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Department of Social Welfare and Development FO1-SFP-002

Field Office 1 REV 00 / 02-12-2020


Quezon Avenue, City of San Fernando, La Union 2500

WEIGHT MONITORING FORM


City/Municipality of SANTA MARIA Province of PANGASINAN
City/Municipal Social Welfare and Development Office
CY 2023-2024

Name of DCC/SNP: Poblacion East Child Development Center


Name of CDW /Volunteer: SYLVIA CANTORIA
Location: Sta. Maria, Pangasinan

Baseline Endline
Nutritional Status Nutritional Status

Date of Date of Summar Rema


Name of Children (Surname, Given Age in Weight Summary of Weighing Age in Height Weight y of rks
Sex Weighing Height (cm) Weight for
No. Name Middle Initial) Mos (kg) Weight for Height for
Undernouris Mos (cm) (kg) Weight Weight for Height for Underno
(m/d/y) Age Height Age (m/d/y) for Age Height Age
hed Children urished
Children

1 Balagtas, Ethan Matthew M


2 Cambe, Jaymark L. M
3 Ford,Maximus C. M
4 Flores,Reid Rylle B. M
5 Mariano, Clyde Harvey A. M
6 Padilla, Aiven J. M
7 Arquero,Arabella B. F
8 Arqueza, JosephineMarie M. F
9 Fortez, Anthena M. F
10 Mejia, AlexaShane S. F
11 Labrador, Angel Faith F
12 Resurreccion, Georgeah C. F
13 Soriano,Carmelita S. F
14 Talpe, Yassie S. F
Total Number of Undernourished Children
Nutritional Status Legend: Prepared by: Noted by:
Weight for Age
N - Normal
UW - Underweight
SUW - Severely Underweight Name/Position Name/Position
OW - Overweight
Height for Age
N - Normal
St - Stunted
Sst - Severely Stunted
T - Tall
Weight for Height
N - Normal
W - Wasted
SW - Severely Wasted
OW - Overweight
Ob - Obese
Department of Social Welfare and Development FO1-SFP-002
Field Office 1 REV 00 / 02-12-2020
Quezon Avenue, City of San Fernando, La Union 2500

WEIGHT MONITORING FORM


City/Municipality of SANTA MARIA Province of PANGASINAN
CY 2022-2023

Name of DCC/SNP: Bal-loy Child Development Center


Name of DCW/Volunteer: ROSEMAR G. CALANTOC
Location: Sta. Maria, Pangasinan

Baseline Endline
Nutritional Status Nutritional Status
Date of Date of Summar Rema
Name of Children (Surname, Given Age in Weight Summary of Weighing Age in Height Weight y of rks
No. Sex Weighing Height (cm) Weight for Weight for Height for Weight Weight for Height for
Name Middle Initial) Mos (kg) Undernouris Mos (cm) (kg) Underno
(m/d/y) Age Height Age (m/d/y) for Age Height Age
hed Children urished
Children
1 Apiado, Marian Nicole D. F 8/7/2022 40 94 15 N N N 0
2 Austria, Ariyalyn L. F 8/7/2022 52 102 15 N N N 0
3 Calantoc, Ayesha Kate m. F 8/7/2022 47 100 14 N N N 0
4 Esmeres, Rachelle Mae A. F 8/7/2022 55 99.5 15 N N N 0
5 Lubiano, Daisy Mae A. F 8/7/2022 53 105 19 N N N 0
6 Nemis, Salma Esrahaline L. F 8/7/2022 44 95 15 N N N 0
7 Palcat, Lelous A. F 8/7/2022 40 74 9 N N N 0
8 Pasamonte, Haily Jillian B. F 8/7/2022 36 96 15 N N N 0
9 Pelleglorio, Nesha A. F 8/7/2022 42 99 26 N N N 0
Total Number of Undernourished Children 0
Nutritional Status Legend: Prepared by: Noted by:
Weight for Age
N - Normal SUW: Severly Underweight
UW - Underweight ROSEMAR G. CALANTOC,CDW MA. LAURA C. SARMIENTO, RSW
SUW - Severely Underweight Name/Position Name/Position
OW - Overweight

Height for Age


N - Normal
St - Stunted
Sst - Severely Stunted
T - Tall

Weight for Height


N - Normal
W - Wasted
SW - Severely Wasted
OW - Overweight
Ob - Obese

FO1-SFP-002
REV 00 / 02-12-2020

Department of Social Welfare and Development FO1-SFP-002


Field Office 1 REV 00 / 02-12-2020
Quezon Avenue, City of San Fernando, La Union 2500

WEIGHT MONITORING FORM


City/Municipality of SANTA MARIA Province of PANGASINAN
City/Municipal Social Welfare and Development Office
CY 2022-2023

Name of DCC/SNP: Bantog Child Development Center


Name of DCW/Volunteer: LORNA M. LOPEZ
Location: Sta. Maria, Pangasinan

Baseline Endline
Nutritional Status Nutritional Status

Date of Date of Summar Rema


Name of Children (Surname, Given Age in Weight Summary of Weighing Age in Height Weight y of rks
Sex Weighing Height (cm) Weight for
No. Name Middle Initial) Mos (kg) Weight for Height for
Undernouris Mos (cm) (kg) Weight Weight for Height for Underno
(m/d/y) Age Height Age (m/d/y) for Age Height Age
hed Children urished
Children

1 Alonzo,Jacob Ryl L. M 8/7/2022 40 95 15 N N N 0


2 Bajuyo,Arby N. M 8/7/2022 38 96 13 N N N 0
3 Boncille,Alex Jerby C. M 8/7/2022 54 100 17 N N N 0
4 Claveron,Renz Jay B. M 8/7/2022 54 110 21 N N N 0
5 David,Nathaniel D. M 8/7/2022 52 98 17 N N N 0
6 De Leon,Rejie N. M 8/7/2022 42 95 10 SUW SW N 1
7 Delos Santos,Shawn Angelo L. M 8/7/2022 45 95 10 SUW SW N 1
8 Garcia,Ralfp Jasper P. M 8/7/2022 48 102 17 N N N 0
9 Fernandez,Jonn Liam B. M 8/7/2022 52 98 15 N N N 0
10 Liwag,Rence Allen C. M 8/7/2022 50 108 16 N N N 0
Total Number of Undernourished Children 2
Nutritional Status Legend: Prepared by: Noted by:
Weight for Age
N - Normal SUW: Severly Underweight
UW - Underweight LORNA M. LOPEZ, CDW MA. LAURA C. SARMIENTO, RSW
SUW - Severely Underweight Name/Position Name/Position
OW - Overweight

Height for Age


N - Normal
St - Stunted
Sst - Severely Stunted
T - Tall

Weight for Height


N - Normal
W - Wasted
SW - Severely Wasted
OW - Overweight
Ob - Obese

Department of Social Welfare and Development FO1-SFP-002


Field Office 1 REV 00 / 02-12-2020
Quezon Avenue, City of San Fernando, La Union 2500

WEIGHT MONITORING FORM


City/Municipality of SANTA MARIA Province of PANGASINAN
City/Municipal Social Welfare and Development Office
CY 2022-2023

Name of DCC/SNP: Bantog Child Development Center


Name of DCW/Volunteer: LORNA M. LOPEZ
Location: Sta. Maria, Pangasinan

Baseline Endline
Nutritional Status Nutritional Status

Date of Date of Summar Rema


Name of Children (Surname, Given Age in Weight Summary of Weighing Age in Height Weight y of rks
Sex Weighing Height (cm) Weight for
No. Name Middle Initial) Mos (kg) Weight for Height for
Undernouris Mos (cm) (kg) Weight Weight for Height for Underno
(m/d/y) Age Height Age (m/d/y) for Age Height Age
hed Children urished
Children

1 Lobusta,John Clyd M. M 8/7/2022 42 97 13 N N N 0


2 Sioco,Jhayde Akilus S. M 07/082022 52 100 15 N N N 0
3 Soriano,Laurenz S. M 07/08//2022 33 95 14 N N N 0
4 Valdez,Nathaniel B. M 8/7/2022 48 110 18 N N N 0
Total Number of Undernourished Children 0
Nutritional Status Legend: Prepared by: Noted by:
Weight for Age
N - Normal SUW: Severly Underweight
UW - Underweight LORNA M. LOPEZ, CDW MA. LAURA C. SARMIENTO, RSW
SUW - Severely Underweight Name/Position Name/Position
OW - Overweight

Height for Age


N - Normal
St - Stunted
Sst - Severely Stunted
T - Tall

Weight for Height


N - Normal
W - Wasted
SW - Severely Wasted
OW - Overweight
Ob - Obese
Department of Social Welfare and Development
Quezon Avenue, City of San Fernando, La Union 2500 FO1-SFP-002
REV 00 / 02-12-2020

WEIGHT MONITORING FORM


City/Municipality of SANTA MARIA Province of PANGASINAN
City/Municipal Social Welfare and Development Office
CY 2022-2023

Name of DCC/SNP: Bantog Child Development Center


Name of DCW/Volunteer: LORNA M. LOPEZ
Location: Sta. Maria, Pangasinan

Baseline Endline
Nutritional Status Nutritional Status

Date of Date of Summar Rema


Name of Children (Surname, Given Age in Weight Summary of Weighing Age in Height Weight y of rks
Sex Weighing Height (cm) Weight for
No. Name Middle Initial) Mos (kg) Weight for Height for
Undernouris Mos (cm) (kg) Weight Weight for Height for Underno
(m/d/y) Age Height Age (m/d/y) for Age Height Age
hed Children urished
Children

1 Andres, Khianna C. F 8/7/2022 41 96 14 N N N 0


2 Apduhan, Tazanna Shane S. F 8/7/2022 36 95 15 N N N 0
3 Cabusora, Tyra Franzilenn V. F 8/7/2022 41 101 14 N N N 0
4 Nesperos, Hannah Cloe B. F 8/7/2022 42 100 24 N N N 0
5 Dioquino, Jamaica Rose C. F 8/7/2022 49 101 15 N N N 0
6 Estoesta, Alessandra C. F 8/7/2022 53 108 17 N N N 0
7 Tison, Shantel Gift O. F 8/7/2022 39 108 17 N N N 0
8
9
10
Total Number of Undernourished Children
Nutritional Status Legend: Prepared by: Noted by:
Weight for Age
N - Normal SUW: Severly Underweight
UW - Underweight LORNA M. LOPEZ, CDW MA. LAURA C. SARMIENTO, RSW
SUW - Severely Underweight Name/Position Name/Position
OW - Overweight

Height for Age


N - Normal
St - Stunted
Sst - Severely Stunted
T - Tall

Weight for Height


N - Normal
W - Wasted
SW - Severely Wasted
OW - Overweight
Ob - Obese

Department of Social Welfare and Development


FO1-SFP-002
Field Office 1 REV 00 / 02-12-2020
Quezon Avenue, City of San Fernando, La Union 2500

WEIGHT MONITORING FORM


City/Municipality of SANTA MARIA Province of PANGASINAN
City/Municipal Social Welfare and Development Office
CY 2022-2023

Name of DCC/SNP: Caboluan Child Development Center


Name of DCW/Volunteer: ANA JOY C. PEREZ
Location: Sta. Maria, Pangasinan

Baseline Endline
Nutritional Status Nutritional Status

Date of Date of Summar Rema


Name of Children (Surname, Given Age in Weight Summary of Weighing Age in Height Weight y of rks
No. Sex Weighing Height (cm) Weight for
Name Middle Initial) Mos (kg) Weight for
N Undernouris Mos (cm) (kg) Weight Weight for Height for Underno
(m/d/y) Age Height (m/d/y) for Age Height Age
hed Children urished
Children

1 Agpawa, Prince Xian O. M 8/7/2022 34 93 20 OW N N 1


2 Bartolome, Jayro A. M 8/7/2022 33 87 14 N N N 0
3 Bonsay, Sean Mateo M 8/7/2022 31 91 13 N N N 0
4 Carpo, Wilmer Curt O. M 8/7/2022 60 94 13 N Sst Sst 1
5 Camajen, Rasty E. M 8/7/2022 33 88 14 N N N 0
6 Jones, Wisley Keith M 8/7/2022 39 97 15 N N N 0
7 Lustina, Benan Jyason M 8/7/2022 43 88 13 N St St 1
8 Sernicula, Gleifer Khiel B. M 8/7/2022 45 96 17 OW N N 1
9 Serquiña, Marcelino Jr. C. M 8/7/2022 34 86 11 N St St 1
10
Total Number of Undernourished Children
Nutritional Status Legend: Prepared by: Noted by:
Weight for Age
N - Normal SUW: Severly Underweight
UW - Underweight ANA JOY C. PEREZ, CDW MA. LAURA C. SARMIENTO, RSW
SUW - Severely Underweight Name/Position Name/Position
OW - Overweight

Height for Age


N - Normal
St - Stunted
Sst - Severely Stunted
T - Tall

Weight for Height


N - Normal
W - Wasted
SW - Severely Wasted
OW - Overweight
Ob - Obese

Department of Social Welfare and Development


FO1-SFP-002
Field Office 1 REV 00 / 02-12-2020
Quezon Avenue, City of San Fernando, La Union 2500

WEIGHT MONITORING FORM


City/Municipality of SANTA MARIA Province of PANGASINAN
City/Municipal Social Welfare and Development Office
CY 2022-2023

Name of DCC/SNP: Caboluan Child Development Center


Name of DCW/Volunteer: ANA JOY C. PEREZ
Location: Sta. Maria, Pangasinan

Baseline Endline
Nutritional Status Nutritional Status

Date of Date of Summar Rema


Name of Children (Surname, Given Age in Weight Summary of Weighing Age in Height Weight y of rks
No. Sex Weighing Height (cm) Weight for
Name Middle Initial) Mos (kg) Weight for Height for
Undernouris Mos (cm) (kg) Weight Weight for Height for Underno
(m/d/y) Age Height Age (m/d/y) for Age Height Age
hed Children urished
Children

1 Anieto, Sophia Avegail D. F 8/7/2022 45 112 23 OW N T 1


2 Calantyoc, Ro-Anne C. F 8/7/2022 36 90 14 N N N 0
3 Carpo, Zyries Syrell S. F 8/7/2022 54 97 17 N N St 1
4 Fernandez,Biblical Atarah A. F 8/7/2022 31 88 13 N N N 0
5 Gorospe, Raincelle Mae C. F 8/7/2022 43 92 15 N N N 0
6 Gorospe,Zevviana C. F 8/7/2022 40 87 12 N N St 1
7 Lozares, Shane L. F 8/7/2022 37 92 12 N N N 0
8 Ramirez, Prrisha Angela A. F 8/7/2022 42 89 13 N N St 1
9 Ramirez, Prisha Andrea A. F 8/7/2022 42 90 14 N N St 1
10 Perez, Madison Alara H. F 8/7/2022 56 100 18 N N N 0
11 Santiago, Jewel Dith C. F 8/7/2022 39 92 13 N N N 0
Total Number of Undernourished Children
Nutritional Status Legend: Prepared by: Noted by:
Weight for Age
N - Normal SUW: Severly Underweight
UW - Underweight ANA JOY C. PEREZ, CDW MA. LAURA C. SARMIENTO, RSW
SUW - Severely Underweight Name/Position Name/Position
OW - Overweight

Height for Age


N - Normal
St - Stunted
Sst - Severely Stunted
T - Tall

Weight for Height


N - Normal
W - Wasted
SW - Severely Wasted
OW - Overweight
Ob - Obese

Department of Social Welfare and Development


FO1-SFP-002
Field Office 1 REV 00 / 02-12-2020
Quezon Avenue, City of San Fernando, La Union 2500

WEIGHT MONITORING FORM


City/Municipality of SANTA MARIA Province of PANGASINAN
City/Municipal Social Welfare and Development Office
CY 2022-2023

Name of DCC/SNP: Cal-litang Child Development Center


Name of DCW/Volunteer: LEONARDO R. FELIPE
Location: Sta. Maria, Pangasinan

Baseline Endline
Nutritional Status Nutritional Status

Date of Date of Summar Rema


Name of Children (Surname, Given Age in Weight Summary of Weighing Age in Height Weight y of rks
No. Sex Weighing Height (cm) Weight for
Name Middle Initial) Mos (kg) Weight for Height for
Undernouris Mos (cm) (kg) Weight Weight for Height for Underno
(m/d/y) Age Height Age (m/d/y) for Age Height Age
hed Children urished
Children

1 Quodala, Angelo C. M 8/7/2022 56 106 16 N N N 0


2 Rosario, Alijah Ace D. M 8/7/2022 45 105 15 N N N 0
3 Santiago, Edson Gello T. M 8/7/2022 33 91.5 14 N N N 0
4 Suguitan, Prince Lhav C. M 8/7/2022 51 103 16 N N N 0
5 Tabarnero, RG R. M 8/7/2022 53 101.5 16 N N N 0
6 Tersol, Yanz Gavin A. M 8/7/2022 50 107 16 N N N 0
7 Tuso, Ranz Klye P. M 8/7/2022 48 102 15 N N N 0
8 Ursua, Athan Kiefer F. M 8/7/2022 52 104.5 18.8 N N N 0
9 Valdez, Glenn O. M 8/7/2022 45 105 15 N N N 0
10 Vidad, Jay-Ar M. M 8/7/2022 56 108 19.1 N N N 0
Total Number of Undernourished Children
Nutritional Status Legend: Prepared by: Noted by:
Weight for Age
N - Normal SUW: Severly Underweight
UW - Underweight LEONARDO R. FELIPE, CDW MA. LAURA C. SARMIENTO, RSW
SUW - Severely Underweight Name/Position Name/Position
OW - Overweight

Height for Age


N - Normal
St - Stunted
Sst - Severely Stunted
T - Tall

Weight for Height


N - Normal
W - Wasted
SW - Severely Wasted
OW - Overweight
Ob - Obese

Department of Social Welfare and Development


FO1-SFP-002
Field Office 1 REV 00 / 02-12-2020
Quezon Avenue, City of San Fernando, La Union 2500

WEIGHT MONITORING FORM


City/Municipality of SANTA MARIA Province of PANGASINAN
City/Municipal Social Welfare and Development Office
CY 2022-2023

Name of DCC/SNP: Cal-litang Child Development Center


Name of DCW/Volunteer: LEONARDO R. FELIPE
Location: Sta. Maria, Pangasinan

Baseline Endline
Nutritional Status Nutritional Status

Date of Date of Rema


Name of Children (Surname, Given Age in Weight Age in Height Weight rks
No. Sex Weighing Height (cm) Weighing
Name Middle Initial) Mos (kg) Mos (cm) (kg)
(m/d/y) (m/d/y)
Date of Date of Summar Rema
Name of Children (Surname, Given Age in Weight Summary of Weighing Age in Height Weight y of rks
No. Sex Weighing Height (cm) Weight for
Name Middle Initial) Mos (kg) Weight for Height for
Undernouris Mos (cm) (kg) Weight Weight for Height for Underno
(m/d/y) Age Height Age (m/d/y) for Age Height Age
hed Children urished
Children

1 Abalos, Amber A. F 8/7/2022 34 95 12.5 N N N 0


2 Aboga, Chanell Gayle E. F 8/7/2022 56 102 16 N N N 0
3 Co, Faye Janiel D. F 8/7/2022 34 95 13 N N N 0
4 De Asis, Scarlet Yuri V. F 8/7/2022 56 102 16 N N N 0
5 Dela Cruz, Xia Amber P. F 8/7/2022 45 100 17.2 N N N 0
6 De Leña, Qrizzabelle Annf F. F 8/7/2022 53 112 17 N N N 0
7 Eslabra, Jia Melissa F 8/7/2022 48 102.5 19.1 N N N 0
8 Fortez, Chenee C. F 8/7/2022 50 99 15.3 N N N 0
9 Galibo, Christele Eunice T. F 8/7/2022 50 99 15.2 N N N 0
10 Gavina, Janella E. F 8/7/2022 46 101 15.5 N N N 0
Total Number of Undernourished Children 0
Nutritional Status Legend: Prepared by: Noted by:
Weight for Age
N - Normal SUW: Severly Underweight
UW - Underweight LEONARDO R. FELIPE, CDW MA. LAURA C. SARMIENTO, RSW
SUW - Severely Underweight Name/Position Name/Position
OW - Overweight

Height for Age


N - Normal
St - Stunted
Sst - Severely Stunted
T - Tall

Weight for Height


N - Normal
W - Wasted
SW - Severely Wasted
OW - Overweight
Ob - Obese

Department of Social Welfare and Development


FO1-SFP-002
Field Office 1 REV 00 / 02-12-2020
Quezon Avenue, City of San Fernando, La Union 2500

WEIGHT MONITORING FORM

City/Municipality of SANTA MARIA Province of PANGASINAN


City/Municipal Social Welfare and Development Office
CY 2022-2023
Name of DCC/SNP: Cal-litang Child Development Center
Name of DCW/Volunteer: LEONARDO R. FELIPE
Location: Sta. Maria, Pangasinan

