HH 1 HH 2 HH 3 HH 4 HH 5 HH 6 HH 7 HH 8 HH 9 HH 10 Total No.

of household members Male 0-5 years old 6-13 years old 14 - 21 years old 22 - 65 years old 66 years old and up Female 0-5 years old 6-13 years old 14 - 21 years old 22 - 65 years old 66 years old and up Educational Attainment Elementary High School College Vocational Course None Religion Catholic Protestant Iglesia ni Kristo Seventh Day Adventist Islam Others None Potable Water Supply Yes No Electricity? Yes No With Toilet Yes No No. of employed No. of unemployed Garbage Disposal Open Pit Burning Composting Recycling PHILHEALTH Yes No Practice Family Planning? Natural Artificial Do not Practice FP