0% found this document useful (0 votes)
317 views1 page

Page 2 Front

The document outlines a Family Risk and Vulnerability Assessment for the Pantawid Pamilyang Pilipino Program, focusing on economic and health-related risks faced by families. It includes a series of questions regarding financial hardships, asset liquidation, and health issues, along with a section for respondent details and previous service referrals. The assessment aims to identify specific vulnerabilities to provide appropriate support and interventions.

Uploaded by

linardtipagad
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
0% found this document useful (0 votes)
317 views1 page

Page 2 Front

The document outlines a Family Risk and Vulnerability Assessment for the Pantawid Pamilyang Pilipino Program, focusing on economic and health-related risks faced by families. It includes a series of questions regarding financial hardships, asset liquidation, and health issues, along with a section for respondent details and previous service referrals. The assessment aims to identify specific vulnerabilities to provide appropriate support and interventions.

Uploaded by

linardtipagad
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
You are on page 1/ 1

DEPARTMENT OF SOCIAL WELFARE AND DEVELOPMENT

Pantawid Pamilyang Pilipino Program


RISKS AND VULNERABILITIES If Yes, Check if this
None REMARKS
happened within
6 months /or 1 year ago
A. Economic
Has the family used credit or borrowed
money from non-relatives/friends to
meet specific needs such as food, medical
expenses, bereavement, etc.? (Specify the
intent for borrowing money.)
Has the family reduced budget allotment
for education and health to prioritize
other needs? (Specify the reason/s.)
Has the family sold acquired assets/goods
(such as jewelry, phone, furniture, bicycle,
motorcycle, house/lot, farm, etc.) to
augment for the basic needs? (Specify
what has been sold.)
Has the family pawned 4Ps cash card to
support daily or certain needs (i.e.,
emergency, health, etc.)? (Specify the
reason for pawning.)
Is there any family member who stopped
working? (Specify how many among
working-age members.)
Has the family experienced damage/s in
property/assets (e.g., vehicle, machinery,
a piece of land, etc.)? (Indicate reason/s
for damages.)
B. Health
Is there any family member who had a
miscarriage? (State who and if
applicable.)

FAMILY RISK AND VULNERABILITYASSESSMENT

Name of Respondent : _____________________________________________________________________


Household ID Number : _____________________________________________________________________
Position in the Family : _____________________________________________________________________
Address : _____________________________________________________________________
Contact Number : ______________________________________________________________________
Date of Interview : _______________________________________________________________________
Time Started : ______________________________________________________________________
Time Ended : _______________________________________________________________________

Has the family previously been referred to services as a result of previous assessments conducted such as GIS
and SWDI? If yes, briefly state the main reason for referral and the types of services and interventions provided,
if any. If there are too many services and interventions provided, attach the applicable progress notes.

You might also like