INTERPRETATION OF STANDARD SCORE Republic of the Philippines

DEPARTMENT OF EDUCATION
STANDARD SCORE INTERPRETATION
Region V
Suggest significant delay Schools Division of Sorsogon
69 and below
in overall development
Suggest slight delay CHECKLIST FOR KINDERGARTEN
70 - 79 School Year__2022-2023____
in overall development
Name: ____Bonye, Rafael T.__________________________________
80 - 119 Average overall development
Age: ____5______ Sex: ____M______ LRN: ____114030220015__________
120 - 129 Suggest slightly advanced development Section: ____ONE____________________________________________________________
120 - 129 Suggest highly advanced development School: _____Somagongsong Elementary School_________________
Dear Parents, District: ____Bulan III District________________________________
This checklist shows the ability and progress your child has
made in different domains as well as his/her progress in character GROSS MOTOR SCORE FINE MOTOR SCORE
development. PRE POST PRE POST
The school welcomes you if you desire to know more about the 1 Climbs on chair or other elevated piece 1 Uses all fingers to get food/toys
progress of your child. of furniture like s bed without help placed on flat surface
2 Walks backwards 2 Picks up objects with thumb and index finger
3 Runs without tripping or falling 3 Displays a definite hand preference
____ERNIE M. CAQUETE____ ____RICHEL H. LOVERIA_____
4 Walks down stairs 2 feet on each step
Head Teacher Teacher 4 Puts small object in/out of containers
with one hand held
5 Walks upstairs holding onto 5 Holds crayons with all the fingers of his
PARENT’S COMMENTS/SIGNATURE handrail, 2 feet on each step hand making a fist (e.g. palmar grasp)
6 Walks upstairs with alternate feet
6 Unscrews lid of containers or unwrapps food
without holding handrail
Pre- Assessment _____________________________________________ 7 Walks downstairs with alternate
7 Scribbles spontaneously
feet without holding handrail
8 Moves body parts as directed 8 Scribbles vertical and horizontal lines
9 Jumps up 9 Draws circle purposely
Post Assessment _____________________________________________
10 Draws a human figure (head, eye, trunk
10 Throws ball overhead with direction
arms, hands/fingers)
CERTIFICATE OF TRANSFER 11 Hops 1 to 3 steps on preferred foot 11 Draws a house using geometric forms
12 Jumps and turns TOTAL
Eligible for admission to Grade ___________________________ 13 Dances patterns/ Joins group
movement activities
Approved: _____RICHEL H. LOVERIA_____ TOTAL
____ERNIE M. CAQUETE_____ Teacher SELF - HELP SCORE SELF - HELP SCORE
Head Teacher PRE POST PRE POST
1 Feeds self with finger foods (e.g biscuits
5 Feeds self using spoon without spillage
CANCELATION OF ELIGIBILITY TO TRANSFER bread) using fingers
2 Feeds self using fingers to eat rice/viands Eats without need for spoon feeding
Admitted to Grade: _________________________ Section: ______________________ with spillage
6
during any meal
School: ________________________________________________________________ 3 Feeds self using spoon with spillage 7 Helps hold cup for drinking
Date: ___________________________ 4 feeds self using fingers without spillage 8 Drinks from cup with spillage
____ERNIE M. CAQUETE____
Head Teacher
 19 Informs the adult only after he has already COGNITIVE DEVELOPMENT SCORE SOCIO - EMOTIONAL SCORE
9 Drinks from cup unassisted urinated (peed or moved his bowel (poohed) PRE POST PRE POST
in his underpants 17 Can assemble simple puzzles 10 Imitates adults activities ( e.g. cooking washing)
20 Informs adult of need to urinate (pee)
18 Demonstrates an understanding of
10 Get drinks for self unassisted or moved bowels (pooh-pooh) so he can be
opposites by completing a statement 11 identifies feelings in others
brought to a designated place ( e.g. comfort room) (e.g. Ang aso ay malaki, ang daga ay ___?)
11 21 Goes to designated place to urinate (pee) 19 12 Appropriately uses a cultural gestures of greeting
Pours from pitcher without spillage or move bowels (pooh) but sometimes Points to left and right sides of body without much prompting ( e.g. mano, bless, kiss, etc.)
still does this in his underpants 20 Can state what is silly or wrong with
13 Comforts playmates/siblings in distress
22 Goes to designated place to urinate (pee) pictures (e.g. Ano ang mali sa larawanng ito?)
12 Prepare own food/snack 21 14 Persist when faced with a problem or
or move bowels (pooh) and never does
Matches upper and lower case letters obstacle to his wants
this in his underpants anymore 15 Helps with family chores (e.g. wiping
Prepare meals for younger 23 TOTAL
Wipes/cleans self after a bowel tables watering plants, etc.)
13 siblings/family members when no adult 16 Curious about environment but knows
movement (pooh) SOCIAL - EMOTIONAL SCORE
is around when to stop asking questions of adults
14 Participates when being dressed 24 Participates when bathing (e.g. rubbing 1 Enjoy watching activities of nearby people
17 waits for his turn
or animals
(e.g. raises arms or lifts leg) arms with soap)
2 Friendly with strangers but initially may show 18 Ask permission to play with toy being
15 25
Pull down gartered short pants Washes and dries hands without any help slight anxiety or shyness used by another
16 remove sando 26 Washes face without any help Plays alone but likes to be near me familiar
3 19 Defends possessions with determination
adults or brothers and sisters
17 Dresses without assitance except for 20 Plays organized group games fairly
27 Bathes without any help 4 laugh or squeeks aloud in play squeals
buttoning and tying (does not cheat in order to win)
18 Dresses without assistance including 5 21 Can talk about difficult feelings (e.g.
TOTAL Play peek- a- boo (bulaga)
buttoning and tying Anger, sadness, worry) he experiences
6 Rolls balls interactively with 22 Honors a simple bargain with caregiver (e.g. can

