Republic of the Philippines

City of Davao
Barangay Suawan, Marilog District
OFFICE OF THE SANGGUNIANG KABATAAN

Greetings of Peace!

The Sangguniang Kabataan of Barangay Suawan is currently conducting a KK Profiling which focuses on
assessing the personal and demographic information of the Katipunan ng Kabataan Members in our
Barangay.
Respondents should be a 15-30 years old and a resident of Barangay Suawan.
This profiling aims to gather information and data of the Katipunan ng Kabataan members. The
information gathered through KK Profiling will be used for the future activities and events of the
Sangguniang Kabataan of Barangay Suawan.
Rest assured that the given data in this form will be held with strict confidentiality as part of the
observance of RA 10173 or commonly known as
Data Privacy Act of 2012 and will only be accessed by the Sangguniang Kabataan Council.
Your participation in this survey is highly appreciated.

GEORGE BARGAYO
SK Secretary

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KK SURVEY QUESTIONAIRE DATE: ___________

I. PROFILE

Name of Respondent: __________________________________________________________

Last Name First Name Middle Name Suffix

Address: ______________________________________________________________
Purok # Sitio Barangay District City/ Municipality

Sex: Male: Female: Age: Date of Birth: _____________

Dd/ Mm/ Yy

Email: ______________________ Contact #: ___________________

II. DEMOGRAPHIC CHARACTERISTICS (To answer put on the boxes)

Civil Status:
➢ Single
➢ Married
➢ Widowed
➢ Divorced
➢ Separated
➢ Live- in
➢ Unknown

Youth Age Group:

➢ Child Youth ( 15 – 17 Yrs Old )
➢ Core Youth ( 18 – 24 Yrs Old )
➢ Young Adults ( 25 – 30 Yrs Old )

Educational Background:
➢ Elementary Level
➢ Elementary Graduate
➢ High School Level
➢ High School Graduate
➢ College Level
➢ College Graduate
➢ Masters Level
➢ Masters Graduate
➢ Doctorate Level
➢ Doctorate Graduate
 Republic of the Philippines
City of Davao
Barangay Suawan, Marilog District
OFFICE OF THE SANGGUNIANG KABATAAN

Youth Classification:
➢ In School Youth
➢ Out of School Youth
➢ Working Youth
➢ Youth w/ Specific needs
➢ Person w/ Disability
➢ Indigenous People
➢ Children in Conflict w/ Law
Work Status:
➢ Employed
➢ Unemployed
➢ Self- Employed
➢ Currently Looking for a Job
➢ Not interested looking for a job

Registered National voters?: Yes: No:

Registered SK voters?: Yes: No:

Did you vote last SK election?: Yes: No:

Have you already attended KK assembly?: Yes: No:

If “YES” How many times?:

➢ 1 to 2 times
➢ 3 to 4 times
➢ 5 and above

If “NO,” Why?:
➢ There was NO KK assembly meeting
➢ Not Interested to attend

Question: What are the issues, program & concern in your Sitio’s/ Barangay you want to
address? Please be specific:

• Social Inclusion and mobility

• Health
• Agriculture
• Active Citizenship
• Peace building and security
• Education
• Environment
• Economic Empowerment
• Good Governance
• Global Mobility

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THANK YOU FOR YOUR PARTICIPATION!

__________________________
Name & Signature of Participant