value-added tax on the purchase of medicines. 2. 20% discount and exemption from the value-added tax on the professional fees of attending physician/s in all private hospitals, medical facilities, outpatient clinics and home health care services. 3. Free medical and dental services in government facilities. 4. The DOH, in coordination with local government units institutes a national health program, trains communitybased health workers among senior citizens and health personnel to specialize in the geriatric care and health problems of senior citizens 5. All indigent senior citizens shall be covered by the national health insurance program of PhilHealth. 6. Establishment of “senior citizens ward” in every government hospital. 7. Free vaccination against the influenza virus and pneumococcal disease for indigent senior citizen patients B. Rate the level of implementation of the following 5 social benefits as mandated by the expanded Senior Citizens Act. 1. 20% discount and exemption from the value-added tax on the utilization of services in hotels and lodging establishments, restaurants and recreation centers. 2. 20% discount and exemption from the value-added tax on admission fees charged by theaters, cinema houses and concert halls circuses, leisure and amusement. C. Rate the level of implementation of the following 5 benefits as to public utility services as mandated by the expanded Senior Citizens Act.

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1. The grant of a minimum of five percent discount relative to the monthly utilization of water not exceeding 30 m3. 2. 20% discount on the actual fare for land transportation travel in public utility buses and jeepneys. 3. The grant of a minimum of five percent discount relative to the monthly utilization of electricity supplied by the public utilities not to exceed 100kWh. 4. 20% discount on the actual fare fordomestic air transport services and sea shipping vessel based on the actual and advanced booking. D. Rate the level of implementation of the following 5 benefit as to education as mandated by the expanded Senior Citizens Act. 1. The DepEd, TESDA and the CHED in consultation with nongovermental organizations (NGOs) and Pos for Senior Citizen institutes programs that ensures access to formal and nonformal education. E. Rate the level of implementation of the following 5 benefit as to employment as mandated by the expanded Senior Citizens Act. 1. 15% Additional deduction from gross income of the total amount paid as salaries and wages provided that the annual income does not exceed the latest poverty threshold F. Rate the level of implementation of the following 5 benefits as to additional government assistance as mandated by the expanded Senior Citizens Act. 1. Indigent senior citizens shall be entitled to a monthly stipend amounting to Five hundred pesos (Php500.00). 2. Social safety assistance intended to cushion the effects of economics shocks, disasters and calamities shall be available for senior citizens which includes food, medicines, and financial assistance for domicile repair. 3. Government grants special discounts in special programs for senior citizens on purchase of basic commodities. 4. Provision of express lanes for senior citizens in all commercial and government establishments; in the absence thereof, priority shall be given to them 5. There shall be established Office for Senior Citizens Affairs to be headed by a senior citizen who shall be appointed by the mayor for a term of three (3) years without reappointment.

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Semi- stractured Interview Guide Questionnaires 1. Do you always use your discount priveleges? ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ 2. What are the problems you encountered in the implementation of RA 9994? ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________

QUESTIONNAIRE SURVEY TO SUPPORT THE STUDY OF Implementation of Republic Act 9994 otherwise known as The Expanded Senior Citizens Act Providing survey in this study is voluntary. There is no penalty if you choose not to respond. However, maximum participation is encouraged so that the data will be complete and representative. Your survey instrument will be treated as confidential. Identifying information will be used only by persons engaged in, and for the purposes of the survey. 2. Profile of the respondents Age:

60-65 (__) 66-70 (__) 71-75 (__) 76-80 (__) 81 and above (__)

Sex: Male: (__)

Female: (__)

Source of income: Employment: ___________________ Pension received: ________________ Barangay:_____________________________