Household Profile Questionnaire: Time Started: Time Ended

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COMMUNITY – BASED PROFILING

Household Profile Questionnaire

TIME STARTED: TIME ENDED:


NUMBER OF AGE GENDER EDUCATION ATTAINMENT OCCUPATION INCOME CIVIL STATUS RELIGION LANGUAGE(S)
HOUSEHOLD (MONTHLY) SPOKEN
MEMBERS
HOUSE 1 0 – 12 ELEM. UNDER P 0 – 10k SINGLE
GRADUATE:
13 – 17 ELEM. GRADUATE: P 10k – 20k
MARRIED ENGLISH
18 – 24 MALE: HIGH SCHOOL P 20k – 30k
25 – 39 FEMALE: UNDER GRADUATE: P 30k – 40k
HIGH SCHOOL GRADUATE:
WIDOWED FILIPINO
40 – 60 COLLEGE UNDER P 40k – 50k
SIGNATURE 60 - UP GRAUATE: P 50k – 60k SEPERATED
COLLEGE GRADUATE:
HOUSE 2 0 – 12 ELEM. UNDER P 0 – 10k SINGLE
GRADUATE:
13 – 17 ELEM. GRADUATE: P 10k – 20k
MARRIED
18 – 24 MALE: HIGH SCHOOL P 20k – 30k ENGLISH
25 – 39 FEMALE: UNDER GRADUATE: P 30k – 40k
HIGH SCHOOL GRADUATE:
WIDOWED
40 – 60 COLLEGE UNDER P 40k – 50k FILIPINO
SIGNATURE 60 - UP GRAUATE: P 50k – 60k SEPERATED
COLLEGE GRADUATE:
HOUSE 3 0 – 12 ELEM. UNDER P 0 – 10k SINGLE
GRADUATE:
13 – 17 ELEM. GRADUATE: P 10k – 20k
MARRIED ENGLISH
18 – 24 MALE: HIGH SCHOOL P 20k – 30k
25 – 39 FEMALE: UNDER GRADUATE: P 30k – 40k
HIGH SCHOOL GRADUATE:
WIDOWED FILIPINO
40 – 60 COLLEGE UNDER P 40k – 50k
SIGNATURE 60 - UP GRAUATE: P 50k – 60k SEPERATED
COLLEGE GRADUATE:
HOUSE 4 0 – 12 ELEM. UNDER P 0 – 10k SINGLE
GRADUATE:
13 – 17 ELEM. GRADUATE: P 10k – 20k
MARRIED ENGLISH
18 – 24 MALE: HIGH SCHOOL P 20k – 30k
25 – 39 FEMALE: UNDER GRADUATE: P 30k – 40k
HIGH SCHOOL GRADUATE:
WIDOWED FILIPINO
40 – 60 COLLEGE UNDER P 40k – 50k
SIGNATURE 60 - UP GRAUATE: P 50k – 60k SEPERATED
COLLEGE GRADUATE:
HOUSE 5 0 – 12 ELEM. UNDER P 0 – 10k SINGLE
GRADUATE:
13 – 17 ELEM. GRADUATE: P 10k – 20k
MARRIED ENGLISH
18 – 24 MALE: HIGH SCHOOL P 20k – 30k
25 – 39 FEMALE: UNDER GRADUATE: P 30k – 40k
HIGH SCHOOL GRADUATE:
WIDOWED FILIPINO
40 – 60 COLLEGE UNDER P 40k – 50k
SIGNATURE 60 - UP GRAUATE: P 50k – 60k SEPERATED
COLLEGE GRADUATE:
HOUSE 6 0 – 12 ELEM. UNDER P 0 – 10k SINGLE
GRADUATE:
13 – 17 ELEM. GRADUATE: P 10k – 20k
MARRIED ENGLISH
18 – 24 MALE: HIGH SCHOOL P 20k – 30k
25 – 39 FEMALE: UNDER GRADUATE: P 30k – 40k
HIGH SCHOOL GRADUATE: WIDOWED FILIPINO
40 – 60 COLLEGE UNDER P 40k – 50k
SIGNATURE 60 - UP GRAUATE: P 50k – 60k SEPERATED
COLLEGE GRADUATE:

