Scribd
Upload
30 views4 pages

KK Profiling Forms

Uploaded by

kennethborja438
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
30 views4 pages

KK Profiling Forms

Uploaded by

kennethborja438
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/ 4

ANNEX 2

INFORMED CONSENT
Title of Research
Katipunan ng Kabataan Profiling (KK Profiling)

Consulting Agency
National Youth Commission (NYC)
Quezon City, Philippines

1. Purpose of the Study


The Profiling aims to gather the information and data of the Katipunan ng
Kabataan members. The information that will be gathered in the KK Profiling
will be stored to the upcoming SK Portal and will only be used for the purpose
of database management handled by the National Youth Commission.

2. Terms and Duration of Participation


You are asked to join the study as a participant in the KK Profiling. The
conduct of the profiling will take 2 to 3 hours per Barangay; the data will
serve as an updated National database of the Katipunan ng Kabataan
members in the Philippines.

3. Risks/Confidentiality
Your participation in the study will be treated with utmost confidentiality. Any
information collected from you will be used in the Database management.
Also, your safety is our primary concern. The profiling ensures that there will
be no risk to encounter during the process of data collection.

4. Compensation
The activity is in accordance with RA No. 10742 and the policy/guidelines of
the Department of Interior and Local Government and the National Youth
Commission. There will be no monetary remuneration other than our
sincerest gratitude for your time and effort. Your participation will be highly
appreciated.

5. Inquiries
If you have any question/s on the administration of the survey question or the
study in general, please do not hesitate to contact the research proponent
through the following information:

______________________________________
SK Secretary

Confirmation
Name of Respondent: _________________________
Signature: _________________________
Date: _________________________
Contact Information _________________________
ANNEX 3
KK Survey 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 THE INFORMATION GATHERED FROM THIS STUDY WILL BE TREATED WITH UTMOST CONFIDENTIALITY.

I. PROFILE
Name of Respondent:
_______________________________________________________________________

First Name Middle Name Last Name Suffix


Location: _________________________________________________________________________________
Region Province City/Municipality Barangay Purok/Zone

Sex Assigned by Birth:


Male

Female
Age: ____________________

Birthday: ________________ (dd/mm/yyyy)


Email Address: _________________________ Contact #: _____________________________

II.DEMOGRAPHIC CHARACTERISTICS
Please put a CHECK mark next to word or phrase that matches your
response.

Civil
Status

Single
Married Widowed Divorced
Separated Annulled Unknown Live-in

Youth
Classification
In School Youth
Out of School Youth Working Youth
Youth w/ Specific Needs:

Person w/ Disability Children in Conflict w/ Law


Indigenous People

Youth Age
Group
Child Youth (15-17 yrs old) Core Youth (18-24 yrs old) Young Adult (25-30 yrs old)

Elementary Level

Work Status

Employed
Unemployed
Self-employed
Currently looking for a job Not interested in looking for a job

Educational Background

Elementary Graduate High School Level High School Graduate Vocational Grad

College Level
College Grad
Masters Level

Masters Grad

Registered SK Voter?

Registered
National Voter? Have you

YES NO

YES NO

YES

Did you vote last SK election?

If YES, how
many times?

YES
NO

1-2 times 3-4 times 5 and above


Doctorate Level Doctorate Grad

already attended a KK assembly?


NO
If NO, Why? There was no KK Assemble Meeting

Not interested to
attend

Thank you for your participation!

Name and Signature of Participant

You might also like