QUESTIONNAIRE

BUSINESS PROFILING

1. Demographic Profile

Other Sources of
Family Occupation/Status Religious
Age Workplace/School Income (If Ethnicity
Members of Employment Affiliation
applicable)
Father
Mother
First Child
Second Child
Third Child
Other Members
(in case
extended family)

2. Assets

Specifications
Type of Property Mode of Acquisitions
Quantity Area
[ ] House
[ ] Lot
[ ] Car
[ ] Farm
[ ] Business
Appliances:

BUSSINESS PROFILING IN BARANGAY LIBAG NORTE, TUGUEGARAO CITY

 [ ] Television
[ ] Refrigerator
[ ] Washing Machine
[ ] Air Conditioner
[ ] Electric Fans
[ ] Microwave
[ ] Computers
Gadgets:
[ ] Tablets
[ ] Cell phones
Other (pls. specify):

3. Health Profile

A. Source of Water
o Household
[ ] Tap Water
[ ] Deep well
[ ] Pump well
[ ] Stream/ river
o Drinking Water
[ ] Tap Water
[ ] Deep Water
[ ] Pump Well
[ ] Refilling Stations

B. Type of Toilet No. of Toilets________________

BUSINESS PROFILING IN BARANGAY LIBAG NORTE, TUGUEGARAO CITY

 [ ] Open type
[ ] Water-seal type
[ ] Indoor
[ ] Outdoor

C. Vaccination done for Children

Vaccine Status (Complete or Incomplete)

BCG (for tuberculosis)
DPT (for Diphtheria, Pertussis, Tetanus )
MMR (Measles, Mumps, Rubella)
HepB (for Hepatitis B)
OPV (for Polio)
Others:

4. Business Profile

A. When was the business established? ____________________________________________________

B. How did the business start? ___________________________________________________________
C. Business Address: __________________________________________________________________
D. What is the type of the business?
[ ] Merchandising
[ ] Service
[ ] Manufacturing
[ ] Hybrid
Please indicate them or type/s of product//s and /or service/s that your business offering:
______________________________________________________________________________________________
_______________________

BUSINESS PROFILING IN BARANGAY LIBAG NORTE, TUGUEGARAO CITY

 ______________________________________________________________________________________________
_______________________
E. Who manage the business?
___________________________________________________________________________
F. How many your employees does your business have?
_______________________________________________________
G. Does your business have any branch or extension office?
[ ] Yes
[ ] No
If Yes, Please specify

____________________________________________________________________________________________________
________________

____________________________________________________________________________________________________
________________

____________________________________________________________________________________________________
________________
H. Economic Impact of the Business
[ ] Number of children sent to school: ______________
[ ] Acquisition of Properties
[ ] Scholars
[ ] Charity Works
[ ] Outreach Programs
[ ] Business Extensions/ Branches

BUSINESS PROFILING IN BARANGAY LIBAG NORTE, TUGUEGARAO CITY