Professional Documents
Culture Documents
Rhu Survey
Rhu Survey
Rhu Survey
F. Electricity availability
With electricity Without electricity
G. Means of Cooking
Electricity stove Wood/charcoal Kerosene
LPG Others (specify)
H. Food Storage
With refrigerator Without refrigerator Others (specify)
I. Water Source
Deep well Communal Others (specify)
Rain water Lake/River
J. Storage of drinking water
With cover Without cover Others (specify)
K. Garbage disposal
Compost pit Burning Collected Open dumping
L. Type of toilet
Pit latrine Pail system Septic tank/flush
M. Drainage system
Open drainage Closed system
IV. Health Care
A. Person to consult when family member are sick
Doctor Nurse/Midwife Faith Healer Self-medication
B. Type of Birth Attendants
Doctor Midwife Trained Hilot
C. Place of Delivery
Private Hospital District Hospital Health Center House
D. Infant feeding Practices
Breast Feeding Bottle Feeding Mixed Feeding
E. Use of Herbal Medicines
Lagundi Acapulo Sambung
Bawang Luya Bayabas
Tsaang-Gubat Ampalaya Others (specify)
F. Heigh and Weight
Name of Children Age Height Weight BMI Remarks
Mindanao State University
COLLEGE OF HEALTH SCIENCE
V. Responsible Parenthood
A. Family Planning
Practicing FP Not Practicing FP
B. Method used in Family Planning
IUD Pills Condoms Ligation
Rhythm Withdrawal Other (specify)
J. Inherent personal characteristics (e.g. short temper, poor impulse, control etc.)
YES NO family members:
K. Inappropriate role assumption (e.g. child assuming mother’s roe/father not assuming his
role)
YES NO family members:
L. Lack of immunization/inadequate immunization status of children
YES NO family members:
M. Presence of family disunity
YES NO family members:
Other health threats:
Mindanao State University
COLLEGE OF HEALTH SCIENCE
Marriage
Pregnancy, labor, puerperium
Parenthood
Additional member (e.g. newborn, lodger)
Entrance at school
Adolescent
Divorce/separation
Menopause
Loss of job
Hospitalization of a family
Death of family member
Resettlement in new community
Mindanao State University
COLLEGE OF HEALTH SCIENCE