Baseline Endline
Nutritional Status Nutritional Status

Date of Date of Summar Rema


Name of Children (Surname, Given Age in Weight Summary of Weighing Age in Height Weight y of rks
No. Sex Weighing Height (cm) Weight for
Name Middle Initial) Mos (kg) Weight for Height for
Undernouris Mos (cm) (kg) Weight Weight for Height for Underno
(m/d/y) Age Height Age (m/d/y) for Age Height Age
hed Children urished
Children

1 Gregorio, Sharmaine C. F 8/7/2022 33 100.5 43 N N N 0


2 Hernando, Roanne Joy S. F 8/7/2022 52 102.5 19.1 N N N 0
3 Ibasan, Zien Sayon C. F 8/7/2022 51 105 17.6 N N N 0
4 Lagua, Althea Shane F. F 8/7/2022 44 100 15.8 N N N 0
5 Laguit, Alyana Mae M. F 8/7/2022 49 101 18.8 N N N 0
6 Malunao, Princess Nouf L. F 8/7/2022 54 105.5 18.9 N N N 0
7 Oriña, Althea Venize E. F 8/7/2022 26 92.5 13 N N N 0
8 Quilos, Irish Janeen C. F 8/7/2022 25 93 14 N N N 0
9 Ramos, Ana Letizia G. F 8/7/2022 52 104 16 N N N 0
10 Tadena, Allanise M. F 8/7/2022 46 99.5 16.2 N N N 0
Total Number of Undernourished Children 0
Nutritional Status Legend: Prepared by: Noted by:
Weight for Age
N - Normal SUW: Severly Underweight
UW - Underweight LEONARDO R. FELIPE, CDW MA. LAURA C. SARMIENTO, RSW
SUW - Severely Underweight Name/Position Name/Position
OW - Overweight

Height for Age


N - Normal
St - Stunted
Sst - Severely Stunted
T - Tall

Weight for Height


N - Normal
W - Wasted
SW - Severely Wasted
OW - Overweight
Ob - Obese

Department of Social Welfare and Development


FO1-SFP-002
Field Office 1 REV 00 / 02-12-2020
Quezon Avenue, City of San Fernando, La Union 2500

WEIGHT MONITORING FORM


City/Municipality of SANTA MARIA Province of PANGASINAN
City/Municipal Social Welfare and Development Office
CY 2022-2023

Name of DCC/SNP: Cal-litang Child Development Center


Name of DCW/Volunteer: LEONARDO R. FELIPE
Location: Sta. Maria, Pangasinan

Baseline Endline
Nutritional Status Nutritional Status

Date of Date of Summar Rema


Name of Children (Surname, Given Age in Weight Summary of Weighing Age in Height Weight y of rks
No. Sex Weighing Height (cm) Weight for
Name Middle Initial) Mos (kg) Weight for Height for
Undernouris Mos (cm) (kg) Weight Weight for Height for Underno
(m/d/y) Age Height Age (m/d/y) for Age Height Age
hed Children urished
Children

1 Ubera, Shaneah Louise P. F 8/7/2022 42 99 16.7 N N N 0


2
3
4
5
Total Number of Undernourished Children 0
Nutritional Status Legend: Prepared by: Noted by:
Weight for Age
N - Normal SUW: Severly Underweight
UW - Underweight LEONARDO R. FELIPE, CDW MA. LAURA C. SARMIENTO, RSW
SUW - Severely Underweight Name/Position Name/Position
OW - Overweight

Height for Age


N - Normal
St - Stunted
Sst - Severely Stunted
T - Tall

Weight for Height


N - Normal
W - Wasted
SW - Severely Wasted
OW - Overweight

Department of Social Welfare and Development


FO1-SFP-002
Field Office 1 REV 00 / 02-12-2020
Quezon Avenue, City of San Fernando, La Union 2500

WEIGHT MONITORING FORM


City/Municipality of SANTA MARIA Province of PANGASINAN
City/Municipal Social Welfare and Development Office
CY 2022-2023

Name of DCC/SNP: Capandanan Child Development Center


Name of DCW/Volunteer:MARY ANN G. BATALLA
Location: Sta. Maria, Pangasinan

Baseline Endline
Nutritional Status Nutritional Status
Date of Date of Summary Rema
Name of Children (Surname, Given Age in Weight Summary of Age in Height Weight of rks
No. Sex Weighing Height (cm) Weight for Weighing
Name Middle Initial) Mos (kg) Weight for
Height for Age Undernourish Mos (cm) (kg) Weight Weight for Height for Undernou
(m/d/y) Age Height
ed Children (m/d/y) for Age Height Age rished
Children

1 Alcantara, Prince Kyle C. M 7/8/2022 49 97 16 N N N 0


2 Batalla,Mateo Elizer M 7/8/2022 51 102 18 N N N 0
3 Batalla, John Drayen N. M 7/8/2022 31 87 13 N N N 0
4 Buncille Jonathan C. M 7/8/2022 44 93 13 N N N 0
5 Estolas, Krysler Kyle P. M 7/8/2022 46 94 14 N N N 0
6 Arvin Earl Dela Cruz M 7/8/2022 44 90 15 N N N 0
7 Dumaquion Lems C. M 7/8/2022 53 91.5 15 N N N 0
8 Rusillion, Freander J. M 7/8/2022 52 97 20 N Ob N 1
9 Santiago, Sebatian B. M 7/8/2022 43 93 16 N N N 0
10 Tacderas, Kyle G. M 7/8/2022 32 89 13 N N N 0
Total Number of Undernourished Children
Nutritional Status Legend: Prepared by: Noted by:
Weight for Age
N - Normal SUW: Severly Underweight
UW - Underweight MARY ANN G. BATALLA, CDW MA. LAURA C. SARMIENTO, RSW
SUW - Severely Underweight Name/Position Name/Position
OW - Overweight

Height for Age


N - Normal
St - Stunted
Sst - Severely Stunted
T - Tall

Weight for Height


N - Normal
W - Wasted
SW - Severely Wasted
OW - Overweight
Ob - Obese
FO1-SFP-002
REV 00 / 02-12-2020

Department of Social Welfare and Development


Field Office 1
Quezon Avenue, City of San Fernando, La Union 2500

WEIGHT MONITORING FORM


City/Municipality of SANTA MARIA Province of PANGASINAN
City/Municipal Social Welfare and Development Office
CY 2022-2023

Name of DCC/SNP: Capandanan Child Development Center


Name of DCW/Volunteer:MARY ANN G. BATALLA
Location: Sta. Maria, Pangasinan

Baseline Endline
Nutritional Status Nutritional Status
Date of Date of Summar Rema
Name of Children (Surname, Given Age in Weight Summary of Weighing Age in Height Weight y of rks
No. Sex Weighing Height (cm) Weight for
Name Middle Initial) Mos (kg) Weight for Height for
Undernouris Mos (cm) (kg) Weight Weight for Height for Underno
(m/d/y) Age Height Age (m/d/y) for Age Height Age
hed Children urished
Children
1 Banaga, Mecaela D. F 7/8/2022 32 90 15 N N N 0
2 Ballesca, Ziarra Ynaris F 7/8/2022 43 92 15 N N N 0
3 Batalla, Rose Ann G. F 7/8/2022 51 100 26 OW N N 0
4 Batalla, Princess Madeline G. F 7/8/2022 56 105 20 N Ob N 1
5 Callejo, Graziela Florayne P. F 7/8/2022 53 111 27 OW Ob N 1
6 Canoza, Princess Maeica C. F 7/8/2022 53 97 14 N N N 0
7 Cabanayan, Sarah Jane F 7/8/2022 54 98 14 N N N 0
8 Delo Santos, Raglyn Yeshas F 7/8/2022 46 100 19 N OW N 1
9 Garcia, Angela Bless B. F 7/8/2022 54 105 16 N N N 0
10 Ginez, Nhoriline R. F 7/8/2022 55 98 21 N N N 0
11 Ginez Maureen M. F 7/8/2022 34 90 14n N N N 0
Total Number of Undernourished Children 3
Nutritional Status Legend: Prepared by: Noted by:
Weight for Age
N - Normal SUW: Severly Underweight
UW - Underweight MARY ANN G. BATALLA, CDW MA. LAURA C. SARMIENTO, RSW
SUW - Severely Underweight Name/Position Name/Position
OW - Overweight

Height for Age


N - Normal
St - Stunted
Sst - Severely Stunted
T - Tall

Weight for Height


N - Normal
W - Wasted
SW - Severely Wasted
OW - Overweight
Ob - Obese

Department of Social Welfare and Development FO1-SFP-002


Field Office 1 REV 00 / 02-12-2020
Quezon Avenue, City of San Fernando, La Union 2500

WEIGHT MONITORING FORM


City/Municipality of SANTA MARIA Province of PANGASINAN
City/Municipal Social Welfare and Development Office
CY 2022-2023

Name of DCC/SNP: Cauplasan Child Development Center


Name of DCW/Volunteer:FLORENCE C. EDRADA
Location: Sta. Maria, Pangasinan

Baseline Endline
Nutritional Status Nutritional Status

Date of Date of Summar Rema


Name of Children (Surname, Given Age in Weight Summary of Weighing Age in Height Weight y of rks
No. Sex Weighing Height (cm) Weight for
Name Middle Initial) Mos (kg) Weight for Height for
Undernouris Mos (cm) (kg) Weight Weight for Height for Underno
(m/d/y) Age Height Age (m/d/y) for Age Height Age
hed Children urished
Children

1 Altar Jerwel A. M 8/7/2022 42 100 17 N N N 0


2 Bueno Zhen Riley F. M 8/7/2022 53 110 21 N N N 0
3 Canaveral, Vinh Ian Rudy L. M 8/7/2022 56 103 17 N OW N 0
4 Carbillion Maulik A. M 8/7/2022 51 98 20 N N N 0
5 Edrada, Razper Bec L. M 8/7/2022 54 103 16 N N N 0
6 Esteban,Brandon T. M 8/7/2022 46 99 15 N N N 0
7 Florez, Carl Isaac B. M 8/7/2022 38 90 13 N N N 0
8 Florez, Zander, E. M 8/7/2022 45 90 14 N N N 0
9 Gonzales, Yzer E. M 8/7/2022 45 100 17 N N N 0
10 Navales, Mark Kelly C. M 8/7/2022 52 98 13 N N N 0
11 Natividad, Wayne Ruzzel V. M 8/7/2022 31 85 19 N N N 0
12 Pasion, Lucas Jade B. M 8/7/2022 51 93 12 UW N St 1
13 Tempongko, Nathaniel E. M 8/7/2022 37 88 12 OW N St 1
Total Number of Undernourished Children
Nutritional Status Legend: Prepared by: Noted by:
Weight for Age
N - Normal SUW: Severly Underweight
UW - Underweight FLORENCE C. EDRADA, CDW MA. LAURA C. SARMIENTO, RSW
SUW - Severely Underweight Name/Position Name/Position
OW - Overweight

Height for Age


N - Normal
St - Stunted
Sst - Severely Stunted
T - Tall

Weight for Height


N - Normal
W - Wasted
SW - Severely Wasted
OW - Overweight
Ob - Obese

Department of Social Welfare and Development FO1-SFP-002


Field Office 1 REV 00 / 02-12-2020
Quezon Avenue, City of San Fernando, La Union 2500

WEIGHT MONITORING FORM


City/Municipality of SANTA MARIA Province of PANGASINAN
City/Municipal Social Welfare and Development Office
CY 2022-2023

Name of DCC/SNP: Cauplasan Child Development Center


Name of DCW/Volunteer: FLORENCE C. EDRADA
Location: Sta. Maria, Pangasinan

Baseline Endline
Nutritional Status Nutritional Status
Date of Date of Summar Rema
Name of Children (Surname, Given Age in Weight Summary of Weighing Age in Height Weight y of rks
No. Sex Weighing Height (cm) Weight for
Name Middle Initial) Mos (kg) Weight for Height for
Undernouris Mos (cm) (kg) Weight Weight for Height for Underno
(m/d/y) Age Height Age (m/d/y) for Age Height Age
hed Children urished
Children
1 Altar, Jesicca A. F 8/7/2022 43 91 11 N N N 0
2 Angelo, Althea Cassey Q. F 8/7/2022 41 89 13 N N N 0
3 Apiado, Sohia Lorraine A F 8/7/2022 48 103 16 N N N 0
4 Aquino, Rachelle C. F 8/7/2022 45 93 17 N N N 0
5 Bale, Aleliah Mae L. F 8/7/2022 48 94 13 N N N 0
6 Canaveral Alannah Jessica M. F 8/7/2022 53 104 15 N N N 0
7 Concepcion, Nathale Jean P. F 8/7/2022 43 91 15 N N N 0
8 Corpuz, Princess Zia R. F 8/7/2022 48 96 14 N N N 0
9 Daranciang, Cassey M. F 8/7/2022 36 86 10 UW N N 1
10 Green, Alexdra D. F 8/7/2022 34 92 13 OW Ob St 1
Total Number of Undernourished Children 0
Nutritional Status Legend: Prepared by: Noted by:
Weight for Age
N - Normal SUW: Severly Underweight
UW - Underweight FLORENCE C. EDRADA, CDW MA. LAURA C. SARMIENTO, RSW
SUW - Severely Underweight Name/Position Name/Position
OW - Overweight

Height for Age


N - Normal
St - Stunted
Sst - Severely Stunted
T - Tall

Weight for Height


N - Normal
W - Wasted
SW - Severely Wasted
OW - Overweight
Ob - Obese FO1-SFP-002
REV 00 / 02-12-2020
Department of Social Welfare and Development
Field Office 1
Quezon Avenue, City of San Fernando, La Union 2500

WEIGHT MONITORING FORM


City/Municipality of SANTA MARIA Province of PANGASINAN
City/Municipal Social Welfare and Development Office
CY 2022-2023

Name of DCC/SNP: Cauplasan Child Development Center


Name of DCW/Volunteer: FLORENCE C. EDRADA
Location: Sta. Maria, Pangasinan

Baseline Endline
Nutritional Status Nutritional Status
Date of Date of Summar Rema
Name of Children (Surname, Given Age in Weight Summary of Weighing Age in Height Weight y of rks
No. Sex Weighing Height (cm) Weight for
Name Middle Initial) Mos (kg) Weight for Height for
Undernouris Mos (cm) (kg) Weight Weight for Height for Underno
(m/d/y) Age Height Age (m/d/y) for Age Height Age
hed Children urished
Children
1 Laureano, Mariella L. F 8/7/2022 43 95 12 N N N 0
2 Lustina, Althea Gem C. F 8/7/2022 44 101 14 N N N 0
3 Pascua, Empress A. F 8/7/2022 52 100 16 N N N 0
4 Robina, Barbie France L. F 8/7/2022 54 100 15 N N N 0
5
6
7
8
Total Number of Undernourished Children
Nutritional Status Legend: Prepared by: Noted by:
Weight for Age
N - Normal SUW: Severly Underweight
UW - Underweight FLORENCE C. EDRADA, CDW MA. LAURA C. SARMIENTO, RSW
SUW - Severely Underweight Name/Position Name/Position
OW - Overweight

Height for Age


N - Normal
St - Stunted
Sst - Severely Stunted
T - Tall

Weight for Height


N - Normal
W - Wasted
SW - Severely Wasted
OW - Overweight
Ob - Obese FO1-SFP-002
REV 00 / 02-12-2020
Department of Social Welfare and Development
Field Office 1
Quezon Avenue, City of San Fernando, La Union 2500

WEIGHT MONITORING FORM


City/Municipality of SANTA MARIA Province of PANGASINAN
City/Municipal Social Welfare and Development Office
CY 2022-2023

Name of DCC/SNP: Dalayap Child Development Center


Name of DCW/Volunteer: AILEEN GRACE F. CABASA
Location: Sta. Maria, Pangasinan

Baseline Endline
Nutritional Status Nutritional Status

Date of Date of Summar Rema


Name of Children (Surname, Given Age in Weight Summary of Weighing Age in Height Weight y of rks
No. Sex Weighing Height (cm) Weight for
Name Middle Initial) Mos (kg) Weight for Height for
Undernouris Mos (cm) (kg) Weight Weight for Height for Underno
(m/d/y) Age Height Age (m/d/y) for Age Height Age
hed Children urished
Children

1 Bantang , Ace C. M 8/7/2022 34 89 14 N N S 1


2 Dela Cruz, Axel Cryll D. M 8/7/2022 44 103 17 N N N 0
3 Fontanilla, Keesh Samuel D. M 8/7/2022 49 100 18.2 N N N 0
4 Galinato, Gael P. M 8/7/2022 50 112 18 N N N 0
5 Ginez, Xander C. M 8/7/2022 51 100 17 N N N 0
6 Guloy, Ashliam C. M 8/7/2022 45 96 17 N OW N 0
7 Mata, Christian James M. M 8/7/2022 43 88 13 N N St 1
8 Mata, Kurt Matthew A. M 8/7/2022 35 95 16 N N N 0
9 Mata, David Allen S. M 8/7/2022 37 90 14 N N N 0
10 Medrano, Ralp Nathan D. M 8/7/2022 54 97 17 N N St 1
11
Total Number of Undernourished Children
Nutritional Status Legend: Prepared by: Noted by:
Weight for Age
N - Normal SUW: Severly Underweight
UW - Underweight AILEEN GRACE F. CABASA,CDW MA. LAURA C. SARMIENTO, RSW
SUW - Severely Underweight Name/Position Name/Position
OW - Overweight

Height for Age


N - Normal
St - Stunted
Sst - Severely Stunted
T - Tall

Weight for Height


N - Normal
W - Wasted
SW - Severely Wasted
OW - Overweight
Ob - Obese

FO1-SFP-002
Department of Social Welfare and Development REV 00 / 02-12-2020
Field Office 1
Quezon Avenue, City of San Fernando, La Union 2500

WEIGHT MONITORING FORM


City/Municipality of SANTA MARIA Province of PANGASINAN
City/Municipal Social Welfare and Development Office
CY 2022-2023

Name of DCC/SNP: Dalayap Child Development Center


Name of DCW/Volunteer: AILEEN GRACE F. CABASA
Location: Sta. Maria, Pangasinan

Baseline Endline
Nutritional Status Nutritional Status

Date of Date of Summar Rema


Name of Children (Surname, Given Age in Weight Summary of Weighing Age in Height Weight y of rks
No. Sex Weighing Height (cm) Weight for
Name Middle Initial) Mos (kg) Weight for Height for
Undernouris Mos (cm) (kg) Weight Weight for Height for Underno
(m/d/y) Age Height Age (m/d/y) for Age Height Age
hed Children urished
Children

1 Opena, Ronel G. M 8/7/2022 51 97 17 N N N 0


2 Pagalilauan, Ronniel C. M 8/7/2022 48 95 14.5 N N N 0
3 Tabuena, Kharos Jandrick C. M 8/7/2022 45 90 15 N N N 0
4 Tomas, Gabriel G. M 8/7/2022 44 91 15 N N N 0
5 Tomas, Lance Dian L. M 8/7/2022 56 88 14.5 N N Sst 1
6 Villa, Antonio Primo D. M 8/7/2022 45 93 14 N N N 0
Total Number of Undernourished Children
Nutritional Status Legend: Prepared by: Noted by:
Weight for Age
N - Normal SUW: Severly Underweight
UW - Underweight AILEEN GRACE F. CABASA, CDW MA. LAURA C. SARMIENTO, RSW
SUW - Severely Underweight Name/Position Name/Position
OW - Overweight

Height for Age


N - Normal
St - Stunted
Sst - Severely Stunted
T - Tall

Weight for Height


N - Normal
W - Wasted
SW - Severely Wasted
OW - Overweight
Ob - Obese

Department of Social Welfare and Development


Field Office 1
Quezon Avenue, City of San Fernando, La Union 2500 FO1-SFP-002
REV 00 / 02-12-2020

WEIGHT MONITORING FORM


City/Municipality of SANTA MARIA Province of PANGASINAN
City/Municipal Social Welfare and Development Office

Name of DCC/SNP: Dalayap Child Development Center


Name of DCW/Volunteer: AILEEN GRACE F. CABASA
Location: Sta. Maria, Pangasinan

Baseline Endline
Nutritional Status Nutritional Status

Date of Date of Summar Rema


Name of Children (Surname, Given Age in Weight Summary of Weighing Age in Height Weight y of rks
No. Sex Weighing Height (cm) Weight for
Name Middle Initial) Mos (kg) Weight for Height for
Undernouris Mos (cm) (kg) Weight Weight for Height for Underno
(m/d/y) Age Height Age (m/d/y) for Age Height Age
hed Children urished
Children

1 Calpito, Share Falyn D. F 8/7/2022 34 86 11 N N St


2 Carbillon, Carel S. F 8/7/2022 56 100 18 N N N
3 Caritativo, Anthonette R. F 8/7/2022 34 90 15 N N N
4 Dronio, Princess Alliah E. F 8/7/2022 44 93 16 N N N
5 Fontanilla, Kiesha Samantha D. F 8/7/2022 41 94 16 N N N
6 Mata, Jewel Rose G. F 8/7/2022 51 96 17 N N N
7 Magatas, Sophia Charlotte C. F 8/7/2022 39 92 13 N N St
8 Medrano, Sandra Mae D. F 8/7/2022 45 96 16 N N N
9 Mission, Shopia G. F 8/7/2022 36 89 14 N N N
10 Parinas, Shopia C. F 8/7/2022 45 99 16 N N N
Rabago, Nea F 8/7/2022 38 89 14.5 N S N
Tomas, Isabel S. F 8/7/2022 50 101 18 N N N
Total Number of Undernourished Children
Nutritional Status Legend: Prepared by: Noted by:
Weight for Age
N - Normal SUW: Severly Underweight
UW - Underweight AILEEN GRACE F. CABASA, CDW MA. LAURA C. SARMIENTO, RSW
SUW - Severely Underweight Name/Position Name/Position
OW - Overweight

