Editted MFAT-Handbook (Jan 24,2018)

MULTI-FACTORED ASSESSMENT TOOL (MFAT) ADMINISTRATION HANDBOOK
TABLE OF CONTENTS
I.
Introduction------------------------------------------------------------- 2
II. Goals and Objectives

-----------------------------------------------3
III. Table of
Specification------------------------------------------------3
IV. Time
Allotment----------------------------------------------------------4
V. MFAT Materials
------------------------------------------------------5-6
VI. Test Procedure:

-----------------------------------------------------7-9
a. Test
Protocols----------------------------------------------------7
b. Preparations before the Test
Administration-----------------------------------------------
----7
c. During the Test
Administration-----------------------------7
d. Pre, During and Post Test
Forms---------------------------8
e. After the Test
Administration-------------------------------9
VII. Appendices: -----------------------------------------------------10

-11
Form A - Learners’
Profile-------------------------- 10
Form B - School
Profile------------------------------ 10
Form C – MFAT------------------------------------11-
36
1
Form D - Summary of MFAT

Results-------------37
I. Introduction
The Multi-Factored Assessment Tool (MFAT) is a screening tool intended to

gather information on learner’s strengths, needs, learning styles, and other
educational concerns. It shall be conducted in all schools a month after the
beginning of each school year. This is a one-time assessment administered to
Grade I learners enrolled in the regular schools who may exhibit developmental
advancement or delays or with manifestations of learning disability. It is an
activity-based assessment covering the five domains of learning namely:
(1) COGNITIVE DOMAIN – refers to the learner’s ability to remember, see
or hear likenesses and differences and determine its relationship between ideas
and things;
(2) COMMUNICATION DOMAIN - signifies the learner’s ability to learn a

systematic pattern of language developed through listening and speaking and to
clearly send and receive a message;
(3) SOCIO-EMOTIONAL DOMAIN – refers to the learner’s ability to deal

with oneself, express and understand feelings and how the child relates to other
people;
(4) MOTOR DOMAIN- pertains to the coordinated movements of large

muscles (gross motor movements) and small muscles (fine motor movements) of
the body through various degrees of eye-hand coordination; and
(5) DAILY LIVING SKILLS DOMAIN – shows the learner’s ability to take
care of oneself in day-to-day needs such as
feeding, hygiene and good grooming.
Each domain is a strong gauge to measure the child’s capabilities and/or

needs. The data gathered from MFAT result provides immediate and appropriate
2
intervention programs or referral for further assessment to identified learners in

the schools.
II. Goals and Objectives
The MFAT aims to identify the strengths and weaknesses of learners in

Grade 1 which would require appropriate intervention/s and proper placement.
It will also assist teachers for instructional planning and educational placement of
learners. The result of the MFAT does not in any way, affect the performance of
the learner, teacher, school, division nor the region.
The main goal of MFAT is to identify Learners with Special Educational

Needs (LSENs) who would need education services and/or medical/allied
services.
III. Table of Specification
The Table of Specification shows the indicators per domain. It contains the
number of items for each domain. The different skills are coded for analysis and
interpretation of results. Assessment items of the different activities are grouped
per domain.
Table 1. MFAT Table of Specifications and Coding of Items

MFAT Table of Specification per Item
Cognitive Communicatio Daily Living Motor Skill Socio-

n Skills (Fine/Gross) Emotional
Behavior
COG COM DLS MS(F&G) SEB
Indicators No. Indicators No. of Indicators No. of Indicators No. of Indicators No. of
(CODE) of (CODE) Items (CODE) Items (CODE) Items (CODE) Items
Item
s
Numeracy 8 Audition 3 Feeding 9 Gross Motor 14 Emotional 9
(NU) (AU) (FE) (GM) Skills
(ES)
Simple 6 Speech 3 Dressing 6 Fine Motor 11 Social 16
Analytic (SA) (SP) (DR) (FM) Skills
(SS)
Reasoning 6 Voicing 3 Grooming 5
(RE) (VO) and Hygiene
(GH)
Classification 2 Receptive 6 Toileting 3
(CL) Language (TL)
(RL)
Retention (RT) 1 Expressive 10 Health and 2
Language Safety
(EL) (HS)
3
Reading(RD) 2
Total per 25 25 25 25 25
Domain
Overall Total 125
IV. Time Allotment
The Table 2. below shows the activities with suggested time allotment.
Table 2. Activity with suggested time allotment

