GES Classroom Daily Health Monitoring Tool

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Republic of the Philippines

Department of Education
________________________________________________________________________________________________________

CLASSROOM DAILY HEALTH MONITORING TOOL FOR COVID-19

Grade Level: KINDER Section: DAHLIA

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

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


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

Symptoms Observed/Reported
NAME 01/10/2022 01/11/2022 01/12/2022 01/13/2022 01/14/2022
Monday Tuesday Wednesday Thursday Friday
1.MAYNARD CACUYONG
2.MITCHELLE EMPELIDO
3.PHILIP JOGN SADUCOS
4.MEH MARK SIMBULAN
5.JANA LUREN CARGADO
6.JHAISELL DEE SINFUEGO

Note: As soon as any of the listed symptoms is observed among any of the learners, the teacher is expected to send
the learner to the School Clinic immediately for the proper management by the School ClinicTeacher or health
personnel.

Submitted by: Noted by:

JANINE PAULINE V. PEREDO ROSE MAE C. AGCAOILI


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

CLASSROOM DAILY HEALTH MONITORING TOOL FOR COVID-19

Grade Level: I Section: ROSE

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

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


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

Symptoms Observed/Reported
NAME 01/10/2022 01/11/2022 01/12/2022 01/13/2022 01/14/2022
Monday Tuesday Wednesday Thursday Friday
1.ROMEL JAKE MACUGAY
2.JOHN KYLE VILLALON
3.JAEYLY ROSE AMPANIA
4.ROMA CELHES APOLONIO
5.YCES KIARAH JEAN CABEZA
6.LORAINE CACUYONG
7.MICCAH MARIE PABLO
8.CRISTAL MAE SIMBULAN
9.JAMAICA VALERA

Note: As soon as any of the listed symptoms is observed among any of the learners, the teacher is expected to send
the learner to the School Clinic immediately for the proper management by the School ClinicTeacher or health
personnel.

Submitted by: Noted by:

KRISSA KATE M. ANCHETA ROSE MAE C. AGCAOILI


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

CLASSROOM DAILY HEALTH MONITORING TOOL FOR COVID-19

Grade Level: II Section: ROSE

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

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


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

Symptoms Observed/Reported
NAME 01/10/2022 01/11/2022 01/12/2022 01/13/2022 01/14/2022
Monday Tuesday Wednesday Thursday Friday
1.DEYO ADZUARA
2.KYAN RANON
3.JAMES VALERA
4. HANNAH MARIE VALERA

Note: As soon as any of the listed symptoms is observed among any of the learners, the teacher is expected to send
the learner to the School Clinic immediately for the proper management by the School ClinicTeacher or health
personnel.

Submitted by: Noted by:

KRISSA KATE M. ANCHETA ROSE MAE C. AGCAOILI


Classroom Adviser Clinic Teacher

Republic of the Philippines


Department of Education
________________________________________________________________________________________________________
CLASSROOM DAILY HEALTH MONITORING TOOL FOR COVID-19

Grade Level: III Section: ILANG-ILANG

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

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


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

Symptoms Observed/Reported
NAME 01/10/2022 01/11/2022 01/12/2022 01/13/2022 01/14/2022
Monday Tuesday Wednesday Thursday Friday
1. DANIEL PARUBRUB
2. RAINIER VALERA
3. KYLINE MARIE CACUYONG
4. RESLYN CAJUDOY
5. MARIVIC EMPELIDO

Note: As soon as any of the listed symptoms is observed among any of the learners, the teacher is expected to send
the learner to the School Clinic immediately for the proper management by the School ClinicTeacher or health
personnel.

Submitted by: Noted by:

ROSE MAE C. AGCAOILI ROSE MAE C. AGCAOILI


Classroom Adviser Clinic Teacher

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