Family structure, Characteristics, and Dynamics 1. Members of the household and relationship to the head of the family 2. Demographic data age, sex, civil status, position in the family 3. Place of residence of each member whether living with the family or elsewhere 4. Type of family structure e.g. matriarchal or patriarchal, nuclear or extended 5. Dominant family members in terms of decision-making, especially in matters of health care 6. General family relationship/dynamics presence of any readily observable conflict between members; characteristics communication patterns among members Socio-economic and Cultural Characteristics 1. Income and Expenses Occupation, place of work and income of each working members Adequacy to meet basic necessities Who makes decisions about money and how it is spent 2. Educational attainment of each other 3. Ethnic background and religious affiliation 4. Significant Others role(s) they play in familys life 5. Relationship of the family to larger community Nature and extent of participation of the family in community activities Home and Environment 1. Housing Adequacy of living peace Sleeping arrangement Presence of breeding or resting sites of vectors of diseases Presence of accidents hazards Food storage and cooking facilities Water supply source, ownership, portability Toilet facility type, ownership, sanitary condition Drainage system type, sanitary condition 2. Kind of neighborhood, e.g. congested, slum, etc. 3. Social and health facilities available 4. Communication and transportation facilities available Health Status of each Family Member 1. Medical and nursing history indicating current or past significant illnesses or beliefs and practices conducive to health illness 2. Nutritional assessment Anthropometric data: Measures of nutritional status of children, weight, height, mid-upper arm circumference: Risk assessment measures of obesity: body mass index, waist circumference, waist hip ratio Dietary history specifying quality and quantity of food/nutrient intake per day Eating/ feeding habits/ practices 3. Developmental assessments of infants, toddlers, and preschoolers e.g., Metro Manila 4. Risk factor assessment indicating presence of major and contributing modifiable risk factors for specific lifestyles, cigarette smoking, elevated blood lipids, obesity, diabetes mellitus, inadequate fiber intake, stress, alcohol drinking and other substance abuse 5. Physical assessment indicating presence of illness state/s 6. Results of laboratory/ diagnostic and other screening procedures supportive of assessment findings Values, Habits, Practices on Health Promotion, Maintenance and Disease Prevention. Examples include: 1. Immunization status of family members 2. Healthy lifestyle practices. Specify. 3. Adequacy of: rest and sleep exercise use of protective measures- e.g. adequate footwear in parasite- infested areas; relaxation and other stress management activities 4. Use of promotive-preventive health services