Project Buhay: Baseline Survey Form

Project Buhay - Baseline Survey

Changing Lives through Improved Cooking in the Philippines

What’s this all about?
Project Buhay’s goal is to bring a positive change to the livelihood of communities vulnerable to climate change by creating sustainable energy access and dependence. By answering this form, you will greatly help us for our data gathering in understanding the cooking habits of Filipinos in differents areas of the country. Based from these data we will be able to prioritize our efforts to the communities that will benefit from our project.

Baseline Survey Form

Full name *

Gender *

Female
Male

Region *

Province *

Municipality *

Barangay *

Purok *

House #, Street Name *

Total # of Family Members *

# of members 19 years old & above

# of members between 9-18 years old

# of members between 0-8 years old

Contact Information

Cooking deviced used *

Metal bars/stove
Three stone
Clay pot
LPG/butane

How many years does the family use this kind of cooking method *

How did you get the fuel *

Purchased
Gathered

Where do you get your wood/charcoal and how far is it from your house? *

How many hours does each family member gather/purchase wood or charcoal per week? *

Place for cooking *

Outdoor no cover
Outdoor covered
Indoor (lots of windows and airflow)
Indoor (not many windows and low airflow)

What are your reasons for using wood? *

I gather it so it is free
Preference for cooked food’s taste and smell
I don’t trust gas
It's affordable

What are your reasons for using charcoal? (if applicable)

Do you use rice cooker? *

Yes
No
Sometimes

What dishes do you usually cook?

How often do you cook meat in a week?

Do you grill meat? (If yes, how many meals/week or month?)

How many kilos of wood/charcoal is used EACH time you cook RICE and how many times per day *

How many kilos of wood/charcoal is used is used EACH time you cook DISH and how many times per day *

How many kilos of wood/charcoal is used for boiling WATER and how many times per day (for coffee/milk,etc)

How many kilos of wood/charcoal is used for boiling WATER (for bath)

How many kilos of wood/charcoal is used for other uses (please specify if applicable)

If you were given an efficient cookstove to use for the next 7-10 years, which would you prefer? *

Wood-fuel stove
Charcoal-fuel stove

Do you change fuel type during the rainy season? *

No
Sometimes to Charcoal
Sometimes to Gas

If yes, what's the reason why your family uses more wood/charcoal during the rainy season for cooking?