Baseline

BMI Male
B A SE LIN E B OD Y MA S S IN D E X (B MI) Severely Wasted 0
Wasted 0
1
Normal 0
0.8
Overweight 0
0.6 Obese 0
0.4

0.2 HFA Male

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Severely Stunted 0
0
Severely Wasted Normal Overweight Obese Stunted 0
Wasted
Normal 0
Male Female Total Tall 0

BMI Kinder
BMI Ac ro s s All G ra de L e v e ls Severely Wasted 0
Ba se lin e Wasted 0
0 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 0.9 1 Normal 0
Kinder
Overweight 0
Obese 0
Grade 2

Grade 4 HFA Kinder

Grade 6 Severely Stunted 0
Stunted 0
Severely Wasted Wasted Normal Normal 0
Overweight Obese Tall 0

for queries and suggestions, you may contact via messenger: https://www.facebook.com/marguerina/

To GOD be the glory!

Address: Freedom Sports Complex, San Jose, Pili, Camarines Sur

Email: deped.camsur@deped.gov.ph
Website: www.depedcamsur.com
Finalized October 12, 2022 Telephone No: (telefax) 8713340
Created August 15, 2017
 Please start here
(input in CAPITAL LETTERS)

Baseline
Female Total
0 0 B A S E LIN E H E IG H T- FO R -A G E (H FA )
0 0 1
0 0 0.8
0 0
0.6
0 0
0.4

Female Total 0.2

0 0 0
0 Severely Stunted Normal Tall
0
Stunted
0 0
0 0 Male Female Total

Grade 1 Grade 2 Grade 3 Grade 4 Grade 5 Grade 6 SPED Total

0 0 0 0 0 0 0 0 HF A Ac r
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0.1 0.2
0 0 0 0 0 0 0 0
Kinder
0 0 0 0 0 0 0 0
Grade 2

Grade 1 Grade 2 Grade 3 Grade 4 Grade 5 Grade 6 SPED Total Grade 4

0 0 0 0 0 0 0 0 Grade 6
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 S
0 0 0 0 0 0 0 0 N

book.com/marguerina/
 Republic of the Philippines
DEPARTMENT OF EDUCATION
Region V
SCHOOLS DIVISION OFFICE OF CAMARINES SUR

SCHOOL PROFILE
Name of School: E N D LIN E B OD
Name of District: 1
Congressional District: 1st 0.8
Name of School Head: 2nd
0.6
Designation: 3rd
Name of School Coordinator: 4th 0.4
Designation: 5th 0.2
School Year:
0
Date of Weighing for BASELINE: Severely Wasted
Wasted
Date of Weighing for ENDLINE:
Male

HF A Ac ro s s All Grad e L e v e ls BMI Ac ro s s

Bas elin e E
0 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 0.9 1 0 0.1 0.2 0.3

Kinder Kinder

Grade 2 Grade 2

Grade 4 Grade 4

Grade 6 Grade 6

Severely Stunted Stunted Severely Wa

Normal Tall Overweight
 Endline
BMI Male Female
E N D LIN E B OD Y MA SS IN D EX (B MI) Severely Wasted 0 0
1 Wasted 0 0
0.8
Normal 0 0
Overweight 0 0
0.6
Obese 0 0
0.4

0.2 HFA Male Female

Severely Stunted 0 0
0
Severely Wasted Normal Overweight Obese Stunted 0 0
Wasted
Normal 0 0
Male Female Total Tall 0 0

BMI Kinder Grade 1

BMI Acro ss All Grad e L e v e ls Severely Wasted 0 0
E n d line Wasted 0 0
0 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 0.9 1 Normal 0 0
Kinder
Overweight 0 0
Obese 0 0
Grade 2
Grade 4 HFA Kinder Grade 1
Grade 6 Severely Stunted 0 0
Stunted 0 0
Severely Wasted Wasted Normal Normal 0 0
Overweight Obese Tall 0 0
e
Total
0 E NDL INE HEIGHT -FO R-AGE
0 (HF A)
0
1
0 Reminders:
0.8
0 1. Always start with the "Dashboard" sh
0.6
Input only on the yellow and green-colo
0.4
Total 2. Some cells cannot be edited to protec
0.2
0
0
0 Severely Stunted Normal Tall
Stunted
0
0 Male Female Total

