SF 8

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

School Name District Division Region

School ID Grade Section Track/Strand (SHS) School Year

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

Nutritional Status Height for Age (HFA)

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

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

4/6/2019 NAME OF ADVISER

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

2019-2020

Remarks
SUMMARY TABLE

Height for Age (HFA)

Summary Table

Total

0
0
0