The document contains socio-demographic profiles of two families. Family 1 has a father and mother living with their four children ranging from 18 months to 19 years old. Family 2 has a separated father and mother living separately from their five children ranging from college age to 23 years old. Both families practice safe sanitation and have access to proper facilities.

2. Father Saturnino Urios University
NURSING PROGRAM
Butuan City
SOCIO-DEMOGRAPHIC PROFILE
House No.: ________
Household: 1
Family: Mabatid
FAMILY PROFILE BIRTHDATE AGE
(Years if 5 years
old above
Months if 5 years
old below)
Educational
Attainment
Occupation
(Include income
per month)
Remarks
Head of the Family
Jerome C. Mabatid
March 28,
1982
High School
Graduate
Licensed
Embalmer
20k-30k
Living
Together
with the
family
Wife
Kirstine Kay M.
Mabatid
March 14,
1984
College
Graduate
Business
Owner
30-40k
Living
Together
with the
family
Children
Mixcy A. Mabatid August 26,
2002
19 years old College Student Living
Together
with the
family
Alyanna A. Mabatid November 2,
2015
6 years old Preschooler Living
Together
with the
family
Xian Vince A. Mabatid April 21,
2017
55 years old Living
Together
with the
family

3. Miguel Cedrick A.
Mabatid
May 28,
2020
18 months Living
Together
with the
family
Religion Roman Catholic
Complete Address Purok 1, Nazareno St., Brgy. Lacasa, Hinatuan, Surigao del Sur
12 health Indicators
1. Prenatal
Is there a pregnant mother in the family? Yes _____ No ✔ 
If yes, what trimester? 1st _________ 2nd __________ 3rd ___________
How often is the prenatal?
Once a month Twice a month Weekly No prenatal
1st Trimester ________________ _________________ _________ ______________
2nd Trimester ________________ _________________ _________ ______________
3rd Trimester
7th – 8th mos. ________________ _________________ _________ ______________
9th mos. ________________ _________________ _________ ______________
Yes No
TT1 ____ ____ Risk of Pregnancy : ____________________________
TT2 ____ ____ Age at first pregnancy : ____________________________
2. Postnatal (From delivery to 6 weeks)
How many visits conducted by the midwife?
Once ________ Twice ________ None ______
How many clinic visits done by the client?
Once ________ Twice ________ None ______
Initiated breastfeeding?
Yes ________ No ________
3. NIP (National Immunization Program)
A. 0-12 months
Vaccines 1st Dose 2nd Dose 3rd Dose Remarks
BCG

4. Hepatitis B
Pentavalent Vaccine
Oral Polio Vaccine (OPV)
Inactivated Polio Vaccine (IPV)
Pneumococcal Conjugate Vaccine(PCV)
Rotavirus
Measles
Measles, Mumps, Rubella Vaccine (MMR)
B. 13-59 months
FIC Yes ________ No _________
CIC Yes ✔ No _________
4. Types of Feeding (0-6 months)
Breastfeed _______________ Bottle feed Mixed _______________
5. Nutritional Status (0-59 months)
Age (month) Weight Height Normal Underweight Severely
Underweight
Overweight
18 months 9.8kg 75cm ✔
55 months 19kg 96cm ✔
6. Family Planning WCRA (15-49 years old)
Types of Family Planning Method User Non-user
1. IUD ______________________ ✔
2. Condom ______________________ ✔
3. Depo-Provera ______________________ ✔
4. Pills ______________________ ✔
5. Implant ______________________ ✔
6. Bilateral Tubal Ligation (BTL) ✔ __________________________
7. Vasectomy ______________________ ✔
8. Natural Planning Method
a. Withdrawal ______________________ ✔
b. Calendar Method ______________________ ✔
c. Cervical Mucus Method ______________________ ✔