Height for Age


N - Normal
St - Stunted
Sst - Severely Stunted
T - Tall

Weight for Height


N - Normal
W - Wasted
SW - Severely Wasted
OW - Overweight
Ob - Obese

Department of Social Welfare and Development


Field Office 1
Quezon Avenue, City of San Fernando, La Union 2500 FO1-SFP-002
REV 00 / 02-12-2020

WEIGHT MONITORING FORM


City/Municipality of SANTA MARIA Province of PANGASINAN
City/Municipal Social Welfare and Development Office
CY 2021-2022

Name of DCC/SNP: Libsong Child Development Center


Name of DCW/Volunteer: JENNY R. ELIZAGA
Location: Sta. Maria, Pangasinan

Baseline Endline
Nutritional Status Nutritional Status

Date of Date of Rema


Name of Children (Surname, Given Age in Weight Age in Height Weight rks
No. Sex Weighing Height (cm) Weighing
Name Middle Initial) Mos (kg) Mos (cm) (kg)
(m/d/y) (m/d/y)
Date of Date of Summar Rema
Name of Children (Surname, Given Age in Weight Summary of Weighing Age in Height Weight y of rks
No. Sex Weighing Height (cm) Weight for
Name Middle Initial) Mos (kg) Weight for Height for
Undernouris Mos (cm) (kg) Weight Weight for Height for Underno
(m/d/y) Age Height Age (m/d/y) for Age Height Age
hed Children urished
Children

1 Arcega, Briejea E. F 8/7/2022 46 97 11 UW N N 1


2 Cachila, Michelyn A. F 8/7/2022 40 98 14 N N N 0
3 Corpuz, Zechania Kim F 8/7/2022 40 104 16 N N N 0
4 Dela Cruz, Johanna Viyel C. F 8/7/2022 47 103 15 N N N 0
5 Estomo, Precious Mikael F 8/7/2022 44 94 11 UW N N 1
6 Meriales, Jessica E. F 8/7/2022 38 103.5 14 N N N 0
7 Perez, Jerlie Ann M. F 8/7/2022 40 104 15 N N N 0
8 Bernardo, Prince John C. M 8/7/2022 38 97 13 N N N 0
9 Dauz, Kaizer E. M 8/7/2022 39 103 15 N N N 0
10
Total Number of Undernourished Children 1
Nutritional Status Legend: Prepared by: Noted by:
Weight for Age
N - Normal SUW: Severly Underweight
UW - Underweight JENNY R. ELIZAGA, CDW MA. LAURA C. SARMIENTO, RSW
SUW - Severely Underweight Name/Position Name/Position
OW - Overweight

Height for Age


N - Normal
St - Stunted
Sst - Severely Stunted
T - Tall

Weight for Height


N - Normal
W - Wasted
SW - Severely Wasted
OW - Overweight
Ob - Obese

Department of Social Welfare and Development


FO1-SFP-002
Field Office 1 REV 00 / 02-12-2020
Quezon Avenue, City of San Fernando, La Union 2500

WEIGHT MONITORING FORM


City/Municipality of SANTA MARIA Province of PANGASINAN
City/Municipal Social Welfare and Development Office
CY 2021-2022

Name of DCC/SNP: Libsong Child Development Center


Name of DCW/Volunteer: JENNY R. ELIZAGA
Location: Sta. Maria, Pangasinan
Baseline Endline
Nutritional Status Nutritional Status

Date of Date of Summar Rema


Name of Children (Surname, Given Age in Weight Summary of Weighing Age in Height Weight y of rks
No. Sex Weighing Height (cm) Weight for
Name Middle Initial) Mos (kg) Weight for Height for
Undernouris Mos (cm) (kg) Weight Weight for Height for Underno
(m/d/y) Age Height Age (m/d/y) for Age Height Age
hed Children urished
Children

1 Elizaga, Jeyd R. M 8/7/2022 55 110.5 18 N N N 0


2 Manzano, Angelou Luis C. M 8/7/2022 37 101.5 14 N N N 0
3 Meriales, Edgar John R. M 8/7/2022 33 95 13 N N N 0
4 Montero, Kyle C. M 8/7/2022 38 105 15 N N N 0
5 Orbillo, John Abner T. M 8/7/2022 43 106.5 20 N N N 0
6 Rivera, Ronald Regan A. M 8/7/2022 36 92 12 N N N 0
7 Salgado, Aeron James B. M 8/7/2022 38 94 12 N N N 0
8 Sarmiento, Almir Aissa T. M 8/7/2022 48 108 15 N N N 0
9 Mendillo, Ash Nifh M 8/7/2022 44 93 12 UW N N 1
10 Catbagan, Andrie T. M 8/7/2022 47 100 13 N N N 0
Total Number of Undernourished Children
Nutritional Status Legend: Prepared by: Noted by:
Weight for Age
N - Normal SUW: Severly Underweight
UW - Underweight JENNY R. ELIZAGA, CDW MA. LAURA C. SARMIENTO, RSW
SUW - Severely Underweight Name/Position Name/Position
OW - Overweight

Height for Age


N - Normal
St - Stunted
Sst - Severely Stunted
T - Tall

Weight for Height


N - Normal
W - Wasted
SW - Severely Wasted
OW - Overweight
Ob - Obese

Department of Social Welfare and Development


FO1-SFP-002
Field Office 1 REV 00 / 02-12-2020
Quezon Avenue, City of San Fernando, La Union 2500

WEIGHT MONITORING FORM


City/Municipality of SANTA MARIA Province of PANGASINAN
City/Municipal Social Welfare and Development Office
CY 2021-2022

Name of DCC/SNP: Libsong Child Development Center


Name of DCW/Volunteer: MARIBEL M. CARIŇO
Location: Sta. Maria, Pangasinan

Baseline Endline
Nutritional Status Nutritional Status
Date of Date of Summar Rema
Name of Children (Surname, Given Age in Weight Summary of Weighing Age in Height Weight y of rks
No. Sex Weighing Height (cm) Weight for
Name Middle Initial) Mos (kg) Weight for Height for
Undernouris Mos (cm) (kg) Weight Weight for Height for Underno
(m/d/y) Age Height Age (m/d/y) for Age Height Age
hed Children urished
Children
1 Abad, Urijah S. F 8/7/2022 52 98.5 15.5 N N N 0
2 Aboga, Emerates Kisses M. F 8/7/2022 51 101 16 N N N 0
3 Agosto, Deane Katherine Celeste R. F 8/7/2022 49 100 15 N N N 0
4 Arreola, Thalia Bein P. F 8/7/2022 29 85 13 N N N 0
5 Bergonia, Ysabelle Louise V. F 8/7/2022 43 97.5 16 N N N 0
6 Castillo, Princess Arriane P. F 8/7/2022 29 85 14 N OW N 0
7 Castillo, Sofia Althea T. F 8/7/2022 54 102 17 N N N 0
8 Dayola, Carmela M. F 8/7/2022 50 100.5 16.5 N N N 0
9 Doldol, Hasmin G. F 8/7/2022 42 96 16 N N N 0
10 Francisco, Natalie Khate N. F 8/7/2022 39 97 14 N N N 0
Total Number of Undernourished Children
Nutritional Status Legend: Prepared by: Noted by:
Weight for Age
N - Normal SUW: Severly Underweight
UW - Underweight MARIBEL M. CARIŇO, CDW MA. LAURA C. SARMIENTO, RSW
SUW - Severely Underweight Name/Position Name/Position
OW - Overweight

Height for Age


N - Normal
St - Stunted
Sst - Severely Stunted
T - Tall

Weight for Height


N - Normal
W - Wasted
SW - Severely Wasted
OW - Overweight
Ob - Obese

Department of Social Welfare and Development


FO1-SFP-002
Field Office 1 REV 00 / 02-12-2020
Quezon Avenue, City of San Fernando, La Union 2500
WEIGHT MONITORING FORM
City/Municipality of SANTA MARIA Province of PANGASINAN
City/Municipal Social Welfare and Development Office
CY 2021-2022

Name of DCC/SNP: Libsong Child Development Center


Name of DCW/Volunteer: MARIBEL M. CARIŇO
Location: Sta. Maria, Pangasinan

Baseline Endline
Nutritional Status Nutritional Status

Date of Date of Summar Rema


Name of Children (Surname, Given Age in Weight Summary of Weighing Age in Height Weight y of rks
No. Sex Weighing Height (cm) Weight for
Name Middle Initial) Mos (kg) Weight for Height for
Undernouris Mos (cm) (kg) Weight Weight for Height for Underno
(m/d/y) Age Height Age (m/d/y) for Age Height Age
hed Children urished
Children

1 Fernandez, Giann D. F 8/7/2022 43 98 15 N N N 0


2 Fernandez, Giann Jane D F 8/7/2022 43 98 15 N N N 0
3 Flores, Julia Bianca R. F 8/7/2022 54 101 17 N N N 0
4 Fructouso, Kizzandra Jade H. F 8/7/2022 44 98.5 16 N N N 0
5 Molina, Aljeyah Faye T. F 8/7/2022 47 97 15 N N N 0
6 Peralta, Rachella sofia S. F 8/7/2022 48 99.5 17 N N N 0
7 Retutal, Jamela Jain F. F 8/7/2022 46 97.5 16 N N N 0
Total Number of Undernourished Children
Nutritional Status Legend: Prepared by: Noted by:
Weight for Age
N - Normal SUW: Severly Underweight
UW - Underweight MARIBEL M. CARIŇO, CDW MA. LAURA C. SARMIENTO, RSW
SUW - Severely Underweight Name/Position Name/Position
OW - Overweight

Height for Age


N - Normal
St - Stunted
Sst - Severely Stunted
T - Tall

Weight for Height


N - Normal
W - Wasted
SW - Severely Wasted
OW - Overweight
Ob - Obese

Department of Social Welfare and Development


FO1-SFP-002
Field Office 1 REV 00 / 02-12-2020
Quezon Avenue, City of San Fernando, La Union 2500
WEIGHT MONITORING FORM
City/Municipality of SANTA MARIA Province of PANGASINAN
City/Municipal Social Welfare and Development Office
CY 2021-2022

Name of DCC/SNP: Namagabagan Child Development Center


Name of DCW/Volunteer: MARIBEL M. CARIÑO
Location: Sta. Maria, Pangasinan

Baseline Endline
Date of Date of Summar Rema
Name of Children (Surname, Given Age in Weight Nutritional Status Summary of Age in Height Weight Nutritional Status y of rks
No. Sex Weighing Height (cm) Weight for Weighing
Name Middle Initial) Mos (kg) Weight for Height for
Undernouris Mos (cm) (kg) Weight Weight for Height for Underno
(m/d/y) Age Height Age (m/d/y) for Age Height Age
1 Arciosa, Jzeus M. M 8/7/2022 48 100 16 N N N hed Children
0 urished
Children
2 Castillo, Niño S. M 8/7/2022 54 101 17.5 N N N 0
3 Corpuz, Zande Jhon O. M 8/7/2022 53 101 16 N N N 0
4 Dopale, Charles Kian Edric V. M 8/7/2022 47 99.5 16 N N N 0
5 Felipe, Mark Caleb G. M 8/7/2022 44 98 15.5 N N N 0
6 Molina, Kurt Liam Drew R. M 8/7/2022 52 101 17 N N N 0
7 Pascua, Edwill Jade E. M 8/7/2022 54 103 18 N N N 0
8 San Joaquin, Ethan Riel R. M 8/7/2022 47 100 17.5 N N N 0
9 Sebuco, Renz Aldrich L. M 8/7/2022 53 104.5 18 N N N 0
10 Servanda, Prince Jacob S. M 8/7/2022 36 90 15 N N N 0
Total Number of Undernourished Children
Nutritional Status Legend: Prepared by: Noted by:
Weight for Age
N - Normal SUW: Severly Underweight
UW - Underweight MARIBEL M. CARIÑO, CDW MA. LAURA C. SARMIENTO, RSW
SUW - Severely Underweight Name/Position Name/Position
OW - Overweight

Height for Age


N - Normal
St - Stunted
Sst - Severely Stunted
T - Tall

Weight for Height


N - Normal
W - Wasted
SW - Severely Wasted
OW - Overweight

Ob - Obese
FO1-SFP-002
REV 00 / 02-12-2020

Department of Social Welfare and Development


Field Office 1
Quezon Avenue, City of San Fernando, La Union 2500

WEIGHT MONITORING FORM


City/Municipality of SANTA MARIA Province of PANGASINAN
City/Municipal Social Welfare and Development Office
CY 2021-2022

Name of DCC/SNP: Namagabagan Child Development Center


Name of DCW/Volunteer: MARIBEL M. CARIÑO
Location: Sta. Maria, Pangasinan

Baseline Endline
Nutritional Status Nutritional Status

Date of Date of Summar Rema


Name of Children (Surname, Given Age in Weight Summary of Weighing Age in Height Weight y of rks
No. Sex Weighing Height (cm) Weight for
Name Middle Initial) Mos (kg) Weight for Height for
Undernouris Mos (cm) (kg) Weight Weight for Height for Underno
(m/d/y) Age Height Age (m/d/y) for Age Height Age
hed Children urished
Children

1 Soriano, Christian C. M 8/7/2022 48 100 17.5 N N N 0


2 Soriano, Jaycer Reyl R. M 8/7/2022 45 97 15 N N N 0
3 Villanueva, Lucazs Jared R. M 8/7/2022 55 102 17 N N N 0
Total Number of Undernourished Children
Nutritional Status Legend: Prepared by: Noted by:
Weight for Age
N - Normal SUW: Severly Underweight
UW - Underweight MARIBEL M. CARIÑO, CDW MA. LAURA C. SARMIENTO, RSW
SUW - Severely Underweight Name/Position Name/Position
OW - Overweight

Height for Age


N - Normal
St - Stunted
Sst - Severely Stunted
T - Tall

Weight for Height


N - Normal
W - Wasted
SW - Severely Wasted
OW - Overweight
Ob - Obese
FO1-SFP-002
Department of Social Welfare and Development REV 00 / 02-12-2020
FO1-SFP-002
REV 00 / 02-12-2020
Field Office 1
Quezon Avenue, City of San Fernando, La Union 2500

WEIGHT MONITORING FORM


City/Municipality of SANTA MARIA Province of PANGASINAN
City/Municipal Social Welfare and Development Office
CY 2021-2022

Name of DCC/SNP: Paitan Child Development Center


Name of DCW/Volunteer: MARGIE D. MOLDEZ
Location: Sta. Maria, Pangasinan

Baseline Endline
Nutritional Status Nutritional Status

Date of Date of Summar Rema


Name of Children (Surname, Given Age in Weight Summary of Weighing Age in Height Weight y of rks
No. Sex Weighing Height (cm) Weight for
Name Middle Initial) Mos (kg) Weight for Height for
Undernouris Mos (cm) (kg) Weight Weight for Height for Underno
(m/d/y) Age Height Age (m/d/y) for Age Height Age
hed Children urished
Children

1 Jun Jake A. Abobo M 7/8/2022 54 106 15 N N N 0


2 Willy Joe N. Antonio M 7/8/2022 55 100 18 N N N 0
3 Gian Kyle O. Alarcio M 7/8/2022 48 102.5 19.1 N N N 0
4 Aeiou Geyle D.Antoino M 7/8/2022 45 100 17.2 N N N 0
5 Zhyke Zhion B. Arellaga M 7/8/2022 44 102 15 N N N 0
6 Marco B. Aquino M 7/8/2022 46 105 20 N N N 0
7 Jhino E. Bergantinous M 7/8/2022 44 102 15.8 N N N 0
8 Nathaniel M. Cervantes M 7/8/2022 50 99 15.3 N N N 0
9 Laurence C. Daranciang M 7/8/2022 45 100 17 N N N 0
10 Rhenz Dave O. Delacruz M 7/8/2022 45 100 17.1 N N N 0
Total Number of Undernourished Children 7
Nutritional Status Legend: Prepared by: Noted by:
Weight for Age
N - Normal SUW: Severly Underweight
UW - Underweight MARGIE D. MOLDEZ, CDW MA. LAURA C. SARMIENTO, RSW
SUW - Severely Underweight Name/Position Name/Position
OW - Overweight

Height for Age


N - Normal
St - Stunted
Sst - Severely Stunted
T - Tall

Weight for Height


N - Normal
W - Wasted
SW - Severely Wasted
OW - Overweight
Ob - Obese
Department of Social Welfare and Development
Field Office 1
Quezon Avenue, City of San Fernando, La Union 2500
FO1-SFP-002
REV 00 / 02-12-2020

WEIGHT MONITORING FORM


City/Municipality of SANTA MARIA Province of PANGASINAN
City/Municipal Social Welfare and Development Office
CY 2021-2022

Name of DCC/SNP: Paitan Child Development Center


Name of DCW/Volunteer: MARGIE D. MOLDEZ
Location: Sta. Maria, Pangasinan

Baseline Endline
Nutritional Status Nutritional Status

Date of Date of Summar Rema


Name of Children (Surname, Given Age in Weight Summary of Weighing Age in Height Weight y of rks
No. Sex Weighing Height (cm) Weight for
Name Middle Initial) Mos (kg) Weight for Height for
Undernouris Mos (cm) (kg) Weight Weight for Height for Underno
(m/d/y) Age Height Age (m/d/y) for Age Height Age
hed Children urished
Children

1 Johann Rey Dulay M 7/8/2022 48 102.5 19 N N N 0


2 Nathan S. Garcia M 7/8/2022 46 105 19 N N N 0
3 Niko P.Hipolito M 7/8/2022 44 102 16 N N N 0
4 Zaynn Umair Lamigo M 7/8/2022 53 100 15 N N N 0
5 Adriel P. Nalzaro M 7/8/2022 54 105 14 N N N 0
6 Jerson N. Natividad M 7/8/2022 55 99 18 N N N 0
7 Mark Daniel S. Padilla M 7/8/2022 41 100 17 N N N 0
8 Al-Ashraf B. Parinas M 7/8/2022 54 106 15 N N N 0
9 Dik B. Parinas M 7/8/2022 43 102 18 N N N 0
10 Vincent A. Riola Jr M 7/8/2022 51 100 18 N N N 0
Total Number of Undernourished Children 2
Nutritional Status Legend: Prepared by: Noted by:
Weight for Age
N - Normal SUW: Severly Underweight
UW - Underweight MARGIE D. MOLDEZ, CDW MA. LAURA C. SARMIENTO, RSW
SUW - Severely Underweight Name/Position Name/Position
OW - Overweight

Height for Age


N - Normal
St - Stunted
Sst - Severely Stunted
T - Tall

Weight for Height


N - Normal
W - Wasted
SW - Severely Wasted
OW - Overweight
Ob - Obese

Department of Social Welfare and Development


Field Office 1
FO1-SFP-002
Quezon Avenue, City of San Fernando, La Union 2500 REV 00 / 02-12-2020

WEIGHT MONITORING FORM


City/Municipality of SANTA MARIA Province of PANGASINAN
City/Municipal Social Welfare and Development Office
CY 2021-2022

Name of DCC/SNP: Paitan Child Development Center


Name of DCW/Volunteer: MARGIE D. MOLDEZ
Location: Sta. Maria, Pangasinan

Baseline Endline
Nutritional Status Nutritional Status

Date of Date of Summar Rema


Name of Children (Surname, Given Age in Weight Summary of Weighing Age in Height Weight y of rks
No. Sex Weighing Height (cm) Weight for
Name Middle Initial) Mos (kg) Weight for Height for
Undernouris Mos (cm) (kg) Weight Weight for Height for Underno
(m/d/y) Age Height Age (m/d/y) for Age Height Age
hed Children urished
Children

1 Jomas C. Sanchez M 7/8/2022 43 100 17 N N N 0


2 Mc. Gregor M. Tibunsay M 7/8/2022 51 102 18 N N N 0
3
4
5
6
7
8
9
10
Total Number of Undernourished Children
Nutritional Status Legend: Prepared by: Noted by:
Weight for Age
N - Normal SUW: Severly Underweight
UW - Underweight MARGIE D. MOLDEZ, CDW MA. LAURA C. SARMIENTO, RSW
SUW - Severely Underweight Name/Position Name/Position
OW - Overweight

Height for Age


N - Normal
St - Stunted
Sst - Severely Stunted
T - Tall
Weight for Height
N - Normal
W - Wasted
SW - Severely Wasted
OW - Overweight
Ob - Obese

Department of Social Welfare and Development FO1-SFP-002


Field Office 1 REV 00 / 02-12-2020

Quezon Avenue, City of San Fernando, La Union 2500

WEIGHT MONITORING FORM


City/Municipality of SANTA MARIA Province of PANGASINAN
City/Municipal Social Welfare and Development Office
CY 2021-2022

