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Youth Profile Questionnaire

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Youth Profile Questionnaire Respondent #: ____________

Date: ________________

TO THE RESPONDENT:
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 GATHERED FROM THIS STUDY WILL BE TREATED WITH UTMOST
CONFIDENTIALITY.

I. PROFILE

Name of Respondent: ________________________________________________________________________


Last Name Middle Name Last Name Suffix

Location: __________________________________________________________________________________
Region Province City/Municipality Baranggay Purok/Zone

Sex Assigned Male Age: ______________________ E-mail address: _____________________


by Birth:
Female Birthday: __________________ Contact #: _________________________
(dd/mm/yy)

II. DEMOGRAPHIC CHARACTERISTICS


Please put a Check mark next to the word or Phrase that matches your response.

Single Separated In school Youth


Married Annulled Youth Out of School Youth Person w/ Disability
Civil Status Classification
Widowed Unkown Working Youth Children In Conflict
Divorced Live-in Youth w/ Specific needs: w/ Law
Indigenous People
Child Youth (15-17 yrs old) Employed
Youth age Core Youth (18-24 yrs old) Unemployed
Group Young Adult (15-30 yrs old) Work Status Self-Employed
Currently looking for a Job
Not Interested Looking for a Job
Elementary Level
Elementary Grad Registered SK Yes Yes
Voter? Did you vote last
High school level No SK election? No
High school Grad
Vocational Grad Registered Yes
Educational National Voter? If Yes, Indicate
Background College Level No How many?
College Grad
Masters Level Yes
Do you already
Masters Grad have Children No
Doctorate Level If No, mark x
Doctorate Graduate

Thank you for your participation!

Name and Signature of Participant

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