2009 Family Income and Expenditure Survey
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Confidentiality: FIES FORM 1 (2009) This survey is authorized by Commonwealth Act No. 591. NSCB Approval No. All data obtained cannot be used for taxation, investigation Expires ` or enforcement purposes. REPUBLIC OF THE PHILIPPINES NATIONAL STATISTICS OFFICE MANILA 2009 FAMILY INCOME AND EXPENDITURE SURVEY (FIRST VISIT – JULY 2009) A. IDENTIFICATION AND OTHER INFORMATION Name of Respondent: Geographic Identification Codes Line No. Province Name of Household Head: Address: Mun/City Interview Status (Encircle appropriate code and enter in the box provided) Bgy 1 Completed Interview 2 Refusal EA ……………..…………………… 3 Temporarily away/ Not at home/ On vacation SHSN ……………………………….. 4 Vacant housing unit 5 Housing Unit demolished, destroyed by fire, typhoon, etc. HCN ………………………………… 6 Others, specify ________________________ Design Codes 7 Critical area, flooded area Replicate ……………………,.…………………. Household Auxiliary Information (Encircle appropriate code and enter in the box provided) Stratum……………………….….. 1 Household same as in previous quarter, GO TO QUESTION A PSU No. ……………………….…. 2 New occupant of old sampled housing unit, PROCEED WITH INTERVIEW Rotation Group ………………….…………… 3 Rotated household, PROCEED WITH INTERVIEW Number of Households in the Housing Unit ……… A. Is/Are there any household member/s who moved out of the household? 1 Yes 2 No, GO TO B Certification If Yes, how many? I hereby certify that the data gathered in this questionnaire Death were obtained/reviewed by me personally and in accordance with instructions. Marriage Job Studies Signature Over Printed Name of Interviewer Date Accomplished Others, specify ______________________ B. Is/are there any new member/s of this household? 1 Yes 2 No Signature Over Printed Name of Reviewer Date Reviewed REF NO Z201 3 B. PARTICULARS ABOUT THE FAMILY COPY FROM ISH FORM 2 ITEMS 1(a) to 1(d) [ JULY 2009 ] 1 0 1 1. Particulars about the Head of the Family: a. Sex: 1 - Male 2 - Female . b. Age: . c. Marital Status: . d. Highest Grade Completed: . e. Have a job/business during the past six months? 1 - YES 2 - NO, GO TO 2 f. Occupation: _____________________________________________ g. Kind of Business/Industry: _________________________________ h. Class of Worker: _________________________________________ 2. Others: a. Type of Household: 1 - Single Family 2 - Extended Family 3 - Two or More Non-related Families/Persons b. Total number of family members enumerated (excluding overseas Filipinos with codes “1” to “4”) i) less than 1 year old . ii) 1 - 6 years old . iii) 7 - 14 years old . iv) 15 - 24 years old . v) 25 - 59 years old …….. vi ) 60 years old and over………………………………………………… c. Number of boarders, domestic helpers and non-relatives enumerated d. Number of family members including the head who were employed for pay or profit during the past six months (excluding unpaid family worker) e. Was the spouse of the family head employed for pay or profit during the past six months? 