RESPONDENTS DETAILS
NAME (Optional): ________________________
AGE: ( ) 25 yrs. old below ( ) 25-50 yrs. old ( ) 50 yrs. old above
CIVIL STATUS :
( ) Single ( ) Married ( ) Widowed/Divorced
SEX:
( ) Male ( ) Female
EDUCATIONAL ATTAINMENT
( ) Elementary Graduate ( ) High school Graduate ( ) College Graduate
( ) Master’s Degree ( ) Others: _______
GROSS MONTHLY INCOME
( ) less than 5,000 ( ) P5,000-15,000 ( ) P15,000-25,000 ( ) P25,000 above
NUMBER OF THE MEMBER OF THE FAMILY
( ) less than 5 ( ) 5-10 ( ) more than 10
YEARS OF MEMBERSHIP
( ) less than 5 yrs. ( ) 5-10 yrs. ( ) more than 10 yrs.
COOPERATIVE DETAILS
1. How did the OISCA Farm Multi-Purpose Cooperative effectively utilize the
financial loan they received?
2. What are the programs being implemented by the OISCA Farm Multi-
Purpose Cooperative?
3. What are the problems encountered by OISCA Farm Multi-Purpose
Cooperative?
4. What are their strategies for the repayment of the financial loan?
A. Leadership
QUESTIONS YES NO
a. Functions, Duties and Responsibilities
Are the functions, duties and responsibilities of officers welldefined,
segregated and duly approved?
Are the officers performing their duties and responsibilities?
Is the oversight function performed by the BOD and is supported by
written policy?
Are meetings conducted regularly by the board and committees?
Are the development/strategic plan, annual plan, and budget
prepared/reviewed and endorsed to the GA for approval?
Are the policies formulated and implemented in accordance with
laws, rules and regulations, and bylaws ?
Are the policies regularly reviewed?
b. Qualifications and Disqualifications
Are the policies formulated in accordance with laws, rules &
regulations & bylaws?
Are the existing policies, laws, rules and regulations adhered by
officers?
C. Continuing Education and Training
Is the continuing education for officers included in the coop training
program?
Are the mandatory trainings required by Rule 7 of IRR considered in
the coop training program?
Is the training program implemented
Is there an evaluation tool that will assess the effectiveness of the
training?
D. Financial Literacy
Are the financial statements included in the monthly agenda of the
BOD?
Is there a regular analysis and interpretation on the FS and standards
during BOD meeting?
Are the majority of leaders knowledgeable in the development of
Strategic Plan and Annual Budget Plan?
E. Business Operation
Is the business activity of the coop in-line with the objectives and
purposes stated in the articles of cooperation?
Is the business activity of the coop responsive to the needs of
members?
F. Statutory Fund
Are the following statutory funds funded?
Reserve Fund
Education & Training Fund
Optional Fund
Community Development Fund
Social Aspect
1. Is there a Social Development Plan?
2. Is it implemented?
3. Is there a budgetary allocation for the implementation of Social
Development. Plan?
4. Is the Community Development Fund utilized for its purpose?