Name of DCC/SNP: Paitan Child Development Center


Name of DCW/Volunteer: MARGIE D. MOLDEZ
Location: Sta. Maria, Pangasinan

Baseline Endline
Nutritional Status Nutritional Status

Date of Date of Summar Rema


Name of Children (Surname, Given Age in Weight Summary of Weighing Age in Height Weight y of rks
No. Sex Weighing Height (cm) Weight for
Name Middle Initial) Mos (kg) Weight for Height for
Undernouris Mos (cm) (kg) Weight Weight for Height for Underno
(m/d/y) Age Height Age (m/d/y) for Age Height Age
hed Children urished
Children

1
2
3
4
5
6
7
8
9
10
Total Number of Undernourished Children
Nutritional Status Legend: Prepared by: Noted by:
Weight for Age
N - Normal SUW: Severly Underweight
UW - Underweight MARGIE D. MOLDEZ, CDW MA. LAURA C. SARMIENTO, RSW
SUW - Severely Underweight Name/Position Name/Position
OW - Overweight
Height for Age
N - Normal
St - Stunted
Sst - Severely Stunted
T - Tall

Weight for Height


N - Normal
W - Wasted
SW - Severely Wasted
OW - Overweight
Ob - Obese

FO1-SFP-002
REV 00 / 02-12-2020
Department of Social Welfare and Development
Field Office 1
Quezon Avenue, City of San Fernando, La Union 2500

WEIGHT MONITORING FORM


City/Municipality of SANTA MARIA Province of PANGASINAN
City/Municipal Social Welfare and Development Office
CY 2021-2022

Name of DCC/SNP: Paitan Child Development Center


Name of DCW/Volunteer: MARGIE D. MOLDEZ
Location: Sta. Maria, Pangasinan

Baseline Endline
Nutritional Status Nutritional Status

Date of Date of Summar Rema


Name of Children (Surname, Given Age in Weight Summary of Weighing Age in Height Weight y of rks
No. Sex Weighing Height (cm) Weight for
Name Middle Initial) Mos (kg) Weight for Height for
Undernouris Mos (cm) (kg) Weight Weight for Height for Underno
(m/d/y) Age Height Age (m/d/y) for Age Height Age
hed Children urished
Children

1
2
3
4
5
Total Number of Undernourished Children
Nutritional Status Legend: Prepared by: Noted by:
Weight for Age
N - Normal SUW: Severly Underweight
UW - Underweight MARGIE D. MOLDEZ, CDW MA. LAURA C. SARMIENTO, RSW
SUW - Severely Underweight Name/Position Name/Position
OW - Overweight

Height for Age


N - Normal
St - Stunted
Sst - Severely Stunted
T - Tall

Weight for Height


N - Normal
W - Wasted
SW - Severely Wasted
OW - Overweight
Ob - Obese

Department of Social Welfare and Development


Field Office 1
Quezon Avenue, City of San Fernando, La Union 2500

WEIGHT MONITORING FORM


City/Municipality of SANTA MARIA Province of PANGASINAN
City/Municipal Social Welfare and Development Office
CY 2021-2022

Name of DCC/SNP: Pataquid Child Development Center


Name of DCW/Volunteer: RICHEL D. CALPO
Location: Sta. Maria, Pangasinan

Baseline Endline
Nutritional Status Nutritional Status

Date of Date of Summar Rema


Name of Children (Surname, Given Age in Weight Summary of Weighing Age in Height Weight y of rks
No. Sex Weighing Height (cm) Weight for
Name Middle Initial) Mos (kg) Weight for Height for
Undernouris Mos (cm) (kg) Weight Weight for Height for Underno
(m/d/y) Age Height Age (m/d/y) for Age Height Age
hed Children urished
Children

1 Aban, Zian James M 8/7/2022 39 87 11.7 N N St 1


2 Balderama Rafael M 8/7/2022 49 92 12.9 N N St 1
3 Delos Santos Jhon Mark M 8/7/2022 43 92 13 N N St 1
4 Foster Edward Jr. A. M 8/7/2022 36 89 11.4 N N St 1
5 Lomibao, Sammy T. M 8/7/2022 54 93 13.5 N N St 1
6 Meriales Majid M 8/7/2022 55 104.5 16 N N N 0
7 Opina PrincePaul A. M 8/7/2022 41 87 11.9 N N St 1
8 Parejas Justine Rain M 8/7/2022 45 89 13 N N N 0
9 Salcedo Joshua R. M 8/7/2022 40 105.2 12 N SW N 1
10 Tero, Ethan S. M 8/7/2022 41 86 11.9 N N Sst 1
Total Number of Undernourished Children 8 2
Nutritional Status Legend: Prepared by: Noted by:
Weight for Age
N - Normal SUW: Severly Underweight
UW - Underweight RICHEL D. CALPO, CDW MA. LAURA C. SARMIENTO, RSW
SUW - Severely Underweight Name/Position Name/Position
OW - Overweight

Height for Age


N - Normal
St - Stunted
Sst - Severely Stunted
T - Tall

Weight for Height


N - Normal
W - Wasted
SW - Severely Wasted
OW - Overweight
Ob - Obese

WEIGHT MONITORING FORM


City/Municipality of SANTA MARIA Province of PANGASINAN FO1-SFP-002
REV 00 / 02-12-2020
City/Municipal Social Welfare and Development Office
CY 2022-2023

Name of DCC/SNP: Pataquid Child Development Center


Name of DCW/Volunteer: RICHEL D. CALPO
Location: Sta. Maria, Pangasinan

Baseline Endline
Nutritional Status Nutritional Status
Date of Date of Summar Rema
Name of Children (Surname, Given Age in Weight Summary of Weighing Age in Height Weight y of rks
No. Weighing Height (cm) Weight for
Name Middle Initial) Mos (kg) Weight for Height for
Undernouris Mos (cm) (kg) Weight Weight for Height for Underno
(m/d/y) Age Height Age (m/d/y) for Age Height Age
hed Children urished
Children
1 Conde Alasha Ali C. F 8/7/2022 52 96 13 N N St 1
2 Davin Cristal D. F 07/082022 55 101.8 17.9 N N N 0
3 Frado Maricar Faith F 8/7/2022 48 90 12.4 N N St 1
4 Hernandez, Viarah Junice D. F 8/7/2022 54 93 13 N N St 1
5 Lopez, Nathalie S. F 8/7/2022 40 81 11.3 N N Sst 1
6 Lustina Erica Jayrie M F 8/7/2022 49 91.5 13 N N St 1
7 Monte, Alliyah A. F 8/7/2022 54 92 13.1 N N Sst 1
8 RayRay Lhiane Joy M. F 8/7/2022 51 88 12.8 N N Sst 1
9 Ramos, Jhe-Ann P. F 8/7/2022 35 89 10.8 N N N 0
10 Ursolon, Mizpha Joy F. F 8/7/2022 42 96 19.7 N Ob N 1
Total Number of Undernourished Children 8
Nutritional Status Legend: Prepared by: Noted by:
Weight for Age
N - Normal SUW: Severly Underweight
UW - Underweight RICHEL D. CALPO, CDW MA. LAURA C. SARMIENTO, RSW
SUW - Severely Underweight Name/Position City/Municipal Social Welfare and Development Officer
OW - Overweight

Height for Age


N - Normal
St - Stunted
Sst - Severely Stunted
T - Tall

Weight for Height


N - Normal
W - Wasted
SW - Severely Wasted
OW - Overweight
Ob - Obese

Department of Social Welfare and Development


Field Office 1
Quezon Avenue, City of San Fernando, La Union 2500

WEIGHT MONITORING FORM


City/Municipality of SANTA MARIA Province of PANGASINAN
City/Municipal Social Welfare and Development Office
CY 2021-2022

Name of DCC/SNP: Pilar Child Development Center


Name of DCW/Volunteer: RHEA S. VALDEZ
Location: Sta. Maria, Pangasinan

Baseline Endline
Nutritional Status Nutritional Status

Date of Date of Summar Rema


Name of Children (Surname, Given Age in Weight Summary of Weighing Age in Height Weight y of rks
No. Sex Weighing Height (cm) Weight for
Name Middle Initial) Mos (kg) Weight for Height for
Undernouris Mos (cm) (kg) Weight Weight for Height for Underno
(m/d/y) Age Height Age (m/d/y) for Age Height Age
hed Children urished
Children

1 Agbay Vince Liam, J. M 8/7/2022 43 105 17 N N N 0


2 Aguilar Dan Gabriel G. M 8/7/2022 36 99 15 N N N 0
3 Arciosa Kyzer Art V. M 8/7/2022 32 100 16 N N N 0
4 Balucanag Mycco Yandrae C. M 8/7/2022 54 105 18 N N N 0
5 Espititu Miggy T. M 8/7/2022 58 103 18 N N N 0
6 Genese Mark James L. M 8/7/2022 48 100 17 N N N 0
7 Manzano Reynald L. M 8/7/2022 36 98 14 N N N 0
8 Mendioro Johnzel L. M 8/7/2022 34 99 14 N N N 0
9 Oller Deniel Mhar M 8/7/2022 26 98 13 N N T 0
10 Pascual Mark T. M 8/7/2022 39 99 15 N N N 0
Total Number of Undernourished Children 1 4
Nutritional Status Legend: Prepared by: Noted by:
Weight for Age
N - Normal SUW: Severly Underweight
UW - Underweight RHEA S. VALDEZ, CDW MA. LAURA C. SARMIENTO, RSW
SUW - Severely Underweight Name/Position Name/Position
OW - Overweight

Height for Age


N - Normal
St - Stunted
Sst - Severely Stunted
T - Tall

Weight for Height


N - Normal
W - Wasted
SW - Severely Wasted
OW - Overweight
Ob - Obese

Department of Social Welfare and Development


Field Office 1
Quezon Avenue, City of San Fernando, La Union 2500

WEIGHT MONITORING FORM


City/Municipality of SANTA MARIA Province of PANGASINAN
City/Municipal Social Welfare and Development Office
CY 2021-2022

Name of DCC/SNP: Pilar Child Development Center


Name of DCW/Volunteer: RHEA S. VALDEZ
Location: Sta. Maria, Pangasinan

Baseline Endline
Nutritional Status Nutritional Status

Date of Date of Rema


Name of Children (Surname, Given Age in Weight Age in Height Weight rks
No. Sex Weighing Height (cm) Weighing
Name Middle Initial) Mos (kg) Mos (cm) (kg)
(m/d/y) (m/d/y)
Date of Date of Summar Rema
Name of Children (Surname, Given Age in Weight Summary of Weighing Age in Height Weight y of rks
No. Sex Weighing Height (cm) Weight for
Name Middle Initial) Mos (kg) Weight for Height for
Undernouris Mos (cm) (kg) Weight Weight for Height for Underno
(m/d/y) Age Height Age (m/d/y) for Age Height Age
hed Children urished
Children

1 Pascual James Mathew N. M 8/7/2022 14 100 14 N N N 0


2 Prado Jack Asher A. M 8/7/2022 16 105 16 N N T 1
3 Tercenio Brylle S. M 8/7/2022 15 99 15 N N N 0
4 Pidlaoan Zandro P. M 8/7/2022 17 105 17 N N N 0
Total Number of Undernourished Children 1 5
Nutritional Status Legend: Prepared by: Noted by:
Weight for Age
N - Normal SUW: Severly Underweight
UW - Underweight RHEA S. VALDEZ, CDW MA. LAURA C. SARMIENTO, RSW
SUW - Severely Underweight Name/Position Name/Position
OW - Overweight

Height for Age


N - Normal
St - Stunted
Sst - Severely Stunted
T - Tall

Weight for Height


N - Normal
W - Wasted
SW - Severely Wasted
OW - Overweight
Ob - Obese

Department of Social Welfare and Development


Field Office 1
Quezon Avenue, City of San Fernando, La Union 2500

WEIGHT MONITORING FORM


City/Municipality of SANTA MARIA Province of PANGASINAN
City/Municipal Social Welfare and Development Office
CY 2021-2022

Name of DCC/SNP: Pilar Child Development Center


Name of DCW/Volunteer: RHEA S. VALDEZ
Location: Sta. Maria, Pangasinan

Baseline Endline
Nutritional Status Nutritional Status

Date of Date of Rema


Name of Children (Surname, Given Age in Weight Age in Height Weight rks
No. Sex Weighing Height (cm) Weighing
Name Middle Initial) Mos (kg) Mos (cm) (kg)
(m/d/y) (m/d/y)
Date of Date of Summar Rema
Name of Children (Surname, Given Age in Weight Summary of Weighing Age in Height Weight y of rks
No. Sex Weighing Height (cm) Weight for
Name Middle Initial) Mos (kg) Weight for Height for
Undernouris Mos (cm) (kg) Weight Weight for Height for Underno
(m/d/y) Age Height Age (m/d/y) for Age Height Age
hed Children urished
Children

1 Resmenia, Zabrina Taylor F 8/7/2022 42 100 16 N N N 0


2 Soriano,Lian Mei Y. F 8/7/2022 45 100 15 N N N 0
3 Tominez, Scarlet Faye P. F 8/7/2022 41 98 15 N N N 0
4 Tominez, Zhara Jade B. F 8/7/2022 40 99 15 N N N 0
5 Valdez Kellie Zia R. F 8/7/2022 55 105 17 N N N 0
6 Verceles Mailey Rose F. F 8/7/2022 50 105 15 N N N 0
7 Villaluna Jamverlie T. F 8/7/2022 28 96 14 N N N 0
Total Number of Undernourished Children 0
Nutritional Status Legend: Prepared by: Noted by:
Weight for Age
N - Normal SUW: Severly Underweight
UW - Underweight RHEA S. VALDEZ, CDW MA. LAURA C. SARMIENTO, RSW
SUW - Severely Underweight Name/Position Name/Position
OW - Overweight

Height for Age


N - Normal
St - Stunted
Sst - Severely Stunted
T - Tall

Weight for Height


N - Normal
W - Wasted
SW - Severely Wasted
OW - Overweight
Ob - Obese

Department of Social Welfare and Development


Field Office 1
Quezon Avenue, City of San Fernando, La Union 2500

WEIGHT MONITORING FORM


City/Municipality of SANTA MARIA Province of PANGASINAN
City/Municipal Social Welfare and Development Office
CY 2021-2022

Name of DCC/SNP: Pob. East Child Development Center


Name of DCW/Volunteer: REA R. MATIAS
Location: Sta. Maria, Pangasinan
Baseline Endline
Nutritional Status Nutritional Status

Date of Date of Summar Rema


Name of Children (Surname, Given Age in Weight Summary of Weighing Age in Height Weight y of rks
No. Sex Weighing Height (cm) Weight for
Name Middle Initial) Mos (kg) Weight for Height for
Undernouris Mos (cm) (kg) Weight Weight for Height for Underno
(m/d/y) Age Height Age (m/d/y) for Age Height Age
hed Children urished
Children

1 Bautista,Renz C. M 7/8/2022 57 110.2 17.5 N N N 0


2 Balmores,Gian Noah N. M 7/8/2022 33 96.7 15.3 N N N 0
3 Bonifacio,Raizen Kyler F. M 7/8/2022 36 97.3 13 N N N 0
4 Cambe,Jaymark L. M 7/8/2022 33 100 14.5 N N N 0
5 Castaneda,Lance Cedric S. M 7/8/2022 52 106.5 18 N N N 0
6 Gutierrez,Nazareth Joy G. M 7/8/2022 53 109 15 N N N 0
7 Hidalgo,Rojen C. M 7/8/2022 55 103 17 N N N 0
8 Rodriguez,Princess Khelly C. M 7/8/2022 47 108 16.3 N N N 0
Total Number of Undernourished Children 0
Nutritional Status Legend: Prepared by: Noted by:
Weight for Age
N - Normal SUW: Severly Underweight
UW - Underweight REA R. MATIAS, CDW MA. LAURA C. SARMIENTO, RSW
SUW - Severely Underweight Name/Position Name/Position
OW - Overweight

Height for Age


N - Normal
St - Stunted
Sst - Severely Stunted
T - Tall

Weight for Height


N - Normal
W - Wasted
SW - Severely Wasted
OW - Overweight
Ob - Obese

Department of Social Welfare and Development


Field Office 1
FO1-SFP-002
Quezon Avenue, City of San Fernando, La Union 2500 REV 00 / 02-12-2020

WEIGHT MONITORING FORM


City/Municipality of SANTA MARIA Province of PANGASINAN
City/Municipal Social Welfare and Development Office
CY 2021-2022

Name of DCC/SNP: Pob. East Child Development Center


Name of DCW/Volunteer: REA R. MATIAS
Location: Sta. Maria, Pangasinan
Baseline Endline
Nutritional Status Nutritional Status

Date of Date of Summar Rema


Name of Children (Surname, Given Age in Weight Summary of Weighing Age in Height Weight y of rks
No. Sex Weighing Height (cm) Weight for
Name Middle Initial) Mos (kg) Weight for Height for
Undernouris Mos (cm) (kg) Weight Weight for Height for Underno
(m/d/y) Age Height Age (m/d/y) for Age Height Age
hed Children urished
Children

1 Esperanza,Jobert O. F 7/8/2022 55 108.3 16 N N N 0


2 Orteza,Renz Ivan C. F 7/8/2022 55 99 14.8 N N N 0
3 Paligutan,Lukes C. F 7/8/2022 53 95 19 N N N 0
4 Resurrection,Xian C. F 7/8/2022 46 94 16 N N N 0
5 Bautista,Christel C. F 7/8/2022 32 97 13 N N N 0
6 Salcedo,Nikki F 7/8/2022 44 98.5 15.5 N N N 0
7 Tamayo,Shiene Mei A. F 7/8/2022 56 94 14 N N N 0
Total Number of Undernourished Children 0
Nutritional Status Legend: Prepared by: Noted by:
Weight for Age
N - Normal SUW: Severly Underweight
UW - Underweight REA R. MATIAS, CDW MA. LAURA C. SARMIENTO, RSW
SUW - Severely Underweight Name/Position Name/Position
OW - Overweight

Height for Age


N - Normal
St - Stunted
Sst - Severely Stunted
T - Tall

Weight for Height


N - Normal
W - Wasted
SW - Severely Wasted
OW - Overweight
Ob - Obese

Department of Social Welfare and Development


Field Office 1
Quezon Avenue, City of San Fernando, La Union 2500

WEIGHT MONITORING FORM


City/Municipality of SANTA MARIA Province of PANGASINAN
City/Municipal Social Welfare and Development Office
CY 2021-2022

Name of DCC/SNP: Pob. West Child Development Center


Name of DCW/Volunteer: JOY M. LECAROS
Location: Sta. Maria, Pangasinan

Baseline Endline
Nutritional Status Nutritional Status

Date of Date of Summar Rema


Name of Children (Surname, Given Age in Weight Summary of Weighing Age in Height Weight y of rks
No. Sex Weighing Height (cm) Weight for
Name Middle Initial) Mos (kg) Weight for Height for
Undernouris Mos (cm) (kg) Weight Weight for Height for Underno
(m/d/y) Age Height Age (m/d/y) for Age Height Age
hed Children urished
Children

1 Antiojo, Maxel F. M 7/5/2021 47 98.5 13 N N N 0 10/18/2021 50 100 16.5 N N N 0


2 Biado, BJ B. M 7/5/2021 55 107 19 N N N 0 10/18/2021 59 109 21 N N N 0
3 Melliales,Kris Angel M 7/5/2021 48 100 17 N N N 0 10/18/2021 51 101 19.2 N OW N 0
4 Cardenas, Don Domingo D. M 7/5/2021 42 97 13 N N N 0 10/18/2021 6 99 15 N N N 0
5 De Leon, Francisco Jr. S. M 7/5/2021 47 105 17.5 N N N 0 10/18/2021 50 106 19.2 N N N 0
6 Delos Santos, Roland C. M 7/5/2021 49 104 18.2 N N N 0 10/18/2021 53 105 21 N OW N 0
7 Edrada, Gael Kyle Q. M 7/5/2021 39 100 15.3 N N N 0 10/18/2021 43 102 17.3 N N N 0
8 Esperon, Vincent C. M 7/5/2021 45 102 16.5 N N N 0 10/18/2021 48 103 18.6 N N N 0
9 Franada, Renz S. M 7/5/2021 43 104 15.9 N N N 0 10/18/2021 46 106 17.3 N N N 0
10 Ganaden Lar Zyle Rae P. M 7/5/2021 52 104.5 18.8 N N N 0 10/18/2021 55 105.5 21.5 N N N 0
Total Number of Undernourished Children 0
Nutritional Status Legend: Prepared by: Noted by:
Weight for Age
N - Normal SUW: Severly Underweight
UW - Underweight JOY M. LECAROS,CDW MA. LAURA C. SARMIENTO, RSW
SUW - Severely Underweight Name/Position Name/Position
OW - Overweight

Height for Age


N - Normal
St - Stunted
Sst - Severely Stunted
T - Tall

Weight for Height


N - Normal
W - Wasted
SW - Severely Wasted
OW - Overweight
Ob - Obese

Department of Social Welfare and Development


Field Office 1
Quezon Avenue, City of San Fernando, La Union 2500

WEIGHT MONITORING FORM


City/Municipality of SANTA MARIA Province of PANGASINAN
City/Municipal Social Welfare and Development Office
CY 2021-2022

