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QUESTIONNAIRE

Name: _______________________________ Address: _____________________________

Age: ____ Sex: ______________

Phone No.: _____________

1. Sa imohang kinabuhi karon, unsa ang mga pinadako na problema na imohang gina-agian? Palihug ug
sulat ug lima (5), numero 1 and pinaka-lisud, and so on and so forth, ug ngano man?

Problema (in order sa kalisud) Ngano man (Why?)

a. _______________________________________ _____________________________
b. _______________________________________ _____________________________
c. _______________________________________ _____________________________
d. _______________________________________ _____________________________
e. _______________________________________ _____________________________

2. Unsa ang epekto sa imong pagkatao niining mga suliran?

a. ____________________________________________________________________________

b. ____________________________________________________________________________
c. ____________________________________________________________________________

d. ____________________________________________________________________________

e. ____________________________________________________________________________

3. Unsa dapat bag-ohon para dili mahitabo ang problema?

_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________.

4. Sa imong tan-aw, unsay pwede mahimo sa uban para matabangan ka?

a.____________________________________________________________________________

b.____________________________________________________________________________

c.____________________________________________________________________________

d.____________________________________________________________________________

e.____________________________________________________________________________

5. Sa imong huna-huna, unsa imo mahimo para malikayan o masolusyunan kining mga suliran?

_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________.

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