KK Survey Questionnaire Respondent #:____
Date: ___________
TO THE RESPONDENTS:
Good day!
We are currently conducting a study that focuses on assessing the demographic information of the Katipunan ng
Kabataan. We would like to ask your participation by taking your time to answer this questionnaire. Please read the
questions carefully and answer them accurately.
REST ASSURED THAT ALL INFORMATION FROM THIS STUDY WILL BE TREATED WITH UTMOST CONFIDENTIALITY.
I. PROFILE
Name of Respondent: ________________________________________________________
Last Name Middle Name First Name Suffix
Location: __________________________________________________________________
Region Province City/Municipality Barangay Purok/Zone
Sex assigned
by Birth: