Republic of the Philippines

ASSESSSMENT Beginning Year End

TEACHER’S NOTES, DESCRIPTION AND Department of Education
DATE OF ASSESSMENT
OBSERVATION Region V (Bicol)
CHILD AGE Division of Camarines Sur
First Assessment __________________________
Nabua East District
R S R S
________________________________________ Child’s Name ____________________________________
A C A C
W A W A Second Assessment________________________ Level & Section ______________LRN_________________
SANTIAGO OLD ELEMENTARY SCHOOL
L L
S E S E ________________________________________ Date of Birth ______________________Age____________
C D C D Early Childhood Care and Development
LEARNING DOMAINS O O Sex __________________School Year ________________
(ECCD) Checklist and
R S R S
PARENT’S SIGNATURE Address _________________________________________
E C
O
E C
O
KINDERGARTEN REPORT CARD
Handedness: Right _________Left_______ Both_______
R R First Assessment __________________________
E E Not yet established___________________
Second Assessment _______________________
Gross Motor (13) Birth Order: 1st child _____2nd child_____3rd child______
Fine Motor (11) Others ________
Self—Help (27) Attendance Record
Receptive Language (5) J J A S O N D J F M
u u u e c o e a e a Total
Expressive Language (8)
n l g P t v c n b r
Cognitive (21) y t

Social - Emotional (24) No. of School

Days
SUM OF SCALED SCORE
No. of
STANDARD SCORE
School Days Dear Parent,
INSTRUCTIONS: Put a (/) Present or child is able to do tasks. Present
(.) Skills is not present or child does not responds
No. of Times This report card shows the ability and progress
INTERPRETATION OF STANDARDS SCORE Tardy your child has made in the different domains in
CERTIFICATE OF TRANSFER
Kindergarten.
STANDARD SCORE INTERPRETATIONS Admitted to Kindergarten ____________________________
69 and below Suggest significant delay in over - all development 1 (ONE)
Eligible for Admission to Grade _______________________
This school welcomes you if you desire to know
more about the progress of your child.
70-79 Suggest slight delay in over - all development ALMA P. RODRIGUEZ
Approved ________________________________________
80– 119 Average over - all development School Principal RENAIR R. RAVALO
120 - 129 Suggest slightly advanced development
Cancellation of Eligibility to Transfer _________________
Admitted in _________________________ Adviser
130 and above Suggest highly advanced development
ALMA P. RODRIGUEZ
Assessment
16 Informs the adult only after he has already urinated 9.
Principal
Matches pictures.
GROSS MOTOR DOMAIN Beg. End (peed) or moved his bowels ( pooh) in his underpants. 10 Sort based on shapes.
17 Informs adult of need to urinate or move bowels in the CR 11 Sorts objects based on 2 attributes) .
18 Goes to the designated place/CR to urinate or move bowels but 12 Arranges objects according to the size form.
sometimes still does this in his underpants. 13 Names 4-6 colors
1. Climbs on a chair without help.
2 Walks backward.
3. Runs without tripping or falling,
4. Walks downstairs, 2 feet on each step, with one hand held.
5. Walks upstairs holding handrail, 2 feet on each step.
6. Walks upstairs with alternate feet without holding handrail.
7. Walks downstairs with alternate feet without holding handrail.
8. Move body parts as directed.
9. Jumps up.
10 Throws ball overhead with direction.
11 Hops 1 to 3 steps on preferred foot.
12 Jumps and turn
13 Danes patterns/joins group movements activities.
TOTAL SCORE

Assessment
SELF - HELP DOMAIN Beg. End
1. Feeds self with finger food (e,g, biscuits, bread) using fingers.
2 Feed self-using finger with spillage.
3. Feed self-using spoon with spillage.
4. Feed self using spoon without spillage.
5. Eats without need for spoon during any meal.
6. Helps hold cup for drinking.
7. Drinks from cup for spillage.
8. Drinks from cup unassisted.
9. Get drink for self unassisted.
10 Pours from pitcher without spillage.
11 Prepare meals for younger sibling when adult is around.
12 Participate when being dressed (e, g, raises arms or lifts leg)
13 Pulls down gartered short pants.
14 Remove sando.
15 Dresses without assistance including buttons and tying.
 Assessment
FINE MOTOR SKILLS Beg. End
1. Uses all 5 fingers to get food/toys placed on flat surface.
2 Pick up objects with thumb and index fingers.
3. Displays definite hand preference.
4. Put small objects in/out containers.
5. Holds crayon with all fingers of his hand making a first step grasp.
6. Unscrews lid of container or unwraps of food.
7. Scribbles vertical and horizontal lines.
8. Scribbles spontaneously.
9. Draws circle purposely.
10 Draw a human figure head, eyes, trunks, arms head and etc.
11 Draw a house using geometric forms.
TOTAL SCORE