Name of DCC/SNP: Pob. West Child Development Center


Name of DCW/Volunteer: JOY M. LECAROS
Location: Sta. Maria, Pangasinan

Baseline Endline
Nutritional Status Nutritional Status

Date of Date of Summar Rema


Name of Children (Surname, Given Age in Weight Summary of Weighing Age in Height Weight y of rks
No. Sex Weighing Height (cm) Weight for
Name Middle Initial) Mos (kg) Weight for Height for
Undernouris Mos (cm) (kg) Weight Weight for Height for Underno
(m/d/y) Age Height Age (m/d/y) for Age Height Age
hed Children urished
Children

1 Abbacan, Julius Jr. O. M 8/7/2022 38 100 17.2 N N N 0


2 Agpawa, Dave Zion M. M 8/7/2022 35 98 17 N N N 0
3 Asuncion, Jose ll D. M 8/7/2022 53 104 16.2 N N N 0
4 Baribada, Eiren Raeven C. M 8/7/2022 52 105 18.2 N N N 0
5 Bruan, Cresildo lll C. M 8/7/2022 36 97 15.8 N N N 0
6 Cardines, Don Domingo M 8/7/2022 54 103 18.1 N N N 0
7 Carpizo, Renz, Kobe B. M 8/7/2022 50 104 17.2 N N N 0
8 Collado, Kyle Zhanjo C. M 8/7/2022 53 106 19.5 N N N 0
9 Consolacion, Johnrey B. M 8/7/2022 39 101 15.1 N N N 0
10 De Leon, Frankie L. M 8/7/2022 33 100 14.9 N N N 0
Total Number of Undernourished Children 0
Nutritional Status Legend: Prepared by: Noted by:
Weight for Age
N - Normal SUW: Severly Underweight
UW - Underweight JOY M. LECAROS,CDW MA. LAURA C. SARMIENTO, RSW
SUW - Severely Underweight Name/Position Name/Position
OW - Overweight

Height for Age


N - Normal
St - Stunted
Sst - Severely Stunted
T - Tall

Weight for Height


N - Normal
W - Wasted
SW - Severely Wasted
OW - Overweight
Ob - Obese

Department of Social Welfare and Development


Field Office 1
Quezon Avenue, City of San Fernando, La Union 2500

WEIGHT MONITORING FORM


City/Municipality of SANTA MARIA Province of PANGASINAN
City/Municipal Social Welfare and Development Office
CY 2021-2022

Name of DCC/SNP: Pob. West Child Development Center


Name of DCW/Volunteer: JOY M. LECAROS
Location: Sta. Maria, Pangasinan

Baseline Endline
Nutritional Status Nutritional Status

Date of Date of Summar Rema


Name of Children (Surname, Given Age in Weight Summary of Weighing Age in Height Weight y of rks
No. Sex Weighing Height (cm) Weight for
Name Middle Initial) Mos (kg) Weight for Height for
Undernouris Mos (cm) (kg) Weight Weight for Height for Underno
(m/d/y) Age Height Age (m/d/y) for Age Height Age
hed Children urished
Children

1 Domen, James Avelo L M 8/7/2022 39 99 15.9 N N N 0


2 Edrada, Gael-Raylle M. M 8/7/2022 51 104 17.8 N N N 0
3 Franada, Reniel Zion S. M 8/7/2022 54 100 17.5 N N N 0
4 Franada, Renz S. M 8/7/2022 55 102 19.1 N OW N 0
5 Ginez, Asher Kyrie L. M 8/7/2022 44 104 20.9 OW OW N 0
6 Guiuo, Jian Andy S. M 8/7/2022 49 100 13.5 N N N 0
7 Lucero, Jose lll O. M 8/7/2022 39 96 15.1 N N N 0
8 Moreno, Renardo John P. M 8/7/2022 53 102 16.8 N N N 0
9 Narvaez, Mj L. M 8/7/2022 51 104 17.6 N N N 0
10 Pascua, Marcus James A. M 8/7/2022 43 104 17.9 N N N 0
Total Number of Undernourished Children
Nutritional Status Legend: Prepared by: Noted by:
Weight for Age
N - Normal SUW: Severly Underweight
UW - Underweight JOY M. LECAROS,CDW MA. LAURA C. SARMIENTO, RSW
SUW - Severely Underweight Name/Position Name/Position
OW - Overweight

Height for Age


N - Normal
St - Stunted
Sst - Severely Stunted
T - Tall
Weight for Height
N - Normal
W - Wasted
SW - Severely Wasted
OW - Overweight
Ob - Obese

Department of Social Welfare and Development


Field Office 1
Quezon Avenue, City of San Fernando, La Union 2500

WEIGHT MONITORING FORM


City/Municipality of SANTA MARIA Province of PANGASINAN
City/Municipal Social Welfare and Development Office
CY 2021-2022

Name of DCC/SNP: Pob. West Child Development Center


Name of DCW/Volunteer: JOY M. LECAROS
Location: Sta. Maria, Pangasinan

Baseline Endline
Nutritional Status Nutritional Status

Date of Date of Summar Rema


Name of Children (Surname, Given Age in Weight Summary of Weighing Age in Height Weight y of rks
No. Sex Weighing Height (cm) Weight for
Name Middle Initial) Mos (kg) Weight for Height for
Undernouris Mos (cm) (kg) Weight Weight for Height for Underno
(m/d/y) Age Height Age (m/d/y) for Age Height Age
hed Children urished
Children

1 Padilla, David Cedric F. M 8/7/2022 50 104 17.3 N N N 0


2 Pejen, Jr D. M 8/7/2022 52 105 18.4 N N N 0
3 Rayon, Terrence Jade D. M 8/7/2022 30 92 12.5 N N N 0
4 Rennales, Carey Sebastian M. M 8/7/2022 53 105 17.2 N N N 0
5 Rusillon, John Andrei F. M 8/7/2022 50 103 17.9 N N N 0
6 Sonaco, Prince Zian C. M 8/7/2022 37 99 16.2 N N N 0
7 Toledo, Daniel D. M 8/7/2022 28 91 14.2 N N N 0
8 Ylarde, Vincent L. M 8/7/2022 48 100 14.2 N N N 0
Total Number of Undernourished Children 0
Nutritional Status Legend: Prepared by: Noted by:
Weight for Age
N - Normal SUW: Severly Underweight
UW - Underweight JOY M. LECAROS,CDW MA. LAURA C. SARMIENTO, RSW
SUW - Severely Underweight Name/Position Name/Position
OW - Overweight

Height for Age


N - Normal
St - Stunted
Sst - Severely Stunted
T - Tall

Weight for Height


N - Normal
W - Wasted
SW - Severely Wasted
OW - Overweight
Ob - Obese

Department of Social Welfare and Development


Field Office 1
Quezon Avenue, City of San Fernando, La Union 2500

WEIGHT MONITORING FORM


City/Municipality of SANTA MARIA Province of PANGASINAN
City/Municipal Social Welfare and Development Office
CY 2021-2022

Name of DCC/SNP: Pob. West Child Development Center


Name of DCW/Volunteer: JOY M. LECAROS
Location: Sta. Maria, Pangasinan

Baseline Endline
Nutritional Status Nutritional Status

Date of Date of Summar Rema


Name of Children (Surname, Given Age in Weight Summary of Weighing Age in Height Weight y of rks
No. Sex Weighing Height (cm) Weight for
Name Middle Initial) Mos (kg) Weight for Height for
Undernouris Mos (cm) (kg) Weight Weight for Height for Underno
(m/d/y) Age Height Age (m/d/y) for Age Height Age
hed Children urished
Children

1 Agpawa, Elizha Rheinne A. F 8/7/2022 51 104 16.5 N N N 0


2 Aguto, Camille R. F 8/7/2022 54 105 17.2 N N N 0
3 Alcantara, Chelsea Mae L. F 8/7/2022 52 103 15.3 N N N 0
4 Asuncion, Reynalyn B. F 8/7/2022 43 102 14 N N N 0
5 Bruan, Angela B. F 8/7/2022 52 104 17.3 N N N 0
6 Bruan, Princess Alleah T. F 8/7/2022 38 96 13.1 N N N 0
7 Daranciang, Precious Ianah F 8/7/2022 53 101 17.8 N N N 0
8 David, Kiley Lyanna B. F 8/7/2022 52 100 16.3 N N N 0
9 Dotimas, Fiona Laline F 8/7/2022 53 106 18.1 N N N 0
10 Franada, Princess S. F 8/7/2022 33 95 17.6 N N N 0
Total Number of Undernourished Children 0
Nutritional Status Legend: Prepared by: Noted by:
Weight for Age
N - Normal SUW: Severly Underweight
UW - Underweight JOY M. LECAROS,CDW MA. LAURA C. SARMIENTO, RSW
SUW - Severely Underweight Name/Position Name/Position
OW - Overweight

Height for Age


N - Normal
St - Stunted
Sst - Severely Stunted
T - Tall

Weight for Height


N - Normal
W - Wasted
SW - Severely Wasted
OW - Overweight
Ob - Obese

Department of Social Welfare and Development


Field Office 1
Quezon Avenue, City of San Fernando, La Union 2500

WEIGHT MONITORING FORM


City/Municipality of SANTA MARIA Province of PANGASINAN
City/Municipal Social Welfare and Development Office
CY 2021-2022

Name of DCC/SNP: Pob. West Child Development Center


Name of DCW/Volunteer: JOY M. LECAROS
Location: Sta. Maria, Pangasinan

Baseline Endline
Nutritional Status Nutritional Status

Date of Date of Summar Rema


Name of Children (Surname, Given Age in Weight Summary of Weighing Age in Height Weight y of rks
No. Sex Weighing Height (cm) Weight for
Name Middle Initial) Mos (kg) Weight for Height for
Undernouris Mos (cm) (kg) Weight Weight for Height for Underno
(m/d/y) Age Height Age (m/d/y) for Age Height Age
hed Children urished
Children

1 Lecaros, Angel Joyce M. F 8/7/2022 52 104 16.8 N N N 0


2 Lopez, Lyca G. F 8/7/2022 39 94 15 N N N 0
3 Mano-ok, Cassandra Amaranth D. F 8/7/2022 54 105 18.1 N N N 0
4 Mercado, Jellaiza Dionne S. F 8/7/2022 44 100 20.9 OW N N 0
5 Miemban, Mhark Khris M. F 8/7/2022 39 101 20 OW OW N 0
6 Natividad, Angelyn M F 8/7/2022 54 106 19.1 N N N 0
7 Opeña, Khierstine Jane C. F 8/7/2022 45 98 14.5 N N N 0
8 Rabina, Trisha B. F 8/7/2022 47 100 14.3 N N N 0
9 Ramos, Maria Antonio G. F 8/7/2022 44 103.6 15.3 N N N 0
10 Reyes, Cathlyn Audrey B. F 8/7/2022 45 97 16.9 N N N 0
Total Number of Undernourished Children 0 4
Nutritional Status Legend: Prepared by: Noted by:
Weight for Age
N - Normal SUW: Severly Underweight
UW - Underweight JOY M. LECAROS,CDW MA. LAURA C. SARMIENTO, RSW
SUW - Severely Underweight Name/Position Name/Position
OW - Overweight

Height for Age


N - Normal
St - Stunted
Sst - Severely Stunted
T - Tall

Weight for Height


N - Normal
W - Wasted
SW - Severely Wasted
OW - Overweight
Ob - Obese

Department of Social Welfare and Development


Field Office 1
Quezon Avenue, City of San Fernando, La Union 2500

WEIGHT MONITORING FORM


City/Municipality of SANTA MARIA Province of PANGASINAN
City/Municipal Social Welfare and Development Office
CY 2021-2022

Name of DCC/SNP: Pob. West Child Development Center


Name of DCW/Volunteer: JOY M. LECAROS
Location: Sta. Maria, Pangasinan

Baseline Endline
Nutritional Status Nutritional Status

Date of Date of Summar Rema


Name of Children (Surname, Given Age in Weight Summary of Weighing Age in Height Weight y of rks
No. Sex Weighing Height (cm) Weight for
Name Middle Initial) Mos (kg) Weight for Height for
Undernouris Mos (cm) (kg) Weight Weight for Height for Underno
(m/d/y) Age Height Age (m/d/y) for Age Height Age
hed Children urished
Children

1 Sison, Jhianna Zarie C. F 8/7/2022 39 101 17.2 N N N 0


2 Soriano, Ayesha Marisse A. F 8/7/2022 45 99 16.1 N N N 0
3 Tangalin, Raisa L. F 8/7/2022 37 100 17.1 N N N 0
4 Torres, Angel May V. F 8/7/2022 50 103 17.4 N N N 0
5 Tugade, Mace O. F 8/7/2022 32 92 13.9 N N N 0
6 Versola, Elsa Bless F. F 8/7/2022 52 104 17.9 N N N 0
7
8
9
10
Total Number of Undernourished Children
Nutritional Status Legend: Prepared by: Noted by:
Weight for Age
N - Normal SUW: Severly Underweight
UW - Underweight JOY M. LECAROS,CDW MA. LAURA C. SARMIENTO, RSW
SUW - Severely Underweight Name/Position Name/Position
OW - Overweight

Height for Age


N - Normal
St - Stunted
Sst - Severely Stunted
T - Tall

Weight for Height


N - Normal
W - Wasted
SW - Severely Wasted
OW - Overweight
Ob - Obese

Department of Social Welfare and Development


Field Office 1
Quezon Avenue, City of San Fernando, La Union 2500

WEIGHT MONITORING FORM


City/Municipality of SANTA MARIA Province of PANGASINAN
City/Municipal Social Welfare and Development Office
CY 2021-2022

Name of DCC/SNP: Samon Child Development Center


Name of DCW/Volunteer: LIEZEL C. TORRES
Location: Sta. Maria, Pangasinan

Baseline Endline
Nutritional Status Nutritional Status

Date of Date of Rema


Name of Children (Surname, Given Age in Weight Age in Height Weight rks
No. Sex Weighing Height (cm) Weighing
Name Middle Initial) Mos (kg) Mos (cm) (kg)
(m/d/y) (m/d/y)
Date of Date of Summar Rema
Name of Children (Surname, Given Age in Weight Summary of Weighing Age in Height Weight y of rks
No. Sex Weighing Height (cm) Weight for
Name Middle Initial) Mos (kg) Weight for Height for
Undernouris Mos (cm) (kg) Weight Weight for Height for Underno
(m/d/y) Age Height Age (m/d/y) for Age Height Age
hed Children urished
Children

1 Almeron, Xian Angelo F. M 8/7/2022 41 104 18 N N N 0


2 Apellido, Nyle M 8/7/2022 41 101 16 N N N 0
3 Apellido, Yesu Inigo M 8/7/2022 55 103 15.1 N N N 0
4 Bartolome, Ace Ezekiel M 8/7/2022 52 102 16.3 N N N 0
5 Beltran, Michael M 8/7/2022 45 100 17 N N N 0
6 Cabatan, Carlino lll M 8/7/2022 50 105 15 N N N 0
7 Genova, Frince The King J. M 8/7/2022 46 101 16.5 N N N 0
8 Guiban, Jericho G. M 8/7/2022 46 102 15.4 N N N 0
9 Javier, Luke Xyrenz V. M 8/7/2022 52 106 17.1 N N N 0
10 Javier, Jeremy P. M 8/7/2022 44 102 16.5 N N N 0
Total Number of Undernourished Children 0 0
Nutritional Status Legend: Prepared by: Noted by:
Weight for Age
N - Normal SUW: Severly Underweight
UW - Underweight LIEZEL C. TORRES,CDW MA. LAURA C. SARMIENTO, RSW
SUW - Severely Underweight Name/Position Name/Position
OW - Overweight

Height for Age


N - Normal
St - Stunted
Sst - Severely Stunted
T - Tall

Weight for Height


N - Normal
W - Wasted
SW - Severely Wasted
OW - Overweight
Ob - Obese

Department of Social Welfare and Development


Field Office 1
Quezon Avenue, City of San Fernando, La Union 2500

WEIGHT MONITORING FORM


City/Municipality of SANTA MARIA Province of PANGASINAN
City/Municipal Social Welfare and Development Office
CY 2021-2022

Name of DCC/SNP: Samon Child Development Center


Name of DCW/Volunteer: LIEZEL C. TORRES
Location: Sta. Maria, Pangasinan

Baseline Endline
Nutritional Status Nutritional Status

Date of Date of Summar Rema


Name of Children (Surname, Given Age in Weight Summary of Weighing Age in Height Weight y of rks
No. Sex Weighing Height (cm) Weight for
Name Middle Initial) Mos (kg) Weight for Height for
Undernouris Mos (cm) (kg) Weight Weight for Height for Underno
(m/d/y) Age Height Age (m/d/y) for Age Height Age
hed Children urished
Children

1 Maling, Jr P. M 8/7/2022 52 103 16.3 N N N 0


2 Macazo, Daryl R. M 8/7/2022 40 100 14 N N N 0
3 Pagaduan, Efren Jr N. M 8/7/2022 48 101 15 N N N 0
4 Pinpinio, Dan Paul P. M 8/7/2022 43 101 15.6 N N N 0
5 Quinit, Jon Isagani T. M 8/7/2022 43 102 15 N N N 0
6 Untalan, Laurence Juff A. M 8/7/2022 45 103 16 N N N 0
7 Villanueva, Jylan Cadey B. M 8/7/2022 41 100 15 N N N 0
Total Number of Undernourished Children 0 0
Nutritional Status Legend: Prepared by: Noted by:
Weight for Age
N - Normal SUW: Severly Underweight
UW - Underweight LIEZEL C. TORRES,CDW MA. LAURA C. SARMIENTO, RSW
SUW - Severely Underweight Name/Position Name/Position
OW - Overweight

Height for Age


N - Normal
St - Stunted
Sst - Severely Stunted
T - Tall

Weight for Height


N - Normal
W - Wasted
SW - Severely Wasted
OW - Overweight
Ob - Obese

Department of Social Welfare and Development


Field Office 1
Quezon Avenue, City of San Fernando, La Union 2500

WEIGHT MONITORING FORM


City/Municipality of SANTA MARIA Province of PANGASINAN
City/Municipal Social Welfare and Development Office
CY 2021-2022
Name of DCC/SNP: Samon Child Development Center
Name of DCW/Volunteer: LIEZEL C. TORRES
Location: Sta. Maria, Pangasinan

Baseline Endline
Nutritional Status Nutritional Status

Date of Date of Summar Rema


Name of Children (Surname, Given Age in Weight Summary of Weighing Age in Height Weight y of rks
No. Sex Weighing Height (cm) Weight for
Name Middle Initial) Mos (kg) Weight for Height for
Undernouris Mos (cm) (kg) Weight Weight for Height for Underno
(m/d/y) Age Height Age (m/d/y) for Age Height Age
hed Children urished
Children

1 Andres, Tricia Mae F 8/7/2022 53 103 16 N N N 0


2 Angoya, Jilliane C. F 8/7/2022 51 102 17 N N N 0
3 Arcangel, Trisha I. F 8/7/2022 40 100 17 N N N 0
4 Aquino, Jhudelyn P. F 8/7/2022 41 99 15 N N N 0
5 Bugarin, Akheia Mae A. F 8/7/2022 55 105 18 N N N 0
6 Costanilla, Jiane Madison A. F 8/7/2022 43 105 16 N N N 0
7 Dela Cruz, Eleyna A. F 8/7/2022 53 106 18 N N N 0
8 Eleoraza, Aellha O. F 8/7/2022 51 103 17.1 N N N 0
9 Esguerra, Aliana Kay A. F 8/7/2022 53 103 16.6 N N N 0
10 Estefanio, Joy B. F 8/7/2022 54 104 16.4 N N N 0
Total Number of Undernourished Children 0
Nutritional Status Legend: Prepared by: Noted by:
Weight for Age
N - Normal SUW: Severly Underweight
UW - Underweight LIEZEL C. TORRES,CDW MA. LAURA C. SARMIENTO, RSW
SUW - Severely Underweight Name/Position Name/Position
OW - Overweight

Height for Age


N - Normal
St - Stunted
Sst - Severely Stunted
T - Tall

Weight for Height


N - Normal
W - Wasted
SW - Severely Wasted
OW - Overweight
Ob - Obese

Department of Social Welfare and Development


Field Office 1
Quezon Avenue, City of San Fernando, La Union 2500
WEIGHT MONITORING FORM
City/Municipality of SANTA MARIA Province of PANGASINAN
City/Municipal Social Welfare and Development Office
CY 2021-2022

