THIS IS HOW WE FEEL: PSYCHOLOGICAL DISTRESS FACED BY

SINGLE MOTHERS

English:

I. PROFILE

Name: _______________________ (optional)

Age: ________________________

Socio-economic Status:

Low

Middle

High

Number of Children: _____________

Tagalog:

I. PROFILE

Pangalan: _______________________ (opsyonal)

Edad: __________________________

Katayuang sosyo-ekonomiko:

Mababa

Gitna

Mataas

Bilang ng mga anak: _____________