Grade 2 Grade 3 Grade 4 Grade 5 Grade 6 SPED Total

0 0 0 0 0 0 0 HF A Ac ro s s All G
0 0 0 0 0 0 0 L e v e ls E n d lin
0 0 0 0 0 0 0 0 0.1 0.2 0.3 0.4 0.5 0.6
0 0 0 0 0 0 0 Kinder
0 0 0 0 0 0 0
Grade 2

Grade 2 Grade 3 Grade 4 Grade 5 Grade 6 SPED Total Grade 4

0 0 0 0 0 0 0 Grade 6
0 0 0 0 0 0 0
0 0 0 0 0 0 0 Severely Stunted Stun
0 0 0 0 0 0 0 Normal Tall
th the "Dashboard" sheet.
yellow and green-colored cells.
not be edited to protect the formulas.

A Ac ro s s All Gra d e
L e v e ls E n d line
0.2 0.3 0.4 0.5 0.6 0.7 0.8 0.9 1

Severely Stunted Stunted

Normal Tall
 Republic of the Philippines
DEPARTMENT OF EDUCATION
Region V
SCHOOLS DIVISION OFFICE OF CAMARINES SUR
DISTRICT

NUTRITIONAL STATUS REPORT OF

ENDLINE S/Y

BODY MASS INDEX (BMI) HEIGHT-FOR-AGE (HFA) Pupil's

Pupils Height
Grade Enrolment Weighed Severely Wasted Normal Overweight Obese Severely Stunted Normal Tall
Levels Wasted Stunted Taken
No. % No. % No. % No. % No. % No. % No. % No. % No. % No. % No. %
M 0 0 0 0 0 0 0 0 0 0 0 0
Kinder F 0 0 0 0 0 0 0 0 0 0 0 0
Total 0 0 0 0 0 0 0 0 0 0 0 0
M 0 0 0 0 0 0 0 0 0 0 0 0
Grade 1 F 0 0 0 0 0 0 0 0 0 0 0 0
Total 0 0 0 0 0 0 0 0 0 0 0 0
M 0 0 0 0 0 0 0 0 0 0 0 0
Grade 2 F 0 0 0 0 0 0 0 0 0 0 0 0
Total 0 0 0 0 0 0 0 0 0 0 0 0
M 0 0 0 0 0 0 0 0 0 0 0 0
Grade 3 F 0 0 0 0 0 0 0 0 0 0 0 0
Total 0 0 0 0 0 0 0 0 0 0 0 0
M 0 0 0 0 0 0 0 0 0 0 0 0
Grade 4 F 0 0 0 0 0 0 0 0 0 0 0 0
Total 0 0 0 0 0 0 0 0 0 0 0 0
M 0 0 0 0 0 0 0 0 0 0 0 0
Grade 5 F 0 0 0 0 0 0 0 0 0 0 0 0
Total 0 0 0 0 0 0 0 0 0 0 0 0
M 0 0 0 0 0 0 0 0 0 0 0 0
Grade 6 F 0 0 0 0 0 0 0 0 0 0 0 0
Total 0 0 0 0 0 0 0 0 0 0 0 0
M 0 0 0 0 0 0 0 0 0 0 0 0
SPED F 0 0 0 0 0 0 0 0 0 0 0 0
Total 0 0 0 0 0 0 0 0 0 0 0 0
M 0 0 0 0 0 0 0 0 0 0 0 0
GRAND
TOTAL: F 0 0 0 0 0 0 0 0 0 0 0 0
Total 0 0 0 0 0 0 0 0 0 0 0 0

Prepared by: Noted:

Address: Freedom Sports Complex, San Jose, Pili, Camarines Sur

Email: deped.camsur@deped.gov.ph
Website: www.depedcamsur.com
Telephone No: (telefax) 8713340
 Republic of the Philippines
DEPARTMENT OF EDUCATION
Region V
SCHOOLS DIVISION OFFICE OF CAMARINES SUR
DISTRICT

NUTRITIONAL STATUS REPORT OF

BASELINE S/Y
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0
S SUR

Date of Weighing:
Body Mass Nutritional
Height-for-age
Index Status
 Republic of the Philippines
DEPARTMENT OF EDUCATION
Region V
SCHOOLS DIVISION OFFICE OF CAMARINES SUR
DISTRICT

