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SF8 Grade 1 Pre

1. The document is a nutritional status record from Minang Elementary School in Zamboanga del Norte, Philippines. It records the weight, height, body mass index, and nutritional status of 16 students in Grade 1. 2. Of the 6 boys, 1 was classified as wasted, 5 were normal, and none were overweight or obese. Of the 10 girls, 1 was wasted, 9 were normal, and none were overweight or obese. 3. The record was prepared by the school adviser Marichu B. Jalandoni and gives the class percentages for different nutritional statuses.

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72 views5 pages

SF8 Grade 1 Pre

1. The document is a nutritional status record from Minang Elementary School in Zamboanga del Norte, Philippines. It records the weight, height, body mass index, and nutritional status of 16 students in Grade 1. 2. Of the 6 boys, 1 was classified as wasted, 5 were normal, and none were overweight or obese. Of the 10 girls, 1 was wasted, 9 were normal, and none were overweight or obese. 3. The record was prepared by the school adviser Marichu B. Jalandoni and gives the class percentages for different nutritional statuses.

Uploaded by

Irish
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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Department of Education

NUTRITIONAL STATUS RECORD


Name of School MINANG ELEMENTARY SCHOOL School ID 124482 Region IX 2022
Grade Level I Section A District ROXAS I
Date of Weighing September 14, 2022 S.Y 2022 - 2023 Division ZAMBOANGA DEL NORTE

Weight (In Height (In Body


NAMES BIRTHDAY SEX
Kg) meters) Mass NS HS
Index*
1. AMANONG, DIEGO 9/21/12 M 21 1.25 13.4 Wasted NORMAL
2. BONTOC, ROMER JAMES TUYCO 4/3/15 M 25 1.19 17.7 Normal NORMAL
3. GORIAS, JAMES JAY INGGOM 12/9/15 M 20 1.1 16.5 Normal NORMAL
4. LOCQUEZ, KHENETH RENZ DIPOLOG 8/18/16 M 21 1.14 16.2 Normal NORMAL
5. PAT, KURT ARIAN NOOT 10/22/15 M 20 1.12 15.9 Normal NORMAL
6. SERENUELA, MATTHEW JESMAN 07/19/16 M 22 1.09 18.5 Normal NORMAL
1. BABAT, CHARLANE MATAO 2/28/16 F 19 1.1 15.7 Normal NORMAL
2. BANUA, CLEA JANE DALMAN 6/27/16 F 20 1.14 15.4 Normal NORMAL
3. GUINDOY, MIA JOYCE ROMAPOG 4/18/16 F 17 1.12 13.6 Normal NORMAL
4. LAGUTIN, ELAINE BARUNDAY 1/22/16 F 17 1.13 13.3 Normal NORMAL
5. LIRASAN, PRINCESS ELMIE FERMIN 7/13/15 F 16 1.12 12.8 Normal NORMAL
6. MANDIPOL, ELSIE BATAC 2/19/16 F 16 1.05 14.5 Normal STUNTED
7. MORALES, LESLEE ABBY DOLERO 5/26/16 F 17 1.2 11.8 Wasted NORMAL
8. NICOLAS, MARLYN DALUZ 4/26/16 F 20 1.2 13.9 Normal NORMAL
9. SALAPA, HANNAY SUMANDAY 5/20/16 F 18 1.11 14.6 Normal NORMAL
10 . TEMPLE, SHAMIE TIZON 4/20/16 F 11 0.77 18.6 Normal SEVERELY STUNTED

###
BOYS 6 Percentage Class Percentage ###
Severely Wasted : 0 0% Severely Wasted 0% ###
Wasted : 1 17% Wasted 13% ###
Normal : 5 83% Normal 88% ###
Overweight : 0 0% Overweight 0% ###
Obese : 0 0% Obese 0% ###
GIRLS 10 Percentage ###
Severely Wasted : 0 0% ###
Wasted : 1 10% ###
Normal : 9 90% ###
Overweight : 0 0% ###
Obese : 0 0% ###
###
Prepared by: ###
###
MARICHU B. JALANDONI ###
Adviser ###
SF 8

Department of Education
School Form 8 Learner's Basic Health and Nutrition Report (SF8)
(For All Grade Levels)

School Name MINANG ELEMENTARY SCHOOL District ROXAS I Division ZAMBOANGA DEL NORTE Region IX

School ID 124482 Grade I Section A Track/Strand (SHS) School Year 2022 - 2023

Learner's Name Nutritional Status


Birthdate Weight Height
No. LRN (Last Name, First Name, Name Age Height² (m²) BMI Height for Age (HFA) Remarks
(MM/DD/YYYY) (kg) (m) BMI Category
Extension, Middle Name) (kg/m²)
MALE
1 AMANONG, DIEGO 9/21/2012 9 21 1.25 1.56 13.44 Wasted Normal
2 BONTOC, ROMER JAMES TUYCO 4/3/2015 7 25 1.19 1.42 17.65 Normal Normal
3 GORIAS, JAMES JAY INGGOM 12/9/2015 6 20 1.1 1.21 16.53 Normal Normal
LOCQUEZ, KHENETH RENZ
4 8/18/2016 6 21 1.14 1.30 16.16 Normal Normal
DIPOLOG
5 PAT, KURT ARIAN NOOT 10/22/2015 6 20 1.12 1.25 15.94 Normal Normal
6 SERENUELA, MATTHEW JESMAN 7/19/2016 6 22 1.09 1.19 18.52 Normal Normal
12/30/1899
12/30/1899
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12/30/1899
Learner's Name Nutritional Status
Birthdate Weight Height
No. LRN (Last Name, First Name, Name Age Height² (m²) BMI Height for Age (HFA) Remarks
(MM/DD/YYYY) (kg) (m) BMI Category
Extension, Middle Name) (kg/m²)

