Republic of the Philippines

DEPARTMENT OF EDUCATION
National Capital Region
DIVISION OF TAGUIG CITY AND PATEROS
DR. ARTEMIO E. NATIVIDAD ELEMENTARY SCHOOL

LEARNER’S HEALTH RECORD

Name: Lawrence Ethan V. Naungayan Gender: Male
Date of Birth: October 13, 2009 Age: 11 years old
Parent/ Guardia: Elsie V. Naungayan Contact Number : 09266121320
Address: 77. P. Mariano St, Brgy. Ususan, Taguig City

Health Condition/Illness (for the past two weeks):None

No. of children in the family: 3 Birth Order: 2nd

Guided Questions:
YE NO REMARKS
S
1. Does your child know/aware of Pandemic-Covid /
19?
Alam ba ng iyong anak ang tungkol sa Pandemya na Covid 19?
2. Does your child go out of your house? /
Lumalabas ba ng bahay ang iyong anak?
How often?
Gaano kadalas?
3. Does your child wear face mask when going out? /
Nagsusuot ba ng face mask ang iyong anak kapag lumalabas?
Does your child wear face shield when going out? /
Nagsusuot ba ng face shield ang iyong anak kapag lumalabas?
4. Does your child wash his/her hands regularly? /
Palagi bang naghuhugas ng kamay ang iyong anak?
5. What is your child’s practice at present after going out of your house?
Ano ang ginagawa ng iyong anak pagkagaling sa labas ng bahay?

Take a bath (Naliligo) Wash hands (Naghuhugas ng kamay)

Change clothes (Nagpapalit ng damit) Cleans using towel (Nagpupunas gamit ang bimpo)
None (Wala) Uses alcohol/Sanitize ( Nagamit ng alcohol)