CONSOLIDATED REPORT ON GAD SURVEY QUESTIONNAIRE ELEMENTARY ____/ ____ SECONDARY _______LEVEL

1. Page | 1
Teaching Non-
Teaching
Age Bracket Civil Status
Solo
Parent
Number of
Children
Health Problems
M F M F 25-35 36-45 46-55 56-65 S M W Wer M F 0-1 2-4 5 up PC/I HBP HA C As D M EP Others
M F M F M F M F M F M F M F M F M F
Item Numbers M F Item Numbers M F Item Numbers M F Item Numbers M F
Y N Y N Y N Y N Y N Y N Y N Y N
19 20.2.1 20.2.9 20.3.1e
20.1, a.1 20.2.2a 20.2.10 20.3.1f
20.1, a.2 20.2.2b 20.2.11 20.3.1g
20.1, a.3 20.2.2c 20.2.12a 20.3.1h
20.1, b.1 20.2.2d 20.2.12b 20.3.1i
20.1, b.2 20.2.2e 20.2.12c 20.3.1j
20.1, b.3 20.2.2f 20.2.12ad 20.3.1k
20.1, c.1 20.2.2g 20.2.12e 20.3.1l
20.1, c.2 20.2.2h 20.2.12f 20.3.1m
20.1, c.3 20.2.3 20.2.12g 20.3.1n
20.1, c.4 20.2.4 20.2.14 20.3.1o
20.1, d.1 20.2.5 20.3.1a 20.3.1p
20.1, d.2 20.2.6 20.3.1b 20.3.1q
20.1, d.3 20.2.7 20.3.1c 20.3.1r
20.1, d.4 20.2.8 20.3.1d 20.3.1s
Republika ng Pilipinas
KAGAWARAN NG EDUKASYON
Rehiyon XI
SANGAY NG LUNGSOD NG DABAW
Lungsod ng Dabaw
TIN: 000-863-958
Tel. Nos. 224-3274/224-0100/224-3274/227-4726
221-0059/222-1672/221-8587/224-0854/225-3600
CONSOLIDATED REPORT ON GAD SURVEY QUESTIONNAIRE
ELEMENTARY ____/ ____ SECONDARY _______LEVEL
DISTRICT/SCHOOL: _______________________________
Total Number of Teaching _________ Non-Teaching _________

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Prepared by: Noted by:
DIV GADFPP School Head Date Submitted:_______________________
Item Numbers M F Item Numbers M F Item Numbers M F
Y N Y N Y N Y N Y N Y N
20.3.1t 20.4.5-home 15a
20.3.1u 20.4.5-ofc 15b
20.3.2 20.5.1 15c
20.3.3 20.5.1a 15d
20.3.4 20.5.2 15e
20.3.5 20.5.3a 15f
20.3.6 20.5.3b
20.4.1a 20.5.4
20.4.1b 20.5.5
20.4.2
20.4.2a
20.4.2b
20.4.3a
20.4.3b
20.4.4