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HOUSEHOLD EVALUATION

BARANGAY :
PUROK :

CRITERIA HH1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 Total AVE


1. Sanitary toilet 0 0

2. Compost pile/ 0 0
receptacle

3. Poultry & livestock 0 0


production with
sanitary pens

4. Backyard and 0 0
herbal gardening
(4 or more variety
of vegetables
including
malunggay)

Reminders: List the name of households random without sanitary toilet


Expected
Score
0.00

0.00

0.00

0.00

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