Demographic Profile of Respondents

Name: ________________________________________________________
Gender: ( ) Male ( ) Female
Age:
( ) <20 yrs old ( ) 20-25 yrs old ( ) 26-30 yrs old ( ) >30 yrs old
Civil Status:
( ) Single ( ) Married ( ) Divorced ( ) Widowed
Educational Attainment:
( ) No education
( ) Primary Education
( ) Secondary Education
( ) Tertiary Education
Ethnicity:
( ) Ibanag
( ) Ilocano
( ) Tagalog
( ) Itawes
Others ( Please specify) ___________________
Religious Affiliation:
( ) Catholic
( ) Protestant
( ) Muslim
( ) Iglesia ni Cristo
( ) Saksi ni Jehovah
Others ( Please specify) ___________________