NATIONAL NGO VALUE/ VISION 2040 SURVEY QUESTIONNAIRE General instructions This questionnaire can be administered in sections to relevant officers in the organisation Where the coding key is provided, enter the appropriate code in the space provided Where multiple responses apply, enter the appropriate codes in the spaces provided Where there are no coding instructions, write the actual response in the space provided Respect the skips where they are apply Enumerator Details Enumerator name:......phone:... Date of interview:...... Official use only District Network (DN): Title: Data verified by: Signature: Date: 1
Section 1: Organisation Identification Information 1. District 2. Name of organization 3. Physical Address 4. Postal Address 5. Telephone/Fax 6. E-mail 7. Website 8. Coverage 1. National 2. Regional 3. Local 9. Number of sub-counties covered 10. Number of sub-counties in the district 11. Number of year in operation in the district 12. Number of year in operation in the country 2
Section 2: Respondents Details Details of the respondent 12. Sex 1= Male 2= Female 13. Age 14. Level of education 1= Primary 4 = Bachelor s degree 2 = Secondary 5 = Master s degree 3 = Diploma 6 = Doctorate 15. Professional 16. Position in the organisation 17. Number of year working with this organisation 18. Number of years working with NGOs/CSOs Section 3: Personnel in the Organization 19. Number of professional staff (full-time excluding volunteers) Men Women 20. Number of non-professional staff (full-time excluding volunteers) Men Women 21. Number of volunteer staff Men Women Section 4: Organization Roles & Activities 22. What is the organisation registration status? 1. NGO Board 2. Company registry 3. Community Development Office 4. No formal registration 3
23. Which programme areas does your organisations work in? 1. Agriculture and rural livelihood 2. Art, culture and craft 3. Children and youth 4. Disability 5. Disaster response and preparedness 6. Education 7. Elderly people 8. Environment/natural resource management 9. Gender/women in development 10. Health 11. HIV/AIDS 12. Human rights and governance 13. Legal aid, advice and representation 14. Microfinance 15. Peace building/conflict resolution 16. Public information, education and communication 17. Psycho-social support/counselling 18. Social research and policy advocacy 19. Vocational training 20. Water and sanitation 21. Others specify: 4
24. Rate the programme areas you work on: Programme area 1= High priority, 2= Moderate priority, 3= Low priority, 4= No priority a) Agriculture and rural livelihood b) Art, culture and craft c) Children and youth d) Disability e) Disaster response and preparedness f) Education g) Elderly people h) Environment/natural resource management i) Gender/women in development j) Health k) HIV/AIDS l) Human rights and governance m) Legal aid, advice and representation n) Microfinance o) Peace building/conflict resolution p) Public information, education and communication q) Psycho-social support/counselling r) Social research and policy advocacy s) Vocational training t) Water and sanitation u) Others specify: Priority 5
25. What are the current funded you work on: 1. Agriculture and rural livelihood 2. Art, culture and craft 3. Children and youth 4. Disability 5. Disaster response and preparedness 6. Education 7. Elderly people 8. Environment/natural resource management 9. Gender/women in development 10. Health 11. HIV/AIDS 12. Human rights and governance 13. Legal aid, advice and representation 14. Microfinance 15. Peace building/conflict resolution 16. Public information, education and communication 17. Psycho-social support/counselling 18. Social research and policy advocacy 19. Vocational training 20. Water and sanitation 21. Others specify: 6
Section 5: Beneficiaries of the Organization 26. What is the total estimated number of beneficiaries under your current funded programme areas? Number of direct Number of indirect beneficiaries beneficiaries 1. Agriculture and rural livelihood 2. Art, culture and craft 3. Children and youth 4. Disability 5. Disaster response and preparedness 6. Education 7. Elderly people 8. Environment/natural resource management 9. Gender/women in development 10. Health 11. HIV/AIDS 12. Human rights and governance 13. Legal aid, advice and representation 14. Microfinance 15. Peace building/conflict resolution 16. Public information, education and communication 17. Psycho-social support/counselling 18. Social research and policy advocacy 19. Vocational training 20. Water and sanitation 21. Others specify: 7
