SF 8

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

School Name GRACEVILLE ES District 8 Division SAN JOSE DEL MONTE Region III

School ID 162503 Grade 6 Section MALIKHAIN Track/Strand (SHS) NA School Year 2017-2018

Learner's Name Nutritional Status

Birthdate Weight Height Height for Age
No. LRN (Last Name, First Name, Name Age Height² (m²) BMI Remarks
(MM/DD/YYYY) (kg) (m) BMI Category (HFA)
Extension, Middle Name) (kg/m²)
MALE
 Learner's Name Nutritional Status
Birthdate Weight Height Height for Age
No. LRN (Last Name, First Name, Name Age Height² (m²) BMI Remarks
(MM/DD/YYYY) (kg) (m) BMI Category (HFA)
Extension, Middle Name) (kg/m²)
 Learner's Name Nutritional Status
Birthdate Weight Height Height for Age
No. LRN (Last Name, First Name, Name Age Height² (m²) BMI Remarks
(MM/DD/YYYY) (kg) (m) BMI Category (HFA)
Extension, Middle Name) (kg/m²)
FEMALE
 Learner's Name Nutritional Status
Birthdate Weight Height Height for Age
No. LRN (Last Name, First Name, Name Age Height² (m²) BMI Remarks
(MM/DD/YYYY) (kg) (m) BMI Category (HFA)
Extension, Middle Name) (kg/m²)

SUMMARY TABLE

Nutritional Status Height for Age (HFA)

Summary Table Summary Table
SEX
Severely
Severely Wasted Wasted Normal Overweight Obese TOTAL Stunted Normal Tall Total
Stunted
MALE 0 0 0 0 0 0 0 0 0 0 0
FEMALE 0 0 0 0 0 0 0 0 0 0 0
TOTAL 0 0 0 0 0 0 0 0 0 0 0

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

1/31/2018 MICHAEL ANGELO B. PAGARA

SFRT 2017
 Growth reference 5-19 year
Links for BMI Tables in PD
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 year

Links for Height-for-Age Tables
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