Name of DCC/SNP: Samon Child Development Center


Name of DCW/Volunteer: LIEZEL C. TORRES
Location: Sta. Maria, Pangasinan

Baseline Endline
Date of Date of Summar Rema
Name of Children (Surname, Given Age in Weight Nutritional Status Summary of Weighing Age in Height Weight Nutritional Status y of
No. Sex Weighing Height (cm) Weight for rks
Name Middle Initial) Mos (kg) Weight for Height for
Undernouris Mos (cm) (kg) Weight Weight for Height for Underno
(m/d/y) Age Height Age (m/d/y) for Age Height Age
1 Florentino, Alexa Jade F 8/7/2022 45 99 16 N N N hed Children
0 urished
Children
2 Gastardo, Lorna F 8/7/2022 53 101 16.7 N N N 0
3 Gotgotao, Janela Joy F 8/7/2022 48 100 15.1 N N N 0
4 Gumangan, Rhian M. F 8/7/2022 36 99 16 N N N 0
5 Hizo, Jana Lee M. F 8/7/2022 48 101 17 N N N 0
6 Jaravata, Jolina F 8/7/2022 48 101 17 N N N 0
7 Javier, Arceli Tiara M. F 8/7/2022 53 104 17.5 N N N 0
8 Lapitan, Khayla Ronet F 8/7/2022 45 102 16 N N N 0
Lebaste, April F 8/7/2022 38 100 15.3 N N N 0
Maling, Kristine Rose P. F 8/7/2022 48 102 16 N N N 0
Total Number of Undernourished Children 0 0
Nutritional Status Legend: Prepared by: Noted by:
Weight for Age
N - Normal SUW: Severly Underweight
UW - Underweight LIEZEL C. TORRES,CDW MA. LAURA C. SARMIENTO, RSW
SUW - Severely Underweight Name/Position Name/Position
OW - Overweight

Height for Age


N - Normal
St - Stunted
Sst - Severely Stunted
T - Tall

Weight for Height


N - Normal
W - Wasted
SW - Severely Wasted
OW - Overweight
Ob - Obese

Department of Social Welfare and Development


Field Office 1
Quezon Avenue, City of San Fernando, La Union 2500

WEIGHT MONITORING FORM


City/Municipality of SANTA MARIA Province of PANGASINAN
City/Municipal Social Welfare and Development Office
CY 2021-2022

Name of DCC/SNP: Samon Child Development Center


Name of DCW/Volunteer: LIEZEL C. TORRES
Location: Sta. Maria, Pangasinan

Baseline Endline
Nutritional Status Nutritional Status

Date of Date of Summar Rema


Name of Children (Surname, Given Age in Weight Summary of Weighing Age in Height Weight y of rks
No. Sex Weighing Height (cm) Weight for
Name Middle Initial) Mos (kg) Weight for Height for
Undernouris Mos (cm) (kg) Weight Weight for Height for Underno
(m/d/y) Age Height Age (m/d/y) for Age Height Age
hed Children urished
Children

1 Melana, Heidelyn P. F 8/7/2022 55 105 18 N N N 0


2 Patubo, Gela Jhel M. F 8/7/2022 52 104 17 N N N 0
3 Peralta, Sofia Marie J. F 8/7/2022 43 102 17 N N N 0
4 Ramirez, Amira Chanell C. F 8/7/2022 43 102 15.1 N N N 0
5 Razon, Jaja Angela A. F 8/7/2022 51 101 17.6 N N N 0
6 Santos, Avanna Phia L. F 8/7/2022 46 99 18 N N N 0
7 Tandaguin, Diana A. F 8/7/2022 45 100 16 N N N 0
8 Untalan, Princess Andrea F 8/7/2022 41 98 17 N N N 0
Total Number of Undernourished Children
Nutritional Status Legend: Prepared by: Noted by:
Weight for Age
N - Normal SUW: Severly Underweight
UW - Underweight LIEZEL C. TORRES,CDW MA. LAURA C. SARMIENTO, RSW
SUW - Severely Underweight Name/Position Name/Position
OW - Overweight

Height for Age


N - Normal
St - Stunted
Sst - Severely Stunted
T - Tall

Weight for Height


N - Normal
W - Wasted
SW - Severely Wasted
OW - Overweight
Ob - Obese
OW - Overweight
Ob - Obese
Department of Social Welfare and Development
Field Office 1
Quezon Avenue, City of San Fernando, La Union 2500
WEIGHT MONITORING FORM
City/Municipality of SANTA MARIA Province of PANGASINAN
City/Municipal Social Welfare and Development Office
CY 2021-2022

Name of DCC/SNP: San Alejadnro Child Development Center


Name of DCW/Volunteer: ROSE ANGEL B. ESPERANZA
Location: Sta. Maria, Pangasinan

Baseline Endline
Nutritional Status Nutritional Status

Date of Date of Summar Rema


Name of Children (Surname, Given Age in Weight Summary of Weighing Age in Height Weight y of rks
No. Sex Weighing Height (cm) Weight for
Name Middle Initial) Mos (kg) Weight for Height for
Undernouris Mos (cm) (kg) Weight Weight for Height for Underno
(m/d/y) Age Height Age (m/d/y) for Age Height Age
hed Children urished
Children

1 Apiado, Antonette C. F 8/7/2022 45 100 16 N N N 0


2 Carbillon, Carel S. F 8/7/2022 43 103 16 N N N 0
3 Damian, Caileigh Allison B. F 8/7/2022 26 99 14 N N N 0
4 Francisco, Aira C. F 8/7/2022 51 101 15.5 N N N 0
5 Gayap, Blessie Hope C. F 8/7/2022 52 98 13.5 N N N 0
6 Ganzagan, Princess D. F 8/7/2022 31 90 13 N N N 0
7 Ginez, Mary Jhoy A. F 8/7/2022 46 104 16.5 N N N 0
8 Ginez, Scarlet Marie S. F 8/7/2022 46 106 18 N N N 0
Gutierrez, Renesmee T. F 8/7/2022 44 105 17 N N N 0
Hipolito, Plenderlette Anne M. F 8/7/2022 53 97 14.5 N N N 0
Total Number of Undernourished Children
Nutritional Status Legend: Prepared by: Noted by:
Weight for Age
N - Normal SUW: Severly Underweight
UW - Underweight ROSE ANGEL B. ESPERANZA,CDW MA. LAURA C. SARMIENTO, RSW
SUW - Severely Underweight Name/Position Name/Position
OW - Overweight

Height for Age


N - Normal
St - Stunted
Sst - Severely Stunted
T - Tall

Weight for Height


N - Normal
W - Wasted
SW - Severely Wasted
OW - Overweight
Ob - Obese
Department of Social Welfare and Development
Field Office 1
Quezon Avenue, City of San Fernando, La Union 2500

WEIGHT MONITORING FORM


City/Municipality of SANTA MARIA Province of PANGASINAN
City/Municipal Social Welfare and Development Office
CY 2021-2022

Name of DCC/SNP: San Alejadnro Child Development Center


Name of DCW/Volunteer: ROSE ANGEL B. ESPERANZA
Location: Sta. Maria, Pangasinan

Baseline Endline
Nutritional Status Nutritional Status

Date of Date of Summar Rema


Name of Children (Surname, Given Age in Weight Summary of Weighing Age in Height Weight y of rks
No. Sex Weighing Height (cm) Weight for
Name Middle Initial) Mos (kg) Weight for Height for
Undernouris Mos (cm) (kg) Weight Weight for Height for Underno
(m/d/y) Age Height Age (m/d/y) for Age Height Age
hed Children urished
Children

1 Lepasana, Nadine R. F 8/7/2022 48 104 16.5 N N N 0


2 Lumanas, Yzabelle N. F 8/7/2022 30 102.5 14.5 N N N 0
3 Mabalo, Beatrice Ruiz F. F 8/7/2022 45 101 15 N N N 0
4 Taguiped, Chloe Faith C F 8/7/2022 53 101.5 15 N N N 0
5 Tuguinay, Rain Faith L F 8/7/2022 54 103.5 16 N N N 0
6 Perez, Safiyah Zya Jheen B. F 8/7/2022 39 101 15.5 N N N 0
Total Number of Undernourished Children
Nutritional Status Legend: Prepared by: Noted by:
Weight for Age
N - Normal SUW: Severly Underweight
UW - Underweight ROSE ANGEL B. ESPERANZA,CDW MA. LAURA C. SARMIENTO, RSW
SUW - Severely Underweight Name/Position Name/Position
OW - Overweight

Height for Age


N - Normal
St - Stunted
Sst - Severely Stunted
T - Tall

Weight for Height


N - Normal
W - Wasted
SW - Severely Wasted
OW - Overweight
Ob - Obese
Department of Social Welfare and Development
Field Office 1
Quezon Avenue, City of San Fernando, La Union 2500

WEIGHT MONITORING FORM


City/Municipality of SANTA MARIA Province of PANGASINAN
City/Municipal Social Welfare and Development Office
CY 2021-2022

Name of DCC/SNP: San Alejadnro Child Development Center


Name of DCW/Volunteer: ROSE ANGEL B. ESPERANZA
Location: Sta. Maria, Pangasinan

Baseline Endline
Nutritional Status Nutritional Status

Date of Date of Summar Rema


Name of Children (Surname, Given Age in Weight Summary of Weighing Age in Height Weight y of rks
No. Sex Weighing Height (cm) Weight for
Name Middle Initial) Mos (kg) Weight for Height for
Undernouris Mos (cm) (kg) Weight Weight for Height for Underno
(m/d/y) Age Height Age (m/d/y) for Age Height Age
hed Children urished
Children

1 Alfonso, Rommel C. M 8/7/2022 46 101.5 14.5 N N N 0


2 Alfonso, Rain Xian C. M 8/7/2022 29 100 14 N N N 0
3 Buen, Jay Emelio C. M 8/7/2022 54 103 16 N N N 0
4 Cachila, Albert G. Jr M 8/7/2022 38 102 15 N N N 0
5 Calderon, Arjhay P. M 8/7/2022 64 101.5 16 N N N 0
6 Calibuso, Nathaniel M 8/7/2022 51 104 16.5 N N N 0
7 Callo, Jay Franco R. M 8/7/2022 46 95.5 13 N N N 0
8 Du, Hyselle Joshe B. M 8/7/2022 43 101 14 N N N 0
9 Eclera, Kiefer Q. M 8/7/2022 45 101 14 N N N 0
Eclera, Khaizer Q. M 8/7/2022 35 100 14 N N N 0
Total Number of Undernourished Children
Nutritional Status Legend: Prepared by: Noted by:
Weight for Age
N - Normal SUW: Severly Underweight
UW - Underweight ROSE ANGEL B. ESPERANZA,CDW MA. LAURA C. SARMIENTO, RSW
SUW - Severely Underweight Name/Position Name/Position
OW - Overweight

Height for Age


N - Normal
St - Stunted
Sst - Severely Stunted
T - Tall

Weight for Height


N - Normal
W - Wasted
SW - Severely Wasted
OW - Overweight
Ob - Obese
Department of Social Welfare and Development
Field Office 1
Quezon Avenue, City of San Fernando, La Union 2500

WEIGHT MONITORING FORM


City/Municipality of SANTA MARIA Province of PANGASINAN
City/Municipal Social Welfare and Development Office
CY 2021-2022

Name of DCC/SNP: San Alejadnro Child Development Center


Name of DCW/Volunteer: ROSE ANGEL B. ESPERANZA
Location: Sta. Maria, Pangasinan

Baseline Endline
Date of Date of Summar Rema
Name of Children (Surname, Given Age in Weight Nutritional Status Summary of Weighing Age in Height Weight Nutritional Status y of
No. Sex Weighing Height (cm) Weight for rks
Name Middle Initial) Mos (kg) Weight for Height for
Undernouris Mos (cm) (kg) Weight Weight for Height for Underno
(m/d/y) Age Height Age (m/d/y) for Age Height Age
1 Gadiaza, Gabby G. M 8/7/2022 54 102.5 15.5 N N N hed Children
0 urished
Children
2 Ginez, France Noah A. M 8/7/2022 49 102.5 15.5 N N N 0
3 Ginez, Jordan Mikhael S. M 8/7/2022 54 102 15.5 N N N 0
4 Gomez, Mark Allen B. M 8/7/2022 26 104 14 N N N 0
5 Montero, Xian Rhemy S. M 8/7/2022 39 103 15.5 N N N 0
6 Salvador, Sky Jeiel R. M 8/7/2022 34 104 14 N N N 0
7 Sanchez, Ethan A. M 8/7/2022 43 104.5 16.5 N N N 0
8 Sison, Zyrus T. M 8/7/2022 54 95 13.5 N N N 0
9 Soriano, Joe Vince A. M 8/7/2022 54 103 14.5 N N N 0
10 Tadeo, Jacob M 8/7/2022 42 97 16 N N N 0
11 Tadeo, Matthew Zayn M 8/7/2022 46 97 16 N N N 0
12 Tibunsay, Andrie E. M 8/7/2022 40 103 15.8 N N N 0
13 Revita, Shoune Zyrone T. M 8/7/2022 59 108 16.2 N N N 0
Total Number of Undernourished Children
Nutritional Status Legend: Prepared by: Noted by:
Weight for Age
N - Normal SUW: Severly Underweight
UW - Underweight ROSE ANGEL B. ESPERANZA,CDW MA. LAURA C. SARMIENTO, RSW
SUW - Severely Underweight Name/Position Name/Position
OW - Overweight

Height for Age


N - Normal
St - Stunted
Sst - Severely Stunted
T - Tall

Weight for Height


N - Normal
W - Wasted
SW - Severely Wasted
OW - Overweight
Ob - Obese
Department of Social Welfare and Development
Field Office 1
Quezon Avenue, City of San Fernando, La Union 2500

WEIGHT MONITORING FORM


City/Municipality of SANTA MARIA Province of PANGASINAN
City/Municipal Social Welfare and Development Office
CY 2021-2022

Name of DCC/SNP: San Mariano Child Development Center


Name of DCW/Volunteer: BENILDA D. CLARIDAD
Location: Sta. Maria, Pangasinan

Baseline Endline
Nutritional Status Nutritional Status

Date of Date of Summar Rema


Name of Children (Surname, Given Age in Weight Summary of Weighing Age in Height Weight y of rks
No. Sex Weighing Height (cm) Weight for
Name Middle Initial) Mos (kg) Weight for Height for
Undernouris Mos (cm) (kg) Weight Weight for Height for Underno
(m/d/y) Age Height Age (m/d/y) for Age Height Age
hed Children urished
Children

1 Bautista, Michael Dave S. M 8/7/2022 38 90 12 N N N 0


2 Cariño, Cedric Ace A. M 8/7/2022 46 94 14 N N N 0
3 Desales, Raiden John M. M 8/7/2022 55 114.5 22 N N N 0
4 Galinato, Shawn Ezekiel C. M 8/7/2022 45 102 14 N N N 0
5 Lagmay, Francis Jacob A. M 8/7/2022 49 103.5 15 N N N 0
6 Marquez, Mark Jacob S. M 8/7/2022 56 104.5 16 N N N 0
7 Miranda, Denzel E. M 8/7/2022 56 100.3 14 N N N 0
8 Nasog, John Jacob O. M 8/7/2022 48 98 13 N N N 0
9 Natividad, Gavin Chase C. M 8/7/2022 40 102 13.8 N N N 0
10 Navarro, John Rey D. M 8/7/2022 51 97.4 13.5 N N N 0
Sobrera, Alonzo P. M 8/7/2022 48 95 13.5 N N N 0
Sisi, Ryelie Hanz M 8/7/2022 50 105.5 17 N N N 0
Total Number of Undernourished Children 0 1
Nutritional Status Legend: Prepared by: Noted by:
Weight for Age
N - Normal SUW: Severly Underweight
UW - Underweight BENILDA D. CLARIDAD,CDW MA. LAURA C. SARMIENTO, RSW
SUW - Severely Underweight Name/Position Name/Position
OW - Overweight

Height for Age


N - Normal
St - Stunted
Sst - Severely Stunted
T - Tall

Weight for Height


N - Normal
W - Wasted
SW - Severely Wasted
OW - Overweight
Ob - Obese

Department of Social Welfare and Development


Field Office 1
Quezon Avenue, City of San Fernando, La Union 2500

WEIGHT MONITORING FORM


City/Municipality of SANTA MARIA Province of PANGASINAN
City/Municipal Social Welfare and Development Office
CY 2021-2022

Name of DCC/SNP: San Mariano Child Development Center


Name of DCW/Volunteer: BENILDA D. CLARIDAD
Location: Sta. Maria, Pangasinan

Baseline Endline
Nutritional Status Nutritional Status

Date of Date of Summar Rema


Name of Children (Surname, Given Age in Weight Summary of Weighing Age in Height Weight y of rks
No. Sex Weighing Height (cm) Weight for
Name Middle Initial) Mos (kg) Weight for Height for
Undernouris Mos (cm) (kg) Weight Weight for Height for Underno
(m/d/y) Age Height Age (m/d/y) for Age Height Age
hed Children urished
Children

1 Cariño, Shane Ashley A. F 8/7/2022 48 95.5 13 N N N 0


2 Doll, Harmony Callie G. F 8/7/2022 39 102 16 N N N 0
3 Elloraza, Elliana Brialle S. F 8/7/2022 34 97 15 N N N 0
4 Esquejo, Ryzell N. F 8/7/2022 53 103 14 N N N 0
5 Ganotan, Amiah G. F 8/7/2022 31 81 10 N N N 0
6 Ginez, Natalie Kate L. F 8/7/2022 31 90 14 N N N 0
7 Laureano, Jenny Rose E. F 8/7/2022 44 95.1 13 N N N 0
8 Nemis, Adora Sophia G. F 8/7/2022 48 98.5 16 N N N 0
9 Padayao, Maxine Marie B. F 8/7/2022 48 99.4 15 N N N 0
10 Roscales, Gia Eliana P. F 8/7/2022 56 103.5 18 N N N 0
Somera, Jharmaine Mae A. F 8/7/2022 44 92 13 N N N 0
Tabajunda, Shiloh Faith B. F 8/7/2022 37 88 11 N N N 0
Total Number of Undernourished Children
Nutritional Status Legend: Prepared by: Noted by:
Weight for Age
N - Normal SUW: Severly Underweight
UW - Underweight BENILDA D. CLARIDAD,CDW MA. LAURA C. SARMIENTO, RSW
SUW - Severely Underweight Name/Position Name/Position
OW - Overweight

Height for Age


N - Normal
St - Stunted
Sst - Severely Stunted
T - Tall

Weight for Height


N - Normal
W - Wasted
SW - Severely Wasted
OW - Overweight
Ob - Obese
Department of Social Welfare and Development
Field Office 1
Quezon Avenue, City of San Fernando, La Union 2500

WEIGHT MONITORING FORM


City/Municipality of SANTA MARIA Province of PANGASINAN
City/Municipal Social Welfare and Development Office
CY 2021-2022

Name of DCC/SNP: San Pablo Child Development Center


Name of DCW/Volunteer: VILMA C. MEJIA
Location: Sta. Maria, Pangasinan

Baseline Endline
Nutritional Status Nutritional Status

Date of Date of Summar Rema


Name of Children (Surname, Given Age in Weight Summary of Weighing Age in Height Weight y of rks
No. Sex Weighing Height (cm) Weight for
Name Middle Initial) Mos (kg) Weight for Height for
Undernouris Mos (cm) (kg) Weight Weight for Height for Underno
(m/d/y) Age Height Age (m/d/y) for Age Height Age
hed Children urished
Children

1 Alcisto,Zyon Syrel G. M 8/7/2022 46 91 .13.6 N N St 1


2 Bellen,Lucas L. M 8/7/2022 33 94 16 N N N 0
3 Corpuz,Jonel D. M 8/7/2022 35 88 11 UW N N 0
4 Daylo.Alhasan Jr. M 8/7/2022 45 101 16 N N St 1
5 Diza,Prince Harly I. M 8/7/2022 38 93 12 N N N 0
6 Fernandez,Jacob O. M 8/7/2022 48 103 26.6 OW Ob N 0
7 Ga;erio,Abraham III b. M 8/7/2022 39 91 11.3 UW N N 1
8 Galolo,Ram Jyrone L. M 8/7/2022 38 91 12.2 N N N 0
9 Lobusta,John Carlo C. M 8/7/2022 54 103 14.5 N N N 0
10 Llobrear,Lj A. M 8/7/2022 43 95 13.5 N N N 0
Total Number of Undernourished Children
Nutritional Status Legend: Prepared by: Noted by:
Weight for Age
N - Normal SUW: Severly Underweight
UW - Underweight VILMA C. MEJIA,CDW MA. LAURA C. SARMIENTO, RSW
SUW - Severely Underweight Name/Position Name/Position
OW - Overweight

Height for Age


N - Normal
St - Stunted
Sst - Severely Stunted
T - Tall

Weight for Height


N - Normal
W - Wasted
SW - Severely Wasted
OW - Overweight
Ob - Obese

Department of Social Welfare and Development


Field Office 1
Quezon Avenue, City of San Fernando, La Union 2500

WEIGHT MONITORING FORM


City/Municipality of SANTA MARIA Province of PANGASINAN
City/Municipal Social Welfare and Development Office
CY 2021-2022

Name of DCC/SNP: San Pablo Child Development Center


Name of DCW/Volunteer: VILMA C. MEJIA
Location: Sta. Maria, Pangasinan

Baseline Endline
Nutritional Status Nutritional Status

Date of Date of Summar Rema


Name of Children (Surname, Given Age in Weight Summary of Weighing Age in Height Weight y of rks
No. Sex Weighing Height (cm) Weight for
Name Middle Initial) Mos (kg) Weight for Height for
Undernouris Mos (cm) (kg) Weight Weight for Height for Underno
(m/d/y) Age Height Age (m/d/y) for Age Height Age
hed Children urished
Children