Activity Time
Activity 1 - Let’s Talk 10 minutes
Break 3 minutes
Activity 2 - Treasure Box 30 minutes
Break 3 minutes
Activity 3 - My Daily Routine 20 minutes
Break 5 minutes
Activity 4 - Whether Weather 10 minutes
Break 2 minutes
Activity 5 – Work of Hands 15 minutes
Break 2 minutes
Activity 6 - Let’s Get Physical! 20 minutes
TOTAL 120 minutes or 2 hours
After each activity, an observation checklist has been included to record

specific behaviour of learners during assessment. This will help validate results
at the end of the MFAT administration.
V. MFAT Materials
Materials are essential for the successful implementations of the MFAT

Test. Below are the materials needed to be prepared for each assessment
activity.
Below is Table 3 on materials per assessment activity.
4
Table 3. List of MFAT Materials

ACTIVITY MATERIALS for MFAT
any objects from the treasure box
- letter cards
o Card size 3” x 3”
o Font Style: Century Gothic
o Font Size: 150, bold
- flashcards with the following words:

o ask, act, and
o pat, mat, bat
Let’s Talk! o Ana, Aga, Eva
o Card size 3” x 5”
- flashcards with the following words:

o is, are, has, for, give, his
Card size 3” x 5”
Treasure Box Treasure Box

- plastic storage box
8” height, 14” length, 12” width
Cut out Pictures of the following:
- red donut (small) 2” diameter
- blue big tire (6” diameter)
- yellow round clock (medium) 4” diameter
- red bunting (medium) 4”
- blue cone (big) 6”
- yellow triangle ruler 2”
- red big box 6”
- blue handkerchief 2”
- yellow medium-sized mirror 4”
- red big book 6”
- blue eraser 2”
- yellow envelope 4”
5

- big letters of the alphabet 3” x 5”, Century Gothic, bold, 150 font
- 5 Big letters with corresponding small letters 3” x 5”, Century
Gothic, bold, 150 font
- number cards with numbers 1-20 (3” x 5”, century gothic, bold,
150 font)
- popsicle sticks (20pcs)
- real money: p20 peso bill, p10, p5, p1 coins placed in a medium
zip lock
- paper clock, 6” x 8”
- pictures of (half crosswise of a 8.5 x 13 bond paper)
- child waking up
- child raising the right hand and reciting the “Panunumpa sa
Watawat ng Pilipinas”
- children inside the classroom
- children playing
- child sleeping
- body parts puzzle, size: 8.5 x 11
- 2 Pictures of a child (1 with one shoe missing and the other with
complete pair of shoes, (half crosswise of a 8.5 x 13 bond paper)
- 2 Story books (Araw sa Palengke, Chenelyn, Chenelyn), size: 8”’ x
11”
- bath soap, shampoo, towel (face), pail (1.5 l) and dipper (small)
- toothbrush (small), toothpaste (small)
- polo shirt/blouse (with button) and shorts/skirt/pants (with
zipper)
- shoes with shoelace
- comb/hairbrush
- handkerchief/ tissue paper
- basin (small) with water
My Daily
- plate, glass, spoon and fork, placemat
Routine
- bread/pan de sal, sandwich spread, bread knife
- bottles/jars/food containers
- sandwich wrapper/table napkin
- bowl, serving spoon, cup
- flashcards with danger signs and symbols (slippery when wet,
road under construction, toxic/poisonous, flammable, falling
debris) size: 4” x 4”
- pictures of broken glasses, high places, streets, sharp and
pointed objects Size: 4” x 4”
Cut-out faces of emotions: 4” x 4”
- happy
- sad
- scared
- angry
Whether Picture of a mother hanging clothes, cooking, sweeping and
Weather gardening, stick figure, pencil
pictures of the following (for interview)

- at home – mother cooking
- school – teacher writing on the board
- playground – boy dribbling a ball
- market – mother buying vegetables
6

- sheets of bond paper (size: 8.5 x 13)
- pictures of a glass and a ball with broken lines (half crosswise of
Work of a 8.5 x 13 bond paper)
Hands - pair of scissors, 4”, kiddie scissor maped brand
- pencil
- crayons (8 colors), crayola
- masking tape 2”
- 3 chairs
Let’s Get - rubber ball, 6” diameter
Physical! - wooden model stairs with handrail, 3 steps, measurement of 8”
height, 10” width, 18” length (measurement of each step)
materials: marine plywood ¾”, 1 x 2 lumber
- printer and ink (black /colored)

Common - laminating machine and sheet
- photo paper
materials
- plastic envelop for the specific activity
VI. Test Procedure:
a. Test Protocols
To ensure the confidentiality of the assessment, assessors are expected to

safeguard assessment tools, corresponding materials and results. The MFAT Tool
should be kept or deposited in the guidance/principal’s office.
b. Preparations before the Test Administration
Prior to the administration of the test, the following should be prepared:

