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1. How to Use
This sheet will serve as your guide!
2. Automatic computation and summary of BMI and HFA by grade level!
I just hope this program will be of great help to whoever will use it!
RASEN SOON
Dental Aide
HNS, Division of Zamboanga Sibugay
rasensoon69@gmail.com
he section.
nused rows can be
e.
re sheet 1 or after
Grade Level: 10
MALE TOTAL FEMALE TOTAL Summary
Enrolment #NAME? Enrolment 71 #NAME?
Severely Wasted 0 Severely Wasted 0 0
Wasted 7 Wasted 9 16
Normal 51 Normal 62 113
Overweight 0 Overweight 0 0
Obese 0 Obese 0 0
Note: Always put the first and last sheet on their proper places or else,
data from the sheets beyond the last sheet will not be included here!
SF 8
Department of Education
School Form 8 Learner's Basic Health and Nutrition Report (S
(For All Grade Levels)
School Name Payao National High School District Payao Division Zamboanga
FEMALE
1 125751080001 Abilay, Leola 6/12/2003 14 45 1.55 2.4025 18.70
2 125765080002 Anojada, Jaesel 7/15/2003 14 38 1.5 2.2500 16.80
3 Aranan, Almaida 7/22/2002 15
Learner's Name Nutritional
Birthdate Weight Height Height²
No. LRN (Last Name, First Name, Name Age BMI
(MM/DD/YYYY) (kg) (m) (m²)
Extension, Middle Name) (kg/m²)
4 125774070026 Bayhonan, Danny Ann 11/30/2002 15 44 1.53 2.3409 18.70
5 125774080035 Casol, Jelene 12/11/2001 16 36 1.55 2.4025 14.90
6 125774080036 Castillo, Regine 7/20/2003 14 44 1.56 2.4336 18.00
7 125774080037 Chiong, Chiara Mae 3/10/2003 15 43 1.49 2.2201 19.30
8 125758080006 Dacula, Farhanie 9/5/2001 16 47 1.58 2.4964 18.80
9 125774080047 Dawa, Mae Amor 12/15/2001 16 45 1.52 2.3104 19.40
10 125779080014 Isa, Shamandura Harlin 8/6/2003 14
11 125774080064 Jami, Kaina 9/13/2002 15 37 1.46 2.1316 17.30
12 125774070080 Ladja, Almina 7/19/2000 17 49 1.53 2.3409 20.90
13 125758080010 Ladja, Kresma 12/25/2000 17 50 1.6 2.5600 19.50
14 125765080016 Limpag, Roselyn 10/14/2001 16 50 1.51 2.2801 21.90
15 125774080088 Manila, janyne Czar Althea 1/16/2003 15 54 1.48 2.1904 24.60
16 125682120060 Masdal, Jamda 5/4/2001 17 50 1.54 2.3716 21.00
17 125774070097 Miparanum, Emarie Jae 12/13/2000 17 50 1.54 2.3716 21.00
18 125774080112 Omondang, Cristine 7/9/2003 14 48 1.51 2.2801 21.00
19 125774080118 Porio, Argen Mae 3/11/2003 15 39 1.5 2.2500 17.30
20 125774080125 Quirante, Meky Nurwina 3/17/2002 16 44 1.56 2.4336 18.00
21 125774080138 Salem, Farhana 2/13/2003 15 37 1.43 2.0449 18.00
22 125793080030 Sanico, Yandelle 12/7/2003 14 44 1.56 2.4336 18.00
23 125774080154 Sarangan, Hanalyn 5/27/2001 17 39 1.5 2.2500 17.30
24 12577408155 Sarapin, Napisa 6/3/2002 16 37 1.5 2.2500 16.40
25 125765080023 Tachado, Wellah Mae 6/4/2003 15 47 1.57 2.4649 19.00
26 125774080162 Teope, Ledes 7/18/1999 18
27 125758080014 Usman, Menona 1/26/1999 19 50 1.55 2.4025 20.80
28 125774080168 Velarde, Melqui 10/19/2001 16 42 1.52 2.3104 18.10
SUMMARY TABLE
Nutritional Status H
SEX Severely Severely
