SF 8

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

School Name PAYAO NATIONA; HIGH SCHOOL District PAYAO Division ZAMBOANGA SIBUGAY Region IX

School ID 303856 Grade 8 Section MASINOP Track/Strand (SHS) School Year 2018-2019

Learner's Name Nutritional Status

Birthdate Weight Height Height² Remarks
No. LRN (Last Name, First Name, Name Age BMI Height for Age (HFA)
(MM/DD/YYYY) (kg) (m) (m²) BMI Category
Extension, Middle Name) (kg/m²) Date of Weighing:
MALE 06/05/2018
1 125774100027 ALSREE ABDUSALAM 3/4/2005 13 40 1.52 2.3104 17.30 Normal Normal
2 125774090004 Abduradja, Al-Jemar S. 5/27/2004 14 35 1.42 2.0164 17.30 Normal Stunted
3 125774100013 AGOT JOSHUA 7/13/2004 13 40 1.58 2.4964 16.00 Normal Normal
4 AKING, ARSOCRI 11/22/2002 15 49 1.66 2.7556 17.70 Normal Normal
5 125774100025 Alisoso, John Mark 5/2/2005 13 30 1.42 2.0164 14.80 Wasted/U Normal
6 125774100040 ARACAMA,ALFADZRE GANI 8/16/2004 13 44 1.65 2.7225 16.10 Normal Normal
7 125774100041 Aracama, Usoph 1/20/2005 13 33 1.37 1.8769 17.50 Normal Stunted
8 125774100055 BALA BASMHER 1/23/2002 16 48 1.59 2.5281 18.90 Normal Normal
### 125774100070 Biez, Mark Wendell 8/20/2004 13 26 1.26 1.5876 16.30 Normal Severely Stunted
CONSOLACION,REYMON
### 125752100019
SUMONDONG
11/17/2004 13 39 1.5 2.2500 17.30 Normal Normal
### DAUD, ABUKATAR 2/20/2003 15 43 1.55 2.4025 17.80 Normal Normal
### 125774100107 Donggon, Muktadir 4/2/2003 15 38 1.5 2.2500 16.80 Normal Stunted
### 125774090078 Garcia, Mark Jan 9/22/2001 16 55 1.56 2.4336 22.60 Normal Stunted
### 125774100157 Karil, Jomar 1/9/2004 14 56 1.52 2.3104 24.20 Normal Normal
### 125774100163 LADJA, AJING 10/26/2004 13 32 1.32 1.7424 18.30 Normal Severely Stunted
### 125774090109 Lutian, Kadsmel 2/28/2004 14 31 1.41 1.9881 15.50 Wasted/U Severely Stunted
### 125774100177 Malog, Haser 10/7/2004 13 43 1.58 2.4964 17.20 Normal Normal
### 125774130102 MANDI,BENSAUDI JULAIN 6/4/1999 19 47 1.6 2.5600 18.30 Normal Stunted
### 125774080106 Musa, Junar 7/1/2001 16 40 1.5 2.2500 17.70 Normal Severely Stunted
### 125767100079 Peñero, Mohjer 2/12/2005 13 35 1.47 2.1609 16.10 Normal Normal
### 125774100240 SABAR, ADZMER 4/21/2003 15 62 1.65 2.7225 22.70 Normal Normal
 Learner's Name Nutritional Status
Birthdate Weight Height Height² Remarks
No. LRN (Last Name, First Name, Name Age BMI Height for Age (HFA)
(MM/DD/YYYY) (kg) (m) (m²) BMI Category
Extension, Middle Name) (kg/m²) Date of Weighing:
### 125774090163 Salicala, Ahmad 8/21/2003 14 37 1.46 2.1316 17.30 Normal Stunted
### 125774100277 Sapie, Abdul Aziz 4/17/2004 14 33 1.45 2.1025 15.60 Normal Stunted
### ABUTON, NILO 4/29/2002 16 50 1.59 2.5281 19.70 Normal Normal
### DACULA, AMIR

