School Level NS-Form 1

Department of Education
Region
Division of
School Nutritional Status Record
District:
School: Date of Weighing: June 15, 2017
Grade & Section:

Date of Weight Height BMI

Learner's Name Age (Height)² (m²) Nutritional Status
Birth (kg) (m) (kg/m²)
MALE
6/15/2001 16.00 30 1.3 1.69 17.75 #REF!
7/6/2002 14.11 28 1.4 1.96 14.29 Severely Wasted
8/22/2003 13.09 26 1.6 2.56 10.16 #REF!
10/6/2003 13.08 37 1.35 1.82 20.33 #REF!
2/25/2002 15.03 20 1.11 1.23 16.26 #REF!
8/14/1999 17.10 40 1.14 1.3 30.77 #REF!
7 test 10/6/2003 13.08 37 1.35 1.82 20.33 #REF!
2/25/2002 15.03 20 1.11 1.23 16.26 #REF!
8/14/1999 17.10 40 1.14 1.3 30.77 #REF!
10/6/2003 13.08 37 1.35 1.82 20.33 #REF!
2/25/2002 15.03 20 1.11 1.23 16.26 #REF!
8/14/1999 17.10 40 1.14 1.3 30.77 #REF!
10/6/2003 13.08 37 1.35 1.82 20.33 #REF!
2/25/2002 15.03 20 1.11 1.23 16.26 #REF!
8/14/1999 17.10 40 1.14 1.3 30.77 #REF!
10/6/2003 13.08 37 1.35 1.82 20.33 #REF!
2/25/2002 15.03 20 1.11 1.23 16.26 #REF!
8/14/1999 17.10 40 1.14 1.3 30.77 #REF!
FEMALE
5/15/2003 14.01 10 1.12 1.25 8 #REF!
12/1/2002 14.06 40 1.35 1.82 21.98 #REF!
11/20/2001 15.06 35 1.11 1.23 28.46 #REF!
10/6/2003 13.08 24 1.14 1.3 18.46 #REF!
2/25/2002 15.03 20 1.35 1.82 10.99 #REF!
8/14/1999 17.10 20 1.11 1.23 16.26 #REF!
10/6/2003 13.08 40 1.14 1.3 30.77 #REF!
2/25/2002 15.03 37 1.35 1.82 20.33 #REF!
 8/14/1999 17.10 20 1.11 1.23 16.26 #REF!
10/6/2003 13.08 40 3.14 9.86 4.06 #REF!
2/25/2002 15.03 37 2.12 4.49 8.24 #REF!
8/14/1999 17.10 20 5.01 25.1 0.8 #REF!
10/6/2003 13.08 40 1.14 1.3 30.77 #REF!
2/25/2002 15.03 37 1.35 1.82 20.33 #REF!
8/14/1999 17.10 20 1.11 1.23 16.26 #REF!
10/6/2003 13.08 40 1.14 1.3 30.77 #REF!
2/25/2002 15.03 37 1.35 1.82 20.33 #REF!
8/14/1999 17.10 20 1.11 1.23 16.26 #REF!
10/6/2003 13.08 40 1.14 1.3 30.77 #REF!
2/25/2002 15.03 37 1.35 1.82 20.33 #REF!
8/14/1999 17.10 20 1.11 1.23 16.26 #REF!
5/15/2003 14.01 10 1.12 1.25 8 #REF!
12/1/2002 14.06 40 1.35 1.82 21.98 #REF!
11/20/2001 15.06 35 1.11 1.23 28.46 #REF!
10/6/2003 13.08 24 1.14 1.3 18.46 #REF!
 WedzmerDesigns

Severely
Summary Table Wasted Normal Overweight Obese TOTAL
Wasted
MALE 1 0 0 0 0 1
FEMALE 0 0 0 0 0 0
TOTAL 1 0 0 0 0 1

Severely
Percentage Summary Wasted Normal Overweight Obese TOTAL
Wasted
MALE 100.00 0.00 0.00 0.00 0.00 100
FEMALE #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
TOTAL #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
SF 8
Department of Education
School Form 8 Learner's Basic Health and Nutrition Report (SF8)
(For All Grade Levels)