NUTRITIONAL STATUS REPORT OF

BASELINE S/Y
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
 Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 2
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 3
Grade & Section:
 Birthdate Weight Height Sex Height² Age
Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 4
Grade & Section:

Names Birthdate Weight Height Sex Height² Age

mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 5
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 6
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
 Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 7
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
 BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 8
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
 Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 9
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
 Normal 0 0 0
Tall 0 0 0

Section 10
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 11
Grade & Section:
 Birthdate Weight Height Sex Height² Age
Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 12
Grade & Section:

Names Birthdate Weight Height Sex Height² Age

mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 13
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 14
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
 Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 15
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
 BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 16
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
 Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 17
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
 Normal 0 0 0
Tall 0 0 0

Section 18
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 19
Grade & Section:
 Birthdate Weight Height Sex Height² Age
Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 20
Grade & Section:

Names Birthdate Weight Height Sex Height² Age

mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

GRADE SUMMARY
Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0
 Male Female Total
HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Address: Freedom Sports Complex, San Jose, Pili, Camarines Sur

Email: deped.camsur@deped.gov.ph
Website: www.depedcamsur.com
Telephone No: (telefax) 8713340
S SUR

Date of Weighing:
Body Mass Nutritional
Height-for-age M F
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 2

Body Mass Nutritional

Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
Section 3
Body Mass Nutritional
Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 4

Body Mass Nutritional Height-for-age

Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 5

Body Mass Nutritional

Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 6

Body Mass Nutritional

Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 7

Body Mass Nutritional

Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 8

Body Mass Nutritional

Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 9

Body Mass Nutritional

Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 10

Body Mass Nutritional

Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
Section 11
Body Mass Nutritional
Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 12

Body Mass Nutritional Height-for-age

Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 13

Body Mass Nutritional

Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 14

Body Mass Nutritional

Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 15

Body Mass Nutritional

Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 16

Body Mass Nutritional

Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 17

Body Mass Nutritional

Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 18

Body Mass Nutritional

Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
Section 19
Body Mass Nutritional
Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 20

Body Mass Nutritional Height-for-age

Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Republic of the Philippines
DEPARTMENT OF EDUCATION
Region V
SCHOOLS DIVISION OFFICE OF CAMARINES SUR
DISTRICT

NUTRITIONAL STATUS REPORT OF

ENDLINE S/Y
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
 Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 2
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 3
Grade & Section:
 Birthdate Weight Height Sex Height² Age
Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 4
Grade & Section:

Names Birthdate Weight Height Sex Height² Age

mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 5
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 6
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
 Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 7
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
 BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 8
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
 Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 9
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
 Normal 0 0 0
Tall 0 0 0

Section 10
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 11
Grade & Section:
 Birthdate Weight Height Sex Height² Age
Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 12
Grade & Section:

Names Birthdate Weight Height Sex Height² Age

mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 13
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 14
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
 Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 15
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
 BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 16
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
 Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 17
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
 Normal 0 0 0
Tall 0 0 0

Section 18
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 19
Grade & Section:
 Birthdate Weight Height Sex Height² Age
Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 20
Grade & Section:

Names Birthdate Weight Height Sex Height² Age

mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Pupils Weighed Pupil's Height Taken

Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0
 Male Female Total
HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Address: Freedom Sports Complex, San Jose, Pili, Camarines Sur

Email: deped.camsur@deped.gov.ph
Website: www.depedcamsur.com
Telephone No: (telefax) 8713340
S SUR

Date of Weighing:
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional Height-for-age
Index Status
 Republic of the Philippines
DEPARTMENT OF EDUCATION
Region V
SCHOOLS DIVISION OFFICE OF CAMARINES SUR
DISTRICT

NUTRITIONAL STATUS REPORT OF

BASELINE S/Y
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
 Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 2
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 3
Grade & Section:
 Birthdate Weight Height Sex Height² Age
Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 4
Grade & Section:

Names Birthdate Weight Height Sex Height² Age

mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 5
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 6
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
 Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 7
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
 BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 8
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
 Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 9
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
 Normal 0 0 0
Tall 0 0 0

Section 10
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 11
Grade & Section:
 Birthdate Weight Height Sex Height² Age
Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 12
Grade & Section:

Names Birthdate Weight Height Sex Height² Age

mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 13
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 14
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
 Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 15
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
 BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 16
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
 Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 17
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
 Normal 0 0 0
Tall 0 0 0

