Department of Education

Region 02
Schools Division of Nueva Vizcaya

KASIBU WEST DISTRICT

Screening Test Class Reading Record (STCRR)

Appendix 2 Phil-IRI Form IB
Grade: ________________________ Section: ___________________
Teacher :______________________ School: ___________________
Screening Test Level: ____________ Date:_____________________

No Name of Pupil Test No. of Correct Responses Total Score Score

. Taken Literal Inferential Critical score <14 ≥
 or X /8 /8 /4 /20 14*
1 JUMAR O. CARNATE  3 7 3 13 
2 LEIGH-TON JAKE C.  0 5 2 7 
CARNATE
3 JAYMAR A. JAVAR  4 1 1 6 
4 LOUIE JAY S. VINCE  6 4 1 10 
5 JERAMIELE C. MARTIN  7 5 3 12* 
6 ROMELYN P. CALATAN  8 7 3 18 
7 MAEFEL KATE L. CARNATE  6 6 0 12
8 JHOWENE O. ETCHIJAN  7 3 3 11
9 JEFANY C. NANG-IS  6 2 2 12
10 JANELLE RYNE F.  8 6 4 15 
ONGUDA
11 SHAINA MAE M. SIADOR  8 4 4 11 
12 SHAMIE ANN M. SIADOR  7 4 4 13* 
13 CHELSEA N. TABUYO  8 6 3 19* 
Total

Prepared by:
JONA-MAR T. BELLEZA
Test Administrator Verified by:

ALEXANDER O. TRINIDAD
School Head
 Department of Education
Region 02
Schools Division of Nueva Vizcaya

KASIBU WEST DISTRICT

MUTA ELEMENTARY SCHOOL

School Reading Profile (SRP)

Appendix C Phil-IRI Form 2

School: ____________________________ District: ____________________________

Division: _________________________ Region: ____________________________

Grade Section Enrolment Score

≥ 14 < 14

Total

Prepared by:
____________________________________
School English Coordinator

VERIFIED:

___________________________
School Head
 Department of Education
Region 02
Schools Division of Nueva Vizcaya
KASIBU WEST DISTRICT
MUTA ELEMENTARY SCHOOL
GROUP SCREENING TEST RESULT
GRADE ____ PRETEST/POSTTEST

No. School Sex Enrolment No.of Pupils Tested No of Pupils With Corresponding Scores
≥ 14 < 14
M
F
T
M
F
T
M
F
T
M
F
T
Total M
F
T

Consolidated by: Verified by:

____________________ ________________________
District English Coordinator District Supervisor
 Department of Education
Region 02
Schools Division of Nueva Vizcaya

KASIBU WEST DISTRICT

GROUP SCREENING TEST RESULT

DISTRICT SUMMARY

No. Grade Sex Enrolment No.of Pupils No of Pupils /Score

Tested < 14 ≥ 14
M
1 Grade IV F
T
M
2 Grade V F
T
M
3 Grade VI F
T
M
4 Overall F
T

Consolidated by:
_______________________
District English Coordinator NOTED:
_____________________________
District Supervisor
 Department of Education
Region 02
Schools Division of Nueva Vizcaya
KASIBU WEST DISTRICT
CORDON ELEMENTARY SCHOOL

Phil-IRI Oral Reading Test in English

Class Summary Reading Record (CSRR)
School: CORDON ELEMENTARY SCHOOL Grade & Section: III-AGUINALDO
Name of Teacher: JONA-MAR T. TAMUWOK Pretest/Postest : Postest
Enrolment: M- 10 F- 13 Total: 23 No. of Pupils Tested: M: 10 F: 12 T: 22
No. Name of Pupil Level Se Word Reading Comprehension Reading Date
Starte t Level Level Level Evalua
d/ ted
Grade
d Ind. Ins. Frus. Ind. Ins. Frus.
Passag
e

1 JUMAR O. CARNATE 

2 LEIGH-TON JAKE C. 
CARNATE
3 JAYMAR A. JAVAR 

4 LOUIE JAY S. VINCE 

5 JERAMIELE C. MARTIN 

6 ROMELYN P. CALATAN 

7 MAEFEL KATE L. 
CARNATE
8 JHOWENE O. 
ETCHIJAN
9 JEFANY C. NANG-IS 

10 JANELLE RYNE F. 
ONGUDA
11 SHAINA MAE M. 
SIADOR
12 SHAMIE ANN M. 
SIADOR
13 CHELSEA N. TABUYO 

Summary:

Pupils Level No. of Pupils Per Reading Level

 Tested Started Ind. Inst. Frus.
Male:

Female:

Total:

___________________________
Test Administrator
VERIFIED:

_________________________
School English Coordinator

_________________________
School Head

Department of Education
 Region 02
Schools Division of Nueva Vizcaya
KASIBU WEST DISTRICT
MUTA ELEMENTARY SCHOOL