School Name NORTH HILL ARBOURS INTEGRATED SCH District I Division TACLOBAN Region VIII

School ID 500891 Grade 4 Section MODESTY Track/Strand (SHS) NA School Year 2024-2025

Learner's Name Nutritional Status

No. LRN (Last Name, First Name, Name Birthdate Age Weight Height Height² Height for Age Remarks
(MM/DD/YYYY) (kg) (m) (m²) BMI BMI Category (HFA)
Extension, Middle Name) (kg/m²)
MALE
1 500891200105 ANIANO , CLOWI 10/9/2015 8.09 20.55 1.21 1.46 14.04 Normal Normal
2 500891200097 ARNAIDO , JEWOM B. 7/13/2015 9.00 21.00 1.26 1.59 13.23 Wasted Normal
3 500891200054 ARTOZA IVAN CHESTER T. 2/23/2015 9.05 25.00 1.34 1.80 13.92 Normal Normal
4 500891190015 BADRINA , JAMES 7/2/2014 10.00 32.10 1.41 1.99 16.15 Normal Normal
5 500891200122 BITUIN , JADE IVAN A. 1/16/2015 9.06 23.80 1.23 1.51 15.73 Normal Normal
6 195003180070 CAJEPE , DANIEL DONSAL 2/5/2013 11.05 25.00 1.35 1.82 13.72 Wasted Normal
7 500891200119 CASANAREZ , EUJAN NIEL G. 10/17/2015 8.09 27.70 1.30 1.69 16.39 Normal Normal
8 500489200143 CLARIZA , JOSH VINCIENT S. 12/21/2014 9.07 21.95 1.28 1.64 13.40 Wasted Normal
9 500891200027 DIMAANO , JOVON IVAN M. 9/5/2014 9.10 27.70 1.34 1.80 15.43 Normal Normal
10 500891200134 LAVADIA , CARLO M. 12/19/2014 9.07 21.65 1.28 1.64 13.21 Wasted Normal
11 500891200008 MAS , FRANCIS MIGUEL 1/13/2015 9.06 18.40 1.28 1.64 11.23 Severely Wasted Normal
12 500891200017 MORILES , JOHN FRANCIS L. 1/17/2015 9.06 19.05 1.29 1.66 11.45 Severely Wasted Normal
13 500891200136 ORIAS , MARK DARREN M. 10/8/2014 9.09 36.60 1.46 2.13 17.17 Normal Normal
14 500891200139 SOLITARIO, FRANZ EDWARD J 7/4/2015 9.00 46.60 1.37 1.88 24.83 Obese Normal
15 500891200065 YU , KIEFFER ADAM R. 10/16/2014 9.09 29.55 1.36 1.85 15.98 Normal Normal
16
FEMALE
1 500891200021 ABROGAR , HANNAH JANE A. 12/22/2014 9.07 23.40 1.28 1.64 14.28 Normal Normal
2 500891200140 AGERO , LORRIE LYNE M. 12/29/2014 9.06 27.45 1.27 1.61 17.02 Normal Normal
3 500891200095 ALLAWAN , LAIZA MAE B. 5/19/2015 9.02 20.55 1.20 1.44 14.27 Normal Stunted
4 500891200144 ARGANDA , MERRY ANN LYN 12/25/2014 9.06 18.35 1.19 1.42 12.96 Wasted Stunted
5 500891200055 BADANDO , KATH KATHRINA 4/7/2015 9.03 22.40 1.27 1.61 13.89 Normal Normal
6 121756200006 BALAGBIS , RASHYNE JESIAH 11/30/2014 9.07 28.50 1.38 1.90 14.97 Normal Normal
7 500891200031 BAOY , KIETH N. 6/24/2015 9.01 33.85 1.35 1.82 18.57 Normal Normal
8 500891200146 BITO , CLAIRE JASMINE M. 12/6/2014 9.07 34.95 1.47 2.16 16.17 Normal Normal
9 500891200106 BORERES , VENICE Z. 5/20/2015 9.02 20.45 1.29 1.66 12.29 Wasted Normal
10 12251420011 BUSA , LOUELA ROSE E. 1/5/2015 9.06 20.00 1.24 1.54 13.01 Wasted Normal
11 500891200034 CAPONGCOL , KESHA MAY D. 8/16/2015 8.11 19.50 1.28 1.64 11.90 Severely Wasted Normal
12 500489200115 CUSCOLLA , REGIEN ZHARA F 8/4/2015 8.11 30.75 1.34 1.80 17.13 Normal Normal
 Learner's Name Nutritional Status
No. LRN (Last Name, First Name, Name Birthdate Age Weight Height Height² Height for Age Remarks
(MM/DD/YYYY) (kg) (m) (m²) BMI BMI Category (HFA)
Extension, Middle Name) (kg/m²)
13 500891200125 DAGANDAN , RISHA MEJICA M 4/9/2015 9.03 31.05 1.35 1.82 17.04 Normal Normal
14 500891200078 ENCARNADO ,DHINIZZ C. 7/10/2015 9.00 22.45 1.30 1.69 13.28 Normal Normal
15 500891200050 EVARRETE , ERICA NICOLE B. 9/14/2015 8.10 22.85 1.28 1.64 13.95 Normal Normal
16 500891200100 JANDOC , JERLYN C. 2/8/2015 9.05 25.00 1.36 1.85 13.52 Normal Normal
17 500891200151 MACHICA , SHIERA KATE L. 2/26/2015 9.04 28.75 1.27 1.61 17.83 Normal Normal
18 500891200037 MAGCALING , CRYSTAL C. 7/12/2015 9.00 24.65 1.28 1.64 15.05 Normal Normal
19 500891200046 MANAS , JAMELA P. 4/27/2015 9.02 23.40 1.38 1.90 12.29 Wasted Normal
20 500891200103 OMLANG , CARISSA C. 5/11/2015 9.02 20.85 1.27 1.61 12.93 Wasted Normal
21 261001200044 PATRIMONIO , ALMIA M. 6/25/2015 9.00 28.20 1.35 1.82 15.47 Normal Normal
22 500891200041 SEPARA , JOSIE MAY B. 5/25/2015 9.01 29.30 1.43 2.04 14.33 Normal Normal
23 500891200086 SOLIS , KATE NICOLE N. 1/25/2015 9.05 28.20 1.39 1.93 14.60 Normal Normal
24 123788200008 VILLARBA , CHELSIE A. 5/15/2015 9.02 21.20 1.24 1.54 13.79 Normal Normal

