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Community Survey Tally Sheet GROUP 3)
Community Survey Tally Sheet GROUP 3)
Community Survey Tally Sheet GROUP 3)
Household Control Family Marital Educational Employment Family Family Family Weight Height BMI
Number Number Member Age Gender Status Religion Attainment Type of Work Place of Work Place of Origin Income Position Income Expenditures (Kg) (m)
1 1 90 F W BAC EL 12,000 Grandmother
2 54 M M BAC CL CL Head 55,000 50,001 >
3 39 F M RC HSG CL Partner 47,000
4 20 M S RC HSL CL Adopted Child
5 19 F C BAC CL Daughter
6 16 F C BAC EG Daughter
7 12 F C BAC HSL Daughter
2 1 41 M M INC HSL E IM CL 12,000 Head 20,001-25, 20,001-25,000 10 0.74 17.3
2 36 F M INC HSG E IM CL 10,000 Partner
3 13 M S INC HSL M Son
4 2F C INC M Daughter
3 1 49 F M RC HSG Partner 10,001-15,000
2 49 M M RC HSG E OM MM 15,000 Head
3 19 F S RC CL Daughter
4 12 M S RC HSL Son
4 1 20 F M A HSG Partner
2 20 M M A HSL E IM CL 15,000 Head 10,000-15,000
3 2F C A M Daughter 13 3.6 11.35
5 1 60 F M RC HSL SE IC CL
2 58 M M RC EL SE IC CL 5,000-10,00 -5000
3 31 F C RC HSL SE IM CL
4 28 M C RC EL SE IC CL
5 18 M C RC EL SE IC CL
Anthropometric Health Indicators
BMI Waist Hip Waist Hip Mortality Morbidity Admitted Not Admitted CD NCD
Category Circumference Circumference Ratio
Underweig 50 54 1.08
Underweigh 45 47 0.96
0 1
Control # 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 24 25 TOTAL
TYPE OF FAMILY
A. Compostion
Nuclear 0 1 1 1 1 4
Extended 1 0 0 0 0 1
Dyad 0 0 0 0 0 0
Single Parent 0 0 0 0 0 0
Homosexual/Same Sex 0 0 0 0 0 0
Cohabiting/Communal 1 0 0 0 0 1
B. Focus of Power
Patrifocal/Patriarchal 0 0 1 1 0 2
Matrifocal/Matriarchal 0 0 0 0 0 0
Egalitarian 1 1 0 0 0 2
Matricentric 0 0 0 0 0 0
C. Place of Residence
Patrilocal 0 0 0 0 0 0
Matrilocal 0 0 1 1 0 2
Bilocal 0 0 0 0 0 0
Neolocal 1 1 0 0 0 2
Avunvolocal 0 0 0 0 0 0
D. Descent
Patrilineal 0 0 0 0 0 0
Matrilineal 0 0 0 0 0 0
Bilateral 1 1 1 1 0 4
DIALECT
Hiligaynon (Ilonggo) 0 0 0 0 0 0
Ilocano 0 1 0 0 0 1
Kapampangan 0 0 0 0 0 0
Pangasinan 0 0 0 0 0 0
Tagalog 1 1 1 1 0 4
Waray 0 0 0 0 0 0
Others 0 0 0 0 0 0
Social Indicators
Religious Services 1 1 1 1 1 5
Health Services 0 1 1 1 1 4
Livelihood Services 0 0 1 0 1 1
Garbage collection 0 1 1 1 1 4
Brgy. Hall 0 1 1 1 1 4
Health Station 0 1 1 1 1 4
Church 1 1 1 1 1 5
School 1 1 1 1 1 5
C. Organizations
Senior Citizen 0 1 1 1 1 4
Youth 0 1 1 1 1 4
D. Values/ Traditions/Customs
Bayanihan 0 1 1 0 1 3
Palabra De Honor 0 0 0 0 0 0
Pakikisama 1 0 1 0 0 2
