PIVE Field Survey | UC-5 (Govt/LGU)

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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 User Id

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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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Do you consider the evacuation center as Child-friendly?A child-friendly place has special features that is sensitive and can cater to the specific needs of parents and children.

YESNO

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Are there facilities/activities for children to participate in within the evacuation areas?

YESNO

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Do you have facilities for breastfeeding mothers?

YESNO

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Are there women's sanitary supplies available in case of evacuation?

YESNO

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Is there a baby formula supply in case of evacuation?

YESNO

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Do you have an ob-gyn or pediatrician on standby?

YESNO

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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.