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Community Profile Assesment Tools by Real

The document is a Community Profile Assessment Tool designed to gather information about family backgrounds, structures, social services, health, sanitation, environmental concerns, and community participation. It includes sections for personal details of family members, housing tenure status, available services, and indicators of community health and environmental issues. Additionally, it seeks to identify challenges faced by the community and resources needed for improvement.

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realvillafuertendmu
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19 views2 pages

Community Profile Assesment Tools by Real

The document is a Community Profile Assessment Tool designed to gather information about family backgrounds, structures, social services, health, sanitation, environmental concerns, and community participation. It includes sections for personal details of family members, housing tenure status, available services, and indicators of community health and environmental issues. Additionally, it seeks to identify challenges faced by the community and resources needed for improvement.

Uploaded by

realvillafuertendmu
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

COMMUNITY PROFILE ASSESMENT TOOL

Name: Date:

I. Family Background
Head Family Name: Occupation: Religion: Sex:
Date of Birth: Educational Attainment: Civil Status: Age:
Dialect: Ethnicity:

Name of Age Relationship Gender Date Educational Occupation


Family to the Head (M/F) of Attainment/Highest
Members of Birth Degree
(Surname, First Household
name. M.I)
1.
2.
3.
4.
5.
6.
7.
8.
9.
II. Family Structure
Types of Family Tenure status of the housing unit
Nuclear Family ☐ Owned/Being amortization: ☐
Extended Family ☐ Rented: ☐
Blended ☐ Rent-free with consent of owner: ☐
Others, please specify: Rent-free without consent of owner: ☐
Other, please specify:

III. Social Services and Infrastructure IV. Health and Sanitation


Indicator Available? (Yes/No) Indicator Response
Health Center Yes ☐ No ☐ Access to Clean Yes ☐ No ☐
Water
Schools (Elementary, Yes ☐ No ☐ Waste Management Yes ☐ No ☐
Secondary) System
Electricity & Water Yes ☐ No ☐ Presence of Health Yes ☐ No ☐
Supply Workers
Public Transportation Yes ☐ No ☐ Common Health Specific:
Issues
Community Centers Yes ☐ No ☐
Internet Access Yes ☐ No ☐ V. Environmental Concerns
VI. Community Participation & Indicator Response
Governance
Indicator Response Presence of Flooding Yes ☐ No ☐

Participation in Local High ☐ Moderate ☐ Waste Disposal Yes ☐ No ☐


Programs Low ☐ Practices
Awareness of High ☐ Moderate ☐ Air & Water Yes ☐ No ☐
Government Programs Low ☐ Pollution
Active Barangay Yes ☐ No ☐ Others, please
Officials specify:
VII. Recommendations
1. What are the main Challenges faced by the community?

2. What resources or programs are needed for improvement?

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