CLASSROOM DAILY HEALTH MONITORING TOOL FOR COVID-19

Grade Level: 2/BOCTOTO

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

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

C Cough HA Headache C/RN Colds/ runny nose N Nausea LoS loss of smell Others

Symptoms Observed / Reported

3-21-2022 3-22-2022 3-23-2022 3-24-2022 3-25-2022
Name Monday Tuesday Wednesday Thursday Friday
ABSIN, DEXTER B. None None None
ANIÑON, CHARLO JAY P. None None None
CAÑETE, JOPERSON L. None None None
FLOREN, JHASPER JHON C. None None None
GASCON, JK B. None None None
MALACORA, JHON LEE None None None
OCOY, REVINS P. None None None
OTERO, IAN T. None None None
PANER, JONNIE C. None None None
PLAZA, ALEXANDER JR. S. None None None
SANCHEZ, JOHN EZIEKEL T. None None None
SIMBANAN, RUD JOHN L. None None None
TABARANZA, ERMIE V. None None None

ABELO, DIVINE GRACE L. None None None

ANIÑON, PRECIOS MARY BEL None None None
ANIÑON, RYZEL MAE P. None None None
DELAMIDE, PRINCESS RHIAN F. None None None
HALAMAN, LIZA MAE T. None None None
OLMILLO RECHA MARIS A. None None None
PADAYAO EVA JEAN G. None None None
Note: As soon as any of the listed symptoms is observed is observed among any of the learners, the teacher is expected to send the learner to the School Clinic immediately
for the proper management by the School Clinic Teacher or health personnel.

Submitted by: Noted by:

VANESSA LEAH CHRIS PESADO-BOCTOTO AIMIE G. QUISTADIO

Class Adviser SIC