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  • Household Profile Form

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Name, mother s maiden name) Please provide the names of the members of the household starting from the household head followed by spouse, son/daughter (eldest to 7 youngest), and other members of the household. 5. Relationship to Household head What is 's relationship to the household head? - Head - Spouse - Son/Daughter - Others (please specify relation i.e. grandson, first cousin, etc) 6. Sex Is male or female? Write M for Male; F for Female 2 7. Age For 0-28 day.

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How to fill out the Household Profile Form online

The Household Profile Form is a crucial document that helps in understanding the demographics and health status of household members. This guide will provide you with step-by-step instructions on how to fill out the form online accurately and efficiently.

Follow the steps to complete your Household Profile Form online.

  1. Click ‘Get Form’ button to obtain the form and open it in your preferred online editing tool.
  2. Enter the date of visit in the format mm/dd/yy in the designated field.
  3. Fill in the name of the respondent. Please include the last name, first name, and mother's maiden name.
  4. Input the NHTS Household ID Number in the provided section.
  5. List the names of all household members, starting with the household head, followed by their spouse, children (from eldest to youngest), and any other members.
  6. Indicate each member's relationship to the household head by selecting from the options provided: Head, Spouse, Son/Daughter, or Others, and specify the relation if applicable.
  7. Identify the sex of each member by writing 'M' for male or 'F' for female.
  8. Provide the age for each member. For infants or children under specific age ranges, refer to the appropriate forms mentioned in the guide.
  9. Record the birthday of each member in the format mm/dd/yy.
  10. For women aged 15-49, answer the questions regarding pregnancy status, indicating 'YES' or 'NO' as applicable, and refer to the designated forms for additional information.
  11. For members aged 10 and above, assess their health by answering questions about persistent coughing and PhilHealth enrollment status, providing appropriate responses and IDs where necessary.
  12. Finally, schedule an interview date for health planning in the designated field, using mm/dd/yy format.
  13. Once all sections are completed, save your changes and choose to download, print, or share the form, as per your needs.

Complete your Household Profile Form online today for an efficient documentation process.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232