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Example 001

Sample Answer Sheet in Mathematics

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0% found this document useful (0 votes)
37 views6 pages

Example 001

Sample Answer Sheet in Mathematics

Uploaded by

Emily Bautista
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Wash In School Program

308907 - Sablayan NCHS - Sta. Lucia Annex


A-1. School Profile
Date of Survey 2024-05-02
School Year 2023
Level Secondary
School Name Sablayan NCHS - Sta. Lucia Annex
School ID 308907
School District Sablayan South
Division Occidental Mindoro
School Address zone 2
Name of School Head COLOMA, DESIREE P
Contact Number Tel: not applicable; Mobile: 09565645218

A-2. LIS Enrolment Data School Year 2023 - 2024

Enrolment Male Female Total


Shift 1 0 0 0
Shift 2 0 0 0
Shift 3 0 0 0
No Shift 151 155 306
Total 306

B. Water Access
1. Does the school provide drinking water? All the time
2. Is the drinking water provided by the Yes
school for free?
3. Does the school coordinate with the Yes
LGU or water district to test the quality of
drinking water?
4. How many times was the quality of 1
drinking water tested in the previous
school year?
5. Did the test result show that water is Yes
safe for drinking?
6. What other mechanisms are used to ensure that drinking water in school is safe?

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Wash In School Program

Teachers ask the learners to bring their own drinking water Yes
to school
If drinking water is from a refilling station, the school Yes
requires a water quality certificate
Water from an accessible water source is boiled No
Water from an accessible water source is filtered Yes
Others
7. In the previous week, how often is water for daily Available daily for 24 hours
handwashing and cleaning of toilets available in the school
regardless of source? (This includes water delivered to the
school or collected from rain)

C. Sanitation
8. How many toilet seats are available for Male Female Shared/ Total Pupil
children in the school? Do not include Comm Toilet
toilet seats for teachers. unal Ratio

Functional 1 1 8 10 30.6
Not Functional 0 0
9. Are all functional toilets secure, private and have door with lock? Yes
Do all functional toilets have lighting? (incudes natural light or Yes
alternative sources)
Do all functional toilets have adequate ventilation? Yes
10. Do all exclusively female toilets have wrapping materials and Yes
trash bins for used sanitary pads?
11. How many exclusively female toilets have a washing facility 1
inside the toilet?
12. Are detached toilets for girls within view of school building and Yes
people?
13. Are there toilet/s designed for persons with limited mobility? Yes
(These toilets must have a ramp, railing and adequate space for a
wheelchair)
14. How often are the sanitation facilities cleaned? Daily
15. Does the school burn its waste? No
16. Are segregated trash bins with cover available in the following areas?
Classroom Yes

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Wash In School Program

Toilet Yes
Canteen Yes
Offices Yes
Clinics No
Play Area Yes
Garden No
Hallways No
Gyms/Stage Yes
17. Are the students segregating their solid waste properly? Yes
18. Does the school have policies/sanctions which promote the Yes
practice of solid waste segregation?
19. How regular is garbage being collected from the school? Once a week
20. Does the school have a compost pit for biodegradable waste? Yes
21. Does the school have a refuse pit for non-biodegradable waste? No
22. Does the school have a materials recovery facility (MRF)? Yes
23. Do all toilets in the school have functional septic tank/s? All
24. Does the school have a functional drainage from the kitchen and Yes
all wash areas to ensure that there is no stagnant water?
25. In the past year, did the school experience any floods? No
26. Does the school adopt the following mechanisms to address stagnant water?
Pumping out of water No
Filling of stagnant water Yes
Soak pit (a water catchment area which contains gravel, sand, or Yes
other materials that absorbs water to prevent pooling)
Treatment of stagnant water to prevent breeding of mosquitoes (use No
of larvicides, fish, etc.)
Not applicable (e.g., no stagnant water because of sandy soil) No
27. Does the school have a canteen? Yes
28. Does the school canteen have a sanitary permit? Yes
29. Do food handlers practice the following food safety measures?
Wearing of hairnet, gloves, masks and apron. Yes
Handwashing Yes
Separate the storage of dry and wet food materials. Yes