Section 18
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 19
Grade & Section:
 Birthdate Weight Height Sex Height² Age
Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 20
Grade & Section:

Names Birthdate Weight Height Sex Height² Age

mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

GRADE SUMMARY
Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0
 Male Female Total
HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Address: Freedom Sports Complex, San Jose, Pili, Camarines Sur

Email: deped.camsur@deped.gov.ph
Website: www.depedcamsur.com
Telephone No: (telefax) 8713340
S SUR

Date of Weighing:
Body Mass Nutritional
Height-for-age M F
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 2

Body Mass Nutritional

Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
Section 3
Body Mass Nutritional
Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 4

Body Mass Nutritional Height-for-age

Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 5

Body Mass Nutritional

Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 6

Body Mass Nutritional

Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 7

Body Mass Nutritional

Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 8

Body Mass Nutritional

Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 9

Body Mass Nutritional

Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 10

Body Mass Nutritional

Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
Section 11
Body Mass Nutritional
Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 12

Body Mass Nutritional Height-for-age

Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 13

Body Mass Nutritional

Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 14

Body Mass Nutritional

Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 15

Body Mass Nutritional

Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 16

Body Mass Nutritional

Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 17

Body Mass Nutritional

Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 18

Body Mass Nutritional

Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
Section 19
Body Mass Nutritional
Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 20

Body Mass Nutritional Height-for-age

Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Republic of the Philippines
DEPARTMENT OF EDUCATION
Region V
SCHOOLS DIVISION OFFICE OF CAMARINES SUR
DISTRICT

NUTRITIONAL STATUS REPORT OF

ENDLINE S/Y
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
 Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 2
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 3
Grade & Section:
 Birthdate Weight Height Sex Height² Age
Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 4
Grade & Section:

Names Birthdate Weight Height Sex Height² Age

mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 5
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 6
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
 Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 7
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
 BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 8
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
 Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 9
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
 Normal 0 0 0
Tall 0 0 0

Section 10
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 11
Grade & Section:
 Birthdate Weight Height Sex Height² Age
Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 12
Grade & Section:

Names Birthdate Weight Height Sex Height² Age

mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 13
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 14
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
 Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 15
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
 BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 16
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
 Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 17
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
 Normal 0 0 0
Tall 0 0 0

Section 18
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 19
Grade & Section:
 Birthdate Weight Height Sex Height² Age
Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 20
Grade & Section:

Names Birthdate Weight Height Sex Height² Age

mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Pupils Weighed Pupil's Height Taken

Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0
 Male Female Total
HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Address: Freedom Sports Complex, San Jose, Pili, Camarines Sur

Email: deped.camsur@deped.gov.ph
Website: www.depedcamsur.com
Telephone No: (telefax) 8713340
S SUR

Date of Weighing:
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional Height-for-age
Index Status
 Republic of the Philippines
DEPARTMENT OF EDUCATION
Region V
SCHOOLS DIVISION OFFICE OF CAMARINES SUR
DISTRICT

NUTRITIONAL STATUS REPORT OF

BASELINE S/Y
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
 Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 2
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 3
Grade & Section:
 Birthdate Weight Height Sex Height² Age
Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 4
Grade & Section:

Names Birthdate Weight Height Sex Height² Age

mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 5
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 6
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
 Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 7
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
 BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 8
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
 Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 9
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
 Normal 0 0 0
Tall 0 0 0

Section 10
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 11
Grade & Section:
 Birthdate Weight Height Sex Height² Age
Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 12
Grade & Section:

Names Birthdate Weight Height Sex Height² Age

mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 13
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 14
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
 Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 15
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
 BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 16
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
 Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 17
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
 Normal 0 0 0
Tall 0 0 0

Section 18
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 19
Grade & Section:
 Birthdate Weight Height Sex Height² Age
Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 20
Grade & Section:

Names Birthdate Weight Height Sex Height² Age

mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

GRADE SUMMARY
Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0
 Male Female Total
HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Address: Freedom Sports Complex, San Jose, Pili, Camarines Sur

Email: deped.camsur@deped.gov.ph
Website: www.depedcamsur.com
Telephone No: (telefax) 8713340
S SUR

Date of Weighing:
Body Mass Nutritional
Height-for-age M F
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 2

