Demographics
Name ( Optional ): Age: Gender :
Address:
Thank you for taking the time to participate in this survey. Your responses will help us
better understand the needs, experiences, and perspectives of activists like you.
This questionnaire aims to gather information about your background, activism
experiences, and goals. Your input will be used to inform our work and improve our
support for activists.
Please be as honest and open as possible in your responses. Your participation is greatly
appreciated. Please note that all responses will be kept confidential.
Instructions: Please rate your level of agreement with each statement on a scale of 1-5,
where 1 = Strongly Disagree and 5 = Strongly Agree.
QUESTIONS 1 2 3 4 5
PERSONAL COMMITMENT
I am passionate about the causes I support.
I am willing to make sacrifices for my activism.
I believe that activism is an important part of
my life.
I am committed to long-term involvement in
activism.
I am willing to take risks for the causes I
believe in.
IMPACT AND EFFECTIVENESS
I believe that my activism can make a positive
difference in the world.
I am committed to measuring the impact of my
activism.
I am willing to adapt my strategies based on
feedback and results.
I am confident in my ability to overcome
challenges and setbacks in activism.
I am committed to long-term, sustainable
social change.
What are the primary causes you are passionate about? (Please tick all that apply)
Environmental Issues
Social Justice
Human Rights
Political Reform
Economic Equality
Others (please specify)______________________________________________________
How frequently do you participate in the following activities? Rate on a scale of 1-5:
1 = Never, 2 = Rarely, 3 = Sometimes. 4 = Very Often, 5 = Always
ACTIVITIES 1 2 3 4 5
Attending protests, marches, strikes and/or
demonstrations
Fundraising Activities
Engaging in online activism (e.g. social media campaigns,
sharing posts, starting discussions)
Organizing and/or volunteering for events related to social
cause
Participating in advocacy campaigns (e.g. petitions, letter-
writing)
Donating time or resources for social causes
Others (please specify):
________________________________________
What do you consider the most effective methods for social change? Please rank the
following options from 1 - most effective to 5 - least effective.
METHODS 1 2 3 4 5
Protests and demonstration
Lobbying and advocacy
Community organizing
Education and awareness-raising
Online movements, discussions, petitions
Being of service to the community by joining volunteer
works
INSTRUCTIONS: The following are activities that took place here in Negros. Please tick
the following activities that you participated in.
ACTIVITIES
Strike against Jeepney Modernization
Protest for Coal-Free Negros
“Resist its Resurgence” Martial Law Protest
Negotiation between Bacolod Youth and World leaders about climate justice
Karapatan protest for release of youth peasant organizer in Negros
Other (please specify)
