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    Assignment-1 5

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    Rika Mae
    The document provides a family assessment of the Lozano family residing in Cebu City, Philippines. It details that the family has 8 members, has lived in the area for 52 years, and identifies the father as the head of the extended/nuclear Catholic family. The assessment outlines the family's demographic information, characteristics, health, economic standing, community involvement and environment.

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    Assignment-1 5

    Uploaded by

    Rika Mae
    51 views4 pages
    The document provides a family assessment of the Lozano family residing in Cebu City, Philippines. It details that the family has 8 members, has lived in the area for 52 years, and identifies the father as the head of the extended/nuclear Catholic family. The assessment outlines the family's demographic information, characteristics, health, economic standing, community involvement and environment.

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    The document provides a family assessment of the Lozano family residing in Cebu City, Philippines. It details that the family has 8 members, has lived in the area for 52 years, and identifies the father as the head of the extended/nuclear Catholic family. The assessment outlines the family's demographic information, characteristics, health, economic standing, community involvement and environment.

    Copyright:

    © All Rights Reserved
    51 views4 pages

    Assignment-1 5

    Uploaded by

    Rika Mae
    The document provides a family assessment of the Lozano family residing in Cebu City, Philippines. It details that the family has 8 members, has lived in the area for 52 years, and identifies the father as the head of the extended/nuclear Catholic family. The assessment outlines the family's demographic information, characteristics, health, economic standing, community involvement and environment.

    Copyright:

    © All Rights Reserved
    of 4

    FAMILY ASSESSMENT GUIDE

    Family Name: LOZANO Address: Gun-ob Lapu-lapu City, Cebu


    Demographic Data
    Household no. A- 14 Barangay House no.
    Family Data
    Length of Residency 52 years
    Place of Origin Cebu City
    Family size 8
    Religion
    Husband Roman Catholic
    Wife Roman Catholic
    Family Members Chart

    Relationship Educational
    Family Members Ag sex Civil Status to Family Attainment Occupation
    e Head
    Edwin Lozano 52 M Married Head High School Rent-A-Van
    Teofila Lozano 51 F Married Wife College Level Housewife
    John Kenneth Lozano 31 M Single Child College G Seaman
    Thom Edward Lozano 30 M Married Child College Level IT
    Kerwin Lozano (deceased) 29 M Single Child High School n/a
    John Carlo Lozano 20 M Single Child College Level n/a
    Princess Marie Lozano 19 F Single Child College Level n/a
    Nicole Karoline Lozano 11 F Single Child Elementary n/a

    Family Characteristics
    Types of Family Structure

    Extended Nuclear ✔
    Matriarchal Patriarchal
    Dominant Family Member
    General Family Relationship/Dynamics

    Criteria Status Additional Information


    Observable conflicts between family Often
    members
    Characteristics of communication Pluralistic
    Interaction patterns among Random
    members
    Family Dietary Habits
    What did you eat yesterday? (24 hours dietary recall)
    Breakfast rice, egg and hotdog, one apple
    Lunch rice and vegetable dish
    Supper rice and chicken
    Monthly Family Income Source
    Husband occupation
    Wife business
    Others family members
    Monthly Family Income Source
    Total 30 K
    Family Health Income Source
    Father occupation, philhealth, SSS
    Mother occupation, philhealth, SSS
    Children occupation, philhealth,
    Felt Family Needs (Identify and rank according to priority)
    1 Employment 6 Utilities
    2 Housing 7 Others
    3 Education 8 Commodities
    4 Health Insurance 9
    5 Food 10
    Home and Environment
    Is your lot owned? Yes
    Is your house owned? Yes
    Type of housing materials
    Wood makeshift

    Concrete ✔ others, specify


    Mixed
    Is the living space adequate? Yes
    What are the appliances owned by the family?
    TV, refrigerator, stove, kitchen equipments, washing machine, home appliances etc.
    Type of garbage disposal

    Collected ✔ burning
    Waste segregation burying
    Feeding to animals throw in the river/ sewer
    Open dumping others, specify
    Type of waste disposal

    Flush ✔ pit privy


    Wrap and throw others, specify
    Water-sealed
    Type of drainage system is closed
    Type of water supply

    Owned ✔ shared
    Bought others, specify
    Drinking water storage

    Refrigerated covered ✔
    Uncovered
    Containers used

    Plastic pitchers ✔ jar, clay pots


    Bottles others, specify glass
    Food storage/ cooking facilities

    Covered ✔ cabinet ✔

    Refrigerated ✔ stove ✔
    Uncovered pots/pans etc.
    Common household pests found at home? Lizard and roach
    Are there breeding sites of insects, rodents, etc. present? None
    Pets/ animals kept in the yard/home? Dog
    Are there accident hazards present? None

    Health and Health Practices


    Common illnesses encountered for the last 6 months and the treatment applied: Colds
    Whom do you consult for health – related problems?
    Manghihilot albularyo
    Midwife nurse

    Doctor ✔ health center ✔


    Barangay Health Worker others/ specify
    Immunization status of family members: Complete
    Have you had adequate?
    Rest and sleep Yes
    Exercise Yes
    Relaxation activities Yes
    Stress management activities No
    Environment

    1 Kind of neighborhood Village


    2 Social and health facilities available Health center, hospital
    3 Communication and Transportation facilities Available

    Awareness of Community Organization


    Are you aware of the existing organization in your community? Yes
    Name all the organizations you know?
    The Cynefin Group

    BADAC

    Divine Mercy Chapel Org.

    Are you a member of any of these organizations? Yes


    Are you aware of its activities and projects? Yes
    How are you involved in its activities?

    Attend meetings ✔ give donations


    Planning evaluation

    Implementation ✔ others/ specify Volunteer


    Name 5 formal and non-formal leaders of the community whom you think can lead the people.
    1 Barangay Captain
    2 Counselors
    3 Cluster Chairmans
    4 Non- profit org. Leaders
    5 Purok/ Sitio Leaders

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