Body Mass Nutritional

Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
Section 3
Body Mass Nutritional
Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 4

Body Mass Nutritional Height-for-age

Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 5

Body Mass Nutritional

Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 6

Body Mass Nutritional

Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 7

Body Mass Nutritional

Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 8

Body Mass Nutritional

Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 9

Body Mass Nutritional

Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 10

Body Mass Nutritional

Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
Section 11
Body Mass Nutritional
Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 12

Body Mass Nutritional Height-for-age

Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 13

Body Mass Nutritional

Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 14

Body Mass Nutritional

Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 15

Body Mass Nutritional

Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 16

Body Mass Nutritional

Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 17

Body Mass Nutritional

Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 18

Body Mass Nutritional

Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
Section 19
Body Mass Nutritional
Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 20

Body Mass Nutritional Height-for-age

Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Republic of the Philippines
DEPARTMENT OF EDUCATION
Region V
SCHOOLS DIVISION OFFICE OF CAMARINES SUR
DISTRICT

NUTRITIONAL STATUS REPORT OF

ENDLINE S/Y
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
 Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 2
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 3
Grade & Section:
 Birthdate Weight Height Sex Height² Age
Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 4
Grade & Section:

Names Birthdate Weight Height Sex Height² Age

mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 5
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 6
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
 Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 7
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
 BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 8
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
 Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 9
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
 Normal 0 0 0
Tall 0 0 0

Section 10
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 11
Grade & Section:
 Birthdate Weight Height Sex Height² Age
Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 12
Grade & Section:

Names Birthdate Weight Height Sex Height² Age

mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 13
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 14
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
 Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 15
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
 BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 16
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
 Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 17
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
 Normal 0 0 0
Tall 0 0 0

Section 18
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 19
Grade & Section:
 Birthdate Weight Height Sex Height² Age
Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 20
Grade & Section:

Names Birthdate Weight Height Sex Height² Age

mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Pupils Weighed Pupil's Height Taken

Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0
 Male Female Total
HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Address: Freedom Sports Complex, San Jose, Pili, Camarines Sur

Email: deped.camsur@deped.gov.ph
Website: www.depedcamsur.com
Telephone No: (telefax) 8713340
S SUR

Date of Weighing:
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional Height-for-age
Index Status
 Republic of the Philippines
DEPARTMENT OF EDUCATION
Region V
SCHOOLS DIVISION OFFICE OF CAMARINES SUR
DISTRICT

NUTRITIONAL STATUS REPORT OF

BASELINE S/Y
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
 Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 2
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 3
Grade & Section:
 Birthdate Weight Height Sex Height² Age
Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 4
Grade & Section:

Names Birthdate Weight Height Sex Height² Age

mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 5
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 6
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
 Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 7
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
 BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 8
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
 Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 9
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
 Normal 0 0 0
Tall 0 0 0

Section 10
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 11
Grade & Section:
 Birthdate Weight Height Sex Height² Age
Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 12
Grade & Section:

Names Birthdate Weight Height Sex Height² Age

mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 13
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 14
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
 Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 15
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
 BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 16
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
 Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 17
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
 Normal 0 0 0
Tall 0 0 0

Section 18
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 19
Grade & Section:
 Birthdate Weight Height Sex Height² Age
Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 20
Grade & Section:

Names Birthdate Weight Height Sex Height² Age

mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

GRADE SUMMARY
Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0
 Male Female Total
HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Address: Freedom Sports Complex, San Jose, Pili, Camarines Sur

Email: deped.camsur@deped.gov.ph
Website: www.depedcamsur.com
Telephone No: (telefax) 8713340
S SUR

Date of Weighing:
Body Mass Nutritional
Height-for-age M F
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 2

Body Mass Nutritional

Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
Section 3
Body Mass Nutritional
Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 4

Body Mass Nutritional Height-for-age

Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 5

Body Mass Nutritional

Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 6

Body Mass Nutritional

Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 7

Body Mass Nutritional

Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 8

Body Mass Nutritional

Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 9

Body Mass Nutritional

Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 10

Body Mass Nutritional

Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
Section 11
Body Mass Nutritional
Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 12

Body Mass Nutritional Height-for-age

Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 13

Body Mass Nutritional

Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 14

Body Mass Nutritional

Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 15

Body Mass Nutritional

Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 16

Body Mass Nutritional

Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 17

Body Mass Nutritional

Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 18

Body Mass Nutritional

Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
Section 19
Body Mass Nutritional
Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 20