SUMMARY TABLE

Nutritional Status Height for Age (HFA)

Summary Table Summary Table
SEX
Severely Wasted Wasted Normal Overweight Obese TOTAL Severely Stunted Normal Tall Total
Stunted
MALE 2 4 8 0 1 15 0 0 15 0 15
FEMALE 1 5 18 0 0 24 0 2 22 0 24
TOTAL 3 9 26 0 1 39 0 2 37 0 39

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

7/24/2024 MARIA SOL S. ALVAREZ HAROLD M. NAPUTO

SFRT 2017
 Growth reference 5-19 yea
Links for BMI Tables in P
z-scores
BOYS http://www.who.int/entity/growthref/sft_bmifa_boys_z_5_19years.pdf?ua=1

GIRLS http://www.who.int/entity/growthref/sft_bmifa_girls_z_5_19years.pdf?ua=1

Growth reference 5-19 yea

Links for Height-for-Age Table
z-scores
BOYS http://www.who.int/entity/growthref/sft_hfa_boys_z_5_19years.pdf?ua=1

GIRLS http://www.who.int/entity/growthref/sft_hfa_girls_z_5_19years.pdf?ua=1

Table retrieved from http://www.who.int/growthref

ference 5-19 years
s for BMI Tables in PDF
precentile
http://www.who.int/entity/growthref/sft_bmifa_boys_perc_5_19year.pdf?ua=1

http://www.who.int/entity/growthref/sft_bmifa_girls_perc_5_19years.pdf?ua=1

ference 5-19 years

Height-for-Age Tables in PDF
precentile
http://www.who.int/entity/growthref/sft_hfa_boys_perc_5_19years.pdf?ua=1

http://www.who.int/entity/growthref/sft_hfa_girls_perc_5_19years.pdf?ua=1