Republic of the Philippines

Department of Education
Region 02- Cagayan Valley
Schools Division of Isabela
Cabagan District
ALFREDA ALBANO NATIONAL HIGH SCHOOL MAIN
Magassi, Cabagan
DAILY HEALTH MONITORING TOOL FOR COVID-19 (Students)
Instruction: Write under each column date the code(s) of the symptom(s) observed in the learner during the routing 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 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
No. DATE NAME
Temp. MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Prepared by: Noted by:

JEZREEL B. TAGGUEG JUDY B. TARUN

School Health Personnel Principal I