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  • Evaluation Checklist: School of Health Sciences Palo, Leyte

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    Roy Mujeres Cabueñas
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    This document contains an evaluation checklist from the University of the Philippines Manila School of Health Sciences. It is separated into three zones and lists household heads in each zone. It records information about whether each household has stray animals, waste segregation, blind drainage, and uses water treatment. The evaluator signs at the bottom of each zone's checklist.

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    Evaluation Checklist

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    This document contains an evaluation checklist from the University of the Philippines Manila School of Health Sciences. It is separated into three zones and lists household heads in each zone. It records information about whether each household has stray animals, waste segregation, blind drainage, and uses water treatment. The evaluator signs at the bottom of each zone's checklist.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    12 views4 pages

    Evaluation Checklist: School of Health Sciences Palo, Leyte

    Uploaded by

    Roy Mujeres Cabueñas
    This document contains an evaluation checklist from the University of the Philippines Manila School of Health Sciences. It is separated into three zones and lists household heads in each zone. It records information about whether each household has stray animals, waste segregation, blind drainage, and uses water treatment. The evaluator signs at the bottom of each zone's checklist.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 4

    University of the Philippines Manila

    SCHOOL OF HEALTH SCIENCES


    Palo, Leyte

    Evaluation Checklist
    Zone 1
    HH # Household Heads Without Astray With Waste With Blind Using Water
    Animals Segregation Drainage treatment
    01 RODRIGO OCASLA
    02 JAIME OCASLA
    03 ABSALON MABAG
    04 ALAN LABALAN
    05 RONETO C. NACARIO
    06 ARNEL MACASE
    07 PEDRO MACASE
    08 EDGARDO MACANAS
    09 RODRICK SABLAN
    10 ANTONIO SACAGING
    11 JIMMY ABEGONIA
    12 ROY DACLAG
    13 JIL ABEGONIA SR.
    14 LEONARDO D. DACPANO
    15 EDITO DACURO
    16 ADELA OCASLA
    17 ANGELIS A. PACAYRA
    18 VINCENT BACULO
    19 BERNARDO MABINI
    20 ERIC CALEN
    21 JEFFRY SHOU
    22 MICHAEL L. DELA CRUZ

    Signature of Evaluator
    University of the Philippines Manila
    SCHOOL OF HEALTH SCIENCES
    Palo, Leyte

    Evaluation Checklist
    Zone 2
    HH # Household Heads Without Astray With Waste With Blind Using Water
    Animals Segregation Drainage treatment
    23 RENATO ABEGAM
    24 EDITO DACURO JR.
    25 MARIO MACASE
    26 JIMMY BOBONAO
    27 JOJIE TABIQUE SR.
    28 ERVIN TABIQUE
    29 JEFFRY ABEGONIA
    30 WEMEFREDA PACAYRA
    31 ARNEL SACAGING
    32 BONEFACACIO CADILO
    33 LILIO R. BACULO
    34 MERCEDES LABANTE
    35 LILEO P. BACULO SR.
    36 LITO MABAG
    37 ROLLY MACASE
    38
    39 BENJAMEN DACPANO
    40 ARVINE MACASE
    41 MARICO MACASE
    42 LUCIANA DACPANO
    43 ROMEO MACASE
    44 DOMINADOR SACAGING
    45 CARMEN CABORNAY

    Signature of Evaluator
    University of the Philippines Manila
    SCHOOL OF HEALTH SCIENCES
    Palo, Leyte

    Evaluation Checklist
    Zone 3
    HH # Household Heads Without Astray With Waste With Blind Using Water
    Animals Segregation Drainage treatment
    46 RUBEN DACPANO
    47 ERWIN BACSAL
    48 EDWIN PACAYRA
    49 JIMMY PACAYARA
    50 REMIGIO PACAYRA SR.
    51 RUBEN NABLO
    52 BIENVINEDO B. PACAYRA
    53 QUALITA PACAYRA
    54 JOHN MARK DACPANO
    55 EDWIN S. MACASE
    56 CARLITA PACAYRA
    57 DOMINADOR DACPANO
    58 RAYMON T. SABLAYAN
    59 MARLON ALQUEZAR
    60 PAMFILO O. MACASE
    61 JEFFRY ABEGONIA SR.
    62 RONEL CADILO
    63 CERELO ABEGONIA
    64 TIMETEO PACAYRA
    65 RENALDO OLIVA
    66 ANGIELO ABEGONIA
    67 FELICIANO ABADIAC
    68 CLARITA ABEGONIA
    69 AVELINA C. MACASE
    70 ALFREDO ABEGONIA SR.
    71 ALBERTO ABEGONIA
    72 BENEDICTO LLANTADA

    Signature of Evaluator

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