Wasted Normal Overweight Obese TOTAL Stunted Normal
Wasted Stunted
MALE 0 1 14 0 0 15 0 5 9
FEMALE 0 1 24 0 0 25 0 3 21
TOTAL 0 2 38 0 0 40 0 8 30
Date of Assessment: Conducted/Assessed By: Certified Correct By:
rasensoon69@gmail.com
n Report (SF8)
Nutritional Status
Remarks
Height for Age (HFA)
BMI Category
Date of Weighing:
06/05/2018
Normal Stunted
Normal Normal
Normal Normal
Normal Normal
Normal Normal
Normal Normal
Normal Normal
Normal Stunted
Normal Normal
Normal Normal
Normal Stunted
Wasted/U Stunted
Normal Adult
Normal Stunted
Normal Normal
Normal Normal
Normal Normal
Nutritional Status
Remarks
Height for Age (HFA)
BMI Category
Date of Weighing:
Normal Normal
Wasted/U Normal
Normal Normal
Normal Normal
Normal Normal
Normal Normal
Normal Stunted
Normal Normal
Normal Normal
Normal Normal
Normal Stunted
Normal Normal
Normal Normal
Normal Normal
Normal Normal
Normal Normal
Normal Stunted
Normal Normal
Normal Normal
Normal Normal
Normal Normal
Normal Adult
Normal Normal
0 1 15
0 1 25
0 2 40
Reviewed By:
SFRT 2017
SF 8
Department of Education
School Form 8 Learner's Basic Health and Nutrition Report (S
(For All Grade Levels)
School Name PAYAO NATIONAL HIGH SCHOOL District PAYAO Division ZAMBOANGA
FEMALE
1 125774060024 BATIANCELA, MELANIE C. 8/23/2000 17 50 1.52 2.3104 21.60
2 125751060006 BAYLON, CHRISTINE B. 10/24/1999 18 42 1.55 2.4025 17.40
3 125774060040 CHIONG, ANGEL PEARL C. 10/24/2000 17 41 1.5 2.2500 18.20
Learner's Name Nutritional
Birthdate Weight Height Height²
No. LRN (Last Name, First Name, Name Age BMI
(MM/DD/YYYY) (kg) (m) (m²)
Extension, Middle Name) (kg/m²)
4 125758060003 DACULA, JACKIA M. 4/21/2000 18 49 1.5 2.2500 21.70
5 509031501099 DAVALOS, FREDELYN C. 4/16/1992 26 40 1.55 2.4025 16.60
6 125535060011 DIAS, JHEHAN A. 2/14/2000 18 55 1.56 2.4336 22.60
7 125765060014 GORGONIO, ROSEJEAN S. 5/24/2000 18 56 1.53 2.3409 23.90
8 125774060054 HAJIHIL, ASMAIN S. 9/23/2000 17 41 1.59 2.5281 16.20
9 125774060025 JUANILLO, RADSMA A. 5/13/2000 18 39 1.55 2.4025 16.20
10 303856111650 LAURENTE, SHIELA A. 6/1/2001 17 40 1.5 2.2500 17.70
11 125774060077 MALUBA, NURMINA A. 7/5/2001 16 41 1.55 2.4025 17.00
12 125774050072 MUTYA, MARY-ANN D. 2/21/1999 19 40 1.49 2.2201 18.00
13 125774060093 PACLIBAR, MAE S. 5/8/2000 18 49 1.59 2.5281 19.30
14 125765060019 PATATAG, RECHIL P. 12/12/2000 17 49 1.46 2.1316 22.90
15 125765060021 PERES, MELISSA JEAN G. 12/23/1999 18 50 1.55 2.4025 20.80
16 125774060136 SAAVEDRA, NURSHAINA M. 1/2/2001 17 41 1.52 2.3104 17.70
17 126097121838 SAID, RUHILMINA E. 7/7/2001 16 40 1.46 2.1316 18.70
18 125774060112 SAILILA, JIHADA S. 2/28/2001 17 47 1.59 2.5281 18.50
19 125774060022 SAMOSA, ANGEL 7/27/1998 19 44 1.57 2.4649 17.80
20 125758050009 SABTORIA, USMAN C. 5/15/1999 19 42 1.52 2.3104 18.10
21 125774060061 HUSSIN, AISA P. 8/1/1998 19 52 1.55 2.4025 21.60
22 125774060098 PEDREGOSA, DANICA A. 4/26/2001 17 53 1.58 2.4964 21.20
SUMMARY TABLE
