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Health and Nutrition Situation of Other Informatio
Health and Nutrition Situation of Other Informatio
CY 2020
I. GENERAL INFORMATION
TOTAL NO. FAMILIES ___________________ 1. TOTAL NO. OF SURVEYED / ENROLLED ________________ ______________
2. TOTAL NO. OF HOUSEHOLDS ___________________ 2. TOTAL NO. OF WEIGHED ________________ ______________
3. TOTAL NO. OF INFANTS (O-11months) ___________________
3. % WEIGHED ________________ ______________
4. TOTAL NO. PREGNANT WOMEN ___________________
4. TOTAL NO. WITH NORMAL WEIGHT ________________ ______________
5. TOTAL OF LACTATING WOMEN ___________________
6. NO. OF HOUSEHOLDS WITH ___________________ 5. TOTAL NO. OF SEVERELY UNDER - ________________ ______________
HOME GARDEN WEIGHTS/ WASTED
7. TOTAL NO. OF HOUSEHOLDS WITH ___________________ 6. TOTAL UNDERWEIGHT /WASTED ________________ ______________
SANITARY TOILET
7. TOTAL NO. OVERWEIGHT/OBESSED ________________ ______________
8. MOST COMMON OCCUPATION ___________________
8. TOTAL NO. OF HOUSEHOLDS WITH ________________ ______________
CHILDREN UNDERWEIGHT/WASTED