PIVE Field Survey | UC-1 (Govt/LGU) - Disaster Preparedness

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Data Privacy Statement

SafeTravelPH Mobility Innovations Organization Inc. under the name of SafeTravelPH recognizes its responsibilities under the Data Privacy Act of 2012 (Republic Act No. 10173) with respect to the data they collect, record, organize, use, and consolidate from partners and participants. The personal data obtained will be used for the Organization and project purposes only.

By proceeding to this form, you agree that you are giving consent to the SafeTravelPH to collect, process, store, and eventually dispose of the personal data you provide in this application form for legitimate and lawful purposes relating to the project of Poverty Indicator and Vulnerability Estimator (PIVE) Tool of LocationMind and SafeTravelPH.
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STPH UserId
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facebook_user_id
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guest_user_id
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Type a question
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Type of FacilityCritical Point Facilities are facilities that provide key socio-economic support services which are often utilized by the community as evacuation centers in times of disaster. Lifeline Utilities refer to major linkage and distribution systems associated with transportation access systems and power, water, and communication distribution/line systems.
Please Select
Please Select
School (Critical Point Facility)
Hospital (Critical Point Facility)
LGU Building (Critical Point Facility)
Evacuation Center (Critical Point Facility)
Road (Lifeline Utility)
Bridge (Lifeline Utility)
Air/Sea Ports (Lifeline Utility)
Water Source (Lifeline Utility)
Power/Electricity (Lifeline Utility)
Communication Tower (Lifeline Utility)
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Please describe the situation you are reporting.
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Upload the latest image/video/files of the situation being reported.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
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What is the type of material used for the construction of the facility?
Concrete
Light Materials (e.g. wood)
Mixed
Other
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Date of Construction
Date
Year
Month
Day
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Area/Capacity/Length of Facility
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Are there early warning systems in place within the area?
YESNO
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Are there other facilities that can be used as evacuation areas? If yes, kindly describe where it is located.
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By submitting this survey, we will be noting your current location.* This field is required.This is needed in case an emergency happens and we need to know where this was reported.
Should be Empty: