DEPARTMENT OF EDUCATION

REGION VI – WESTERN VISAYAS

SCHOOLS DIVISION OF GUIMARAS
DISTRICT OF NUEVA VALENCIA SOUTH
CABALAGNAN NATIONAL HIGH SCHOOL
Cabalagnan, Nueva Valencia ,Guimaras

CLASSROOM DAILY HEALTH MONITORING TOOL FOR COVID-19

Grade Level: ___________________________________________________ Section: ______________________

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

Fever F/T Fatigue/Tiredness ST Sore throat LoA Loss of appetite D Diarrhea

Coaugh HA Headache C/RN Colds/runny nose Nausea

Symptoms Observed/Reported
Name 2022-08-22 2022-08-23 2022-08-24 2022-08-25 2022-08-26
Monday Tuesday Wednesday Thursday Friday

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 isolation area
 DEPARTMENT OF EDUCATION
REGION VI – WESTERN VISAYAS
SCHOOLS DIVISION OF GUIMARAS
DISTRICT OF NUEVA VALENCIA SOUTH
CABALAGNAN NATIONAL HIGH SCHOOL
Cabalagnan, Nueva Valencia ,Guimaras

CLASSROOM DAILY HEALTH MONITORING TOOL FOR COVID-19

Grade Level: ___________________________________________________ Section: ______________________

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

Fever F/T Fatigue/Tiredness ST Sore throat LoA Loss of appetite D Diarrhea

Coaugh HA Headache C/RN Colds/runny nose Nausea

Symptoms Observed/Reported
Name 2022-08-29 2022-08-30 2022-08-31 2022-09-01 2022-09-02
Monday Tuesday Wednesday Thursday Friday

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 isolation area