1. Identify learners who may exhibit developmental advancement or delays
or with manifestations of learning disability and the Post test result of
Early Childhood Development (ECD) Checklist should be considered.
2. Ensure that materials per activity are complete, properly labelled and
arranged; and,
3. Organize the room or space where the assessment activity will take place.
c. During the Test Administration
During the administration of the test, assessors should:

1. Ensure that materials can be easily accessed by the assessor but will not
distract the learner;
2. Use English, Filipino or mother tongue depending on the preferred
language of the learner;
3. Record time started and ended per activity;
4. Make sure that the child is comfortable before every activity;
7
5. Explain instructions properly per activity/task;

6. Give instructions twice only;
7. Record learner’s response;
8. Use in between breaks for proper transition to the next activity;
9. Continue the assessment the following day if the child is no longer
attentive; and
10.Thank the learner at the end of the assessment.
The MFAT has script within each activity for easy referral and use of
assessors. The Table 4 below shows the sample script and recommended
sequence.
Table 4. Sample script and sequence

1. Start with greetings
“Good morning/afternoon (name of the learner)! How are you today?” (Be sure
that the learner feels at ease and relaxed as he/she gives his/her response).
2. Introduce the activity

“Today, we are going to play. We will do some activities. Don’t worry. These are
just simple activities and the result of these will not affect your grade. In fact, it
will help you improve your performance in class. Do not be shy to ask questions in
case you do not understand my instruction. I will be here to help you.”
3. Ask the learner if she/he has some questions or concerns

“Do you have questions before we start? (Wait for the response of the learner. If
the learner says “none”, proceed to the assessment session. If the learner says
“yes”, ask what the concern is and provide appropriate answers. Only if there are
no more questions to answer you can proceed with the activity.)
4. Ensure that the learner is ready to start

“Are you ready? (Do not start until the learner is ready or has shown any sign of
approval.)
5. Read the instruction/s as stated in each activity.
6. Record time per activity
Ensure that you have a timer/watch to guide you with the time allotment per
activity. Record time started and ended per activity on the space provided.
7. Record learner’s responses
a. Check () YES if the learner performed the task, or the item indicated was
observed. If not, check NO and write in the LEARNER’S ACTUAL RESPONSE
column the learner’s response or reaction towards the given task/activity.
b. Observe the learner’s behavior during the activity.
8. Use in between breaks for proper transition to the next activity
“We are going to take a short break. Are you still comfortable? Do you need to go
to the comfort room or do you need anything?
a. Give a few minutes for the learner to rest; go to the comfort room (as needed)
and, get ready for the next activity.
b. Use this time to pack materials you will no longer use.
c. Prepare the next set of assessment tools and materials you need for the
succeeding activity.
d. Ask the learner if s/he is ready to continue.
9. Thank the learner at the end of the assessment
“Good job! We finished the activity. Thank you for being cooperative and I hope
you had fun.”
8
d. Pre-, During and Post- Test Forms
The DepEd Central Office through the Student Inclusion Division - Bureau
of Learning Delivery (BLD-SID) will provide the assessment tool and materials
needed for the test administration.
The assessor should ensure that there are enough forms prior to the
administration of the assessment. The Table 5 below shows the materials / forms
for the test.
Table 5. MFAT Forms

Stages of
Assessme FORM Content
nt
1. Important data
Learner’
A 2. Mother tongue
s Profile
Pre- 3. Learner’s Reference Number (LRN)
Assessment 1. Basic school information
School
B 2. Number of learners and teachers per grade
Profile
level
1. Time Record (Time started and ended)
2. Items organized per assessment activity
During 3. Script for the assessor
C MFAT
Assessment 4. Columns for learner’s response (Yes, No,
Response)
5. Observation checklist
Post Summar
Assessment D y of Consolidated result per domain
Results
e. After the Test Administration:
After the assessment, assessors are expected to:
1. Summarize the result for intervention or recommendation.

2. Properly pack the materials used and keep in the designated place.
9
VII. Appendix
MFAT FORMS FOR THE ASSESSMENT TOOL
For the Assessor: The purpose of this survey is to gather information about
the assessor, learner and the school. Your answers to this survey will be used in
the improvement of the MFAT. This will enable the Department of Education to
enhance the said instrument and the assessment practices for our learners’
welfare.
FORM A. LEARNERS’ PROFILE
Learners Code: ____ -____- G- LRN: ______________________________________

Division: ___________________________ District: __________________________ School ID:
___________
Date of Assessment (Month/Day/Year): ______/______/______________________________
School Name: ____________________________Name of School Head: __________________________
Date of Birth (Month/Day/Year): ______/______/_____________________________________
School Address: ___________________________________________________________________________
Order of Birth (1st, 2nd, etc.): _______________________________________________________
Mother
Contact Tongue:
Number of School:
___________________________________________________________________________________________
 Tagalog  Kapampangan  Pangasinense
 Iloko  Bikol  Chabacano
Type of School:
 Cebuano  Hiligaynon  Waray
 Central
 Tausug Non- Central  Maguindanaoan  Maranao
 Multi-Grade
 Mono Grade
Number of Teachers and Learners:
Level Number of Learners Number of Teachers
Grade I
Total
FORM B. SCHOOL PROFILE
10
Learner’s Code LRN