FEMALE
1 125774100004 Abdulahad, Shiedah Ann 7/3/2004 13 33 1.43 2.0449 16.10 Normal Stunted
2 125774100023 Alemanio, Jennefer I. 2/7/2005 13 31 1.44 2.0736 14.90 Wasted/U Normal
3 125774100026 ALPHA NOR-IN 5/10/2002 16 49 1.57 2.4649 19.80 Normal Normal
4 125762100012 ALVARADO, JOAN 3/18/2004 14 40 1.44 2.0736 19.20 Normal Stunted
5 125774100042 ARANAN, ALMA 5/31/2004 14 37 1.48 2.1904 16.80 Normal Normal
6 125774100045 ASMAIL, ALSISA 3/15/2004 14 33 1.45 2.1025 15.60 Normal Stunted
7 125758100004 Baladji, Faija 1/16/2003 15 31 1.37 1.8769 16.50 Normal Severely Stunted
8 125774100067 BAYHONAN, RAYZEL 7/10/2004 13 40 1.43 2.0449 19.50 Normal Stunted
9 125762100023 BONGCAWEL, AILENE 4/5/2003 15 40 1.52 2.3104 17.30 Normal Normal
10 125774100074 BONGCAWEL, NELJEAN 11/8/2004 13 37 1.44 2.0736 17.80 Normal Stunted
11 125762100028 CASOL, IVY JEAN 9/24/2002 15 33 1.39 1.9321 17.00 Normal Severely Stunted
12 125774100084 CASOL, JECIL 9/7/2005 12 34 1.45 2.1025 16.10 Normal Normal
13 125774100085 CATIIL, ROHANNA 3/4/2005 13 38 1.45 2.1025 18.00 Normal Normal
14 125774100131 HAMJA, SABTORIA 7/17/2004 13 35 1.43 2.0449 17.10 Normal Stunted
15 125774120330 Jain, Hairalyn 12/28/2004 13 38 1.46 2.1316 17.80 Normal Normal
16 125774120300 JULAIN, ARNALENE 4/3/2003 15 35 1.39 1.9321 18.10 Normal Severely Stunted
17 125774140020 JUMAHARI, DHARIZA 11/7/2004 13 38 1.46 2.1316 17.80 Normal Normal
18 125774100158 KASAN, WELAYA 12/6/2004 13 52 1.53 2.3409 22.20 Normal Normal
19 LACASTESANTOS, JELLY ANN 4/27/2005 13 38 1.44 2.0736 18.30 Normal Normal
 Learner's Name Nutritional Status
Birthdate Weight Height Height² Remarks
No. LRN (Last Name, First Name, Name Age BMI Height for Age (HFA)
(MM/DD/YYYY) (kg) (m) (m²) BMI Category
Extension, Middle Name) (kg/m²) Date of Weighing:
20 125774080097 MULOC,ANIDA MALUBA 9/15/2001 16 48 1.57 2.4649 19.40 Normal Normal
21 125774090146 Porras, Haira 6/5/2002 16 55 1.52 2.3104 23.80 Normal Normal
22 125774100253 SAILILA,SITTI MADZNA NARAGA 8/17/2004 13 34 1.49 2.2201 15.30 Normal Normal
23 125774100258 SALI, SABRINA 6/15/2004 13 45 1.53 2.3409 19.20 Normal Normal
24 125774100279 Sapie, Orfat 1/18/2004 14 43 1.56 2.4336 17.60 Normal Normal
25 125774100291 SUMALINOG BEVERLY 3/25/2005 13 59 1.55 2.4025 24.50 Normal Normal
26 125763100075 TAMAYO,ALONA MAE RAGURO 7/16/2002 15 38 1.55 2.4025 15.80 Wasted/U Normal
27 DARAYAN, ARNALENE 6/18/2005 12 52 1.44 2.0736 25.00 Normal Normal

SUMMARY TABLE
Nutritional Status Height for Age (HFA)
SEX Severely Severely
Wasted Normal Overweight Obese TOTAL Stunted Normal Tall Adult Total
Wasted Stunted
MALE 0 2 22 0 0 24 4 7 13 0 0 24
FEMALE 0 2 25 0 0 27 3 6 18 0 0 27
TOTAL 0 4 47 0 0 51 7 13 31 0 0 51
Date of Assessment: Conducted/Assessed By: Certified Correct By: Reviewed By:

rasensoon69@gmail.com SFRT 2017

 How to use this Program
1. How to Use
This sheet will serve as your guide!
2. Automatic computation and summary of BMI and HFA by grade level!

3. - Always start from number 1

- Each sheet represents one section, you can rename them if you want from "1" to the name of the section.
- Each sheet can accomodate a maximum of 32 Male & 32 Female for a Total of 64 students but unused rows can be
hidden.
- IMPORTANT: Please edit the Date of Weighing (mm/dd/yyyy) the age computation is based here.
- Edit the upper box, encode the name of students, birthday (mm/dd/yyyy), weight and height.
- If below 5 yrs old, no age, no height squared, no BMI, and not be counted in the computations.
- If above 19 yrs old, no HFA (it appears "Adult").

4. Add sheets if needed!

- Pls. follow the step 5.
Note: Do not add sheet by not following the "step 5"...the automatic computations may not work!
Always copy from sheet 2 and insert added sheets between 1 and Last. Never add them before sheet 1 or after
the Last sheet.
Do not use cut/paste in any part of the program.