FEMALE
1 BABAT, CHARLANE MATAO 2/28/2016 6 19 1.10 1.21 15.70 Normal Normal
4 BANUA, CLEA JANE DALMAN 6/27/2016 6 20 1.14 1.30 15.39 Normal Normal
5 GUINDOY, MIA JOYCE ROMAPOG 4/18/2016 6 17 1.12 1.25 13.55 Normal Normal
6 LAGUTIN, ELAINE BARUNDAY 1/22/2016 6 17 1.13 1.28 13.31 Normal Normal
7 LIRASAN, PRINCESS ELMIE FERMIN 7/13/2015 7 16 1.12 1.25 12.76 Normal Normal
8 MANDIPOL, ELSIE BATAC 2/19/2016 6 16 1.05 1.10 14.51 Normal Stunted
9 MORALES, LESLEE ABBY DOLERO 5/26/2016 6 17 1.20 1.44 11.81 Wasted Normal
10 NICOLAS, MARLYN DALUZ 4/26/2016 6 20 1.20 1.44 13.89 Normal Normal
11 SALAPA, HANNAY SUMANDAY 5/20/2016 6 18 1.11 1.23 14.61 Normal Normal
12 TEMPLE, SHAMIE TIZON 4/20/2016 6 11 0.77 0.59 18.55 Normal Severely Stunted
12/30/1899
12/30/1899
12/30/1899
12/30/1899
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12/30/1899
12/30/1899
12/30/1899

SUMMARY TABLE
Nutritional Status Height for Age (HFA)
Summary Table Summary Table
SEX Severely
Severely Wasted Wasted Normal Overweight Obese TOTAL Stunted Normal Tall Total
Stunted
MALE 0 1 5 0 0 6 0 0 6 0 6
FEMALE 0 1 9 0 0 10 0 1 8 0 9
TOTAL 0 2 14 0 0 16 0 1 14 0 15

Date of Assessment: Conducted/Assessed By: Certified Correct By: Reviewed By:

SFRT 2017
NUTRITIONAL STATUS (Baseline: [ ] Endline: [ ]) S.Y. : - 2022

SCHOOL :MINANG ELEMENTARY SCHOOL DISTRICT: ROXAS I, GRADE LEVEL: I

Age in Raw Ht. Div. Raw


NO. NAME OF PUPILS BIRTHDAY SEX Mos. Ht./cm. 100cm. Ht. in m2 Wt./kgs. BMI Nut. Status Ht.Status

1 . AMANONG, DIEGO 9/21/12 M 119 125 1.25 1.5625 21 13.4 Wasted NORMAL

2 . BONTOC, ROMER JAMES TUYCO 4/3/15 M 89 119 1.19 1.4161 25 17.7 Normal NORMAL

3 . GORIAS, JAMES JAY INGGOM 12/9/15 M 81 110 1.1 1.21 20 16.5 Normal NORMAL
LOCQUEZ, KHENETH RENZ
4 . DIPOLOG 8/18/16 M 72 114 1.14 1.2996 21 16.2 Normal NORMAL

5 . PAT, KURT ARIAN NOOT 10/22/15 M 82 112 1.12 1.2544 20 15.9 Normal NORMAL

6 . SERENUELA, MATTHEW JESMAN 7/19/16 M 73 109 1.09 1.1881 22 18.5 Normal NORMAL

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1 . BABAT, CHARLANE MATAO 2/28/16 F 78 110 1.1 1.21 19 15.7 Normal NORMAL

2 . BANUA, CLEA JANE DALMAN 6/27/16 F 74 114 1.14 1.2996 20 15.4 Normal NORMAL

3 . GUINDOY, MIA JOYCE ROMAPOG 4/18/16 F 76 112 1.12 1.2544 17 13.6 Normal NORMAL

4 LAGUTIN, ELAINE BARUNDAY 1/22/16 F 79 113 1.13 1.2769 17 13.3 Normal NORMAL
LIRASAN, PRINCESS ELMIE
5 FERMIN 7/13/15 F 86 112 1.12 1.2544 16 12.8 Normal NORMAL

6 MANDIPOL, ELSIE BATAC 2/19/16 F 78 105 1.05 1.1025 16 14.5 Normal STUNTED

7 MORALES, LESLEE ABBY DOLERO 5/26/16 F 75 120 1.2 1.44 17 11.8 Wasted NORMAL

8 NICOLAS, MARLYN DALUZ 4/26/16 F 76 120 1.2 1.44 20 13.9 Normal NORMAL

9 SALAPA, HANNAY SUMANDAY 5/20/16 F 75 111 1.11 1.2321 18 14.6 Normal NORMAL

10 TEMPLE, SHAMIE TIZON 4/20/16 F 76 77 0.77 0.5929 11 18.6 Normal SEVERELY STUNTED
F
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NO. of Pupils: Prepared by:


Male: 6
Female 10 MARICHU B. JALANDONI
Total: 16 Adviser

BMI: Male Female


Severely Wasted 0 0
Wasted 1 1
Normal 5 9
Overweight 0 0
Obese 0 0
Total 6 10

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