Nutritional Status H
SEX Severely Severely
Wasted Normal Overweight Obese TOTAL Stunted Normal
Wasted Stunted
MALE 0 1 22 0 0 23 0 3 13
FEMALE 0 5 17 0 0 22 0 2 16
TOTAL 0 6 39 0 0 45 0 5 29
Date of Assessment: Conducted/Assessed By: Certified Correct By:
rasensoon69@gmail.com
n Report (SF8)
Nutritional Status
Remarks
Height for Age (HFA)
BMI Category
Date of Weighing:
06/05/2018
Normal Stunted
Normal Adult
Normal Normal
Normal Normal
Normal Stunted
Normal Normal
Normal Normal
Normal Normal
Normal Normal
Normal Adult
Normal Normal
Normal Normal
Normal Normal
Normal Adult
Normal Adult
Normal Adult
Wasted/U Adult
Normal Normal
Normal Normal
Normal Stunted
Normal Normal
Normal Adult
Normal Normal
Normal Normal
Normal Normal
Normal Normal
Nutritional Status
Remarks
Height for Age (HFA)
BMI Category
Date of Weighing:
Normal Normal
Wasted/U Adult
Normal Normal
Normal Normal
Wasted/U Normal
Wasted/U Normal
Normal Normal
Normal Normal
Wasted/U Adult
Normal Normal
Normal Stunted
Normal Normal
Normal Normal
Normal Stunted
Normal Normal
Wasted/U Adult
Normal Normal
Normal Adult
Normal Normal
0 7 23
0 4 22
0 11 45
Reviewed By:
SFRT 2017
SF 8
Department of Education
School Form 8 Learner's Basic Health and Nutrition Report (S
(For All Grade Levels)
FEMALE
Learner's Name Nutritional
Birthdate Weight Height Height²
No. LRN (Last Name, First Name, Name Age BMI
(MM/DD/YYYY) (kg) (m) (m²)
Extension, Middle Name) (kg/m²)
SUMMARY TABLE
Nutritional Status H
SEX Severely Severely
Wasted Normal Overweight Obese TOTAL Stunted Normal
Wasted Stunted
MALE
FEMALE
TOTAL
Date of Assessment: Conducted/Assessed By: Certified Correct By:
rasensoon69@gmail.com
n Report (SF8)
Region
School Year
Nutritional Status
Remarks
Height for Age (HFA)
BMI Category
Date of Weighing:
Nutritional Status
Remarks
Height for Age (HFA)
BMI Category
Date of Weighing:
Reviewed By:
SFRT 2017
SF 8
Department of Education
School Form 8 Learner's Basic Health and Nutrition Report (S
(For All Grade Levels)
FEMALE
Learner's Name Nutritional
Birthdate Weight Height Height²
No. LRN (Last Name, First Name, Name Age BMI
(MM/DD/YYYY) (kg) (m) (m²)
Extension, Middle Name) (kg/m²)
SUMMARY TABLE
Nutritional Status H
SEX Severely Severely
Wasted Normal Overweight Obese TOTAL Stunted Normal
Wasted Stunted
MALE
FEMALE
TOTAL
Date of Assessment: Conducted/Assessed By: Certified Correct By:
rasensoon69@gmail.com
n Report (SF8)
Region
School Year
Nutritional Status
Remarks
Height for Age (HFA)
BMI Category
Date of Weighing:
Nutritional Status
Remarks
Height for Age (HFA)
BMI Category
Date of Weighing:
Reviewed By:
SFRT 2017
SF 8
Department of Education
School Form 8 Learner's Basic Health and Nutrition Report (S
(For All Grade Levels)
FEMALE
Learner's Name Nutritional
Birthdate Weight Height Height²
No. LRN (Last Name, First Name, Name Age BMI
(MM/DD/YYYY) (kg) (m) (m²)
Extension, Middle Name) (kg/m²)
SUMMARY TABLE
Nutritional Status H
SEX Severely Severely