1 - YES 2 - NO 3 - NOT APPLICABLE INSTRUCTIONS TO INTERVIEWERS: UNLESS INSTRUCTED OTHERWISE, ALL ITEMS SHOULD BE ANSWERED BY ANY MEMBER OF THE HOUSEHOLD WHO IS RESPONSIBLE IN THE MANAGEMENT OF THE HOUSEHOLD FINANCES. WRITE IN ENTRIES OR ENCIRCLE APPROPRIATE CODES. 4 REF NO Z301 PART II - EXPENDITURES AND OTHER DISBURSEMENTS A. FOOD, ALCOHOLIC BEVERAGES AND TOBACCO A1. FOOD CONSUMED AT HOME A1.1. CEREALS AND CEREAL PREPARATIONS (a) During the PERIOD SPECIFIED, did you or any member of your family consume cereals and cereal preparations? 1 - YES 2 - NO, GO TO PAGE 6 (A1.2) (b) On the AVERAGE, how much is your WEEKLY consumption of the following? [ JANUARY - JUNE 2009 ] 1 1 1 Unit VALUE CONSUMED ( P ) Quantity Item Code Price In Cash/ Consumed Total In Kind ( P ) On Credit 1. Rice 111100 XXXXXXX XXXXX _ _ _ _ . _ _ _ _ . _ _ _ _ _ st a. Special, 1 class 111110 ______kg ______ ______. ______. _______ (Wagwag, San Jose, Dinorado, Milagrosa, Reminad, etc.) b. Ordinary, Commercial 111120 ______kg ______ ______. ______. _______ (C-4, IR-36, IR-42, IR-60) c. NFA rice 111130 ______kg ______ ______. ______. _______ d. Others, specify ____________ 111140 ______kg ______ ______. ______. _______ (Malagkit, Brown rice, etc.) 2. Corn 111200 XXXXXXX XXXXX _ _ _ _ . _ _ _ _ . _ _ _ _ _ a. Corn on the cob 111201 _____pcs ______ ______. ______. _______ b. Whole grain 111202 _____ kg ______ ______. ______. _______ c. Milled, corn grits 111203 _____ kg ______ ______. ______. _______ 3. Bread 111300 XXXXXXX XXXXX _ _ _ _ . _ _ _ _ . _ _ _ _ _ a. Loaf ( sliced bread ) 111301 _______ g ______ ______. ______. _______ b. Pandesal 111302 _____ pcs ______ ______. ______. _______ c. Others, specify ______ (monay, 111303 ________ ______ ______. ______. _______ mamon, doughnut, monggo bread etc) 4. Biscuits 111400 ______ g ______ _ _ _ _ . _ _ _ _ . _ _ _ _ _ COMPUTATIONS/REMARKS: REF NO Z309 5 A1.1 CEREALS AND CEREAL PREPARATIONS (continued) (b) On the AVERAGE, how much is your WEEKLY consumption of the following? [ JANUARY – JUNE 2009 ] 1 1 1 Unit VALUE CONSUMED ( P ) Quantity Item Code Price In Cash/ Consumed Total In Kind ( P ) On Credit 5. Flour 111500 XXXXXXX XXXXX _ _ _ _ . _ _ _ _ . _ _ _ _ _ _ _ _ a. All-purpose (wheat) 111501 ______ kg _____ ______ . ______ . ____________ b. Cake flour 111502 ______ kg _____ ______ . ______ . ____________ c. Others (Cassava Flour, Corn 111503 ______ kg _____ ______ . ______ . ____________ Flour, Banana Flour, etc.)____ 6. Native cakes ( Bibingka, Biko, Suman, Puto, etc. ) 111600 ______ g _____ _ _ _ _ . _ _ _ _ . _ _ _ _ _ _ _ _ 7. Noodles/Pasta ( Bijon, Miki, Misua, Sotanghon, Macaroni, etc. ) 111700 ______ kg _____ _ _ _ _ . _ _ _ _ . _ _ _ _ _ _ _ _ 8. Other cereal preparations 111800 XXXXXXX XXXXX _ _ _ _ . _ _ _ _ . _ _ _ _ _ _ _ _ a. Infant cereal 111801 _______ g _____ ______ . ______ . ____________ b. Ready-mixed instant noodles 111802 _______ g _____ ______ . ______ . ____________ c. Cereal based junk foods 111803 _______ g _____ ______ . ______ . ____________ ( Chippy, etc. ) d. Others (champorado, ampaw, 111804 _______ _____ ______ . ______ . ____________ oatmeal, popcorn, hotcake mix, cornflakes, etc) _____________ TOTAL 111990 XXXXXXX XXXX ====== . ====== . ============ TOTAL CASH X 26 111000 XXXXXXX XXXX XXXXXXXXX ========== XXXXXXXXX COMPUTATIONS/REMARKS: 6 REF NO Z401 A1.2 ROOTS AND TUBERS (a) During the PERIOD SPECIFIED, did you or any member of your family consume roots and tubers and their preparations? 