PPA Expanded Gender Statistics Survey System

In compliance with the Gender and Development (GAD) mandate, we hereby conduct a survey for the Gender Statistics of all PPA human resource including the Contract of Service (COS) personnel as our valuable partners in the implementation of our basic services. Moreover, rest assured that the data gathered shall be treated with utmost care pursuant to the Republic Act No. 10173 or Data Privacy Act of 2012, and can only be accessed by the rightful authority in the performance of his/her official mandate.

Port Management Office (PMO)

Chairperson
Vice Chairperson
Member
Technical Working Group (TWG)
Secretariat

DIETARY RESTRICTION

Are you a person with a dietary restriction?
Yes

Please specify:

DISABILITY

Are you aware of Republic Act No. 7277 otherwise known as the "Magna Carta for Disabled Persons"?Yes     No

Are you aware of Republic Act No. 10754 otherwise known as the "Magna Carta for Persons with Disability"?Yes     No

Are you a person with disability? YesNo
Specify the disability per DSWD classification:

SOLO PARENT

Are you aware of Republic Act No. 8972 otherwise known as the "Solo Parent's Welfare Act of 2000"?Yes No Are you a solo parent? YesNo

Total No. of dependents
Total No. of dependents in elementary level:

Do you have DSWD ID card?

Yes

ID Number:
Date of Issuance :

SENIOR CITIZEN

Are you aware of Republic Act No. 9994 otherwise known as the "Expanded Senior Citizens Act of 2010"?Yes No
Are you a senior citizen? YesNo
Please specify the age :

PARENT / GUARDIAN

Are you a parent or guardian? Yes

Total Number of Dependents:
Total Number of Dependents in Elementary Level:
If with Elementary level dependents, personally send and fetch the dependents to and from the school?
YesNo

No
Are you aware of your Office's child-minding station?Yes No

CHILD BEARING AGE
(Female until 49 years old)

Are you of the child-bearing age?
YesSpecify the age:No
Are you aware of your Office's lactation room?Yes No
Are you aware of Republic Act No. 10028 otherwise known as the "Expanded Breast Feeding Promotion Act of 2009" for lactation period of nursing human resource?Yes No

VIOLENCE AGAINST WOMEN

Are you aware of Republic Act No. 9262, otherwise known as the "Anti-Violence Against Women and Children Act of 2004 (VAWC)"? Yes No

Are you aware where to seek help?
Yes No

STRESS in the WORKPLACE

Have you experienced stress in the workplace?
Yes

Are you aware where to seek help? Yes No
No

MODE OF TRANSPORTATION

Personal Vehicle
Distance from house to office (in Kilometers)
Service Vehicle
Distance from house to office (in Kilometers)
Public Transportation (Commute)

Distance from house to office (in Kilometers)
Number of rides from house to office

Declaration

The information that I have given is true, correct and complete. I, the Data Subject , expressly give my consent to the Philippine Ports Authority (PPA) to collect, process, store, retain, update, retrieve my personal information provided in this registration in accordance with the PPA’s Privacy Statement and for purposes of this survey.

I agree.

Philippine Ports Authority

PMO Surigao

GENDER STATISTICS SURVEY

RESPONDENTS

RESPONSIBILITY CENTER

Sex Assigned at Birth

Position Title

Position Classification

EMPLOYMENT STATUS

GAD Focal Point System (GFPS) Member?

Head Office (HO)

Port Management Office (PMO)

PPA REPRESENTATIVE to the DOTr-GAD TWG?

RELIGION

DIETARY RESTRICTION

DISABILITY

Do you have DSWD ID card?

SOLO PARENT

Do you have DSWD ID card?

SENIOR CITIZEN

Do you have a Senior Citizen ID Card?

PARENT / GUARDIAN

CHILD BEARING AGE
(Female until 49 years old)

VIOLENCE AGAINST WOMEN

STRESS in the WORKPLACE

MODE OF TRANSPORTATION

GAD-RELATED TRAININGS ATTENDED
(From 2021 to present)

GAD-RELATED ORIENTATIONS ATTENDED
(From 2021 to present)

Declaration

Philippine Ports Authority

PMO Surigao

GENDER STATISTICS SURVEY

RESPONDENTS

RESPONSIBILITY CENTER

Sex Assigned at Birth

Position Title

Position Classification

EMPLOYMENT STATUS

GAD Focal Point System (GFPS) Member?

Head Office (HO)

Port Management Office (PMO)

PPA REPRESENTATIVE to the DOTr-GAD TWG?

RELIGION

DIETARY RESTRICTION

DISABILITY

Do you have DSWD ID card?

SOLO PARENT

Do you have DSWD ID card?

SENIOR CITIZEN

Do you have a Senior Citizen ID Card?

PARENT / GUARDIAN

CHILD BEARING AGE(Female until 49 years old)

VIOLENCE AGAINST WOMEN

STRESS in the WORKPLACE

MODE OF TRANSPORTATION

GAD-RELATED TRAININGS ATTENDED (From 2021 to present)

GAD-RELATED ORIENTATIONS ATTENDED (From 2021 to present)

Declaration

CHILD BEARING AGE
(Female until 49 years old)

GAD-RELATED TRAININGS ATTENDED
(From 2021 to present)

GAD-RELATED ORIENTATIONS ATTENDED
(From 2021 to present)