5. d. Basal Body Temperature ______________________ ✔
e. Others (specify) ______________________ __________________________
ENVIRONMENTAL SANITATION’
7. Toilet Facility Shared ________________ Owned ✔ None ______________
Water Sealed Pour Type _ ✔ Flushed Type _________________
Antipolo __________ Pit Privy __________ Ballot System __________ Others (specify) _____________
Structure: A. Sanitary / Good condition ✔
B. Septic Tank ✔
8. Garbage Disposal
Compost pit with cover (biodegradable) ✔
Compost pit without cover _________________________
Burning (paper, leaves) _________________________
Dumping anywhere _________________________________
Others(specify) _________________________________
9. Water Supply
Potable Non- Potable Water Analysis
Level I (Artesian Well) _______________ ________________ ____________ every 3 months
Level II (Communal) _______________ ________________ ____________ every 2 months
Level III (Private) ✔ ________________ ____________mandatory
10. Surroundings
Vegetable garden ______________ Ornamental garden ✔
Herbal garden _________________ No garden ____________
11. Cigarette Smoking
With Smokers ✔ Without smokers ___________
12. Alcohol drinking
With drinkers Without drinkers _________✔
III. Other Items
A. Housing : Wood _____ Hollow blocks _____ Bamboo ______ Mixed ✔
B. Lighting Facility : Electricity ✔ Kerosene ________ Candles ________
C. First person consulted in times of illness
Private Doctor ✔ Health Personnel ________________
Quack Doctor _________________ Others ____________________________

6. D. Fluids Used During Diarrhea
Oresol _________ Rice water __________ Herbal concoction ✔ Others _________________
E. Domesticated Animals
Types of Animals Number None
Dog __________ ✔
Cat __________ ✔
Chicken __________ ✔_
Pig __________ ✔
Goat __________ ✔_
Carabao __________ ✔_
Birds __________ ✔_
Others (specify) _______________________________

7. Father Saturnino Urios University
NURSING PROGRAM
Butuan City
SOCIO-DEMOGRAPHIC PROFILE
House No.: ________
Household: 2
Family: Asok
FAMILY PROFILE BIRTHDATE AGE
(Years if 5 years
old above
Months if 5 years
old below)
Educational
Attainment
Occupation
(Include income
per month)
Remarks
Head of the Family
Nelson Asok
March 22,
1958
Unemployed
Wife
Laura M. Asok
July 11,
1952
Teacher
30k
Children
Kirstine Kay M.
Mabatid
March 14,
1984
College
Graduate
Business
Owner
30-40k
Separated
Lavella M. Bangalao August 12,
1985
College
Graduate
Licensed
Embalmer
20-30k
Separated
Zianne M.
Capangpangan
July 24,
1988
College
Graduate
Teacher
20k
Separated
Kent Micheal M. Asok July 29,
1997
College
Graduate
Employed
20k
Separated
Eureka M. Asok April 3,
2000
College Student

8. Religion Roman Catholic
Complete Address Purok 3, Brgy. Lacasa, Hinatuan, Surigao del Sur
12 health Indicators
13. Prenatal
Is there a pregnant mother in the family? Yes _____ No ✔ 
If yes, what trimester? 1st _________ 2nd __________ 3rd ___________
How often is the prenatal?
Once a month Twice a month Weekly No prenatal
1st Trimester ________________ _________________ _________ ______________
2nd Trimester ________________ _________________ _________ ______________
3rd Trimester
7th – 8th mos. ________________ _________________ _________ ______________
9th mos. ________________ _________________ _________ ______________
Yes No
TT1 ____ ____ Risk of Pregnancy : ____________________________
TT2 ____ ____ Age at first pregnancy : ____________________________
14. Postnatal (From delivery to 6 weeks)
How many visits conducted by the midwife?
Once ________ Twice ________ None ______
How many clinic visits done by the client?
Once ________ Twice ________ None ______
Initiated breastfeeding?
Yes ________ No ________
15. NIP (National Immunization Program)
C. 0-12 months
Vaccines 1st Dose 2nd Dose 3rd Dose Remarks
BCG
Hepatitis B
Pentavalent Vaccine
Oral Polio Vaccine (OPV)

9. Inactivated Polio Vaccine (IPV)
Pneumococcal Conjugate Vaccine(PCV)
Rotavirus
Measles
Measles, Mumps, Rubella Vaccine (MMR)
D. 13-59 months
FIC Yes ________ No _________
CIC Yes ________ No _________
16. Types of Feeding (0-6 months)
Breastfeed _______________ Bottle feed Mixed _______________
17. Nutritional Status (0-59 months)
Age (month) Weight Height Normal Underweight Severely
Underweight
Overweight
18. Family Planning WCRA (15-49 years old)
Types of Family Planning Method User Non-user
1. IUD ______________________ ✔
2. Condom ______________________ ✔
3. Depo-Provera ______________________ ✔
4. Pills ✔ __________________________
5. Implant ✔ __________________________
6. Bilateral Tubal Ligation (BTL) ✔
7. Vasectomy ______________________ ✔
8. Natural Planning Method
a. Withdrawal ______________________ ✔
b. Calendar Method ______________________ ✔
c. Cervical Mucus Method ______________________ ✔
d. Basal Body Temperature ______________________ ✔ __
e. Others (specify) ______________________ ✔

