Republic of the Philippines

Department of Education
Region VI – Western Visayas
Division of Negros Occidental
GUILJUNGAN NATIONAL HIGH SCHOOL
Guiljungan, Cauayan, Negros Occidental

CLASSROOM DAILY HEALTH MONITORING TOOL FOR COVID-19

Grade Level and Section: GRADE 7 TULIP SET A

Temperature, Symptoms Observe/Reported
Instruction: Write under each column date the AUGUST
Date: code(s) observe
22, 2022in the learner during the
Date: AUGUST 23,routine
2022 inspection, during the
Date: AUGUST 24,conduct
2022 of Date:
class, or as reported
AUGUST by the learner
25, 2022 Date:or their classmates.
AUGUST 26, 2022
Refer to the list NAME
of symptoms before and their respective
Monday codes: Tuesday Wednesday Thursday Friday
(Fv) Fever (F/T) Fatigue/Tiredness Temp.
(ST) SoreSymptoms
Throat Temp.(LoA) Loss
Symptoms
of Appetite Temp. (D) Symptoms
Diarrhea (LoS)Temp. Symptoms
Loss of Smell Temp. Symptoms
ABAD, DAVE MAHUSAY
(C) Cough ROSE
ARAGON, (HA) Headache
JEAN NOBLEZA (C/RN) Colds/Runny Nose (N) Nausea (R) Rushes Others: _________________
AURENO, MARK ARVIN
DADICAS
AURINO, SHAIRA VICENTE
BERITON, JOHN DAVE TOMARSE
CABALLERO, JANEL MAHILOM
CANIEDO, JENNEFER
VILLAHERMOSA
CANTIRE, CELESTY PACATANG
CARPE, RICSON JADE, DESAPOR
CATALAN, LOVE LEE ANGEL
GELASING
DELA CRUZ, CHRISTIAN KING
ERILLO
DELA CRUZ, JOEMAR ESCARDA
DIAZ, FIA JONNA CUMAWAS
FLORENDO, ROSE JEAN DELA
CRUZ
GAUDIA, CHRISTEN NIPAL
GUILARAN, ARDEN MALUNES
LAHAYLAHAY, STEPHEN
 CAMURO
LUSOC, JESSIE JR. BIAY
PERONO, NICOLE IBAÑEZ
SALAZAR, JURNIE TAYLARAN

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 holding/isolation area immediately for the proper
management by the School Clinic Teacher, Isolation teacher in-charge or Health Personnel.

Submitted by:
__________________________
CHRISTIAN L. BUENCONSEJO
Classroom Adviser
Noted By:
HONEY LIL V. TABUJARA, RN, LPT
School Clinic In-Charge