SOCIO-EMOTIONAL DOMAIN siblings/family members

SOCIO-EMOTIONAL
BoS EoS 24 Cooperates with adults and peers in
Y Y INTERPRETATION
1 Enjoys watching activities of nearby group situations to minimize quarrels RS – Raw Score
and conflicts SC – Scaled Score
people or animals
Pre:
2 Friendly with strangers but initially may show slight
anxiety or shyness Total
3 Plays alone but likes to be near familiar adults or
brothers and sisters SOCIO-DEMOGRAPHIC PROFILE
4 Laughs or squeals aloud in play Child’s Name: ______________________________ Post:
5 Plays peek-a-boo (bulaga) Sex:_________ Date of Birth:__________________
6 Rolls ball interactively with Address: __________________________________
caregiver/examiner PARENT/GUARDIAN’S SIGNATURE
Child’s Handedness: (Check Appropriate Box)
7 Hugs or cuddles toys [ ] Right [ ] Left [ ] Not yet established
8 Pre:
Demonstrates respect for elders using
terms like “po” and “opo” Father’s Name: ______________________________
9 Shares toys with others 1stAssessment 2ndAssessment Post
10 DOMAINS :
Imitates adult activities (e.g., cooking, RS SC RS SC
washing) Gross-Motor
11 Identifies feelings in others Fine Motor
12 Appropriately uses cultural gestures of greeting Self-Help
without much prompting (e.g., mano, bless, kiss, Receptive Language
Republic of the Philippines
etc.) Expressive Language Department of Education
13 Comforts playmates/siblings in distress Cognitive CARAGA Administrative Region
14 Persists when faced with a problem or Socio-emotional Schools Division Office of Surigao City
obstacle to his wants Sum of Scaled Scores District I
15 Helps with family chores (e.g., wiping Standard Score DAY-ASAN ELEMENTARY SCHOOL
tables, watering plants, etc.) Occupation:_________________________________ School ID : 132249
16 Curious about environment but knows Educational Attainment: _______________________
when to stop asking questions of adults Mother’s Name:______________________________
17 Waits for his/her turns Occupation:_________________________________
18 Asks permission to play with toy being
Educational Attainment: ______________________ S.Y.: 2019-2020
used by another
19
SUMMARY OF ASSESMENT Early Childhood and
Defends possessions with
determination Development (ECD)
20 Plays organized group games fairly Checklist
(e.g., does not cheat in order to win)
21 Can talk about complex feelings (e.g.,
anger, sadness, worry) he experiences.
22 Honors a simple bargain with caregiver
(e.g., plays outside only after
cleaning/finishing his room) Name: ______________________________
23 Watches responsibly over younger
Gender: ___________________
 BoS EoS
Birthdate: ______________________ 12 JumpsSELF
and turns
HELP (Toilet Training Sub - Domain) Y Y a fist(i.e., palmar grasp)
13 Dances patterns/joins
Participates group
when being movement
dressed activities
(e.g. raises arms or lifts 6 Unscrews lid of container or unwraps food
14
LRN: _____________ leg) TOTAL 7 Scribbles spontaneously
15 Pulls down gartered short pants 8 Scribbles vertical and horizontal lines
To the Parents: 16 Removes sando
17
Dresses without assistance except for buttoning and
9 Draw circle purposely
tying
The Philippine Early Childhood Checklist (Form 2) contains 10 Draws a human figure (head, eyes, trunk,
18 Dresses without assistance including buttoning and tying
knowledge, skills and attitudes of the children 2-5.11 years old. arms,hands/fingers)