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Wash In School Program

30. Have all food handlers been oriented on food safety measures? All
31. Do all food handlers in the school have health certificates? All

D. Hygiene
32. How many times in a week is supervised group
handwashing with soap conducted for all children in the
school? (Write 0 if this is not done in school.)
33. What is the extent of student participation in supervising group handwashing?
Check all applicable
Students are participants supervised by teachers. No
Students assist teachers in supervising handwashing No
activities.
Students are assigned to lead handwashing activities. No

34. How many handwashing facilities are Number of Number of faucets/ water
available in your school? Facilities outlets/ punch holes
Individual handwashing facility 5
Individual handwashing facility 3 5
35. Is there a regular supply of soap for handwashing? Yes
36. Are handwashing facilities with soap available in the following areas?
Classrooms Yes
Toilets Yes
Canteen/Eating Areas Yes
Play areas No
Clinics Yes
Laboratories No
Agricultural areas (e.g. Gulayan, Livestock area) No
37. Do children perform individual handwashing the following times?
Before meals/eating/handling food No
After using the toilet Yes
After handling soil and animals Yes
After cleaning activities activities/handling garbage Yes
After playing Yes
38. How many times in a week is group toothbrushing 0

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Wash In School Program

with flouride conducted for all children in the school?


39. What is the extent of student participation in supervising group toothbrushing
Students are participants supervised by teachers No
Students assist teachers in supervising toothbrushing No
activities
Students are assigned to lead toothbrushing activities No
40. Is there a regular supply of toothbrush and toothpaste No
for toothbrushing?
41. Are the repair and maintenance requirements for WASH facilities reflected in the
following:
School improvement plan (SIP) Yes
Annual improvement plan (AIP) Yes

42. What are the sources School Private/ PTA LGU Voluntary Child-
of funds for WinS MOOE Individu Funds donations from ren
Supplies? al donat internal staff bring
ions their
own
Soap ✓ ✓ ✕ ✕ ✓ ✕
Tootbrush ✓ ✕ ✕ ✕ ✕ ✕
Tootpaste ✕ ✕ ✕ ✕ ✕ ✕
Cleaning ✓ ✓ ✓ ✕ ✕ ✕
materials/supplies for
toilets
Repair and maintenance ✓ ✓ ✕ ✕ ✕

43. Where can learners avail of sanitary pads?


School Canteen Yes
School Clinic Yes
Guidance Office Yes
Class Adviser/Teacher Yes
Others
44. Is there information on proper disposal of Yes
sanitary napkins in the girls toilet?
45. Are there DepEd Approved Instructional Yes
materials on Menstrual Health for Teachers?
46. Are there DepEd Approved Information, Yes
Education and Communications (IEC) materials on
Menstrual Health for Students?

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Wash In School Program

47. Is there a designated rest space/changing room Yes


for girls with menstrual discomfort?

E. Deworming
48. Is deworming done semi-annually? Yes
49. What is the total number of students dewormed? 120

F. Health Education
50. Which areas in the Hygiene Menstrual Sanitation Food Safety
school have IEC materials Health
for WinS?
Bulletin board ✓ ✓ ✓ ✕
Classrooms ✕ ✕ ✕ ✕
Toilets ✓ ✓ ✓ ✕
Handwashing facilities ✓ ✕ ✓ ✕
Canteen/Eating areas ✓ ✕ ✓ ✓

51. Are there organized structures (eg. TWGs, student clubs) to Yes
promote WinS?
52. Is WinS a part of INSET? Yes
53. Are learning materials available for teaching WinS? Yes
54. Is WinS being advocated in the GPTCA assembly? No
55. Are there planned and organized activities for advocating WinS to Yes
parents/stakeholders?
56. Is WinS part of the co/extra-curricular program for students? Yes

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