10. ENVIRONMENTAL SANITATION’
19. Toilet Facility Shared ________________ Owned ✔ None ______________
Water Sealed Pour Type _ ✔ Flushed Type _________________
Antipolo __________ Pit Privy __________ Ballot System __________ Others (specify) _____________
Structure: A. Sanitary / Good condition ✔
B. Septic Tank ✔
20. Garbage Disposal
Compost pit with cover (biodegradable) ✔
Compost pit without cover _________________________
Burning (paper, leaves) _________________________
Dumping anywhere _________________________________
Others(specify) _________________________________
21. Water Supply
Potable Non- Potable Water Analysis
Level I (Artesian Well) _______________ ________________ ____________ every 3 months
Level II (Communal) _______________ ________________ ____________ every 2 months
Level III (Private) ✔ ________________ ____________mandatory
22. Surroundings
Vegetable garden ______________ Ornamental garden
Herbal garden _________________ No garden ✔
23. Cigarette Smoking
With Smokers ✔ Without smokers ___________
24. Alcohol drinking
With drinkers Without drinkers __________✔
III. Other Items
A. Housing : Wood _____ Hollow blocks _____ Bamboo ______ Mixed ✔
B. Lighting Facility : Electricity ✔ Kerosene ________ Candles ________
C. First person consulted in times of illness
Private Doctor ✔ Health Personnel ________________
Quack Doctor _________________ Others ____________________________
D. Fluids Used During Diarrhea
Oresol _________ Rice water __________ Herbal concoction ✔ Others _________________
F. Domesticated Animals

11. Types of Animals Number None
Dog __________ ✔
Cat __________ ✔
Chicken __________ ✔_
Pig __________ ✔
Goat __________ ✔_
Carabao __________ ✔_
Birds __________ ✔_
Others (specify) _______________________________

12. Individual Collation: SOCIO-DEMOGRAPHIC PROFILE
Socio-demographic profile Family 1 Family 2 Total Grand
Total
%
Total Population:
Male 3 2 5 13 38.5%
Female 3 5 8 61.5%
Total Number of Houses
Surveyed 1 1 2 2
100%
Unsurvey
Total number of families
nuclear 1 1 2
2
100%
extended
dyad
cohabiting
Total number of fathers 1 1 2 2 100%
Total number of mothers 1 1 2 2 100%
Total number of children:
Living with parents
Male 2 0 2
5
40%
Female 2 1 3 60%
Not living with parents
Male 0 1 1 6 16.7%
Female 2 3 5 83.3%
Total number of children (below 5years old)
Birth -6 months
2
7-12 months
12-59 months 2 0 2 100%
Total number of couples of 2

13. Reproductive age 1 1 50%
Non-reproductive 1 1 50%
Total number of married couples 1 1 2 2 100%
Total no. of live-in couples
Total number of single parents
male
female
Total no. of widow
Total no. of widower
Total no. of spinsters
Total no. of bachelor
Total no. of parents living with children
both 1 1 2
2
100%
Father
Mother
Total no. of pregnant woman
Total no. of postpartum mother

14. BLUE GREEN YELLOW RED Total
Household
Remarks
# % # % # % # % # %
Antepartal 2 100% -No
pregnant
woman
Post-partal 2 100% -No
postpartum
woman
National Immunization
Program
(0-12 months)
2 100% No child
below 12
months
Types of Feeding
(0-6 months)
2 100% No child
below 6
months
Nutritional Status
(0-59 months)
2 100% Majority
safe
Family Planning Method
Married Couple under
Reproductive Age
(MCRA)
15-49 years old
2 100% Majority
safe
Water Supply 2 100% Majority
safe
Toilet Facility 2 100% Majority
safe
Garbage Disposal 2 100% Majority
safe
Surroundings 2 100% Majority
safe
Alcohol Drinking 1 50% 1 50%
Cigarette Smoker 1 50% 1 50%