Professional Documents
Culture Documents
BPW Monitoring Reports Forms 2 4
BPW Monitoring Reports Forms 2 4
_____ Employment
_____ Marriage
_____ Education
_____ Live-in
_____ Peace & Order
______ Others
Total by Month
* Has no intention to move within 6 months
FORM 3 OFFICE OF THE CITY POPULATION OFFICER
PROFILE OF UNMET
Period of ________________
BARANGAY: _______________________________
REASON FOR NOT USING FP
PUROK NAME AGE STATUS NO. OF CHILDREN REASON
METHOD
1- Husband's Rejection
2-Religious Belief
3-Health Concerns
4-Misconception
5 -Lack of Knowledge
about FP Methods
CONSOLIDATION PROFILE OF UNMET
Period of ________________
M F M F M F M F M F M F M F
TOTAL