HOUSE 7 0 – 12 ELEM. UNDER P 0 – 10k SINGLE


GRADUATE:
13 – 17 ELEM. GRADUATE: P 10k – 20k
MARRIED ENGLISH
18 – 24 MALE: HIGH SCHOOL P 20k – 30k
25 – 39 FEMALE: UNDER GRADUATE: P 30k – 40k
HIGH SCHOOL GRADUATE:
WIDOWED FILIPINO
40 – 60 COLLEGE UNDER P 40k – 50k
SIGNATURE 60 - UP GRAUATE: P 50k – 60k SEPERATED
COLLEGE GRADUATE:
HOUSE 8 0 – 12 ELEM. UNDER P 0 – 10k SINGLE
GRADUATE:
13 – 17 ELEM. GRADUATE: P 10k – 20k
MARRIED ENGLISH
18 – 24 MALE: HIGH SCHOOL P 20k – 30k
25 – 39 FEMALE: UNDER GRADUATE: P 30k – 40k
HIGH SCHOOL GRADUATE:
WIDOWED FILIPINO
40 – 60 COLLEGE UNDER P 40k – 50k
SIGNATURE 60 - UP GRAUATE: P 50k – 60k SEPERATED
COLLEGE GRADUATE:
HOUSE 9 0 – 12 ELEM. UNDER P 0 – 10k SINGLE
GRADUATE:
13 – 17 ELEM. GRADUATE: P 10k – 20k
MARRIED ENGLISH
18 – 24 MALE: HIGH SCHOOL P 20k – 30k
25 – 39 FEMALE: UNDER GRADUATE: P 30k – 40k
HIGH SCHOOL GRADUATE:
WIDOWED FILIPINO
40 – 60 COLLEGE UNDER P 40k – 50k
SIGNATURE 60 - UP GRAUATE: P 50k – 60k SEPERATED
COLLEGE GRADUATE:
HOUSE 10 0 – 12 ELEM. UNDER P 0 – 10k SINGLE
GRADUATE:
13 – 17 ELEM. GRADUATE: P 10k – 20k
MARRIED ENGLISH
18 – 24 MALE: HIGH SCHOOL P 20k – 30k
25 – 39 FEMALE: UNDER GRADUATE: P 30k – 40k
HIGH SCHOOL GRADUATE:
WIDOWED FILIPINO
40 – 60 COLLEGE UNDER P 40k – 50k
SIGNATURE 60 - UP GRAUATE: P 50k – 60k SEPERATED
COLLEGE GRADUATE:
HOUSE 11 0 – 12 ELEM. UNDER P 0 – 10k SINGLE
GRADUATE:
13 – 17 ELEM. GRADUATE: P 10k – 20k
MARRIED ENGLISH
18 – 24 MALE: HIGH SCHOOL P 20k – 30k
25 – 39 FEMALE: UNDER GRADUATE: P 30k – 40k
HIGH SCHOOL GRADUATE:
WIDOWED FILIPINO
40 – 60 COLLEGE UNDER P 40k – 50k
SIGNATURE 60 - UP GRAUATE: P 50k – 60k SEPERATED
COLLEGE GRADUATE:
HOUSE 12 0 – 12 ELEM. UNDER P 0 – 10k SINGLE
GRADUATE:
13 – 17 ELEM. GRADUATE: P 10k – 20k
18 – 24 MALE: HIGH SCHOOL P 20k – 30k MARRIED ENGLISH
UNDER GRADUATE:
25 – 39 FEMALE: HIGH SCHOOL GRADUATE: P 30k – 40k
WIDOWED FILIPINO
40 – 60 COLLEGE UNDER P 40k – 50k
SIGNATURE 60 - UP GRAUATE: P 50k – 60k
COLLEGE GRADUATE:
SEPERATED

HOUSE 13 0 – 12 ELEM. UNDER P 0 – 10k SINGLE


GRADUATE:
13 – 17 ELEM. GRADUATE: P 10k – 20k
MARRIED ENGLISH
18 – 24 MALE: HIGH SCHOOL P 20k – 30k
25 – 39 FEMALE: UNDER GRADUATE: P 30k – 40k
HIGH SCHOOL GRADUATE:
WIDOWED FILIPINO
40 – 60 COLLEGE UNDER P 40k – 50k
SIGNATURE 60 - UP GRAUATE: P 50k – 60k SEPERATED
COLLEGE GRADUATE:
HOUSE 14 0 – 12 ELEM. UNDER P 0 – 10k SINGLE
GRADUATE:
13 – 17 ELEM. GRADUATE: P 10k – 20k
MARRIED ENGLISH
18 – 24 MALE: HIGH SCHOOL P 20k – 30k
25 – 39 FEMALE: UNDER GRADUATE: P 30k – 40k
HIGH SCHOOL GRADUATE:
WIDOWED FILIPINO
40 – 60 COLLEGE UNDER P 40k – 50k
SIGNATURE 60 - UP GRAUATE: P 50k – 60k SEPERATED
COLLEGE GRADUATE:
HOUSE 15 0 – 12 ELEM. UNDER P 0 – 10k SINGLE
GRADUATE:
13 – 17 ELEM. GRADUATE: P 10k – 20k
MARRIED ENGLISH
18 – 24 MALE: HIGH SCHOOL P 20k – 30k
25 – 39 FEMALE: UNDER GRADUATE: P 30k – 40k
HIGH SCHOOL GRADUATE:
WIDOWED FILIPINO
40 – 60 COLLEGE UNDER P 40k – 50k
SIGNATURE 60 - UP GRAUATE: P 50k – 60k SEPERATED
COLLEGE GRADUATE:

PREPARED BY:
GRADE 12 HUMANITIES AND SOCIAL SCIENCES STUDENTS FROM WESTERN BICUTAN NATION HIGH
SCHOOL

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