Wasted Normal Overweight Obese TOTAL Stunted Normal
Wasted Stunted
MALE
FEMALE
TOTAL
Date of Assessment: Conducted/Assessed By: Certified Correct By:
rasensoon69@gmail.com
n Report (SF8)
Region
School Year
Nutritional Status
Remarks
Height for Age (HFA)
BMI Category
Date of Weighing:
Nutritional Status
Remarks
Height for Age (HFA)
BMI Category
Date of Weighing:
Reviewed By:
SFRT 2017
SF 8
Department of Education
School Form 8 Learner's Basic Health and Nutrition Report (S
(For All Grade Levels)
FEMALE
Learner's Name Nutritional
Birthdate Weight Height Height²
No. LRN (Last Name, First Name, Name Age BMI
(MM/DD/YYYY) (kg) (m) (m²)
Extension, Middle Name) (kg/m²)
SUMMARY TABLE
Nutritional Status H
SEX Severely Severely
Wasted Normal Overweight Obese TOTAL Stunted Normal
Wasted Stunted
MALE
FEMALE
TOTAL
Date of Assessment: Conducted/Assessed By: Certified Correct By:
rasensoon69@gmail.com
n Report (SF8)
Region
School Year
Nutritional Status
Remarks
Height for Age (HFA)
BMI Category
Date of Weighing:
Nutritional Status
Remarks
Height for Age (HFA)
BMI Category
Date of Weighing:
Reviewed By:
SFRT 2017
SF 8
Department of Education
School Form 8 Learner's Basic Health and Nutrition Report (S
(For All Grade Levels)
FEMALE
Learner's Name Nutritional
Birthdate Weight Height Height²
No. LRN (Last Name, First Name, Name Age BMI
(MM/DD/YYYY) (kg) (m) (m²)
Extension, Middle Name) (kg/m²)
SUMMARY TABLE
Nutritional Status H
SEX Severely Severely
Wasted Normal Overweight Obese TOTAL Stunted Normal
Wasted Stunted
MALE
FEMALE
TOTAL
Date of Assessment: Conducted/Assessed By: Certified Correct By:
rasensoon69@gmail.com
n Report (SF8)
Region
School Year
Nutritional Status
Remarks
Height for Age (HFA)
BMI Category
Date of Weighing:
Nutritional Status
Remarks
Height for Age (HFA)
BMI Category
Date of Weighing:
Reviewed By:
SFRT 2017
SF 8
Department of Education
School Form 8 Learner's Basic Health and Nutrition Report (S
(For All Grade Levels)
School Name PAYAO NATIONAL HIGH SCHOOL District PAYAO Division ZAMBOANGA
FEMALE
Learner's Name Nutritional
Birthdate Weight Height Height²
No. LRN (Last Name, First Name, Name Age BMI
(MM/DD/YYYY) (kg) (m) (m²)
Extension, Middle Name) (kg/m²)
SUMMARY TABLE
Nutritional Status H
SEX Severely Severely
Wasted Normal Overweight Obese TOTAL Stunted Normal
Wasted Stunted
MALE 0 0 0 0 0 0 #N/A #N/A #N/A
FEMALE
TOTAL 0 0 0 0 0 0 #N/A #N/A #N/A
Date of Assessment: Conducted/Assessed By: Certified Correct By:
rasensoon69@gmail.com
n Report (SF8)
Nutritional Status
Remarks
Height for Age (HFA)
BMI Category
Date of Weighing:
#N/A
Nutritional Status
Remarks
Height for Age (HFA)
BMI Category
Date of Weighing:
SFRT 2017
SF 8
Department of Education
School Form 8 Learner's Basic Health and Nutrition Report (S
(For All Grade Levels)
School Name PAYAO NATIONAL HIGH SCHOOL District PAYAO Division ZAMBOANGA
FEMALE
1 125774090006 ACHAY, CHERRY ANN C. 5/3/2003 15 42 1.49 2.2201 18.90
