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PROTEIN INTAKE ADEQUACY AND NUTRITIONAL STATUS OF THE CHILDREN IN DAY

CARE CENTERS OF BARANGAY SAWANG CALERO, CEBU CITY

Name: (Optional) _____________________________________________ Age: ______

Birthdate: ________________________

Gender: Male

Female

Number of members in the family: __________

Birth Rank: Eldest

Middle

Youngest

To be filled up by the parent/guardian:

Occupation of Parent: Mother: Employed Unemployed Self-Employed

Father: Employed Unemployed Self-Employed

To be filled up by the researchers:

Height: ____________________ Weight: ___________________

Nutritional Status: Wasting

Normal

Overweight/Obese
Name:_______________________________ Date _________________

Time Food Item and Method of Preparation Amount

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