Informs the adult only after he has already urinated Draws a house using geometric figures
This may be used as a guide in knowing your child and 19 11
(peed) or moved his bowels (poohed) in his underpants
consequently give appropriate care and teaching to guide Informs adult of need to urinate (pee) or move bowels TOTAL
their growth and development. 20 (pooh-pooh) so he can be brought to a designated place
(e.g. comfort room) SELF HELP DOMAIN
Goes to the designated place to urinate (pee) or move
IRIS B. LIBARNES 21 bowels (pooh)but sometimes still does this in his
Teacher underpants
Goes to the designated place to urinate (pee) or move
GIRLIE B. GIPALA,EdD. 22 bowels (pooh) and never does this in his underpants
Head Teacher II anymore
23 Wipes/Cleans self after a bowel movement (pooh) RECEPTIVE LANGUAGE DOMAIN

24 Participates when bathing (e.g. rubbing arms with soap) RECEPTIVE LANGUAGE BoS EoS
Y Y
25 Washes and dries hands without any help 1 Points to the family member when asked to do so
Content:
26 Washes face without any help 2 Points to 5 body parts on himself when asked to do so
Every page contains different domains of development with their corresponding total scores: SELF HELP BoS EoS
3 Points to 5 named pictured objects when asked to do so
 Expressive Language Domain na may 8 27 Bathes without any help Y Y
 Gross Motor Domain na may 13 aytems 4 Follows one-step instructions that include simple
aytems 1 Feeds self with finger foods (e.g. biscuits, bread)
TOTAL prepositions
 Fine Motor Domain na may 11 aytems  Cognitive Domain na may 21 aytems using fingers 5 Follows 2-step instructions that include simple
 Social – Emotional Domain na may 24 2 Feeds self using fingers to eat rice/viands with
 Self – help Domain na may 27 aytems prepositions
aytems
spillage TOTAL
 Receptive Languaga Domain na may 5
aytems 3 Feeds self using spoon with spillage EXPRESSIVE LANGUAGE DOMAIN
4 Feeds self using fingers without spillage
Each item observed are recorded two time within a year : 1) at the start of the year, and EXPRESSIVE LANGUAGE BoS EoS
2) at the end year. 5 Feeds self using spoon without spillage Y Y

GROSS MOTOR DOMAIN BoSY EoS 6 Eats without need for spoon feeding during any meal 1 Uses 5-20 recognizable words
Y
7 Helps hold cup for drinking 2 Uses pronouns (e.g. I, me, ako, akin)
1 Climbs on chair or other elevated piece of 3 Uses 2-3 words verb-noun combinations (e.g. hindi
8 Drinks from cup with spillage
furniture like a bed without help gatas)
9 Drinks from cup unassisted 4 Names objects in pictures
2 Walks backwards
3 10 Gets drink for self unassisted
5 Speaks in grammatically correct 2-3 word sentences
Runs without tripping or falling Pours from pitcher without spillage
11 6 Asks “what” questions
4 Walks downstairs, 2 feet on each step, with one
12 Prepares own food/snack 7 Asks “who” and “why” questions
hand held
5
13 Prepares meals for younger siblings/family 8 Gives account of recent experiences (with prompting) in order
Walks upstairs holding handrail, 2 feet on each
members when no adult is around of occurrence using past tense
step
6
FINE MOTOR DOMAIN TOTAL
Walks upstairs with alternate feet without
holding handrail FINE MOTOR DOMAIN
BoS EoS COGNITIVE DOMAIN
Y Y
7 Walks downstairs with alternate feet without Uses all 5 fingers to get food/toys placed on flat surface COGNITIVE DOMAIN BoS EoS
