DEPARTMENT OF SOCIAL WELFARE AND DEVELOPMENT

Pantawid Pamilyang Pilipino Program

GROUP PROFILE FORM

A. Group Name:_____ (Ethnicity) IP: None If yes, please specify: ____________

B. Group Members:

No Complete Name
Nickname
. (surname, first name, middle name)
1
2
3
4
5
6
7
8

(See Annex Form for the groupThis form shall

members be accomplished
additional by City/Municipal Link. this will serve as primary source
information)
common understanding of the needs, motivation, goals and plans for intervention of th
important to ensure that each member have their respective roles and responsibilities bas
C. Group Information interests, and motivation. This form has to be completed before the start of plan impl
reminded that group are composed of 8-10 members only with common needs/concerns/pro
i. When was the group organized/group’s first meeting: ________________
ii. How was the group formed (tick the box):
Did the members seek Pantawid’s assistance to create a group?
Did a Pantawid worker reach out to informally introduce group building as an
intervention to access services?
Others, please specify____________________________________________________
iii. Venue for the group’s sessions: _______________________________________________
iv. Schedule of meeting/session/Time frame (if known):
________________________________
v. Other pertinent information (such as the group formation process, the focal person,
communication process, rules and regulations, conflict management, etc.)

D. The Group’s Concern/Problem to be worked out (state the common need/problem identified, how
did they arrive to the decision to create a group and the necessity to create a group as a means to
collectively solve the need/problem):

E. Group Assessment:

The assessment has to establish the following minimum content:

● Group Common Needs/Concerns/Problems:

(Examples are: NAS children with the same reasons; malnourished children; coping up with
solo parenting)

● Group Common Strengths/Resources:

(Such as group members available skills, networks, resources etc., e.g., people smart,
members of association, house with a wide yard to accommodate group sessions etc.,
limitations e.g., solo parent if that is the reason for their limitations to do something etc.)

● Group Common Weaknesses/Limitations: Examples are self-critical/sensitive, shy/bot adept

at public speaking, limitations e.g., solo parent or disability if that is the reason for their
limitations to do something, etc.) Also, this includes but not limited to the worker’s analysis on
 DEPARTMENT OF SOCIAL WELFARE AND DEVELOPMENT
Pantawid Pamilyang Pilipino Program

aforementioned information gathered and his/her observations/comments on group members

interactions, physical/facial reactions, acceptance, participation, potential leaders, etc.)

F. Group Goals (The “ends” to be pursued; what group and worker expect to have achieved at the end
of the helping relationship. In creating a goal, make it SMART—specific, measurable, achievable,
realistic, time bounded. An example of a goal statement to address malnutrition could be: “At the end
of six months, the children of the “MAPAGKALINGA” parents’ group gained normal weight”.):

G. Action Plan (The “means” to achieve the defined goals, i.e., the interventions, activities [including
known program media], and task that have to be done to achieve the group goals; separate action
plans that will involve work with the group from action plans that will involve work with others, e.g.,
institutional staff, community leaders, etc. An example is done for you below.)

Objective Activities Timeframe Responsible Resources Needed

Person
-

Prepared by: Concurred by:

City/Municipal Link Group Members

(Name & Signature) (Name & Signature)
Date: ____________ Date: ____________