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  • Usap Tayo Sa FP Attendance Sheet

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    Ran Dy
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    This document appears to be an attendance record and feedback form for a family planning counseling session. It collects information such as the names and addresses of participants, whether they have used contraception before, their preferred method, and if they were referred to another facility. The form tracks metrics like the total number of participants and those who received one-on-one counseling or referrals. It is used to document counseling activities and gather data on community members' family planning needs and choices.

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    This document appears to be an attendance record and feedback form for a family planning counseling session. It collects information such as the names and addresses of participants, whether they have used contraception before, their preferred method, and if they were referred to another facility. The form tracks metrics like the total number of participants and those who received one-on-one counseling or referrals. It is used to document counseling activities and gather data on community members' family planning needs and choices.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    39 views2 pages

    Usap Tayo Sa FP Attendance Sheet

    Uploaded by

    Ran Dy
    This document appears to be an attendance record and feedback form for a family planning counseling session. It collects information such as the names and addresses of participants, whether they have used contraception before, their preferred method, and if they were referred to another facility. The form tracks metrics like the total number of participants and those who received one-on-one counseling or referrals. It is used to document counseling activities and gather data on community members' family planning needs and choices.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    of 2

    USAPANG  Kuntento Na  Pwede Pa  Bagong Maginoo  BIBA

    ATTENDANCE RECORD TOTAL # of Participants:


    TOTAL # given One-On-One Counseling:
    Date and Time: Source of Participants (Check Primary): TOTAL # of New Acceptors:
    Venue/Facility:  BHW Masterlist  CHSR TOTAL # of Other Acceptors:
    Municipality/City and Province:  POPCOM Database  FP/ANC-EPI TOTAL # Referred Clients:
    Facilitators/HSPs:  FDS TOTAL # Pregnant (with PPFP Referral):
     Others: TOTAL # w/o Parent/Guardian’s Consent:

    Sasagutan ng Client Sasagutan HSP


    Gusto mo
    pang Nakagamit ka Gumagamit ka
    BUNTIS Nabigyan ng Ni-refer sa
    ba noon ng FP ba ngayon ng FP Nabigyan ng
    Kasa  Kung magkaanak? FP method ibang facility?
    PANGALAN Method? Method? One-On-One
    Edad rian Address Phone Number Hindi Lagda (isulat ang method, 
    (Participant/Mag-asawa/Mag-partner) Hindi Hindi  Kung hindi.  Kung hindi. counseling?
    (M/F)  Kung ilagay kung NA o OA). Isulat kung
    na muna Kung Oo, anong Kung Oo, 
    Oo Kung hindi, bakit? saan.
      method? anong method?

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    15
    Nurse/Midwife

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