Body Mass Nutritional Height-for-age

Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Republic of the Philippines
DEPARTMENT OF EDUCATION
Region V
SCHOOLS DIVISION OFFICE OF CAMARINES SUR
DISTRICT

NUTRITIONAL STATUS REPORT OF

ENDLINE S/Y
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
 Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 2
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 3
Grade & Section:
 Birthdate Weight Height Sex Height² Age
Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 4
Grade & Section:

Names Birthdate Weight Height Sex Height² Age

mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 5
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 6
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
 Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 7
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
 BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 8
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
 Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 9
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
 Normal 0 0 0
Tall 0 0 0

Section 10
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 11
Grade & Section:
 Birthdate Weight Height Sex Height² Age
Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 12
Grade & Section:

Names Birthdate Weight Height Sex Height² Age

mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 13
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 14
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
 Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 15
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
 BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 16
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
 Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 17
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
 Normal 0 0 0
Tall 0 0 0

Section 18
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 19
Grade & Section:
 Birthdate Weight Height Sex Height² Age
Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 20
Grade & Section:

Names Birthdate Weight Height Sex Height² Age

mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Pupils Weighed Pupil's Height Taken

Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0
 Male Female Total
HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Address: Freedom Sports Complex, San Jose, Pili, Camarines Sur

Email: deped.camsur@deped.gov.ph
Website: www.depedcamsur.com
Telephone No: (telefax) 8713340
S SUR

Date of Weighing:
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional Height-for-age
Index Status
 Republic of the Philippines
DEPARTMENT OF EDUCATION
Region V
SCHOOLS DIVISION OFFICE OF CAMARINES SUR
DISTRICT

NUTRITIONAL STATUS REPORT OF

BASELINE S/Y
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
 Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 2
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 3
Grade & Section:
 Birthdate Weight Height Sex Height² Age
Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 4
Grade & Section:

Names Birthdate Weight Height Sex Height² Age

mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 5
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 6
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
 Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 7
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
 BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 8
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
 Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 9
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
 Normal 0 0 0
Tall 0 0 0

Section 10
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 11
Grade & Section:
 Birthdate Weight Height Sex Height² Age
Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 12
Grade & Section:

Names Birthdate Weight Height Sex Height² Age

mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 13
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 14
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
 Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 15
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
 BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 16
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
 Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 17
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
 Normal 0 0 0
Tall 0 0 0

Section 18
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 19
Grade & Section:
 Birthdate Weight Height Sex Height² Age
Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 20
Grade & Section:

Names Birthdate Weight Height Sex Height² Age

mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

GRADE SUMMARY
Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0
 Male Female Total
HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Address: Freedom Sports Complex, San Jose, Pili, Camarines Sur

Email: deped.camsur@deped.gov.ph
Website: www.depedcamsur.com
Telephone No: (telefax) 8713340
S SUR

Date of Weighing:
Body Mass Nutritional
Height-for-age M F
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 2

Body Mass Nutritional

Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
Section 3
Body Mass Nutritional
Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 4

Body Mass Nutritional Height-for-age

Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 5

Body Mass Nutritional

Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 6

Body Mass Nutritional

Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 7

Body Mass Nutritional

Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 8

Body Mass Nutritional

Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 9

Body Mass Nutritional

Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 10

Body Mass Nutritional

Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
Section 11
Body Mass Nutritional
Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 12

Body Mass Nutritional Height-for-age

Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 13

Body Mass Nutritional

Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 14

Body Mass Nutritional

Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 15

Body Mass Nutritional

Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 16

Body Mass Nutritional

Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 17

Body Mass Nutritional

Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 18

Body Mass Nutritional

Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
Section 19
Body Mass Nutritional
Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 20

Body Mass Nutritional Height-for-age

Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Republic of the Philippines
DEPARTMENT OF EDUCATION
Region V
SCHOOLS DIVISION OFFICE OF CAMARINES SUR
DISTRICT

NUTRITIONAL STATUS REPORT OF

ENDLINE S/Y
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
 Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 2
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 3
Grade & Section:
 Birthdate Weight Height Sex Height² Age
Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 4
Grade & Section:

Names Birthdate Weight Height Sex Height² Age

mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 5
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 6
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
 Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 7
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
 BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 8
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
 Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 9
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
 Normal 0 0 0
Tall 0 0 0

