12

Baseline Census for the No.

Establishment of
Registry of Barangay
Inhabitants & Migrants Household
Institutional
Living
(RBIM) Quarter

Magandang umaga/hapon po. Ako po ay si ______. Ako po ay ______ sa ating barangay.

With technical assistance from the
Kami po ay nag-i-interview ng lahat ng households sa ating barangay upang kumulekta ng
impormasyon tungkol sa socio-economic na kondisyon at tungkol sa migration. Ito po ay
makakatulong para magkaroon ng Census ang ating barangay. Nais po sana namin na
humingi ng kaunting panahon upang sagutan ang aming mga tanong tungkol sa inyong
household at mga miyembro nito. Sinisiguro po namin na lahat ng inyong sagot ay kum-
pidensyal. Pwede po ba naming hingiin ang inyong pahintulot na kayo ay ma-interview?

A. IDENTIFICATION
Province Name of Respondent

City/Municipality Household Head

Barangay Total No. of Household Members

Address
(Room/Floor/Unit No. and Building Name) (House/Lot and Block No.) (Street Name)

B. INTERVIEW INFORMATION
Result Name of Name of
C=Completed
Date of Time Time CB=Callback Date of Interviewer, Supervisor,
Visit Visit start end R=Refused Next Visit Initial/Date Initial/Date
1st visit

2nd visit

Baseline Census for the Establishment of C. ENCODING INFORMATION

Registry of Barangay Inhabitants and Migrants (RBIM)
Name and Initial of Name of Supervisor,
Date Encoded Encoder Initial and Date