Ningas Kugon 0 0 0 0 1 1
Fiestas 1 1 1 1 1 5
Volleyball/Basketball Court 1 1 1 1 1 5
Playground 0 1 0 0 0 1
Plaza 0 0 0 0 0 0
Others 0 0 0 0 0 0
F. Mode of Transportation
Tricycle 1 1 1 1 1 5
Jeep 1 1 0 0 1 3
Bicycle 1 1 0 1 1 4
Private Vehicle 1 0 0 0 0 1
G. Mode of Transportation
Postal System 1 0 0 0 0 1
Internet 1 1 1 1 0 4
Telephone 0 0 0 0 0 0
Cell-phone 1 1 0 1 1 4
Two-way Radio 0 0 0 0 0 0
Others 0 0 0 0 0 0
Control # 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 TOTAL
ECONOMIC INDICATOR
NUTRITIONAL STATUS
A. Food Usually/Most Taken
Meat Only 0 0 0 0 0 0
Fish Only 0 0 0 0 0 0
Vegetable Only 0 0 0 0 1 1
Mixed 1 1 1 1 0 4
Others 0 0 0 0 0 0
B. Number of Servings
1 0 0 0 0 0 0
2--3 1 1 1 1 1 5
4-5 and Above 0 0 0 0 0 0
C. Second Choice
Meat Only 0 1 0 0 0 1
Fish Only 1 0 0 0 0 0
Vegetable Only 0 0 0 0 0 0
Mixed 0 0 1 0 0 1
Others 0 0 0 1 1 2
D. Number of Servings
1 0 0 0 0 0 0
2--3 1 1 1 1 1 5
4-5 and Above 0 0 0 0 0 0
- Reason for choices
It's healthy 0 0 1 0 1 2
Own preference 1 0 0 1 0 2
Affordable 0 1 0 0 0 1
Personal belief 0 0 0 0 0 0
Health condition 0 0 0 0 0 0
- Reason for not choosing
It's healthy 0 0 0 0 0 0
Own preference 1 0 0 1 0 2
Not affordable 0 0 0 0 1 1
Personal belief 0 0 0 0 0 0
Health condition 0 0 0 0 0 0
- How frequent is the intake
Everyday 1 1 0 1 1 4
Twice a week 0 0 0 0 0 0
Once a week 0 0 0 0 0 0
Control # 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 TOTAL
Prepared at home 1 1 1 1 1 5
Bought outside 0 0 0 0 0 0
- How often
Everyday 1 1 1 0 1 4
Twice a week 0 0 0 1 0 1
Once a week 0 0 0 0 0 0
- If bought outside, where?
Restaurant/Fast
food 1 0 0 1 0 2
Carinderia 0 1 0 0 1 2
Food cart 0 0 0 0 0 0
- Reason for option
Convenience 1 0 0 1 0 2
Cheaper 0 1 0 0 1 2
Healthy 0 0 1 0 0 1
Variety of questions 0 0 0 0 0 0
- Takes/ eat canned/ preserved food
Everyday 0 0 0 0 0 0
Every other day 1 1 0 0 0 2
Every week 0 0 0 0 0 0
Sometimes 0 0 1 1 1 3
Never 0 0 0 0 0 0
- Takes/eat grilled foods
Everyday 0 0 0 0 0 0
Every other day 0 0 0 0 0 0
Every week 0 0 0 0 0 0
Sometimes 1 1 1 1 1 5
Never 0 0 0 0 0 0
- Drinks carbonated beverages
Everyday 0 0 0 0 0 0
Every other day 1 0 0 0 0 1
Every week 0 0 1 0 0 1
Occasionally 0 0 0 0 0 0
Sometimes 0 1 0 1 1 3
Never 0 0 0 0 0 0
Control # 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 TOTAL
Influenced by others 0 0 0 0 0 0
Methods Used:
Natural 0 0 0 0 0 0
Artificial 0 0 0 0 0 0
Permanent 0 0 0 0 0 0
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Aware 0 0 0 0 0 0
Unaware 0 0 0 0 0 0