Section 10
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 11
Grade & Section:
 Birthdate Weight Height Sex Height² Age
Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 12
Grade & Section:

Names Birthdate Weight Height Sex Height² Age

mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 13
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 14
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
 Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 15
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
 BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 16
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
 Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 17
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
 Normal 0 0 0
Tall 0 0 0

Section 18
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 19
Grade & Section:
 Birthdate Weight Height Sex Height² Age
Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 20
Grade & Section:

Names Birthdate Weight Height Sex Height² Age

mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Pupils Weighed Pupil's Height Taken

Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0
 Male Female Total
HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Address: Freedom Sports Complex, San Jose, Pili, Camarines Sur

Email: deped.camsur@deped.gov.ph
Website: www.depedcamsur.com
Telephone No: (telefax) 8713340
S SUR

Date of Weighing:
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional Height-for-age
Index Status
 Republic of the Philippines
DEPARTMENT OF EDUCATION
Region V
SCHOOLS DIVISION OFFICE OF CAMARINES SUR
DISTRICT

NUTRITIONAL STATUS REPORT OF

BASELINE S/Y
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
 Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 2
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 3
Grade & Section:
 Birthdate Weight Height Sex Height² Age
Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 4
Grade & Section:

Names Birthdate Weight Height Sex Height² Age

mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 5
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 6
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
 Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 7
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
 BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 8
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
 Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 9
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
 Normal 0 0 0
Tall 0 0 0

Section 10
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 11
Grade & Section:
 Birthdate Weight Height Sex Height² Age
Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 12
Grade & Section:

Names Birthdate Weight Height Sex Height² Age

mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 13
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 14
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
 Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 15
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
 BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 16
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
 Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 17
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
 Normal 0 0 0
Tall 0 0 0

Section 18
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 19
Grade & Section:
 Birthdate Weight Height Sex Height² Age
Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 20
Grade & Section:

Names Birthdate Weight Height Sex Height² Age

mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

GRADE SUMMARY
Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0
 Male Female Total
HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Address: Freedom Sports Complex, San Jose, Pili, Camarines Sur

Email: deped.camsur@deped.gov.ph
Website: www.depedcamsur.com
Telephone No: (telefax) 8713340
S SUR

Date of Weighing:
Body Mass Nutritional
Height-for-age M F
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 2

Body Mass Nutritional

Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
Section 3
Body Mass Nutritional
Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 4

Body Mass Nutritional Height-for-age

Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 5

Body Mass Nutritional

Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 6

Body Mass Nutritional

Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 7

Body Mass Nutritional

Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 8

Body Mass Nutritional

Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 9

Body Mass Nutritional

Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 10

Body Mass Nutritional

Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
Section 11
Body Mass Nutritional
Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 12

Body Mass Nutritional Height-for-age

Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 13

Body Mass Nutritional

Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 14

Body Mass Nutritional

Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 15

Body Mass Nutritional

Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 16

Body Mass Nutritional

Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 17

Body Mass Nutritional

Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 18

Body Mass Nutritional

Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
Section 19
Body Mass Nutritional
Height-for-age
Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Section 20

Body Mass Nutritional Height-for-age

Index Status

Baseline Endline
Section 1 Section 1
Section 2 Section 2
Section 3 Section 3
Section 4 Section 4
Section 5 Section 5
Section 6 Section 6
Section 7 Section 7
Section 8 Section 8
Section 9 Section 9
Section 10 Section 10
Section 11 Section 11
Section 12 Section 12
Section 13 Section 13
Section 14 Section 14
Section 15 Section 15
Section 16 Section 16
Section 17 Section 17
Section 18 Section 18
Section 19 Section 19
Section 20 Section 20
 Republic of the Philippines
DEPARTMENT OF EDUCATION
Region V
SCHOOLS DIVISION OFFICE OF CAMARINES SUR
DISTRICT

NUTRITIONAL STATUS REPORT OF

ENDLINE S/Y
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
 Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 2
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 3
Grade & Section:
 Birthdate Weight Height Sex Height² Age
Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 4
Grade & Section:

Names Birthdate Weight Height Sex Height² Age

mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 5
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 6
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
 Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 7
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
 BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 8
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
 Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 9
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
 Normal 0 0 0
Tall 0 0 0

Section 10
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 11
Grade & Section:
 Birthdate Weight Height Sex Height² Age
Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 12
Grade & Section:

