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

1) The document is a School Form 8 reporting on the basic health and nutrition of 40 students at IPONAN ELEM. SCHOOL. It includes each student's name, birthdate, age, weight, height, height squared, BMI, and nutritional status. 2) A summary table shows that of the 40 students, 12 have normal nutritional status, 25 are overweight, 2 are obese, and 1 is wasted. No students are severely wasted or stunted. 3) The form was completed on June 3, 2019 by Rodgie Mae G. Llenares and certified by Elemer N. Pancho for the 2019-2020 school year.

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Roxan Dosdos
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313 views4 pages

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

1) The document is a School Form 8 reporting on the basic health and nutrition of 40 students at IPONAN ELEM. SCHOOL. It includes each student's name, birthdate, age, weight, height, height squared, BMI, and nutritional status. 2) A summary table shows that of the 40 students, 12 have normal nutritional status, 25 are overweight, 2 are obese, and 1 is wasted. No students are severely wasted or stunted. 3) The form was completed on June 3, 2019 by Rodgie Mae G. Llenares and certified by Elemer N. Pancho for the 2019-2020 school year.

Uploaded by

Roxan Dosdos
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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SF 8

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

School Name IPONAN ELEM. SCHOOL District WEST II Division CAG. DE

School ID 128003 Grade II Section YAKAL Track/Strand (SHS)

Learner's Name Nutritiona


Birthdate Weight Height Height²
No. LRN (Last Name, First Name, Age BMI
(MM/DD/YYYY) (kg) (m) (m²)
Name Extension, Middle Name) (kg/m²)