2 125774090008 AKIL, MARMA S. 1/15/2004 14 44 1.5 2.2500 19.50
3 125774090010 ALAMANSA, MARMA S. 12/3/2003 14 36 1.54 2.3716 15.10
Learner's Name Nutritional
Birthdate Weight Height Height²
No. LRN (Last Name, First Name, Name Age BMI
(MM/DD/YYYY) (kg) (m) (m²)
Extension, Middle Name) (kg/m²)
4 125774080011 ALMUDAL, SHAIREN P. 8/22/2001 16 45 1.55 2.4025 18.70
5 125774090011 ALAWADDIN, YOUSHRA S. 3/21/2004 14 43 1.54 2.3716 18.10
6 125774090027 ARANAN, RAYYANA S. 11/15/2002 15 52 1.52 2.3104 22.50
7 125774090072 ASMAD, SABTORIA D. 11/1/2001 16 41 1.45 2.1025 19.50
8 125774090046 BUHISAN, AISA N. 2/24/2004 14 42 1.52 2.3104 18.10
9 125774090049 CALUMPON, RICHEL C. 11/6/2001 16 45 1.47 2.1609 20.80
10 125774090051 CANETE, CATHERINE P. 3/5/2004 14 35 1.46 2.1316 16.40
11 125758090014 DACULA, JAOYA M. 4/21/2002 16 43 1.51 2.2801 18.80
12 125774090061 DAGUIO, DHANARE JOY S. 7/7/2004 13 45 1.56 2.4336 18.40
13 125774090063 DAVALOS, MARIEL C. 5/29/2002 15 50 1.5 2.2500 22.20
14 125762090017 DAWAL, ANNALIE P. 7/28/2003 14 48 1.52 2.3104 20.70
15 125763090020 HAMSANI, NORHAINA L. 11/2/2003 14 48 1.45 2.1025 22.80
16 125758090020 MALUBA, BAILYN B. 11/27/2003 14 44 1.53 2.3409 18.70
17 125774090132 MULOC, SHAINA M. 1/20/2004 14 52 1.52 2.3104 22.50
18 125774090134 MUSA, MONISA T. 2/1/2003 15 37 1.48 2.1904 16.80
19 125767090043 OMAR, SHELLA A. 12/7/2003 14 36 1.53 2.3409 15.30
20 125774090143 PANGO, CARISMA M. 9/30/2002 15 36 1.47 2.1609 16.60
21 125854090141 SALAPUDDIN, BERQUEZ S. 4/21/2002 16 44 1.55 2.4025 18.30
22 125854090142 SALAPUDDIN, MARITES S. 10/8/2004 13 43 1.5 2.2500 19.10
23 125774090175 SANDA, NURHAYATE M. 12/11/2003 14 40 1.38 1.9044 21.00
24 125765090032 TORIBIO, HONEMAE C. 1/28/2003 15 31 1.41 1.9881 15.50
SUMMARY TABLE
Nutritional Status H
SEX Severely Severely
Wasted Normal Overweight Obese TOTAL Stunted Normal
Wasted Stunted
MALE 0 5 15 0 0 20 4 4 11
FEMALE 0 3 21 0 0 24 2 6 16
TOTAL 0 8 36 0 0 44 6 10 27
Date of Assessment: Conducted/Assessed By: Certified Correct By:
rasensoon69@gmail.com
n Report (SF8)
Nutritional Status
Remarks
Height for Age (HFA)
BMI Category
Date of Weighing:
05/28/2018
Wasted/U Adult
Normal Normal
Normal Normal
Wasted/U Normal
Normal Normal
Normal Severely Stunted
Normal Normal
Normal Severely Stunted
Normal Normal
Normal Normal
Normal Stunted
Normal Normal
Wasted/U Normal
Normal Severely Stunted
Wasted/U Normal
Normal Stunted
Normal Normal
Wasted/U Stunted
Normal Stunted
Normal Severely Stunted
Normal Normal
Normal Normal
Wasted/U Normal
Nutritional Status
Remarks
Height for Age (HFA)
BMI Category
Date of Weighing:
Normal Normal
Normal Normal
Normal Normal
Normal Stunted
Normal Normal
Normal Stunted
Normal Stunted
Normal Normal
Normal Normal
Normal Normal
Normal Normal
Normal Stunted
Normal Normal
Normal Normal
Normal Stunted
Wasted/U Normal
Normal Stunted
Normal Normal
Normal Normal
Normal Severely Stunted
Wasted/U Severely Stunted