27. List the contributions that you have given to the beneficiaries in the past one year under each current programme activity (e.g classroom construction, borehole, drugs, seedlings, animal breeds, etc) Programme area Assets Numbers Estimate cost (UGX) Agriculture and rural livelihood Art, culture and craft Children and youth Disability Disaster response and preparedness Education Elderly people Environment/natural resource management Gender/women in development 8
Programme area Assets Numbers Estimate cost (UGX) Health HIV/AIDS Human rights and governance Legal aid, advice and representation Microfinance 9
Programme area Assets Numbers Estimate cost (UGX) Peace building/conflict resolution Public information, education and communication Psycho-social support/counselling Social research and policy advocacy Vocational training Water and sanitation Others specify: 10
Section 6: Finances of the Organization 28. What is your estimated annual revenue? 1. No formal income 2. Less than UGX 10 million 3. 11 50 UGX million 4. 51 100 UGX million 5. 101 500 UGX million 6. 501 million 1 UGX billion 7. 1 5 UGX billion 8. Above 5 UGX billion The Uganda National NGO-Forum: NGO Value/Vision 2040 survey 29. What were the sources of revenue for the organization in last one year? a) Donations or Grants from Estimated amount International organizations Ugandan NGOs National government agencies Local government agencies Private sector Other specify: b) Members and fundraising Estimated amount Membership fees Voluntary donations from members Voluntary donations from non-members Profit on special events Others specify: 11
c) Business income Estimated amount Income from business Fees by beneficiaries Income from services rendered to government Income from service rendered to other NGOs Property/endowment income Others specify d) Divestment and non-recurrent revenues Estimated amount Sale of land and buildings Sale of vehicles Sale of equipment and machinery Others specify: e) Other recurrent revenues Estimated amount Tax refunds Other income 30. What is the approximate annual expenditure on the following aspects in the last one year? a) Programme costs an payments to beneficiaries Estimated amount Program costs Per diems to beneficiaries b) Manpower costs Staff Wages and salaries Staff allowances and per diem 12
c) Payments and transfers payments to service providers grants and contributions to other NGOs d) Investments and assets Land and buildings Vehicles/motorcycles/bicycles Equipment and machinery e) Other costs Utilities Petrol/fuel Rent Interest charges Taxes (VAT, PAYE, withholding etc) Section 7: Planning and Implementation Part A: Target groups 31. Do you involve your target group in design and planning? 1. Yes 2.No 32. Have the target group been directly or indirectly involved in the implementation of the activities? 1. Yes 2.No 13
If yes How? 33. Do the organisation have a strategic plan? 1. Yes 2.No 3. Partly 34. What is the timeframe of the strategic plan? 35. What is your organisation s most important success or achievement in the last two years? 36. What have been the biggest challenges the last two years? 14
Section 7: Relationships with stakeholders The Uganda National NGO-Forum: NGO Value/Vision 2040 survey 37. How do you rate the cooperation with others? (1=Very poor; 2=Poor; 3=Fair; 4=Good; 5=Very Good) a. NGOs/CBOs within the district b. District Local Government c. Government agencies at national level d. International NGOs 38. How has working stakeholder (government and other NGOs) helped your organization achieve its objectives? Section 8: Quality Assurance 39. Do you about the NGO Quality Assurance Mechanism (QUaM)? 1. Yes 2.No 40. Has your organisation gone through any quality assurance assessment? 1. Yes 2.No 15
41. If yes, by what mechanism? Section 9: Vision 2040 42. Have you heard about the Uganda s Vision 2040? 1. Yes 2.No 43. It will be possible for the government to transform Ugandan Society from a Peasant to a Modern and Prosperous Country within 30 years 1. Agree 2. Disagree 3. Don t know 44. Justify your response in Qn 2: 1. 2. 3. 45. What role can you play as a citizen for Uganda to achieve the transformation of Ugandan society from a peasant to a modern and prosperous country within 30 years? 1. 2. 3. 46. What can the Government do to help you play your role? 1. 2. 3. 16