RECEPTIVE LANGUAGE SCORE COGNITIVE DEVELOPMENT SCORE

7
caregiver/ examiner play outside only after cleaning /fixing his room)
23 watches responsively over younger siblings/
Hug or cuddle toys
PRE POST PRE POST family members
1 Ponts to family members when asked to do so 1 Looks at direction of falling object 8 demonstrate respect for elders 24 Cooperates with adults and peers in group
using terms like "po" and "opo" situations to minimize quarrels and conflicts
2 points to 5 body parts on himself when asked 9 TOTAL
2 Looks for partially hidden object Shares toys with others
to do so
3 points to 5 named pictured objects when 3 Initiates behavior just seen a few minutes
asked to do so earlier
4 Follows one-step instructions that include 4 1ST Evaluation 2nd Evaluation
simple prepositions (e.g., in, on, under, etc)
5 Follows 2-step instructions that include simple
Offers object but may not release it
DOMAIN Date:___________________ Date:___________________
prepositions
5 Looks for completely hidden object Child's Age:______________ Child's Age:______________
6 Exhibits simple pretend play (feed, put doll
TOTAL 1. Gross Motor
to sleep)
EXPRESSIVE LANGUAGE SCORE 7
Matches objects 2. Fine Motor
1
Uses 5 - 20 recognizable words
8
Matches 2 - 3 colors 3. Self Help
2
Uses pronouns ( e.g. I, me, ako, akin) 9
Matches pictures 4. Receptive
3 uses 2-3 words verb-noun combinations 10 Language
Sorts based on shapes
(e.g hingi gatas) 5. Expressive
4 11 Sorts objects based on 2 attributes (e.g.
Names objects in pictures Language
Size and color)
5 Speaks in gramatically correct 2- 3 word 12 Arranges objects according to size from 6. Cognitive
sentences smallest to biggest Development
6 13
Ask "what" questions Name 4 - 6 colors 7. Socio- Emotional
7 14
Asked "who" and "why" questions Copies shapes
Sum of Scalled Score
8 Gives acount of recent experiences (with
Name 3 animals or vegetables when
prompting) in order of occurrence using past 15
asked Standard Score
tense
TOTAL 16 States what common household items are Interpretation
used for