1 – YES 2 – NO, GO TO NEXT PAGE(A1.3) (b) On the AVERAGE, how much is your WEEKLY consumption of the following? [ JANUARY – JUNE 2009 ] 1 2 1 Unit VALUE CONSUMED ( P ) Quantity Item Code Price In Cash/ Consumed Total In Kind ( P ) On Credit 1. Potato 112100 _____ kg ______ _ _ _ _ . _ _ _ _ . _ _ _ _ _ _ 2. Cassava 112200 _____ kg ______ _ _ _ _ . _ _ _ _ . _ _ _ _ _ _ 3. Sweet Potato (camote) 112300 _____ kg ______ _ _ _ _ . _ _ _ _ . _ _ _ _ _ _ 4. Gabi 112400 _____ kg ______ _ _ _ _ . _ _ _ _ . _ _ _ _ _ _ 5. Other roots and tubers Including preparations 112500 XXXXXXX XXXXX _ _ _ _ . _ _ _ _ . _ _ _ _ _ _ a. Ubi 112501 _____ kg ______ ______. ______. ________ b. Tugui 112502 _____ kg ______ ______. ______. ________ c. Cassava cake 112503 _____ pcs ______ ______. ______. ________ d. Haleya 112504 _____ pcs ______ ______. ______. ________ e. Potato chips 112505 ______ g ______ ______. ______. ________ f. Others (camote cue, yakun, 112506 _______ ______ ______. ______. ________ boiled camote/cassava, etc.)_____________________ TOTAL 112990 XXXXXXX XXXXX ======. ======. ========= TOTAL CASH X 26 112000 XXXXXXX XXXXX XXXXXXXX ========= XXXXXXXX COMPUTATIONS/REMARKS: REF NO Z407 7 A1.3 FRUITS AND VEGETABLES (a) During the PERIOD SPECIFIED, did you or any member of your family consume fruits and vegetables? 1 – YES 2 – NO, GO TO NEXT PAGE 9 (A1.4) (b) On the AVERAGE, how much is your WEEKLY consumption of the following? [ JANUARY– JUNE 2009 ] 1 2 1 Unit VALUE CONSUMED ( P ) Quantity Item Code Price In Cash/ Consumed Total In Kind ( P ) On Credit 1. Fresh fruits 113100 XXXXXXX XXXXX _ _ _ _ . _ _ _ _ . _ _ _ _ _ _ a. Banana 113101 _______ kg _____ ______. ______. _________ b. Citrus fruits (dalandan, 113102 _______ kg _____ ______. ______. _________ kalamansi, orange, etc.) c. Mango 113103 _______ kg _____ ______. ______. _________ d. Papaya 113104 ______ pcs _____ ______. ______. _________ e. Others (apple, grapes, melon 113105 _______ _____ ______. ______. _________ avocado, mangosteen, etc____ 2. Fresh vegetables a. Leafy vegetables 113210 XXXXXXX XXXXX _ _ _ _ . _ _ _ _ . _ _ _ _ _ _ a.1 Cabbage 113211 _______ kg _____ ______. ______. _________ a.2 Camote tops, kangkong 113212 ___ bundle _____ ______. ______. _________ a.3 Malunggay leaves 113213 ___ bundle _____ ______. ______. _________ a.4 Pechay 113214 ___ bundle _____ ______. ______. _________ a.5 Others (ampalaya leaves, alogbati, gabi leaves, chayote/ 113215 _______ _____ ______. ______. _________ squash tops, etc.) ___________ b. Fruit vegetables 113220 XXXXXXX XXXXX _ _ _ _ . _ _ _ _ . _ _ _ _ _ _ b.1 Ampalaya 113221 _______ kg _____ ______. ______. _________ b.2 Eggplant 113222 _______ kg _____ ______. ______. _________ b.3 Okra 113223 ___ bundle _____ ______. ______. _________ b.4 Tomato 113224 _______ kg _____ ______. ______. _________ b.5 Others (squash, kamansi, chayote, malunggay fruit, etc.) 113225 _______ _____ ______.