BNS Form N1
BNS Form N1
BNS Form N1
________
Barangay _________, BULUSAN, SORSOGON
Barangay: City/Municipality:Bulusan Province: Sorsogon
Number of Puroks:
Indicator Number
1. Total Population
2. Number of Households
a. Male
b. Female
a. Pregnant
b. Lactating
5. Total number of household with preschool children aged 0-59 months old
b. Number and Percent (%) of preshool children according to Nutritional Status No. %
1. Severely Underweight
2. Underweight
3. Normal weight
4. Severely Wasted
5. Wsated
6. Overweight
7. Obese
8. Severely Stunted
9. Stunted
13. Total number of families with severely wasted and wasted preschool children
14. Total number of families with stunted and severely stunted preschool children
18. Total number of School children weighed at the start of the school year
20. Number and percent (%) of school children according to the Nutriritonal Status
a. Severely Wasted
b. Wasted
c. Normal
d. Overweight
e. Obese
a. Water-sealed toilet
c. No toilet
c. Other, specify
c. Mineral Water
d. Other specify
a. Vegetable garden
b. Livestock/Poultry
c. Fishpond
a. Concrete
b. Semi-Concrete
c. Wood
d. Makeshift/Barong-barong
33. Total number of Botika sa Barangay (only those who passed the req.)