SF 8

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

School Name GUTALAC CENTRAL SCHOOL District GUTALAC I Division ZAMBOANGA DEL NORTE Region

School ID 124295 Grade 1 Section LILY Track/Strand (SHS) School Year

Learner's Name Nutritional Status
Birthdate Weight Height Height² Height for Age
No. LRN (Last Name, First Name, Age BMI
(MM/DD/YYYY) (kg) (m) (m²) BMI Category (HFA)
Name Extension, Middle Name) (kg/m²)
MALE
ACOPIADO, Emmanuel 3/12/2011 8.00 25.00 0.90 0.81 30.86 Obese Severely Stunted
2 ACOPIADO, John 8/2/2013 5.08 19.00 0.86 0.74 25.69 Obese Severely Stunted
3 AMAD, Justine 4/27/2013 5.11 19.00 0.83 0.69 27.58 Obese Severely Stunted
4 ANTICAMARA, James Bryan 8/26/2012 6.07 23.00 1.20 1.44 15.97 Normal Normal
5 APATAN, Daniel 4/22/2013 5.11 20.00 0.86 0.74 27.04 Obese Severely Stunted
6 ASTOR, Eljie Mark 5/25/2013 5.10 19.00 0.86 0.74 25.69 Obese Severely Stunted
7 BAQUIRQUIR, Noel 8/17/2012 6.07 19.00 0.83 0.69 27.58 Obese Severely Stunted
8 BAUNILLO, BJ 10/16/2012 6.05 22.00 0.88 0.77 28.41 Obese Severely Stunted
9 CASTILLO, Jeffrey 7/11/2013 5.08 18.00 0.83 0.69 26.13 Obese Severely Stunted
10 DELA CRUZ, Bloodemier 8/23/2013 5.07 19.00 0.81 0.66 28.96 Obese Severely Stunted
11 DELGADO, Dwaine Rayd L. 3/5/2013 6.01 21.00 1.20 1.44 14.58 Normal Normal
12 DIGAMON, Jeward 3/8/2013 6.00 19.00 0.82 0.67 28.26 Obese Severely Stunted
13 EVANGELISTA, Rytch Jhon Nico 4/10/2013 5.11 23.00 1.20 1.44 15.97 Normal Normal
14 FLORES, CEDRIC 6/25/2013 5.09 22.00 0.83 0.69 31.93 Obese Severely Stunted
15 LIMBAGA, Jonathan D. 5/2/2012 6.11 20.00 0.87 0.76 26.42 Obese Severely Stunted
16 MAGSAYO, HAROLD 4/4/2012 7.00 22.00 1.20 1.44 15.28 Normal Normal
17 MAGSAYO, HARVIE 4/4/2012 7.00 22.00 1.20 1.44 15.28 Normal Normal
18 NACARIO, King Lord 12/4/2012 6.04 18.00 0.87 0.76 23.78 Obese Severely Stunted
19 OLAVIDES, Mark Ethan 11/2/2012 6.05 25.00 1.20 1.44 17.36 Normal Normal
20 PINEDA, Razel Jay 11/30/2012 6.04 20.00 0.82 0.67 29.74 Obese Severely Stunted
21 SANTANDER, Jiffrey G. 7/28/2011 7.08 22.00 1.10 1.21 18.18 Normal Stunted
22 STA. MARIA, Jhonilo 4/26/2013 5.11 23.00 0.92 0.85 27.17 Obese Severely Stunted
23 SUTABENTO, Nak Benlermart 9/20/2013 5.06 22.00 1.20 1.44 15.28 Normal Normal
24 CABRIDO, Prince Justine 11/19/2012 6.04 21.00 0.83 0.69 30.48 Obese Severely Stunted
FEMALE
ABELLO, DHIANNE 2/14/2013 6.01 20.00 0.86 0.74 27.04 Obese Severely Stunted
ABIL, JARA 3/27/2013 6.00 22.00 1.10 1.21 18.18 Normal Normal
ALON, JANICE 1/28/2013 6.02 20.00 0.86 0.74 27.04 Obese Severely Stunted
GOM-OS, RHULEN KIM 10/16/2012 6.05 20.00 1.20 1.44 13.89 Normal Normal
MELLIZAS, THEA 6/22/2013 5.09 17.00 0.81 0.66 25.91 Obese Severely Stunted
PENALES, KRISTELLE 3/14/2013 6.00 24.00 1.20 1.44 16.67 Normal Normal
PUSOD, PIA 4/21/2013 5.11 17.00 0.78 0.61 27.94 Obese Severely Stunted
8 RUBIO, CHARMAE M. 5/18/2013 5.10 22.00 0.85 0.72 30.45 Obese Severely Stunted
9 SANTANDER, CHERRY MAE 10/23/2012 6.05 21.00 1.20 1.44 14.58 Normal Normal
 SUMMARY TABLE

Nutritional Status Height for Age (HFA)

Summary Table Summary Table
SEX
Severely Severely
Wasted Normal Overweight Obese TOTAL Stunted Normal Tall Total
Wasted Stunted
MALE 0 0 8 0 16 24 16 1 7 0 24
FEMALE 0 0 4 0 5 9 5 0 4 0 9
TOTAL 0 0 12 0 21 33 21 1 11 0 33

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

4/6/2019 MARIA LUZ B. TAYONA

SFRT 2017
Note: This area is NOT included in printing. Use A4.
SF8 retreived from http://support.lis.deped.gov.ph/support/downloads/schoolforms/School%20Form%208%20SF8%20Learner%20Basic%20Health%20and%20Nutrition%20Report.xlsx
Growth reference retrieved from http://www.who.int/growthref/en/
Developed by Michael Angelo B. Pagara https://www.facebook.com/michaelangelopagara
for questions and suggestions contact me
(For All Grade Levels)
IX

2019-2020

Remarks
SUMMARY TABLE

Height for Age (HFA)

Summary Table

Total

24
9
33