0 1 20
0 0 24
0 1 44
Reviewed By:
SFRT 2017
SF 8
Department of Education
School Form 8 Learner's Basic Health and Nutrition Report (S
(For All Grade Levels)
FEMALE
Learner's Name Nutritional
Birthdate Weight Height Height²
No. LRN (Last Name, First Name, Name Age BMI
(MM/DD/YYYY) (kg) (m) (m²)
Extension, Middle Name) (kg/m²)
SUMMARY TABLE
Nutritional Status H
SEX Severely Severely
Wasted Normal Overweight Obese TOTAL Stunted Normal
Wasted Stunted
MALE
FEMALE
TOTAL
Date of Assessment: Conducted/Assessed By: Certified Correct By:
rasensoon69@gmail.com
n Report (SF8)
Region
School Year
Nutritional Status
Remarks
Height for Age (HFA)
BMI Category
Date of Weighing:
Nutritional Status
Remarks
Height for Age (HFA)
BMI Category
Date of Weighing:
Reviewed By:
SFRT 2017
SF 8
Department of Education
School Form 8 Learner's Basic Health and Nutrition Report (S
(For All Grade Levels)
FEMALE
Learner's Name Nutritional
Birthdate Weight Height Height²
No. LRN (Last Name, First Name, Name Age BMI
(MM/DD/YYYY) (kg) (m) (m²)
Extension, Middle Name) (kg/m²)
SUMMARY TABLE
Nutritional Status H
SEX Severely Severely
Wasted Normal Overweight Obese TOTAL Stunted Normal
Wasted Stunted
MALE
FEMALE
TOTAL
Date of Assessment: Conducted/Assessed By: Certified Correct By:
rasensoon69@gmail.com
n Report (SF8)
Region
School Year
Nutritional Status
Remarks
Height for Age (HFA)
BMI Category
Date of Weighing:
Nutritional Status
Remarks
Height for Age (HFA)
BMI Category
Date of Weighing:
Reviewed By:
SFRT 2017
SF 8
Department of Education
School Form 8 Learner's Basic Health and Nutrition Report (S
(For All Grade Levels)
FEMALE
Learner's Name Nutritional
Birthdate Weight Height Height²
No. LRN (Last Name, First Name, Name Age BMI
(MM/DD/YYYY) (kg) (m) (m²)
Extension, Middle Name) (kg/m²)
SUMMARY TABLE
Nutritional Status H
SEX Severely Severely
Wasted Normal Overweight Obese TOTAL Stunted Normal
Wasted Stunted
MALE
FEMALE
TOTAL
Date of Assessment: Conducted/Assessed By: Certified Correct By:
rasensoon69@gmail.com
n Report (SF8)
Region
School Year
Nutritional Status
Remarks
Height for Age (HFA)
BMI Category
Date of Weighing:
Nutritional Status
Remarks
Height for Age (HFA)
BMI Category
Date of Weighing:
Reviewed By:
SFRT 2017
SF 8
Department of Education
School Form 8 Learner's Basic Health and Nutrition Report (S
(For All Grade Levels)
FEMALE
Learner's Name Nutritional
Birthdate Weight Height Height²
No. LRN (Last Name, First Name, Name Age BMI
(MM/DD/YYYY) (kg) (m) (m²)
Extension, Middle Name) (kg/m²)
SUMMARY TABLE
Nutritional Status H
SEX Severely Severely
Wasted Normal Overweight Obese TOTAL Stunted Normal
Wasted Stunted
MALE
FEMALE
TOTAL
Date of Assessment: Conducted/Assessed By: Certified Correct By:
rasensoon69@gmail.com
n Report (SF8)
Region
School Year
Nutritional Status
Remarks
Height for Age (HFA)
BMI Category
Date of Weighing:
Nutritional Status
Remarks
Height for Age (HFA)
BMI Category
Date of Weighing:
