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  • Sociodemographic Profile: Month Day Year

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    Jhonny Malijao
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    The document contains a socio-demographic profile form to collect information about a child. It requests the child's name, sex, date of birth, address, handedness, school enrollment status, parents' names, ages, occupations, educational attainment, the child's birth order and number of siblings. It also contains a revised early childhood development checklist form to assess a child aged 3-5 years old, requesting their name, sex, date of birth, address, handedness, birth order, parent's name, occupation, educational attainment and age of mother when she had the child.

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    Original Title

    Early Childhood Development

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    The document contains a socio-demographic profile form to collect information about a child. It requests the child's name, sex, date of birth, address, handedness, school enrollment status, parents' names, ages, occupations, educational attainment, the child's birth order and number of siblings. It also contains a revised early childhood development checklist form to assess a child aged 3-5 years old, requesting their name, sex, date of birth, address, handedness, birth order, parent's name, occupation, educational attainment and age of mother when she had the child.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    33 views1 page

    Sociodemographic Profile: Month Day Year

    Uploaded by

    Jhonny Malijao
    The document contains a socio-demographic profile form to collect information about a child. It requests the child's name, sex, date of birth, address, handedness, school enrollment status, parents' names, ages, occupations, educational attainment, the child's birth order and number of siblings. It also contains a revised early childhood development checklist form to assess a child aged 3-5 years old, requesting their name, sex, date of birth, address, handedness, birth order, parent's name, occupation, educational attainment and age of mother when she had the child.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    of 1

    Fill out the socio demographic profile of the child completely.

    SOCIODEMOGRAPHIC PROFILE
    Childs Name : _________________________________ Sex : _____ Date of Birth : __________________
    month

    day

    year

    Address:_______________________________________________________________________________
    Barangay

    Municipality/City

    Childs Handedness: (check appropriate box)

    right

    Province

    left

    Is the child personally studying? (check appropriate box)

    Yes

    both

    Region

    not yet established

    No

    If yes, write name of childs school / learning center / day care

    Fathers Name : _____________________________________


    Fathers Age :_______________
    Fathers Occupation : _______________________ Fathers Educational Attainment : _______________
    Mothers Name : ____________________________________
    Mothers Age : _______________
    Mothers Occupation : ____________________
    Mothers Educational Attainment : _____________
    Childs Number of Siblings (Brother/ s and Sister / s ) ___________ Childs Birth Order (1st, 2nd, 3rd, etc.)_________

    REVISED EARLY CHILDHOOD DEVELOPMENT (ECD) CHECKLIST


    Form 2
    Ages 3.1 5.11 years
    Childs name : ____________________________

    Sex :

    Female _____

    Male _______

    Date of Exam : (yy/mm/dd) _____ ______ _____


    Date of Birth : (yy/mm/dd) _____ ______ ______
    Age of child :
    __________________
    Handedness : Right : _______ Left : ______
    Both : _______
    None yet : ________

    Address : ________________________________
    Brgy.
    City
    Province

    Birth order : 1st child ____ 2nd _____ 3rd _____


    Others _____

    Parents name : ___________________________

    Educational Attainment : ____________________

    Occupation : _____________________________

    Age of mother when she had the child: _________

    Occupation of Spouse (if applicable): __________

    Number of children : _______________________

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