1 Muclo,Kelen Eulsm E. M 8/7/2022 48 95 11.3 UW W N 1


2 Niones,Earl Kim C. M 8/7/2022 45 97 0.5 N N N 0
3 Osotio,AdolfoJr. L. M 8/7/2022 52 91.5 12.4 UW N St 1
4 Tombaga,Wenrey B. M 8/7/2022 47 91.5 12.8 N N St 1
5
6
7
8
9
10
Total Number of Undernourished Children
Nutritional Status Legend: Prepared by: Noted by:
Weight for Age
N - Normal SUW: Severly Underweight
UW - Underweight VILMA C. MEJIA,CDW MA. LAURA C. SARMIENTO, RSW
SUW - Severely Underweight Name/Position Name/Position
OW - Overweight

Height for Age


N - Normal
St - Stunted
Sst - Severely Stunted
T - Tall

Weight for Height


N - Normal
W - Wasted
SW - Severely Wasted
OW - Overweight
Ob - Obese

Department of Social Welfare and Development


Field Office 1
Quezon Avenue, City of San Fernando, La Union 2500

WEIGHT MONITORING FORM


City/Municipality of SANTA MARIA Province of PANGASINAN
City/Municipal Social Welfare and Development Office
CY 2021-2022

Name of DCC/SNP: San Pablo Child Development Center


Name of DCW/Volunteer: VILMA C. MEJIA
Location: Sta. Maria, Pangasinan

Baseline Endline
Nutritional Status Nutritional Status

Date of Date of Summar Rema


Name of Children (Surname, Given Age in Weight Summary of Weighing Age in Height Weight y of rks
No. Sex Weighing Height (cm) Weight for
Name Middle Initial) Mos (kg) Weight for Height for
Undernouris Mos (cm) (kg) Weight Weight for Height for Underno
(m/d/y) Age Height Age (m/d/y) for Age Height Age
hed Children urished
Children

1 Caracas,Joana H. F 8/7/2022 55 93 12 UW N St 1
2 Cudiamat,Joella M. F 8/7/2022 41 92 11.5 N N N 0
3 Guillermo,Cara S. F 8/7/2022 39 90 11.5 N N N 0
4 Guillermo,Mita S. F 8/7/2022 39 89 11.8 N N St 1
5 Niones,Kiel Kasher C. F 8/7/2022 33 94.5 14.5 N N N 0
6 Niones,Margaux Lhalene G. F 8/7/2022 54 101 13 N N N 0
7 Niones,Sabina Rey M. F 070/08/2022 46 98 13 N N N 0
8 Orenza,Princess Jean G. F 8/7/2022 32 83 9 SU W St 1
9 Orpano,Jasmine Rose L. F 8/7/2022 53 93.2 11.3 SU N St 1
10 Piala,Rica Mae L. F 8/7/2022 44 88.5 12.3 N N St 1
11 Sabiano,Thania Sherlyne N. F 8/7/2022 54 109 20.5 N N N 0
12 Segismar,Jade Ayesha C. F 8/7/2022 53 105 14.5 N N N 0
Total Number of Undernourished Children
Nutritional Status Legend: Prepared by: Noted by:
Weight for Age
N - Normal SUW: Severly Underweight
UW - Underweight VILMA C. MEJIA,CDW MA. LAURA C. SARMIENTO, RSW
SUW - Severely Underweight Name/Position Name/Position
OW - Overweight

Height for Age


N - Normal
St - Stunted
Sst - Severely Stunted
T - Tall

Weight for Height


N - Normal
W - Wasted
SW - Severely Wasted
OW - Overweight
Ob - Obese

Department of Social Welfare and Development


Field Office 1
Quezon Avenue, City of San Fernando, La Union 2500

WEIGHT MONITORING FORM


City/Municipality of SANTA MARIA Province of PANGASINAN
City/Municipal Social Welfare and Development Office
CY 2021-2022

Name of DCC/SNP: San Patricio Child Development Center


Name of DCW/Volunteer: MARCELINA N. GARCES
Location: Sta. Maria, Pangasinan

Baseline Endline
Nutritional Status Nutritional Status

Date of Date of Rema


Name of Children (Surname, Given Age in Weight Age in Height Weight rks
No. Sex Weighing Height (cm) Weighing
Name Middle Initial) Mos (kg) Mos (cm) (kg)
(m/d/y) (m/d/y)
Date of Date of Summar Rema
Name of Children (Surname, Given Age in Weight Summary of Weighing Age in Height Weight y of rks
No. Sex Weighing Height (cm) Weight for
Name Middle Initial) Mos (kg) Weight for Height for
Undernouris Mos (cm) (kg) Weight Weight for Height for Underno
(m/d/y) Age Height Age (m/d/y) for Age Height Age
hed Children urished
Children

1 Abad, Marivic A. M 8/7/2022 53 98 17 N N N 0


2 Agbunag, Zade Eli M 8/7/2022 42 97 15 N N N 0
3 Corpuz, Mac Rinyl C. M 8/7/2022 32 95 14 N N N 0
4 Garidon, John Reinil D. M 8/7/2022 44 103 17 N N N 0
5 Gelido, Sebastian Gio A. M 8/7/2022 49 100 18.2 N N N 0
6 Lazaro, Marc Carl A. M 8/7/2022 56 95 14.5 N N N 0
7 Manuel, Vincent N. M 8/7/2022 36 92 13 N N N 0
8 Menzaga, Anthony M. M 8/7/2022 53 99 16 N N N 0
9 Pajaroja, Marky N. M 8/7/2022 63 97 15 N N Sst 1
10 Quintero, Marc Joseph G. M 8/7/2022 34 89 14 N N N 0
Total Number of Undernourished Children 2
Nutritional Status Legend: Prepared by: Noted by:
Weight for Age
N - Normal SUW: Severly Underweight
UW - Underweight MARCELINA N. GARCES,CDW MA. LAURA C. SARMIENTO, RSW
SUW - Severely Underweight Name/Position Name/Position
OW - Overweight

Height for Age


N - Normal
St - Stunted
Sst - Severely Stunted
T - Tall

Weight for Height


N - Normal
W - Wasted
SW - Severely Wasted
OW - Overweight
Ob - Obese

Department of Social Welfare and Development


Field Office 1
Quezon Avenue, City of San Fernando, La Union 2500

WEIGHT MONITORING FORM


City/Municipality of SANTA MARIA Province of PANGASINAN
City/Municipal Social Welfare and Development Office
CY 2021-2022

Name of DCC/SNP: San Patricio Child Development Center


Name of DCW/Volunteer: MARCELINA N. GARCES
Location: Sta. Maria, Pangasinan
Baseline Endline
Date of Date of Summar Rema
Name of Children (Surname, Given Age in Weight Nutritional Status Summary of Weighing Age in Height Weight Nutritional Status y of
No. Sex Weighing Height (cm) Weight for rks
Name Middle Initial) Mos (kg) Weight for Height for
Undernouris Mos (cm) (kg) Weight Weight for Height for Underno
(m/d/y) Age Height Age (m/d/y) for Age Height Age
1 Sadernas, Daniel A. M 8/7/2022 56 99 16 N N N hed Children
0 urished
Children
2 San Andres, Shen Xyrus M 8/7/2022 55 100 16 N N N 0
3 Sobrera, Zion Joy G. M 8/7/2022 53 100 18 N N N 0
4 Tejada, Ace C. M 8/7/2022 33 89 13.5 N N N 0
5 Tempongko, Nathaniel E. M 8/7/2022 38 89 14.5 N N N 0
6 Ubaldo, Gabriel James S. M 8/7/2022 47 101 16 N N N 0
7 Ubaldo, Jr Gino R. M 8/7/2022 48 95 14.5 N N N 0
Total Number of Undernourished Children
Nutritional Status Legend: Prepared by: Noted by:
Weight for Age
N - Normal SUW: Severly Underweight
UW - Underweight MARCELINA N. GARCES,CDW MA. LAURA C. SARMIENTO, RSW
SUW - Severely Underweight Name/Position Name/Position
OW - Overweight

Height for Age


N - Normal
St - Stunted
Sst - Severely Stunted
T - Tall

Weight for Height


N - Normal
W - Wasted
SW - Severely Wasted
OW - Overweight
Ob - Obese

Department of Social Welfare and Development


Field Office 1
Quezon Avenue, City of San Fernando, La Union 2500

WEIGHT MONITORING FORM


City/Municipality of SANTA MARIA Province of PANGASINAN
City/Municipal Social Welfare and Development Office
CY 2021-2022

Name of DCC/SNP: San Patricio Child Development Center


Name of DCW/Volunteer: MARCELINA N. GARCES
Location: Sta. Maria, Pangasinan

Baseline Endline
Nutritional Status Nutritional Status

Date of Date of Rema


Name of Children (Surname, Given Age in Weight Age in Height Weight rks
No. Sex Weighing Height (cm) Weighing
Name Middle Initial) Mos (kg) Mos (cm) (kg)
(m/d/y) (m/d/y)
Date of Date of Summar Rema
Name of Children (Surname, Given Age in Weight Summary of Weighing Age in Height Weight y of rks
No. Sex Weighing Height (cm) Weight for
Name Middle Initial) Mos (kg) Weight for Height for
Undernouris Mos (cm) (kg) Weight Weight for Height for Underno
(m/d/y) Age Height Age (m/d/y) for Age Height Age
hed Children urished
Children

1 Agpawa, Jewel Ann E. F 8/7/2022 43 92 15 N N S 1


2 Alcausin, Kesha Angel A. F 8/7/2022 56 91 14 N N Sst 1
3 Base, Jamaica Faye A. F 8/7/2022 37 90 14 N N N 0
4 Capillo, Althea Caye B. F 8/7/2022 56 88 14.5 N N Sst 1
5 Claridad, Nathalie B. F 8/7/2022 36 89 13 N N N 0
6 Garcia, Carla Mae B. F 8/7/2022 62 108 19.5 N N S 1
7 Nachor, Evita Cait S. F 8/7/2022 41 89 13 N N S 1
8 Parinas, Shekena Elisha M. F 8/7/2022 49 92 14 N N N 0
9 Quinit, Amara Sophia M. F 8/7/2022 34 92 13.5 N N S 1
10 Rocapor, Wendy Sophia M. F 8/7/2022 53 96 14 N N N 0
11 Ruben, Pauline T. F 8/7/2022 56 97 15 N N S 1
12 Orina, Gia Keisha G. F 8/7/2022 41 94 16 N N N 0
13 Villalba, Marzel C. F 8/7/2022 46 94 16 N N N 0
Total Number of Undernourished Children
Nutritional Status Legend: Prepared by: Noted by:
Weight for Age
N - Normal SUW: Severly Underweight
UW - Underweight MARCELINA N. GARCES,CDW MA. LAURA C. SARMIENTO, RSW
SUW - Severely Underweight Name/Position Name/Position
OW - Overweight

Height for Age


N - Normal
St - Stunted
Sst - Severely Stunted
T - Tall

Weight for Height


N - Normal
W - Wasted
SW - Severely Wasted
OW - Overweight
Ob - Obese
Ob - Obese

Department of Social Welfare and Development


Field Office 1
Quezon Avenue, City of San Fernando, La Union 2500

WEIGHT MONITORING FORM


City/Municipality of SANTA MARIA Province of PANGASINAN
City/Municipal Social Welfare and Development Office
CY 2022-2023

Name of DCC/SNP: San Vicente Child Development Center


Name of DCW/Volunteer: ELENA J. DE LEON
Location: Sta. Maria, Pangasinan

Baseline Endline
Nutritional Status Nutritional Status

Date of Date of Summar Rema


Name of Children (Surname, Given Age in Weight Summary of Weighing Age in Height Weight y of rks
No. Sex Weighing Height (cm) Weight for
Name Middle Initial) Mos (kg) Weight for Height for
Undernouris Mos (cm) (kg) Weight Weight for Height for Underno
(m/d/y) Age Height Age (m/d/y) for Age Height Age
hed Children urished
Children

1 Rodico, Raine Andrei C. M 8/7/2022 45 100 15 N N N 0


2 Samson, Clark J. M 8/7/2022 42 102 15.4 N N N 0
3 Sioson, Jr, Evam Marco Z. M 8/7/2022 39 96 16 N N N 0
4 Tasani, Jillian Xavier P. M 8/7/2022 49 100 15 N N N 0
5 Untalan, John Elden T. M 8/7/2022 47 104 16 N N N 0
6 Villar, David G. M 8/7/2022 53 106 15 N N N 0
7 Villasata, Renz Darwin S. M 8/7/2022 51 104 16 N N N 0
Total Number of Undernourished Children
Nutritional Status Legend: Prepared by: Noted by:
Weight for Age
N - Normal SUW: Severly Underweight
UW - Underweight ELENA J. DE LEON,CDW MA. LAURA C. SARMIENTO, RSW
SUW - Severely Underweight Name/Position Name/Position
OW - Overweight

Height for Age


N - Normal
St - Stunted
Sst - Severely Stunted
T - Tall

Weight for Height


N - Normal
W - Wasted
SW - Severely Wasted
OW - Overweight
Ob - Obese

Department of Social Welfare and Development


Field Office 1
Quezon Avenue, City of San Fernando, La Union 2500

WEIGHT MONITORING FORM


City/Municipality of SANTA MARIA Province of PANGASINAN
City/Municipal Social Welfare and Development Office
CY 2022-2023

Name of DCC/SNP: San Vicente Child Development Center


Name of DCW/Volunteer: ELENA J. DE LEON
Location: Sta. Maria, Pangasinan

Baseline Endline
Nutritional Status Nutritional Status

Date of Date of Summar Rema


Name of Children (Surname, Given Age in Weight Summary of Weighing Age in Height Weight y of rks
No. Sex Weighing Height (cm) Weight for
Name Middle Initial) Mos (kg) Weight for Height for
Undernouris Mos (cm) (kg) Weight Weight for Height for Underno
(m/d/y) Age Height Age (m/d/y) for Age Height Age
hed Children urished
Children

1 Adloc, Blessie Jane D. F 8/7/2022 55 100 15 N N N 0


2 Alasagas, Frencheska Danilyn C. F 8/7/2022 42 109 20.4 N N N 0
3 Antolin, Chantal C. F 8/7/2022 42 102 18 N N N 0
4 Aragon, Julie M. F 8/7/2022 42 100 16 N N N 0
5 Bargo, Rochelle Grace D. F 8/7/2022 42 106 16 N N N 0
6 Belmonte, Misty Kristine A. F 8/7/2022 48 105 15 N N N 0
7 Bogayo, Princess Joana A. F 8/7/2022 44 104 15 N N N 0
8 Bruan, Evonne F 8/7/2022 55 98 18 N OW ST 1
9 De Leon, Eunice S. F 8/7/2022 37 95 10.9 N N N 0
10 Erguiza, Rowela S. F 8/7/2022 48 100 16 N N N 0
Total Number of Undernourished Children
Nutritional Status Legend: Prepared by: Noted by:
Weight for Age
N - Normal SUW: Severly Underweight
UW - Underweight ELENA J. DE LEON,CDW MA. LAURA C. SARMIENTO, RSW
SUW - Severely Underweight Name/Position Name/Position
OW - Overweight

Height for Age


N - Normal
St - Stunted
Sst - Severely Stunted
T - Tall

Weight for Height


N - Normal
W - Wasted
SW - Severely Wasted
OW - Overweight
Ob - Obese

Department of Social Welfare and Development


Field Office 1
Quezon Avenue, City of San Fernando, La Union 2500

WEIGHT MONITORING FORM


City/Municipality of SANTA MARIA Province of PANGASINAN
City/Municipal Social Welfare and Development Office
CY 2022-2023

Name of DCC/SNP: San Vicente Child Development Center


Name of DCW/Volunteer: ELENA J. DE LEON
Location: Sta. Maria, Pangasinan

Baseline Endline
Nutritional Status Nutritional Status

Date of Date of Summar Rema


Name of Children (Surname, Given Age in Weight Summary of Weighing Age in Height Weight y of rks
No. Sex Weighing Height (cm) Weight for
Name Middle Initial) Mos (kg) Weight for Height for
Undernouris Mos (cm) (kg) Weight Weight for Height for Underno
(m/d/y) Age Height Age (m/d/y) for Age Height Age
hed Children urished
Children

1 Ganaden, Princess Analyn C. F 8/7/2022 56 104 17 N N N 0


2 Juanitez, Frelyn Kate D. F 8/7/2022 46 99 20.3 N Ob N 0
3 Lingad, Joana Louise T. F 8/7/2022 54 107 16 N N N 0
4 Marzan, Trexie T. F 8/7/2022 38 96 16 N N N 0
5 Marzan, Viernalyn C. F 8/7/2022 49 100 15 N N N 0
6 Oquendo, Helen D. F 8/7/2022 44 100 16 N N N 0
7 Perez, Queen Elizabeth G. F 8/7/2022 44 102 15 N N N 0
8 Pagador, Ma. Beatrice U. F 8/7/2022 44 104 18 N N N 0
9 Perdido, Candiece Chloe G. F 8/7/2022 35 100 18 N N N 0
10 Ragandan, Sofia Mae F 8/7/2022 56 104 16 N N N 0
Total Number of Undernourished Children 0
Nutritional Status Legend: Prepared by: Noted by:
Weight for Age
N - Normal SUW: Severly Underweight
UW - Underweight ELENA J. DE LEON,CDW MA. LAURA C. SARMIENTO, RSW
SUW - Severely Underweight Name/Position Name/Position
OW - Overweight

Height for Age


N - Normal
St - Stunted
Sst - Severely Stunted
T - Tall

Weight for Height


N - Normal
W - Wasted
SW - Severely Wasted
OW - Overweight
Ob - Obese

Department of Social Welfare and Development


Field Office 1
Quezon Avenue, City of San Fernando, La Union 2500

WEIGHT MONITORING FORM


City/Municipality of SANTA MARIA Province of PANGASINAN
City/Municipal Social Welfare and Development Office
CY 2021-2022

Name of DCC/SNP: San Vicente Child Development Center


Name of DCW/Volunteer: ELENA J. DE LEON
Location: Sta. Maria, Pangasinan

Baseline Endline
Nutritional Status Nutritional Status

Date of Date of Summar Rema


Name of Children (Surname, Given Age in Weight Summary of Weighing Age in Height Weight y of rks
No. Sex Weighing Height (cm) Weight for
Name Middle Initial) Mos (kg) Weight for Height for
Undernouris Mos (cm) (kg) Weight Weight for Height for Underno
(m/d/y) Age Height Age (m/d/y) for Age Height Age
hed Children urished
Children

1 Ravanilla, Lady Mae C. F 8/7/2022 50 100 15 N N N 0


2 Rotor, Venice S. F 8/7/2022 55 104 16 N N N 0
3 Ruiz, Patricia Marie G. F 8/7/2022 47 96 15 N N N 0
4 Villanueva, Eloisa C. F 8/7/2022 55 104 18 N N N 0
5 Villanueva, Mia Zia B. F 8/7/2022 41 95 16 N N N 0
6 Villedo, Alexandra C. F 8/7/2022 54 104 15.2 N N N 0
7 Zulueta, Louiela Franchesca S. F 8/7/2022 56 104 18 N N N 0
8 Castillo, Zoe Ashly S. F 8/7/2022 41 104 20 OW N N 0
9 Justo, Jamaica M. F 8/7/2022 43 100 15 N N N 0
10 Perez, Khyra Mhia E. F 8/7/2022 39 102 15 N N N 0
11 Rupisan, Princess Ynah G. F 8/7/2022 42 102 16 N N N 0
Total Number of Undernourished Children 0
Nutritional Status Legend: Prepared by: Noted by:
Weight for Age
N - Normal SUW: Severly Underweight
UW - Underweight ELENA J. DE LEON,CDW MA. LAURA C. SARMIENTO, RSW
SUW - Severely Underweight Name/Position Name/Position
OW - Overweight

Height for Age


N - Normal
St - Stunted
Sst - Severely Stunted
T - Tall

Weight for Height


N - Normal
W - Wasted
SW - Severely Wasted
OW - Overweight
Ob - Obese

Department of Social Welfare and Development


Field Office 1
Quezon Avenue, City of San Fernando, La Union 2500

WEIGHT MONITORING FORM


City/Municipality of SANTA MARIA Province of PANGASINAN
City/Municipal Social Welfare and Development Office
CY 2021-2022

Name of DCC/SNP: San Vicente Child Development Center


Name of DCW/Volunteer: ELENA J. DE LEON
Location: Sta. Maria, Pangasinan

Baseline Endline
Nutritional Status Nutritional Status

Date of Date of Summar Rema


Name of Children (Surname, Given Age in Weight Summary of Weighing Age in Height Weight y of rks
No. Sex Weighing Height (cm) Weight for
Name Middle Initial) Mos (kg) Weight for Height for
Undernouris Mos (cm) (kg) Weight Weight for Height for Underno
(m/d/y) Age Height Age (m/d/y) for Age Height Age
hed Children urished
Children

