PPI Scorecard

(2015 National Poverty Line)

Form Number: Date of Interview:

Name of Respondent: Head of the family? Yes ( ) No ( )

Address: GIDA Area: Yes ( ) No ( )
IP Group, If any: Interviewer:
4Ps beneficiary: Yes ( ) No ( ) Organization of Interviewer:
MCCT beneficiary: Yes ( ) No ( ) Phone No./Email of Interviewer:

Indicators Response Points Score

1. In which region does the family A. ARMM 0
live? B. Ilocos 8
C. Cagayan Valley 8
D. Central Luzon 6
E. Calabarzon 9
F. Mimaropa 8
G. Western Mindanao 5
H. Bicol 4
I. Western Visayas 8
J. Central Visayas 4
K. Eastern Visayas 2
L. Northern Mindanao 0
M. Southern Mindanao 6
N. Central Mindanao 2
O. NCR 12
P. CAR 7
Q. Caraga 0
2. How many members are there in A. 7 or more 0
the family? (exclude members who B. 5 or 6 9
are overseas Filipinos)* C. 4 and below 18
3. What is the highest grade A. 6th grade of school or lower 0
completed by the head of the B. Some high school 6
family? C. Completed high school 7
4. What type of construction A. Light materials (cogon, nipa, anahaw), 0
materials are the roofs made of? Salvaged/makeshift materials, Mixed but
predominantly light materials, Mixed but
predominantly salvaged materials
B. Mixed but predominantly strong materials 5
C. Strong materials (galvanized iron, aluminum, tile, 6
concrete, brick, stone, asbestos)
5. What type of construction A. Light materials (bamboo, sawali, cogon, nipa, 0
materials are the outer walls made anahaw), Salvaged/makeshift materials, Mixed but
of? predominantly light materials, Mixed but
predominantly salvaged materials
B. Mixed but predominantly strong materials 7
C. Strong materials (galvanized iron, aluminum, tile, 8
concrete, brick, stone, wood, plywood, asbestos)
 PPI Scorecard
(2015 National Poverty Line)

Indicators Response Points Score

6. Is there any electricity in the A. No 0
building/house? B. Yes 7
7. What is the family’s main source of A. Other 0
water supply? B. Dug well 5
C. Own use, faucet, community water system 10
D. Own use, tubed/piped deep well or Tubed/piped 7
shallow well
E. Shared, faucet, community water system 7
F. Shared, tubed/piped deep well 6
8. Does the family own a A. No 0
refrigerator/freezer? B. Yes 13
9. Does the family own a television A. No 0
set? B. Yes 11
10. Does the family own a washing A. No 0
machine? B. Yes 8

PPI Score

11. Did the family miss at least 2 A. No

suppers this week? B. Yes
12. Does the family have their own A. No
sanitary toilet? B. Yes
 Worksheet: Family Members, Age, School Attendance, Work, and Occupation
In <Name's> primary
If <Name> is 5- occupation or
How much is
If <Name> is 5- to years-old or older, How much is business in the past
Relationship the average

Female
Male
18-years-old, is did he/she do any the average week, was he/she a
Name Age to head of monthly
he/she currently paid work for at daily income farmer, forestry
the family income of
attending school? least one hour in of <Name>? worker, fisher,
<Name>?
the past week? laborer, or unskilled
worker?
1. Not 5-18 No Yes Not ≥5 No Yes Did not No Yes
work
2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

Total # ________ _ _ _______ ___ ___ Total # of Yes ___ Total # of Yes __