1
holding handrail Y Y
8
2 Picks up objects with thumbs and index finger 1 Looks at direction of fallen object
Moves body part as directed
9 3 Displays a definite hand preference 2 Looks for a partially hidden object
Jumps up
4 Puts small objects in/out of containers 3 Imitates behavior just seen a few minutes earlier
10 Throws ball overhead with direction
4 Offers on object but may not release it
11 Hops 1 to 3 steps on preferred foot 5 Holds crayon with all fingers of his hand making
5 Looks for completely hidden object _____________________________________________ GIRLIE B. GIPALA,EdD.
6 Exhibits simple pretend play (feeds, puts doll to sleep) Ulong Guro
7 Matches objects
8 Matches 2-3 colors Petsa: __________________
9 Matches pictures
10 Sorts based on shapes
11 Sorts objects based on 2 attributes (e.g., size and color) Lagda ng Magulang / Tagapag-alaga
12 Arranges objects according to size from smallest to biggest K A T I B AYA N N G P A G - U N L A D
13 Names 4-6 colors
14 Copies shapes IKAAPAT NA MARKAHAN (31 – 40 LINGGO) Kasiya – siyang nakapasa sa _________________.
15 Names 3 animals or vegetables when asked
_____________________________________________
16 States what common household items are used for
_____________________________________________
17 Can assemble simple puzzles PAGKANSELA SA PAGLIPAT
18 Demonstrates an understanding of opposites by completing a
_____________________________________________
statement (e.g., Ang aso ay malaki, ang daga ay ____”) _____________________________________________ Pagtanggap mula sa _____________ noong ________
19 Points to left and right sides of body (Paaralan) (Petsa)
20 Can state what is silly or wrong with pictures (e.g., Ano ang
mali sa larawang ito?)
21 Matches upper and lower case letters Lagda ng Magulang / Tagapag-alaga GIRLIE B. GIPALA,EdD.
TOTAL Ulong Guro

MUNGKAHI NG GURO / PUNA ULAT NG BILANG NG PAGPASOK

Republika ng Pilipinas
UNANG MARKAHAN (1 – 10 LINGGO) Kagawaran ng Edukasyon
KINDERGARTEN Q1 Q2 Q3 Q4
_____________________________________________ CARAGA Region
_____________________________________________ Surigao City Division
Araw na Pumasok Distrito I
_____________________________________________
_____________________________________________ PAARALANG ELEMENTARYA NG DAY-ASAN
Araw na Lumiban Brgy. Day-asan, Surigao City
School ID: 132249
Araw na Huling
Pumasok
Lagda ng Magulang / Tagapag-alaga Araw na Di-
Kumpleto

IKALAWANG MARKAHAN (11 – 20 LINGGO) Ito ay nag papatunay na si _______________________ ng

_____________________________________________
_____________________________________________ ________________________________ ay nalinang ang
_____________________________________________ lahat ng kasanayan na nakasaad sa Gabay na Kurikulum ng
_____________________________________________
Kindergarten.
ULAT SA PAG-UNLAD
Lagda ng Magulang / Tagapag-alaga IRIS B. LIBARNES Panuruang Taon 2019 – 2020
Guro
LRN: _13224919_____
IKATLONG MARKAHAN (21 – 30 LINGGO) Petsa: _________________
Pangalan: _____________________
_____________________________________________
KALUSUGAN,KAAYUSAN AT PAGLAGONG MOTOR Q1 Q2 Q3 Q4 anak sa iba’t-ibang domains (hindi lamang sa akademik), sa bawat Natutukoy ang mga salitang magkatugma.
1.Naipapakita ang pangangalaga sa kalusugan na sampung (10) linggo upang malaman kung siya ay nangangailangan Nabibilang ang mga pantig ng salita.
Natutukoy ang mga bahagi ng aklat (harap, likod, may
nagpapanatili ng kalinisan at kaayusan. ng higit na paggabay at karagdagang oras upang kanyang makamit akda, pamagat, ilustrador at iba pa)
2.Naipapakita ang wastong pag-uugali sa pangangalaga sa ang mga kakayahang inaasahan sa edad na limang (5) taon. Naipapakita ang kawilihan sa pagbabasa ng mga aklat,
sarili at kaligtasan. nakapagbibigay hinuha sa mga kwentong napakinggan at
3.Naipapakita ang kakayahang lokomotor tulad ng naipakikita ang tamang paghawak sa aklat (hal. Pagbuklat
paglakad, pagtakbo, paglundag at pag-akyat ng tama sa ng sunod-sunod sa bawat pahina ng aklat mula kaliwa
tuwing naglalaro, nagsasayaw o nag-eehersiyo na gawain. pakanan atbp.)
