BNS Form No.

1A FAMILY PROFILE
Philippine Plan of Action for
Nutrition

Purok/Sitio: III Municipality: VIGAN CITY

Barangay: Ayusan Norte City/ Province: ILOCOS SUR

HH. No. of No. of Children Name of Household Occupation Educati Check if: Check if: Fill in: Check if:
No. HH Head/ Spouse onal
Mother Couple Nursing <6 mos. old Toilet Water Foor HH HH
Member Attainm
pregnant Practice type source producti using using
s ent
<6 <6-23 24-59 >60 Family EBF Mixed Bottle Other (WS,OP,O, (P,W,S) on Iodize IFR
Mos. Mos. Mos. Mos. Planning Feeding fed. N) Activity salt
old old old old (VG,
P/L,FP)

Abbreviation
CF- Complementary IFR- Iron Fortified Rice Educational Attainment Toilet Water Source Food Production Activity
EBF-Exclusive F- Father EU- Elem. Undergraduate CU- College Undergraduate WS- water sealed P-pipe VG-Vegetable Garden
HH- Household M- Mother EG-Elem. Graduate CG-College Graduate OP-Open Pit W-well P/L- Poultry/ Livestock
HS- High School Graduate o-others N-None
 BNS Form No. 1A FAMILY PROFILE
Philippine Plan of Action for
Nutrition

Purok/Sitio: III Municipality: VIGAN CITY

Barangay: Ayusan Norte City/ Province: ILOCOS SUR

HH. No. of No. of Children Name of Household Occupation Educati Check if: Check if: Fill in: Check if:
No. HH Head/ Spouse onal
Mother Couple Nursing <6 mos. old Toilet Water Foor HH HH
Member Attainm
pregnant Practice type source producti using using
s ent
<6 <6-23 24-59 >60 Family EBF Mixed Bottle Other (WS,OP,O, (P,W,S) on Iodize IFR
Mos. Mos. Mos. Mos. Planning Feeding fed. N) Activity salt
old old old old (VG,
P/L,FP)

Abbreviation
CF- Complementary IFR- Iron Fortified Rice Educational Attainment Toilet Water Source Food Production Activity
EBF-Exclusive F- Father EU- Elem. Undergraduate CU- College Undergraduate WS- water sealed P-pipe VG-Vegetable Garden
HH- Household M- Mother EG-Elem. Graduate CG-College Graduate OP-Open Pit W-well P/L- Poultry/ Livestock
HS- High School Graduate o-others N-None