B. EDUCATIONAL ATTAINMENT
Indicate all the degree(s) that you have completed as of December 31, 2018 by checking (√) all the boxes that apply to you. Specify the field of specialization, the
school where you obtained the degree, and the year you graduated in the respective columns. Allot one space for each answer in Column 2. For items that do not
apply to you, please put ‘N/A’.
If you answered ‘yes’ to 1C1, please provide details on the training(s) you participated in 2018 starting with the most recent training first. Allot one space for each
training. For items that do not apply to your institution, please put ‘N/A’.
m m y y y y m m y y y y
m m y y y y m m y y y y
m m y y y y m m y y y y
m m y y y y m m y y y y
m m y y y y m m y y y y
m m y y y y m m y y y y
m m y y y y m m y y y y
m m y y y y m m y y y y
D. PROFESSIONAL DEVELOPMENT
Please provide information regarding your receipt of scholarship for graduate and/or postgraduate degree(s) and sponsorship for research-related training(s) from
PCHRD, CHED/SUCs. DOH and/or UPM. Specify your work in 2018 and provide pertinent details about your health research practice. For items that do not apply
to you, please put ‘N/A’.
1D1 Have you ever received any scholarship for graduate and/or postgraduate degree(s) from PCHRD, CHED/SUCs, DOH and/or UPM? Yes
Please check (√) the corresponding box of your answer.
No
1D2 Have you ever received any sponsorship for research-related training(s) from PCHRD, CHED/SUCs, DOH and/or UPM? Yes
Please check (√) the corresponding box of your answer.
No
1D4 If you checked ‘Health Researcher’ in 3D3, was any of your health/health-related research in 2018 aligned with the National Yes
Unified Health Research Agenda (NUHRA) for 2013-2017?
Please check (√) the corresponding box of your answer. No
1D5 If you checked ‘Health Researcher’ in 3D3, was any of your health/health-related research in 2018 aligned with the current approved Yes
Regional Unified Health Research Agenda (RUHRA)?
Please check (√) the corresponding box of your answer. No
1D6 If you checked ‘Health Researcher’ in 1D3, have you had any health/health-related research published, either in part or in its Not
Entirely, in any scientific journal in 2018 Applicable
Please check (√) the corresponding box of your answer.
1D7 If you checked ‘Health Researcher’ in 1D3, have you had any health/health-related research with any potential use for health policy, Yes
health plan/program?
Please check (√) the corresponding box of your answer. No
1D8 If you checked ‘Health Researcher’ in 1D3, have you had any health/health-related research translated, either in part or in its Yes
Entirely, into health policy, health plan/program in 2018?
Please check (√) the corresponding box of your answer. No
1D9 If you checked ‘Health Researcher’ in 1D3, have you had any health/health-related research with any potential commercial value? Yes
Please check (√) the corresponding box of your answer.
No
1D10 If you checked ‘Health Researcher’ in 1D3, have you had any health/health-related research translated, either in part or in its Yes
Entirely, into commercial product in 2018?
Please check (√) the corresponding box of your answer. No
E. STAKEHOLDER AWARENESS AND SATISFACTION ON RESEARCH SERVICES AT THE REGIONAL LEVEL FOR 2018
For this section, please indicate your awareness and satisfaction on your Regional Health Research and Development Consortium’s (RHRDC) services. For items
that do not apply to you, please put ‘N/A’.
1E1 Are you aware of any services of the RHRDC? Yes (Continue to 1E2)
Please check (√) the corresponding box of your answer.
No (End of Questionaire)
If you answered ‘yes’ to 1E1, please indicate which of the following RHRDC services you have availed of in 2018 by checking (√) either ‘yes’ or ‘no’ in Column 1.
For those services that you availed of, check (√) the box that represents your level of satisfaction (i.e. Very High, High, Average, Love, Very Low) for that experience
in Column 2.
If you answered at least one ‘yes’ in Column 1, please evaluate the efficiency and effectiveness of your Consortium’s administrative processes and services in 2018.
Check (√) the box that represents your assessment (i.e. Very High, High, Average, Love, Very Low) for each indicator.
1E17 If you answered at least one ‘yes’ in Column 1, what are your suggestions to improve the administrative processes and services of your
Consortium?
Please write your response in the space provided.