Naipapakita ang kakayahang di-lokomotor tulad ng WIKA,LITERASI AT PAKIKIPAGTALASTASAN Q1 Q2 Q3 Q4 Nakapagbibigay ng impormasyon tungkol sa simpleng
pagtulak, paghila, pag-ikot, pagliyad paghagis, pagsambot piktograp, mapa at iba pang makikita sa kapaligiran.
at pagsipa ng tama sa tuwing naglalaro, nagsasayaw o PAKIKINIG AT PANONOOD
Nakikilala ang pagkakaiba ng tunog ng mataas at mababa, PAGSULAT
nag-eehersisyo na gawain.
malakas at mahina. Naisusulat ng wasto ang sariling pangalan.
Naisasagawa ang mga gawaing tulad ng pagsisipilyo,
pagbubutones, oagbubukas at pagsasara ng takip at Maayos na nakikinig ng kwento, tula at awit. Naisusulat ang malaki at maliit na letra.
paggamit ng kutsara at tinidor. Nababalikang muli ang kwento, tula at awit na Naipapahayag ang payak na kaisipan sa pamamagitan ng
Naisasagawa ang mga gawain tulad ng pagpunit, paggupit napakinggan. mga simbolo (hal. pagguhit, pagkatha ng sariling baybay
at pagdikit ng papel, pagkopya, pagguhit, pagkulay, Naiuugnay ang pangyayari sa kwento sa sariling ng mga salita.)
pagbuo, pagpinta, pagtahi, atbp. karanasan.
Nababakat, nakokopya o nasusulat ang mga titik at bilang. Napagsusunod-sunod ang mga pangyayari sa kwentong MATEMATIKA Q1 Q2 Q3 Q4
Pangkat: __KINDER-ORANGE -_ Kasarian:_______ napakinggan.
Nakikilala/Natutukoy ang ibat ibang kulay
May paninindigan sa sarili at nararamdaman.
Nakikilala ang ibat ibang hugis
Natutukoy ang sanhi at bunga ng kwento/suliranin at
Napaghihiwa-hiwalay ang mga bagay ayon sa hugis, laki at
PAGLAGONG SOSYO-EMOSYONAL Q1 Q2 Q3 Q4 solusyon kaugnay sa kwentong narinig hango sa sariling
kulay
karanasan.
Nasasabi ang sariling pangalan, kasarian, edad at Naikukumpara at naiiayos ang mga bagay ayon sa
kapanganakan. Natutukoy ang kalalabasan ng kwento.
anyo( Halimbawa laki, haba, dami at hangganan)
Naipapahayag ang sariling kagustuhan at Natutukoy ang mga bagay/larawan na magkatulad at
Nakikilala ang pagkakasunod ng mga patterns
pangangailangan. naiiba, nawawawalang bahagi sa bagay/larawan at bagay
na di-kabilang sa grupo. Nasasabi ang mga araw sa loob ng isang linggo
Naipapakita ang kahandaan sa pagsubok ng mga bagong Nasasabi ang ngalan ng buwan sa isang taon
karanasan at buong loob na nakakikilos sa sarili. PAGSASALITA
Nagagamit nang wasto ang magagalang na pananalita sa Nalalaman at nasasabi ang oras sa bawat araw (gamit ang
Naipapahayag ang saloobin sa wastong paraan sa iba’t orasan)
ibang pagkakataon. angkop na pagkakataon.
Nakabibilang mula isa hanggang dalawampu
Nakasusunod sa mga tuntunin ng paaralan at naisasagawa Napag-uusapan ang mga detalyeng bagay, tao at iba pa
gamit ang angkop na pananalita. Nabibilang ang mga bagay na may bilang isa hanggang
ang mga gawaing pampaaralan sa araw-araw. sampu
Nakikilala ang iba’t ibang damdamin , isinasaalang-alang Aktibong nakikilahok sa mga pansilid-aralang gawain (hal.
Tula, tugma atbp.) at talakayan sa pamamagitan nang Nakikilala ang mga pamilang mula isa hanggang sampu
ang saloobin ng iba at naipapakita ang kahandaang
maayos na pagsagot sa mga tanong. Naisusulat ang pamilang mula isa hanggang sampu
tumulong .