1 8/7/2022
2 8/7/2022
3 8/7/2022
4 8/7/2022
5 8/7/2022
6 8/7/2022
7 8/7/2022
8 8/7/2022
9 8/7/2022
10 8/7/2022
Total Number of Undernourished Children
Nutritional Status Legend: Prepared by: Noted by:
Weight for Age
N - Normal SUW: Severly Underweight
UW - Underweight ELENA J. DE LEON,CDW MA. LAURA C. SARMIENTO, RSW
SUW - Severely Underweight Name/Position Name/Position
OW - Overweight

Height for Age


N - Normal
St - Stunted
Sst - Severely Stunted
T - Tall

Weight for Height


N - Normal
W - Wasted
SW - Severely Wasted
OW - Overweight
Ob - Obese

Department of Social Welfare and Development


Field Office 1
Quezon Avenue, City of San Fernando, La Union 2500

WEIGHT MONITORING FORM


City/Municipality of SANTA MARIA Province of PANGASINAN
City/Municipal Social Welfare and Development Office
CY 2021-2022

Name of DCC/SNP: Sta. Cruz Child Development Center


Name of DCW/Volunteer: SHERYLL B. TRINIDAD
Location: Sta. Maria, Pangasinan

Baseline Endline
Nutritional Status Nutritional Status

Date of Date of Summar Rema


Name of Children (Surname, Given Age in Weight Summary of Weighing Age in Height Weight y of rks
No. Sex Weighing Height (cm) Weight for
Name Middle Initial) Mos (kg) Weight for Height for
Undernouris Mos (cm) (kg) Weight Weight for Height for Underno
(m/d/y) Age Height Age (m/d/y) for Age Height Age
hed Children urished
Children

1 Asuncion, Oliver M. M 8/7/2022 39 90.5 11.7 N N N 0


2 Asuncion, Ashriel John P. M 8/7/2022 29 85.1 10.5 N N N 0
3 Aquino, Khiyan Cliford A. M 8/7/2022 45 94.2 13.4 N N N 0
4 Aquino, Leo N. M 8/7/2022 40 91.3 12.5 N N N 0
5 Balino, Kurt Anthony M. M 8/7/2022 60 101.1 14.8 N N N 0
6 Canceran, Louis L. M 8/7/2022 40 91.4 12.3 N N N 0
7 Gavina, Tyrone G. M 8/7/2022 34 88.3 11.6 N N N 0
8 De Guzman, Jr Jerry G. M 8/7/2022 58 100.2 14.2 N N N 0
9 Diza, Carl John S M 8/7/2022 37 87.4 11.3 N N N 0
10 Gonatice, Hezron Zack P. M 8/7/2022 44 93.8 12.9 N N N 0
Total Number of Undernourished Children 7
Nutritional Status Legend: Prepared by: Noted by:
Weight for Age
N - Normal SUW: Severly Underweight
UW - Underweight SHERYLL B. TRINIDAD,CDW MA. LAURA C. SARMIENTO, RSW
SUW - Severely Underweight Name/Position Name/Position
OW - Overweight

Height for Age


N - Normal
St - Stunted
Sst - Severely Stunted
T - Tall

Weight for Height


N - Normal
W - Wasted
SW - Severely Wasted
OW - Overweight
Ob - Obese

Department of Social Welfare and Development


Field Office 1
Quezon Avenue, City of San Fernando, La Union 2500

WEIGHT MONITORING FORM


City/Municipality of SANTA MARIA Province of PANGASINAN
City/Municipal Social Welfare and Development Office
CY 2021-2022

Name of DCC/SNP: Sta. Cruz Child Development Center


Name of DCW/Volunteer: SHERYLL B. TRINIDAD
Location: Sta. Maria, Pangasinan

Baseline Endline
Nutritional Status Nutritional Status

Date of Date of Summar Rema


Name of Children (Surname, Given Age in Weight Summary of Weighing Age in Height Weight y of rks
No. Sex Weighing Height (cm) Weight for
Name Middle Initial) Mos (kg) Weight for Height for
Undernouris Mos (cm) (kg) Weight Weight for Height for Underno
(m/d/y) Age Height Age (m/d/y) for Age Height Age
hed Children urished
Children

1 Gonatice, John Kenneth C. M 8/7/2022 45 94.1 13.1 N N N 0


2 Ibao, Ken Andrei B. M 8/7/2022 62 102.4 15.2 N N N 0
3 Layos, Alexander C. M 8/7/2022 45 94.6 13.3 N N N 0
4 Rodriquez, Prince Asher R. M 8/7/2022 46 94.9 14.1 N N N 0
5 Sante, Jr Jerry S. M 8/7/2022 40 91.6 12.6 N N N 0
6 Sebastian, Sonny David T. M 8/7/2022 32 87.1 11.4 N N N 0
7 Tudio, Carl Ethan B. M 8/7/2022 32 87.2 11.6 N N N 0
8 Tugade, Christian Brainard M. M 8/7/2022 63 102.7 15.7 N N N 0
9 Valentino, Daniel B. M 8/7/2022 44 93.7 13.8 N N N 0
10
Total Number of Undernourished Children 8
Nutritional Status Legend: Prepared by: Noted by:
Weight for Age
N - Normal SUW: Severly Underweight
UW - Underweight SHERYLL B. TRINIDAD,CDW MA. LAURA C. SARMIENTO, RSW
SUW - Severely Underweight Name/Position Name/Position
OW - Overweight

Height for Age


N - Normal
St - Stunted
Sst - Severely Stunted
T - Tall

Weight for Height


N - Normal
W - Wasted
SW - Severely Wasted
OW - Overweight
Ob - Obese

Department of Social Welfare and Development


Field Office 1
Quezon Avenue, City of San Fernando, La Union 2500

WEIGHT MONITORING FORM


City/Municipality of SANTA MARIA Province of PANGASINAN
City/Municipal Social Welfare and Development Office
CY 2021-2022

Name of DCC/SNP: Sta. Cruz Child Development Center


Name of DCW/Volunteer: SHERYLL B. TRINIDAD
Location: Sta. Maria, Pangasinan

Baseline Endline
Nutritional Status Nutritional Status

Date of Date of Summar Rema


Name of Children (Surname, Given Age in Weight Summary of Weighing Age in Height Weight y of rks
No. Sex Weighing Height (cm) Weight for
Name Middle Initial) Mos (kg) Weight for Height for
Undernouris Mos (cm) (kg) Weight Weight for Height for Underno
(m/d/y) Age Height Age (m/d/y) for Age Height Age
hed Children urished
Children

1 Abat, Jasmine M. F 8/7/2022 42 92.6 13.2 N N N 0


2 Almorasa, Ashlie A. F 8/7/2022 51 97.1 13.9 N N N 0
3 Aquino, Alexandra S. F 8/7/2022 33 87.3 11 N N N 0
4 Bautista, Jasmine M. F 8/7/2022 48 95.4 13.5 N N N 0
5 Balino, Winslie Ann M. F 8/7/2022 43 93.2 13.5 N N N 0
6 Belen, Ma. Olivia M. F 8/7/2022 37 90.1 11.5 N N N 0
7 Beti, Sofia Isabella A. F 8/7/2022 36 89.3 11.6 N N N 0
8 Bautista, Audrianna Jane L. F 8/7/2022 39 91.2 13.1 N N N 0
9 Gonatice, Natasha Mae L. F 8/7/2022 55 99.1 13.8 N N N 0
10 Gutrierrez, Estella A. F 8/7/2022 43 93.3 12.6 N N N 0
Total Number of Undernourished Children
Nutritional Status Legend: Prepared by: Noted by:
Weight for Age
N - Normal SUW: Severly Underweight
UW - Underweight SHERYLL B. TRINIDAD,CDW MA. LAURA C. SARMIENTO, RSW
SUW - Severely Underweight Name/Position Name/Position
OW - Overweight

Height for Age


N - Normal
St - Stunted
Sst - Severely Stunted
T - Tall

Weight for Height


N - Normal
W - Wasted
SW - Severely Wasted
OW - Overweight
Ob - Obese

Department of Social Welfare and Development


Field Office 1
Quezon Avenue, City of San Fernando, La Union 2500

WEIGHT MONITORING FORM


City/Municipality of SANTA MARIA Province of PANGASINAN
City/Municipal Social Welfare and Development Office
CY 2021-2022

Name of DCC/SNP: Sta. Cruz Child Development Center


Name of DCW/Volunteer: SHERYLL B. TRINIDAD
Location: Sta. Maria, Pangasinan

Baseline Endline
Nutritional Status Nutritional Status

Date of Date of Rema


Name of Children (Surname, Given Age in Weight Age in Height Weight rks
No. Sex Weighing Height (cm) Weighing
Name Middle Initial) Mos (kg) Mos (cm) (kg)
(m/d/y) (m/d/y)
Date of Date of Summar Rema
Name of Children (Surname, Given Age in Weight Summary of Weighing Age in Height Weight y of rks
No. Sex Weighing Height (cm) Weight for
Name Middle Initial) Mos (kg) Weight for Height for
Undernouris Mos (cm) (kg) Weight Weight for Height for Underno
(m/d/y) Age Height Age (m/d/y) for Age Height Age
hed Children urished
Children

1 Layos, Althea D. F 8/7/2022 31 86.6 10.9 N N N 0


2 Lopez, Kate Angel B. F 8/7/2022 50 96.5 13.5 N N N 0
3 Manipon, Mayrose R. F 8/7/2022 49 96.4 13 N N N 0
4 Redulfin, Amarah Kate B. F 8/7/2022 48 95.7 13.3 N N N 0
5 Rone, Jane Althea Marie V. F 8/7/2022 43 93.2 12.8 N N N 0
6 Rodriquez, Winary S. F 8/7/2022 45 94.6 12.9 N N N 0
7 Romero, Shyne Catherine O. F 8/7/2022 33 87.5 11.2 N N N 0
8 Salvatierra, Blessy L. F 8/7/2022 37 90.2 11.6 N N N 0
9 Tabinga, Erica C. F 8/7/2022 46 94.3 12.8 N N N 0
Total Number of Undernourished Children
Nutritional Status Legend: Prepared by: Noted by:
Weight for Age
N - Normal SUW: Severly Underweight
UW - Underweight SHERYLL B. TRINIDAD,CDW MA. LAURA C. SARMIENTO, RSW
SUW - Severely Underweight Name/Position Name/Position
OW - Overweight

Height for Age


N - Normal
St - Stunted
Sst - Severely Stunted
T - Tall

Weight for Height


N - Normal
W - Wasted
SW - Severely Wasted
OW - Overweight
Ob - Obese

Department of Social Welfare and Development


Field Office 1
Quezon Avenue, City of San Fernando, La Union 2500

WEIGHT MONITORING FORM


City/Municipality of SANTA MARIA Province of PANGASINAN
City/Municipal Social Welfare and Development Office
CY 2021-2022

Name of DCC/SNP: Sta. Rosa Child Development Center


Name of DCW/Volunteer: EVANGELINCE C. DOMANAY
Location: Sta. Maria, Pangasinan

Baseline Endline
Nutritional Status Nutritional Status

Date of Date of Summar Rema


Name of Children (Surname, Given Age in Weight Summary of Weighing Age in Height Weight y of rks
No. Sex Weighing Height (cm) Weight for
Name Middle Initial) Mos (kg) Weight for Height for
Undernouris Mos (cm) (kg) Weight Weight for Height for Underno
(m/d/y) Age Height Age (m/d/y) for Age Height Age
hed Children urished
Children

1 Acosta, Tobby Mckinly O. M 7/8/2022 44 97 17 N N N 0


2 Agpawa, Skyler Matthew P. M 7/8/2022 45 92.5 12.2 UW N St 1
3 Ancheta, Ian Marco P. M 7/8/2022 39 93 13 N N N 0
4 Capicio, Jacob M. M 7/8/2022 52 97 16 N N N 0
5 Castillo, Riley Dean G. M 7/8/2022 49 111 21 N N N 0
6 Diocampo, Dywane Anderson P. M 7/8/2022 45 106 14.5 N N N 0
7 Domanay, Ivan Reign C. M 7/8/2022 33 97 17 N N N 0
8 Domanay, Prince Ethan L. M 7/8/2022 32 89 13 N N N 0
9 Indrinal, Cris Roven I. M 7/8/2022 40 96.5 14 N N N 0
10 Lobusta, Jerick M. M 7/8/2022 39 91.5 13 N N N 0
Total Number of Undernourished Children
Nutritional Status Legend: Prepared by: Noted by:
Weight for Age
N - Normal SUW: Severly Underweight
UW - Underweight EVANGELINE C. DOMANAY,CDW MA. LAURA C. SARMIENTO, RSW
SUW - Severely Underweight Name/Position Name/Position
OW - Overweight

Height for Age


N - Normal
St - Stunted
Sst - Severely Stunted
T - Tall

Weight for Height


N - Normal
W - Wasted
SW - Severely Wasted
OW - Overweight
Ob - Obese

Department of Social Welfare and Development


Field Office 1
Quezon Avenue, City of San Fernando, La Union 2500

WEIGHT MONITORING FORM


City/Municipality of SANTA MARIA Province of PANGASINAN
City/Municipal Social Welfare and Development Office
CY 2021-2022

Name of DCC/SNP: Sta. Rosa Child Development Center


Name of DCW/Volunteer: EVANGELINCE C. DOMANAY
Location: Sta. Maria, Pangasinan

Baseline Endline
Nutritional Status Nutritional Status

Date of Date of Summar Rema


Name of Children (Surname, Given Age in Weight Summary of Weighing Age in Height Weight y of rks
No. Sex Weighing Height (cm) Weight for
Name Middle Initial) Mos (kg) Weight for Height for
Undernouris Mos (cm) (kg) Weight Weight for Height for Underno
(m/d/y) Age Height Age (m/d/y) for Age Height Age
hed Children urished
Children

1 Maniboy, Ronie Jaen Claude I. M 8/7/2022 36 95 13 N N N 0


2 Natividad, Prince Liam A. M 8/7/2022 39 94 13 N N N 0
3 Suba Jr. Michael P. M 8/7/2022 53 102 15 N N N 0
4 Viloria, Austin Jeff C. M 8/7/2022 32 86.5 12.5 N N N 0
5 Ynalvez, Michael Angelo A. M 8/7/2022 49 95.5 13 N N N 0
6 Zulueta III, Rizaliano B. M 8/7/2022 50 97 14.5 N N N 0
Total Number of Undernourished Children
Nutritional Status Legend: Prepared by: Noted by:
Weight for Age
N - Normal SUW: Severly Underweight
UW - Underweight EVANGELINE C. DOMANAY,CDW MA. LAURA C. SARMIENTO, RSW
SUW - Severely Underweight Name/Position Name/Position
OW - Overweight

Height for Age


N - Normal
St - Stunted
Sst - Severely Stunted
T - Tall

Weight for Height


N - Normal
W - Wasted
SW - Severely Wasted
OW - Overweight
Ob - Obese

Department of Social Welfare and Development


Field Office 1
Quezon Avenue, City of San Fernando, La Union 2500

WEIGHT MONITORING FORM


City/Municipality of SANTA MARIA Province of PANGASINAN
City/Municipal Social Welfare and Development Office
CY 2021-2022

Name of DCC/SNP: Sta. Rosa Child Development Center


Name of DCW/Volunteer: EVANGELINCE C. DOMANAY
Location: Sta. Maria, Pangasinan

Baseline Endline
Nutritional Status Nutritional Status

Date of Date of Summar Rema


Name of Children (Surname, Given Age in Weight Summary of Weighing Age in Height Weight y of rks
No. Sex Weighing Height (cm) Weight for
Name Middle Initial) Mos (kg) Weight for Height for
Undernouris Mos (cm) (kg) Weight Weight for Height for Underno
(m/d/y) Age Height Age (m/d/y) for Age Height Age
hed Children urished
Children

1 Areola, Kathlen Joy A. F 8/7/2022 44 91 12 N N St 1


2 Barnachea, Zyrine Joyce G. F 8/7/2022 45 97 13 N N N 0
3 Bautista, Abbey F 8/7/2022 54 101.5 16 N N N 0
4 Caboborac, Liara C. F 8/7/2022 45 97 14 N N N 0
5 Datugan, Scarlet C. F 8/7/2022 53 103.5 17 N N N 0
6 Dotimas, Kylie G. F 8/7/2022 49 98 14 N N N 0
7 Dotimas, Zhakirra Mae M. F 8/7/2022 55 98 14.5 N N N 0
8 Gayap, Fhaye F 8/7/2022 55 97.5 14.5 N N St 1
9 Gayap, Nicole F 8/7/2022 43 96.5 13.5 N N N 0
10 Guillermo, Amara F. F 8/7/2022 55 97 15 N N St 1
Total Number of Undernourished Children
Nutritional Status Legend: Prepared by: Noted by:
Weight for Age
N - Normal SUW: Severly Underweight
UW - Underweight EVANGELINE C. DOMANAY,CDW MA. LAURA C. SARMIENTO, RSW
SUW - Severely Underweight Name/Position Name/Position
OW - Overweight

Height for Age


N - Normal
St - Stunted
Sst - Severely Stunted
T - Tall

Weight for Height


N - Normal
W - Wasted
SW - Severely Wasted
OW - Overweight
Ob - Obese

Department of Social Welfare and Development


FO1-SFP-002
REV 00 / 02-12-2020
FO1-SFP-002
Field Office 1 REV 00 / 02-12-2020
Quezon Avenue, City of San Fernando, La Union 2500

WEIGHT MONITORING FORM


City/Municipality of SANTA MARIA Province of PANGASINAN
City/Municipal Social Welfare and Development Office
CY 2022-2023

Name of DCC/SNP: Sta. Rosa Child Development Center


Name of DCW/Volunteer: EVANGELINE C. DOMANAY
Location: Sta. Maria, Pangasinan

Baseline Endline
Nutritional Status Nutritional Status

Date of Date of Summar Rema


Name of Children (Surname, Given Age in Weight Summary of Weighing Age in Height Weight y of rks
No. Sex Weighing Height (cm) Weight for
Name Middle Initial) Mos (kg) Weight for Height for
Undernouris Mos (cm) (kg) Weight Weight for Height for Underno
(m/d/y) Age Height Age (m/d/y) for Age Height Age
hed Children urished
Children

1 Guillermo, Erica F. F 8/7/2022 91 91 13 N N N 0


2 Javier, Mary Ann G. F 8/7/2022 92 92 12 N N N 0
3 Mendaros, Mary Anne L. F 8/7/2022 100 100 15 N N N 0
4 Natividad, Kyla Joy M. F 8/7/2022 106.5 106.5 20 N N N 0
5 Natividad, Zira C. F 8/7/2022 84.5 84.5 10.5 N N St 1
6 Obedoza, Cathriona Braye C. F 8/7/2022 92 92 13.5 N N N 0
7 Pulanco, Rhean May G. F 8/7/2022 99.5 89.5 11.5 N N N 0
8
9
10
Total Number of Undernourished Children
Nutritional Status Legend: Prepared by: Noted by:
Weight for Age
N - Normal SUW: Severly Underweight
UW - Underweight EVANGELINE C. DOMANAY, CDW MA. LAURA C. SARMIENTO, RSW
SUW - Severely Underweight Name/Position Name/Position
OW - Overweight

Height for Age


N - Normal
St - Stunted
Sst - Severely Stunted
T - Tall

Weight for Height


N - Normal
W - Wasted
SW - Severely Wasted
OW - Overweight
Ob - Obese

OW - Overweight
Ob - Obese

Department of Social Welfare and Development


Field Office 1
Quezon Avenue, City of San Fernando, La Union 2500

WEIGHT MONITORING FORM


City/Municipality of SANTA MARIA Province of PANGASINAN
City/Municipal Social Welfare and Development Office
CY 2021-2022

Name of DCC/SNP: National Child Development Center


Name of DCW/Volunteer: ABEGAIL L. ESPERANZA
Location: Sta. Maria, Pangasinan

Baseline Endline
Nutritional Status Nutritional Status

Date of Date of Summar Rema


Name of Children (Surname, Given Age in Weight Summary of Weighing Age in Height Weight y of rks
No. Sex Weighing Height (cm) Weight for
Name Middle Initial) Mos (kg) Weight for Height for
Undernouris Mos (cm) (kg) Weight Weight for Height for Underno
(m/d/y) Age Height Age (m/d/y) for Age Height Age
hed Children urished
Children

1
2
3
4
5
6
7
8
9
10
Total Number of Undernourished Children
Nutritional Status Legend: Prepared by: Noted by:
Weight for Age
N - Normal SUW: Severly Underweight
UW - Underweight ABEGAIL L. ESPERANZA,CDT MA. LAURA C. SARMIENTO, RSW
SUW - Severely Underweight Name/Position Name/Position
OW - Overweight

Height for Age


N - Normal
St - Stunted
Sst - Severely Stunted
T - Tall

Weight for Height


N - Normal
W - Wasted
SW - Severely Wasted
OW - Overweight
Ob - Obese
FO1-SFP-002
EV 00 / 02-12-2020
FO1-SFP-002
EV 00 / 02-12-2020
FO1-SFP-002
EV 00 / 02-12-2020

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