Phil-IRI Oral Reading Test in English

School Summary Reading Record (SSRR)

School: ______________________________________ Pretest/Postest Month:

___________

Grade Enrolment Pupils Set Grade No. of Pupils per Reading Level
Level Tested Level/s
Started Frustration Instructional Independent
M: M: 1
2
F: F: 1
IV 2
T: T: 1
2
M: M: 2
3
F: F: 2
V 3
T: T: 2
3
M: M: 3
4
VI F: F: 3
4
T: T: 3
4
Schoo M: M: 1
l 2
Sum. 3
4
F: F: 1
2
3
4
T T 1
2
3
4

Prepared by: ______________________________

School English Coordinator
VERIFIED:
___________________________
School Head
 Department of Education
Region 02
Schools Division of Nueva Vizcaya
KASIBU WEST DISTRICT

Phil-IRI Oral Reading Test Result in English

District Summary Reading Record (DSRR)
Grade _____ Pretest/Posttest

School Sex Enrol Pupils No. of Pupils Per Reading Level / Graded Passage
ment Tested Level 1 Level 2 Level 3 Level 4

Frus. Inst. Ind. Frus. Inst. Ind. Frus. Inst. Ind. Frus. Inst. Ind.
M
F
T
M
F
T
M
F
T
M
F
T
Total M
F
T

Consolidated by:
_______________________
District English Coordinator NOTED:
_____________________________
 District Supervisor
Department of Education
Region 02
Schools Division of Nueva Vizcaya
KASIBU WEST DISTRICT

Phil-IRI Oral Reading Test Result in English

District Summary Reading Record (DSRR)
District:
Pretest/Posttest

Grade Sex Enrol Pupils No. of Pupils Per Reading Level / Graded Passage
ment Tested Level 1 Level 2 Level 3 Level 4

Frus. Inst. Ind. Frus. Inst. Ind. Frus. Inst. Ind. Frus. Inst. Ind.
IV M
F
T
V M
F
T
VI M
F
T
Total M
F
T

Consolidated by:
_______________________
District English Coordinator NOTED:
_____________________________
District Supervisor
 Department of Education
Region 02
Schools Division of Nueva Vizcaya
KASIBU WEST DISTRICT
MUTA ELEMENTARY SCHOOL

Phil-IRI Oral Reading Test in English

Class Reading Profile ( CRP)
School: _________________________________ Grade & Section: __________________
Name of Teacher: ________________________ Pretest/Postest : __________________

No. Name of Pupil Level Reading Level in the Graded Passages

Started Independent Instructional Frustration
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20

Summary:
Pupils No of Pupils/Reading Level/Graded Passage
Tested 1 2 3 4
Ind. Ins. Frus. Ind. Ins. Frus. Ind. Ins. Frus. Ind. Ins. Frus.
M:
F:
T:
___________________________
Test Administrator
NOTED:

_________________________ _______________________
English Coordinator School head
 Department of Education
Region 02
Schools Division of Nueva Vizcaya
KASIBU WEST DISTRICT
MUTA ELEMENTARY SCHOOL

Phil-IRI Oral Reading Test in English

School Reading Profile (SRP)
Grade Sex Enrol Pupils
Level - Tested No of Pupils/Reading Level/Graded Passage
ment 1 2 3 4
Ind Ins Fru Ind Ins Fru Ind Ins Fru Ind Ins Fru

IV M
F
T
V M
F
T
VI M
F
T
Total M
F
T

Prepared by: ____________________________________

School English Coordinator

VERIFIED:

___________________________
School Head
 Department of Education
Region 02
Schools Division of Nueva Vizcaya
KASIBU WEST DISTRICT

Phil-IRI Oral Reading Test Result in English

District Reading Profile (DRP)
Grade _____ Pretest/Posttest

School Sex Enrol- Pupils

ment Teste No of Pupils/Reading Level/Graded Passage
d 1 2 3 4
Ind Ins Fru Ind Ins Fru Ind Ins Fru Ind Ins Fru
M
F
T
M
F
T
M
F
T
Total M
F
T

Consolidated by:
_______________________
District English Coordinator NOTED:
_____________________________
District Supervisor
 Department of Education
Region 02
Schools Division of Nueva Vizcaya
KASIBU WEST DISTRICT

Phil-IRI Oral Reading Test Result in English

District Reading Profile (DRP)

District: Kasibu West Pretest/Posttest: _________

Grade Sex Enrol- Pupils

ment Tested No of Pupils/Reading Level/Graded Passage
1 2 3 4
Ind Ins Fru Ind Ins Fru Ind Ins Fru Ind Ins Fru

IV M
F
T
V M
F
T
VI M
F
T
Total M
F
T
Consolidated by:
_______________________
District English Coordinator NOTED: _____________________________
District Supervisor