Nakapagtatanong gamit ang sino, ano, saan, kalian at Napagsusunod-sunod ang mga bilang sa tamang ayos
Naipapakita ang paggalang sa pakikitungo sa kapwa bata
at nakatatanda. bakit. Natutukoy ang kinalalagyan ng mga bagay(hal. Una,
Natutukoy ang bawat miyembro ng pamilya. Nakapagbibigay ng 1-2 simpleng panuto. pangalawa, pangatlo etc.)
Nauulit ang maikling kwentong narinig o naisasalaysay ang Nasasagot ang simpleng pagdadagdag
Natutukoy ang mga tao at lugar sa paaralan at
pamayanan. sariling karanasan. Nasasagot ang simpleng pagbabawas
PAGBASA Naipapangkat ang mga bagay sa pantay na pagkakahati
Edad ng Bata simula ng Panuruang Taon: Nakikilala ang mga tunog ng bawat titik sa alpabetong hanggang sampu (beginning multiplication)
Filipino. Naipaghiwahiwalay ang mga bagay sa pantay na
Years _5__ Months 1 Nakikilala ng bata ang tunog nang sumusunod na mga titik: pagkakahati-hati hanggang sampu (beginning division)
Edad ng Bata pagkatapos ng Panuruang Taon: /a/ /b/ /c/ /d/ /e/ /f/ /g/ /h/ /i/ /j/ /k/ /l/ /m/ /n/ /ñ/ /ng/ /o//p/ /q/ Nasususkat ang haba, dami at bigat gamit ang non-
Years ___ Months___ /r/ /s/ /t/ /u/ /v/ /w/ /x/ /y/ /z/ standard measuring tools
Natutukoy ang malalaki at maliliit na titik ng alpabetong Nakikilalala ang mga barya at perang papel (hanggang
Filipino. Php20.00)
Sa mga magulang, Natutukoy ng bata ang sumusunod na malalaki at maliliit
na titik: A B C D E F G H I J K L M N Ň NG O P Q R S T U
PANG-UNAWA SA PISIKAL AT NATURAL NA
VWXYZ Q1 Q2 Q3 Q4
Layunin po ng ulat na ito na ipaalam sa inyo ang kakayahan a b c d e f g h I j k l m n ñ ng o p q r s t u v w x y z KAPALIGIRAN
ng inyong anak mula sa gabay sa pagtuturo na itinakda para sa Napag-uugnay ang malaki at maliit na titik ng alpabetong Nakikilala ang bawat bahagi ng katawan at gamit nito
Kindergarten. Ipinakikita nito ang progreso ng pagkatuto ng inyong Filipino Naitatala ang obserbasyon gamit ang larawan, bilang
Nakikilala ang simula ng tunog ng salita. at mga simbolo
 GROSS MOTOR DOMAIN BoSY EoS
Y
Natutukoy ang iba’t ibang bahagi ng halaman at hayop 9 Drinks from cup unassisted 1 Climbs on chair or other elevated piece of
Natutukoy ang ibat-ibang uri ng panahon 10 Gets drink for self unassisted EXPRESSIVE
Pours from pitcher without spillage
furniture like a bed withoutLANGUAGE
help DOMAIN
11 2 Walks backwards
MARKA INDIKASYON 12 Prepares own food/snack 3 Runs without tripping or falling
Expressive Language BoS EoSY
Rarely demonstrates the expected competency 13 Prepares meals for younger siblings/family 4 Walks downstairs, 2 feet on each step, with one Y
Beginning Rarely participates in class activities and/or initiates independent members when no adult is around 1 Uses 5-20
hand heldrecognizable words
(B) works
Shows interest in doing tasks but needs close supervision 52 Uses pronouns
Walks upstairs(e.g. I, me,handrail,
holding ako, akin)2 feet on each
Dressing Sub-Domain 3 Uses 2-3 words verb-noun combinations (e.g. hindi
step
Sometimes demonstrates the competency
Developing 14 Participates when being dressed (e.g. raises arms or 6 gatas)
Walks upstairs with alternate feet without
Sometimes participates, minimal supervision
(D) lifts leg) 4 Names objects in pictures
Progresses continuously in doing assigned tasks holding handrail
15 Pulls down gartered short pants 5 Speaks in grammatically correct 2-3 word sentences
Always demonstrates the expected competency 7 Walks downstairs with alternate feet without