Reviewed By:
SFRT 2017
SF 8
Department of Education
School Form 8 Learner's Basic Health and Nutrition Report (S
(For All Grade Levels)
FEMALE
Learner's Name Nutritional
Birthdate Weight Height Height²
No. LRN (Last Name, First Name, Name Age BMI
(MM/DD/YYYY) (kg) (m) (m²)
Extension, Middle Name) (kg/m²)
SUMMARY TABLE
Nutritional Status H
SEX Severely Severely
Wasted Normal Overweight Obese TOTAL Stunted Normal
Wasted Stunted
MALE
FEMALE
TOTAL
Date of Assessment: Conducted/Assessed By: Certified Correct By:
rasensoon69@gmail.com
n Report (SF8)
Region
School Year
Nutritional Status
Remarks
Height for Age (HFA)
BMI Category
Date of Weighing:
Nutritional Status
Remarks
Height for Age (HFA)
BMI Category
Date of Weighing:
Reviewed By:
SFRT 2017
SF 8
Department of Education
School Form 8 Learner's Basic Health and Nutrition Report (S
(For All Grade Levels)
FEMALE
Learner's Name Nutritional
Birthdate Weight Height Height²
No. LRN (Last Name, First Name, Name Age BMI
(MM/DD/YYYY) (kg) (m) (m²)
Extension, Middle Name) (kg/m²)
SUMMARY TABLE
Nutritional Status H
SEX Severely Severely
Wasted Normal Overweight Obese TOTAL Stunted Normal
Wasted Stunted
MALE
FEMALE
TOTAL
Date of Assessment: Conducted/Assessed By: Certified Correct By:
rasensoon69@gmail.com
n Report (SF8)
Region
School Year
Nutritional Status
Remarks
Height for Age (HFA)
BMI Category
Date of Weighing:
Nutritional Status
Remarks
Height for Age (HFA)
BMI Category
Date of Weighing:
Reviewed By:
SFRT 2017
SF 8
Department of Education
School Form 8 Learner's Basic Health and Nutrition Report (S
(For All Grade Levels)
FEMALE
Learner's Name Nutritional
Birthdate Weight Height Height²
No. LRN (Last Name, First Name, Name Age BMI
(MM/DD/YYYY) (kg) (m) (m²)
Extension, Middle Name) (kg/m²)
SUMMARY TABLE
Nutritional Status H
SEX Severely Severely
Wasted Normal Overweight Obese TOTAL Stunted Normal
Wasted Stunted
MALE
FEMALE
TOTAL
Date of Assessment: Conducted/Assessed By: Certified Correct By:
rasensoon69@gmail.com
n Report (SF8)
Region
School Year
Nutritional Status
Remarks
Height for Age (HFA)
BMI Category
Date of Weighing:
Nutritional Status
Remarks
Height for Age (HFA)
BMI Category
Date of Weighing:
Reviewed By:
SFRT 2017
SF 8
Department of Education
School Form 8 Learner's Basic Health and Nutrition Report (S
(For All Grade Levels)
FEMALE
Learner's Name Nutritional
Birthdate Weight Height Height²
No. LRN (Last Name, First Name, Name Age BMI
(MM/DD/YYYY) (kg) (m) (m²)
Extension, Middle Name) (kg/m²)
SUMMARY TABLE
Nutritional Status H
SEX Severely Severely
Wasted Normal Overweight Obese TOTAL Stunted Normal
Wasted Stunted
MALE
FEMALE
TOTAL
Date of Assessment: Conducted/Assessed By: Certified Correct By:
rasensoon69@gmail.com
n Report (SF8)
Region
School Year
Nutritional Status
Remarks
Height for Age (HFA)
BMI Category
Date of Weighing:
Nutritional Status
Remarks
Height for Age (HFA)
BMI Category
Date of Weighing:
Reviewed By:
SFRT 2017