1 128003170048 ADAYA, WARREN, BERRO 02/16/2012 7 19.50 1.17 1.37 14


2 405216170077 ALBURO, JUAN PHOENIX, PIZAŇA 11/7/2011 7 22.00 1.27 1.61 13
3 128003170191 AVANCEŇA, DEAN EZECKIEL 9/12/2011 7 19.00 1.21 1.46 12
4 127995170099 DAQUIO, PRINCE LAURENCE, CASTRO 7/7/2012 6 17.00 1.13 1.28 13
5 127998170188 DONQUE, IAN, RODRIGUEZ 8/5/2012 7 17.00 1.15 1.32 12
6 127998170189 DONQUE, IVAN, RODRIGUEZ 8/5/2012 7 17.00 1.15 1.32 12
7 128003170047 EBARAT, ABDULL FAIZ DANIEL 3/6/2012 7 16.00 1.14 1.30 12
8 128003170001 EGAR, MENDEL HANIEL, ALMONTE 11/25/2011 7 44.50 1.31 1.72 25
9 128003170203 LUCMAN, JASZIM, BASCARA 11/30/2011 7 17.00 1.13 1.28 13
10 128003170049 MABAYLAN, JHUAN CARLOS GUERRERO 6/12/2011 8 17.50 1.14 1.30 13
11 128003 MAQUILING, CHRIS JOHN 04/29/2011 8 21.00 1.20 1.44 14
12 128003170050 MASLOG, KIRBY SEBASTIAN, APOSTOL 12/28/2011 7 20.00 1.18 1.39 14
13 128003170051 PALMA, RON MICHAEL GALLER 9/6/2012 6 23.00 1.20 1.44 15
14 128000170043 SABANTO, CARLOS JAN, NATURAL 01/14/2012 7 17.50 1.18 1.39 12
15 128003170052 SARAUS, JAMES, GONZALES 10/24/ 2011 7 23.50 1.31 1.72 13
16 462066160003 TENESTRANTE, HEZEKIAH, GOMONIT 11/30/2011 7 35.50 1.30 1.69 21
17 128003160121 VASQUEZ, ALEZANDRO, NARISMA 10/11/2010 8 25.00 1.26 1.59 15
18 127998170137 ABUJUELA, JASMINE, JALINA 10/3/2012 7 18.50 1.15 1.32 13
19 462066160017 ARBES, GRACE ANGELIE, SALCEDA 04/29/2011 8 20.00 1.21 1.46 13
20 128003170054 BOLES, GERMAINE FAYE 11/11/2011 7 20.00 1.20 1.44 13
21 CANTONEROS, PRINCESS RYVER JEEN ABALOS 3/12/2010 8 26.00 1.34 1.80 14
22 128003170056 DICAP, TRISHA MAE, QUIMPANG 12/16/2011 7 22.00 1.26 1.59 13
23 128000170046 ESTANIEL, KIRSTEN BROOKE 2/5/2012 7 16.50 1.15 1.32 12
24 127839170194 FLORES, SHEMAIAH SHEERA, YAŇEZ 8/11/2011 7 18.50 1.14 1.30 14
25 128003170168 GACASAN, ERIKA GRACE, EDROLIN 06/14/2012 6 19.50 1.20 1.44 13
26 128003170155 GUINGAB, CHARISSE ABEGAIL, CABANADA 08/17/2012 6 22.00 1.18 1.39 15
27 128003170159 GUZMANA, JULIA ANTONY 2/12/2011 7 20.00 1.21 1.46 13
28 128003170167 IPULAN, FERGIE, GANOB 12/10/2011 7 15.50 1.14 1.30 11
29 128003170059 JACOT, JAIRA, RODRIGUEZ 06/26/2012 7 15.00 1.13 1.28 11
30 1280031701778 LEGASPI, RHEANA ANDREA, OBSIOMA 11/17/2011 7 15.50 1.13 1.28 12
31 128003170226 MUA, ALIAH 10/10/2011 7 17.50 1.28 1.64 10
32 OBERA, JANELLE, BORRES 01/20/2012 7 23.50 1.26 1.59 14
33 128003170192 PAYLA, MARIA NOREEN 06/19/2012 6 23.50 1.25 1.56 15
34 128003170061 RAGAS, ENCES JULIAN, GANANCIAL 2/12/2011 7 18.50 1.17 1.37 13
35 TABADA, JULIA, DEJADENA 11/23/2010 8 23.00 1.28 1.64 14
36 128003170057 TOLENTINO, SOFIA, GELSANO 08/17/2012 6 20.00 1.17 1.37 14
37 128003170034 TOLOMIA, COLEEN GRACE, NORIGA 08/23/2012 6 15.50 1.17 1.37 11
Learner's Name Nutritiona
Birthdate Weight Height Height²
No. LRN (Last Name, First Name, Age BMI
(MM/DD/YYYY) (kg) (m) (m²)
Name Extension, Middle Name) (kg/m²)
38 128003170064 VILLANUEVA, DAFNEY FAITH 4/7/2012 6 14.50 1.11 1.23 11
39 405191160004 YANA, SHANE ASHLEY, VALLEJERA 12/10/2011 7 15.00 1.13 1.28 11
40 128003170062 YBAŇEZ, MA. DOROTHY BELLE, CUPAS 05/26/2012 7 21.00 1.20 1.44 14

SUMMARY TABLE
Nutritional Status He
Summary Table
SEX Severely Severely
Wasted Normal Overweight Obese TOTAL Stunted Normal
Wasted Stunted
MALE 0 5 10 2 17 0 0 17
FEMALE 0 7 16 0 23 0 0 23
TOTAL 0 12 25 2 40 0 0 40

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


JUNE 3, 2019 RODGIE MAE G. LLENARES ELEMER N. PANCHO
G. DE ORO Region X

School Year 2019-2020

ional Status
Height for
BMI Remarks
Age (HFA)
Category

Normal Normal
Normal Normal
Wasted Normal
Normal Normal
Wasted Normal
Wasted Normal
Wasted Normal
Obese Normal
Normal Normal
Normal Normal
Normal Normal
Normal Normal
Normal Normal
Wasted Normal
Normal Normal
Obese Normal
Normal Normal
Normal Normal
Normal Normal
Normal Normal
Normal Normal
Normal Normal
Normal Normal
Normal Normal
Normal Normal
Normal Normal
Normal Normal
Wasted Normal
Wasted Normal
Wasted Normal
Wasted Normal
Normal Normal
Normal Normal
Normal Normal
Normal Normal
Normal Normal
Wasted Normal
ional Status
Height for
BMI Remarks
Age (HFA)
Category
Wasted Normal
Wasted Normal
Normal Normal

Height for Age (HFA)


Summary Table
Tall Total

0 17
0 23
0 40

Reviewed By:
GEMMA ETHEL B. ONG, Ph.D.

SFRT 2017

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