Consistent 16 Removes sando 6 Asks “what” questions
Always participates in the different activities, works independently holding handrail
(C) 17 Dresses without assistance except for buttoning and 7 Asks “who” and “why” questions
Always performs tasks, advanced in some aspects 8 Moves bodyofpart asexperiences
directed (with prompting) in order
tying 8 Gives account recent
9 Jumps up using past tense
of occurrence
18 Informs the adult only after he has already urinated 10 Throws ball overhead with direction TOTAL
(peed) or moved his bowels (poohed) in his 11 Hops 1 to 3 steps on preferred foot
underpants
12 Jumps and turns
Toilet Training Sub - Domain
13 Dances patterns/joins group movement activities
19 Informs adult of need to urinate (pee) or move
TOTAL
bowels (pooh-pooh) so he can be brought to a BoS EoS
designated place (e.g. comfort room) FINE MOTOR DOMAIN
Y Y
20 1
Uses all 5 fingers to get food/toys placed on flat
21 Goes to the designated place to urinate (pee) or surface
move bowels (pooh)but sometimes still does this in 2 Picks up objects withCOGNITIVE
thumbs and indexDOMAIN
finger
Cognitive BoS EoSY
his underpants 3 Displays a definite hand preference Y
22 Goes to the designated place to urinate (pee) or 41 Puts small
Looks objectsofin/out
at direction fallenofobject
containers
move bowels (pooh) and never does this in his 2 Looks
Holds for a partially
crayon hidden
with all fingersobject
of his hand making a
underpants anymore 53 Imitates
fist(i.e., behavior just seen a few minutes earlier
palmar grasp)
23 Wipes/Cleans self after a bowel movement (pooh) 64 Offers
Unscrewson object
lid ofbut may notorrelease
container it food
unwraps
24 Participates when bathing (e.g. rubbing arms with 75 Looks for completely
Scribbles spontaneously hidden object
soap) 86 Exhibits
Scribblessimple pretend
vertical play (feeds,lines
and horizontal puts doll to sleep)
25 Washes and dries hands without any help 7 Matches objects
26 Washes face without any help 8 Matches 2-3 colors
Draw circle purposely
27 Bathes without any help 99 Matches pictures
TOTAL 10 Sorts based on shapes
Draws a human figure (head, eyes, trunk,
10
11 Sorts objects based on 2 attributes (e.g., size and color)
RECEPTIVE LANGUAGE DOMAIN arms,hands/fingers)
12
11 Arranges
Draws a objects according
house using to size from
geometric smallest to biggest
figures
Receptive Language BoS EoS
Y Y 13 Names 4-6 colors
TOTAL
1 Points to the family member when asked to do so 14 Copies shapes
15
SELP HELP DOMAIN
Names 3 animals or vegetables when asked
2 Points to 5 body parts on himself when asked to do BoS EoS
so 16 States what commonSelp Help items are used for
household Y Y
17 Can assemble simple
Feeds self puzzles
with finger foods (e.g. biscuits, bread) using
3 Points to 5 named pictured objects when asked to do 1
18 Demonstrates an understanding of opposites by completing fingers
a
so statement (e.g.,
2 Feeds selfAng asofingers
using ay malaki,
to eatang daga ay ____”)
rice/viands with spillage
4 Follows one-step instructions that include simple 19 Points to left and right sides of body
prepositions 3 Feeds self using spoon with spillage
20 Can state what is silly or wrong with pictures (e.g., Ano ang
5 Follows 2-step instructions that include simple 4 mali sa larawang ito?)Feeds self using fingers without spillage
prepositions 215 Matches upper and lower case letters
Feeds self using spoon without spillage
TOTAL TOTAL
6 Eats without need for spoon feeding during any meal