Names Birthdate Weight Height Sex Height² Age

mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 13
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 14
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
 Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 15
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
 BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 16
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
 Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 17
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
 Normal 0 0 0
Tall 0 0 0

Section 18
Grade & Section:

Birthdate Weight Height Sex Height² Age

Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 19
Grade & Section:
 Birthdate Weight Height Sex Height² Age
Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Section 20
Grade & Section:

Names Birthdate Weight Height Sex Height² Age

mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Pupils Weighed Pupil's Height Taken

Enrollment
No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0
 Male Female Total
HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Address: Freedom Sports Complex, San Jose, Pili, Camarines Sur

Email: deped.camsur@deped.gov.ph
Website: www.depedcamsur.com
Telephone No: (telefax) 8713340
S SUR

Date of Weighing:
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional
Height-for-age
Index Status
Body Mass Nutritional Height-for-age
Index Status
 Republic of the Philippines
DEPARTMENT OF EDUCATION
Region V
SCHOOLS DIVISION OFFICE OF CAMARINES SUR
DISTRICT

NUTRITIONAL STATUS REPORT OF

BASELINE S/Y
Grade & Section:
Birthdate Weight Height Sex Height² Age
Names mm/dd/yy (kg) (m) (M/F) (m²) (y:m)
 Pupils Weighed Pupil's Height Taken
Enrollment No. % No. %
M 0 0 0
F 0 0 0
Total 0 0 0

Male Female Total

BODY MASS INDEX (BMI)
No. % No. % No. %
Severely Wasted 0 0 0
Wasted 0 0 0
Normal 0 0 0
Overweight 0 0 0
Obese 0 0 0

Male Female Total

HEIGHT-FOR-AGE (HFA)
No. % No. % No. %
Severely Stunted 0 0 0
Stunted 0 0 0
Normal 0 0 0
Tall 0 0 0

Address: Freedom Sports Complex, San Jose, Pili, Camarines Sur

Email: deped.camsur@deped.gov.ph
Website: www.depedcamsur.com
Telephone No: (telefax) 8713340
S SUR

Date of Weighing: Grade & Section:

Body Mass Nutritional
Height-for-age Names
Index Status
 Enrollment
M
F
Total

BODY MASS INDEX (BMI)

Severely Wasted
Wasted
Normal
Overweight
Obese

HEIGHT-FOR-AGE (HFA)
Severely Stunted
Stunted
Normal
Tall
 Republic of the Philippines
DEPARTMENT OF EDUCATION
Region V
SCHOOLS DIVISION OFFICE OF CAMARINES SUR
DISTRICT

NUTRITIONAL STATUS REPORT OF

ENDLINE S/Y
Date of Weighing:
Birthdate Weight Height Sex Height² Age Body Mass Nutritional
mm/dd/yy (kg) (m) (M/F) (m²) (y:m) Index Status
 Pupils Weighed Pupil's Height Taken
Enrollment No. % No. %
0 0 0
0 0 0
0 0 0

Male Female Total

No. % No. % No. %
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0

Male Female Total

No. % No. % No. %
0 0 0
 0 0 0
0 0 0
0 0 0

Address: Freedom Sports Complex, San Jose, Pili, Camarines Sur

Email: deped.camsur@deped.gov.ph
Website: www.depedcamsur.com
Telephone No: (telefax) 8713340
Height-for-age
 Republic of the Philippines
DEPARTMENT OF EDUCATION
Region V
SCHOOLS DIVISION OFFICE OF CAMARINES SUR
DISTRICT

NUTRITIONAL STATUS REPORT OF

BASELINE S/Y

Weight Height Sex Height²

Names Birthdate mm/dd/yy
(kg) (m) (M/F) (m²)
nes
TION

MARINES SUR

ORT OF

Severely Wasted
Age Body Mass Nutritional
Grade Level Names
(y:m) Index Status
 Republic of the Philippines
DEPARTMENT OF EDUCATION
Region V
SCHOOLS DIVISION OFFICE OF CAMARINES SUR
DISTRICT

NUTRITIONAL STATUS REPORT OF

ENDLINE S/Y

Birthdate Weight Height Sex Height² Age Body Mass Nutritional

mm/dd/yy (kg) (m) (M/F) (m²) (y:m) Index Status
Severely Wasted
Grade Level