CLASSROOM DAILY HEALTH MONITORING TOOL FOR COVID-19

Grade Level: 10 Section: Cookery A (Aurelius)

Instruction: Write under each column date the code(s) of the symptom(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 – Nausea LoS – Loss of Smell Others

Symptoms Observed/Reported
NAME May 30, 2022 May 31, 2022 June 1, 2022 June 2, 2022 June 3, 2022
Monday Tuesday Wednesday Thursday Friday
Santos, Rico Jhay Andrade others others others others others
Bautista, Galelih Mae Santos
Marucut, Cassandra Mae Decano
Guese, Rea Louisa De Leon
Ignacio, Roxan Moros
Manansala,Gian Carlo G.
Santos, Rhea La Rosa
Dalusung,Aizen Erich, E.
Dela Cruz,Lawrence L.
Calma,Kyla M.
Note: As soon as any of the listed symptoms is observed among any of the learners, the teacher is expected to send the learner to the School Clinic
immediately for the proper management by the School Clinic Teacher or Health Personnel

Submitted by: Noted:

REA C. REYES Maricris V. Macasaet

Class Adviser Clinic Teacher