Professional Documents
Culture Documents
Male
Female
1
2
Religion
Roman Catholic
Iglesia ni Cristo
Mormon
Islam
Protestantism
Others
1
2
3
4
5
6
BMI Interpretation
Normal
Overweight
Obese
Underweight
Severly underweight
1
2
3
4
5
Water Intake
<3 glasses per day
4-7 glasses per day
8 glasses per day
Drinking Water Source
Deep well
Local Water System
Others
Hygienic Practices
Hand washing at critical times
Presence of permanent HW stations
Bathing Frequency
1-3x per week
4-6x per week
Every day
Nutritional History
Oral Hygiene
Seldom
Every 3 months
1-2x per month
1-3 days per week
4-7 days per week
1
2
3
4
5
1
2
3
4
Less often
Once a day
2-3x per day
1
2
3
ource
1
2
3
Yes
1
1
ncy
1
2
3
1
2
3
No
0
0
F1.1
F1.2
F1.3
F1.4
F1.5
First Name
Last Name
Date of Birth
Age
Sex
Melanie
Ignacio
Paulo
Angela
Angelica
Jovel
Janjan
Yesha Mae
Lyca
Justine
Kissing
Dionisio
Shikim
Rapada
Andes
Andes
Sison
Andes
Cartago
Urbano
Nazareth
Gagami
12/16/2002
6/12/2004
4/12/2006
12/8/2013
12/19/2002
12/27/2005
N/A
8/10/2007
11/4/2003
1/9/2002
N/A
12
11
9
1 11/12 months
12
9
5
8
12
13
7
2
1
1
2
2
2
1
2
2
1
1
F1.6
F1.7
F1.8
A1.1
Religion
Education
Address
Weight
2 Grade 6
1 Grade 4
1 Not elicited
1
1 Grade 6
1 Grade 2
1
1 Grade 3
1 N/A
1 N/A (APEC School)
1 N/A (DCS Elem.)
34.4
22.6
20.6
3.6
33
34.8
16.4
30.4
34.4
32
14.8
A1.2
A1.3
A1.4
Height
BMI
Interpretation (BMI-for-age)
1.46
1.25
1.22
0.77 N/A
1.47
1.29
1.06
1.25
1.48
1.43
1.09
16.14
14.464
13.84
1
1
1
15.27
20.91
14.6
19.456
15.7
15.65
12.46
1
2
1
2
1
1
1
A1.5
A1.6
A1.7
Interpretation (Height-for-age)
Temperature
Heart Rate
-1
0
-1
0
0
0
0
0
-1
-2
36
36.3
36.3
36.3
36.7
36.3
36.1
36.4
36.4
36.5
36.5
70
80
88
72
68
94
92
108
98
103
A1.8
B1.1
B1.2
B1.3
B1.4
Respiratory Rate
Rice
Fish
Vegetables
20
18
40
24
22
23
18
22
22
20
5
5
5
5
5
5
5
5
5
5
5
4
4
2
4
5
1
4
4
4
5
5
4
5
1
4
4
4
5
5
4
4
4
5
5
5
4
4
5
3
4
5
4
5
B1.5
B1.6
B1.7
B1.8
B1.9
B1.10
Fruits
Milk Products
Seafood
Processed Foods
Canned Goods
Noodles
4
4
5
4
1
4
4
4
4
4
5
1
1
1
5
1
1
1
1
4
1
1
1
3
1
1
1
1
1
4
3
1
1
4
4
4
5
4
3
1
4
5
4
5
4
4
1
4
4
5
4
4
5
4
4
4
5
4
5
1
4
4
4
5
4
3
B1.11
B1.12
B1.13
Junk Foods
Others
5
5
5
5
5
4
4
1
4
4
4
Candy, Chocolates
B2
B3
B4
C1.1
Meal Freq./day
Water Intake
HW at Critical Times
3
2
2
2
3
3
1 N/A
2
3
3
1
2
1
2
2
2
1
1
1
2
1
2
2
2
3
2
2
2
2
2
3
2
1
1
1
0
1
0
1
1
1
0
C1.2
C1.3
C1.4
Permanent HW stations
Bathing frequency
Oral Hygiene
1
1
1
3
3
3
3
3
3
0
1
1
1
1
1
1
3
2
1
3
2
3
3
2
2
1
3
3
2
3
D1
Interviewer Comments (Chief Complaint / Pertinet Findings)
Blurry vision, dizziness (1-5 minute duration) upon waking-up and straneous activities, head lice infes
Impacted cerumen
Lice infestation, impacted cerumen
Viral URTI
Asthma, cough, impacted cerumen
Chest pain after eating and performing straneous activities, lice infestation, impacted cerumen
Weakness, head lice infestation
URTI, head lice infestation, impacted cerumen
Cough, heal lice infestation, impacted cerumen
URTI, impacted cerumen
Difficulty in breathing
n, impacted cerumen