Republic of the Philippines

Department of Education
________________________________________________________________________________________________________

CLASSROOM DAILY HEALTH MONITORING TOOL FOR COVID-19

Grade Level: SEVEN Section: JACKFRUIT

Instruction: Write under each column date the code(s) observed in the learner during the routine inspection, during the conduct of
the class, or as reported by the learner or their classmates. Refer to the list of symptoms below and their respective codes:

Fv -Fever F/T - Fatigue/Tiredness ST - Sore throat LoA - Loss of Appetite D - Diarrhea

R - Rashes C - Cough HA- Headache C/RN - Colds/Runny nose N - Nause
LoA - Loss of Smell EN - Essentially normal GW - General Weakness DB - Difficulty of breathing Vm - Vomiting
Lot - Loss of Taste M/BP-Muscle/joint/body pain A - Absent

Symptoms Observed/Reported
NAME 06/13/2022 06/14/2022 06/15/2022 06/16/2022 06/17/2022
Monday Tuesday Wednesday Thursday Friday
Baldomir, Richard
Balgos, Mhar Aljames Bumanglag
Cajigal, Gilbert Paulo Cacuyong
Calaycay, Jaysee Bautista
Ibus, Rodel Macugay
Inong, Renz Leonez
Mangligot, Christian Taddio
Manzano, Gian Pingad
Tejada, Mark Anthony Nacino
Valdez, Jhon Alleen Talon
Agliday, Mary Mae Bigsot
Baybado, Angelika Simbulan
Baytec, Cathlyn Joy Villanueva
Bigsot, Jubelle Ann Gapuz
Bigsot, Rose Alegado
Calaycay, Charline Tadio
Dela Cruz, Trisha Ubibi
Faderan, Shaira Nicole Abucay
Fernandez, Regie Ann Tugade
Galagar, Rechelle Mae Romero
Layugan, Eliza Joy Butay
Macugay, Karla Angela Gamayon
Magbulos, Daisy Mae Ibus
Pidot, Elain Faith Madarang
Salvador, Princess Jane Galut
Note: As soon as any of the listed symptoms is observed among any of the learners, the teacher is expected to send
the learner to the School Clinic immediately for the proper management by the School Clinic Teacher or health
personnel.

Submitted by: Noted by:

BEVERLY ROSE B. DELOS SANTOS JESSA MAE J. BALICAO

Classroom Adviser Alternate Clinic Teacher
 Republic of the Philippines
Department of Education
________________________________________________________________________________________________________

CLASSROOM DAILY HEALTH MONITORING TOOL FOR COVID-19

Grade Level: SEVEN Section: JACKFRUIT

Instruction: Write under each column date the code(s) observed in the learner during the routine inspection, during the conduct of
the class, or as reported by the learner or their classmates. Refer to the list of symptoms below and their respective codes:

Fv -Fever F/T - Fatigue/Tiredness ST - Sore throat LoA - Loss of Appetite D - Diarrhea

R - Rashes C - Cough HA- Headache C/RN - Colds/Runny nose N - Nause
LoA - Loss of Smell EN - Essentially normal GW - General Weakness DB - Difficulty of breathing Vm - Vomiting
Lot - Loss of Taste M/BP-Muscle/joint/body pain A - Absent

Symptoms Observed/Reported
NAME 06/20/2022 06/21/2022 06/22/2022 06/23/2022 06/24/2022
Monday Tuesday Wednesday Thursday Friday
Baldomir, Richard
Balgos, Mhar Aljames Bumanglag
Cajigal, Gilbert Paulo Cacuyong
Calaycay, Jaysee Bautista
Ibus, Rodel Macugay
Inong, Renz Leonez
Mangligot, Christian Taddio
Manzano, Gian Pingad
Tejada, Mark Anthony Nacino
Valdez, Jhon Alleen Talon
Agliday, Mary Mae Bigsot
Baybado, Angelika Simbulan
Baytec, Cathlyn Joy Villanueva
Bigsot, Jubelle Ann Gapuz
Bigsot, Rose Alegado
Calaycay, Charline Tadio
Dela Cruz, Trisha Ubibi
Faderan, Shaira Nicole Abucay
Fernandez, Regie Ann Tugade
Galagar, Rechelle Mae Romero
Layugan, Eliza Joy Butay
Macugay, Karla Angela Gamayon
Magbulos, Daisy Mae Ibus
Pidot, Elain Faith Madarang
Salvador, Princess Jane Galut
Note: As soon as any of the listed symptoms is observed among any of the learners, the teacher is expected to send
the learner to the School Clinic immediately for the proper management by the School ClinicTeacher or health
personnel.

Submitted by: Noted by:

BEVERLY ROSE B. DELOS SANTOS JESSA MAE J. BALICAO

Classroom Adviser Alternate Clinic Teacher