5. How to add another sheet?

1. Right click a blank sheet
2. Click "Move or Copy"
3. Click "Last"
4. Check the "create a copy box"
5. Click "OK" or ENTER
6. Rename the new sheet

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: #REF!
MALE TOTAL FEMALE TOTAL Summary
Enrolment #NAME? Enrolment 0 #NAME?
Severely Wasted 0 Severely Wasted 0 0
Wasted 0 Wasted 0 0
Normal 0 Normal 0 0
Overweight 0 Overweight 0 0
Obese 0 Obese 0 0

Severely Stunted #NAME? Severely Stunted 0 #NAME?

Stunted #NAME? Stunted 0 #NAME?
Normal #NAME? Normal 0 #NAME?
Tall #NAME? Tall 0 #NAME?
Adult (above 19) #NAME? Adult (above 19) 0 #NAME?

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 District Division

School ID Grade Section Track/Strand (SHS)

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)
MALE
1 125774060006 AKING, ABDULAJID 1/9/2000 54 1.71
2 125762060005 AMORIN, JAYSON 2/25/2001 50 1.63
3 125765060005 BAJAO, JOHN MICHAEL 6/13/2001 46 1.54
4 125774060022 BANTILLO, LLOYD 4/23/2000 75 1.74
5 125774060041 DACULA, ABOJAED U 10/9/2000 40 1.53
6 125758060004 DACULA, KASHEP 8/18/1999 55 1.56
7 125774060044 DARAYAN, JAMAR H. 5/8/2000 68 1.69
8 124967060024 ELIEDO, FEJAY MIKE 6/9/2001 47 1.62
9 125765060013 FABURADA, HENDRO JAMES 8/13/2000 57 1.63
10 125763060016 INFANTE, JOHN PAUL 9/28/2000 46 1.63
11 125774050046 INION, ARVEN 3/13/1998 56 1.59
12 125774060099 PELAYO, JOHN EMMANUEL 7/18/1999 51 1.57
13 125774060044 SAILILA, JAHN MARK N. 11/14/2000 45 1.58
14 125774060122 SANGOAN, JUVELRIC 12/27/1999 48 1.58
15 126000060052 SUMALINOG, MARK JOSHUA 8/5/2000 60 1.76
16 125758060011 SUNANO, JOMAIREY 6/6/2001 45 1.65
17 125774050090 TALADJIE, ALMUKREY 12/18/1999 53 1.67
18 304112110400 TALIPAN, NIKKO 10/6/1998 59 1.68

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)

Region

School Year

Nutritional Status
Remarks
Height for Age (HFA)
BMI Category
Date of Weighing:

#N/A
#N/A
#N/A
#N/A
#N/A
#N/A
#N/A
#N/A
#N/A
#N/A
#N/A
#N/A
#N/A
#N/A
#N/A
#N/A
#N/A
#N/A
Nutritional Status
Remarks
Height for Age (HFA)
BMI Category
Date of Weighing:

Height for Age (HFA)

Tall Adult Total

#N/A #N/A #N/A

#N/A #N/A #N/A

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 District Division

School ID Grade Section Track/Strand (SHS)

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)
MALE

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:

Height for Age (HFA)

Tall Adult Total

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 District Division

School ID Grade Section Track/Strand (SHS)

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)
MALE

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:

Height for Age (HFA)

Tall Adult Total

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 District Division

School ID Grade Section Track/Strand (SHS)

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)
MALE

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:

Height for Age (HFA)

Tall Adult Total

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 District Division

School ID Grade Section Track/Strand (SHS)

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)
MALE

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:

Height for Age (HFA)

Tall Adult Total

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 District Division

School ID Grade Section Track/Strand (SHS)

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)
MALE

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:

Height for Age (HFA)

Tall Adult Total

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 District Division

School ID Grade Section Track/Strand (SHS)

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)
MALE

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:

Height for Age (HFA)

Tall Adult Total

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 District Division

School ID Grade Section Track/Strand (SHS)

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)
MALE

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:

Height for Age (HFA)

Tall Adult Total

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 District Division

School ID Grade Section Track/Strand (SHS)

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)
MALE

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:

Height for Age (HFA)

Tall Adult Total

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 District Division

School ID Grade Section Track/Strand (SHS)

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)
MALE

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:

Height for Age (HFA)

Tall Adult Total

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 District Division

School ID Grade Section Track/Strand (SHS)

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)
MALE

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:

Height for Age (HFA)

Tall Adult Total

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 District Division

School ID Grade Section Track/Strand (SHS)

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)
MALE

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:

Height for Age (HFA)

Tall Adult Total

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 District Division

School ID Grade Section Track/Strand (SHS)

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)
MALE

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:

Height for Age (HFA)

Tall Adult Total

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 District Division

School ID Grade Section Track/Strand (SHS)

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)
MALE

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:

Height for Age (HFA)

Tall Adult Total

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 District Division

School ID Grade Section Track/Strand (SHS)

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)
MALE

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:

Height for Age (HFA)

Tall Adult Total

Reviewed By:

SFRT 2017