CHILD'S DAILY ATTENDANCE / HEALTH CHECK RECORD

Level: Month:
For each child, for each day: Code top box "+" = present, "O" = absent, or "N" = not scheduled.
Code the bottom box "W" = well, or use a number from the bottom of the page.
Name: Age Hrs. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30

1. Arevalo, Jemmuel

2. Bisnar, Christian Joey

3. Cabrera, Dwight

4. Ebarle, Paul John

5. Ganon, Fredrick James

6. Marañon, Art Mikael

7. Pardillo, Archie Benedict

8. Villa, Cyrus Brylle

1. Butron, Nathania Althea

2. Deocampo, Cherrie Rych

3. Go, Criszia Mae

4. Reyes, Rhealyn

5. Villaver, Precious Monique

Total # of children:
Symptom Codes: 1 = Asthma / wheezing 5 = Headache 8 = Stomach ache 10 = Vomiting
2 = Behavior change w/ no other symptoms 6 = Rash 9 = Urine problem 11 = Other (Specify on the back)
3 = Diarrhea 7 = Respiratory (cold, cough, runny nose, earache, sore throat, pink eye)
4 = Fever
 CHILD'S DAILY ATTENDANCE / HEALTH CHECK RECORD
Level: Month:
For each child, for each day: Code top box "+" = present, "O" = absent, or "N" = not scheduled.
Code the bottom box "W" = well, or use a number from the bottom of the page.
Name: Age Hrs. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30

1. Calamohoy, Vanze Joseph

2. Colastre, King Zych Owen
3. Concha, Keen Clack
4. Ebarle, Patric Zach
5. Flores, W Shadrach
6. Mendoza, Exiquil
7. Operio, Gerald
8. Pondar, Renie Jr.
9. Uy, Enzo Loeque

1. Borja, Karlen
2. Seno, Sophia Faith

Total # of children:
Symptom Codes: 1 = Asthma / wheezing 5 = Headache 8 = Stomach ache 10 = Vomiting
2 = Behavior change w/ no other symptoms 6 = Rash 9 = Urine problem 11 = Other (Specify on the back)
3 = Diarrhea 7 = Respiratory (cold, cough, runny nose, earache, sore throat, pink eye)
4 = Fever