DIRECTIONS: Check () YES if the learner performed the task, or the item indicated was observed. If not, check NO and write in the learner’s
response column the behavior manifested by the learner towards the given task/activity. Also write down the intervention/s made in the column
provided.
TIME STARTED: _____________________________ TIME ENDED: ______________________________
Activity 1 Title: LET’S TALK

ITEM YE N INTERVENTION/S
ASSESSMENT ACTIVITY LEARNER’S RESPONSE
CODE S O
Time Started:____________________________
Hello, good morning/good afternoon!
Note: The teacher drops a bunch of keys on the floor

COM-AU-1
to produce sounds.
1. Turns head to source when sound is heard

Note: First, the teacher introduces her/himself.
What is your name?
COM-EL-2
2. Tells one’s name / identifies oneself
Note: The teacher taps the table.

Do you hear the tapping sound on the table?
COM-AU-3
3. Responds to questions or nods head appropriately
when spoken to
Repeat it.
COM-AU-4
4. Repeats table tapping patterns correctly
Do the following:
Stand;
Turn around;
COM-RL-5 Sit down.
5. Recognizes two to three word instructions
11
CODE S O
Time Started:____________________________

COM-AU-1
to produce sounds.

Note: Observed in item 5
COM-RL-6
6. Responds to two-word combination
Who are the members of your family? What are

their names?
COM-EL-7
7. Calls family members by name
Tell me about your family.
COM-EL-8
8. Tells stories to peers/class and teacher coherently
Answer the following questions:
a. What do you do before going to school?
b. What are the things you see in school?
COM-EL-9 c. Who are in school?
d. What do you do in school?
9. Answers wh- questions

Note: The teacher gets three (3) objects from the box
one at a time. (ball, pencil and book)
COM-RL-
10 What is this?
10. Identifies familiar objects when presented

Describe it. (ball, pencil and book)
COM-EL-
11 11. Describes simple and familiar objects
12
CODE S O
Time Started:____________________________

COM-AU-1
to produce sounds.

Note: Place the letters and number cards on the table.
(a, b, w, r, s, t,1,2,3,4,5)
COM-RL-
12 Pick up the letters.
12. Picks up the letters.

What is the sound of a motorcycle?
COM-SP- 13. Makes random non-speech sounds (e.g. wooh,
13 wooh, etc.)
Note: The teacher reads the words and let the child
answer the following questions:
Identify the initial sound of the words: ask, act

and ant.
COM-RL-
Identify the medial sound of the words: pat,
14
mat and bat.
Identify the final sound of the words: Ana, Aga
and Eva.
14. Discriminates initial, medial and final sounds

Repeat what I will say, “My Teacher, My Hero”.
Indicator: Repeats the words/phrases

COM-EL-
15 15. Imitates words/phrases and/or local TV/radio
commercial
13
CODE S O
Time Started:____________________________

COM-AU-1
to produce sounds.

Note: Let the child read the words.
Read the following words: is, are, has, for, give

COM-RL-
16 and his.
16. Recognizes pre-primer and primer sight words
Recite/sing any nursery rhyme that you know.

COM-EL-
17 17. Recites common nursery rhymes
Note: To be observed during the conversation

COM-SP-
18. Prefers talking rather than using gestures and
18
physical communication

COM-EL-
19 19. Answers in complete sentence when asked

COM-EL-
20
20. Expresses thoughts or ideas correctly
COM-SP-
21. Speaks in an articulated manner in (e.g.
21
without stuttering)
14
CODE S O
Time Started:____________________________

COM-AU-1
to produce sounds.

COM-VO-
22 22. Controls volume of voice when in conversation

COM-VO-
23. Speaks with voice quality when in conversation
23
(e.g. pitch)

COM-VO-
24. Speaks with uninterrupted flow of sounds, words,
24
syllables, and phrases
Do you feel tired? hungry? thirsty? need to go

to the toilet? What do you want to do?
COM-EL-
25 25. Expresses basic needs and/or wants (verbal,
gestural, sign)
Time Ended:_______________________
Directions: For Observation Checklist check () YES if observed and NO if not. Write in the ‘Remarks’ column, significant
observations during the conduct of the activity.
ITEM NO
OBSERVATION CHECKLIST YES Remarks
CODE
CM-34 1. Does the learner have difficulty expressing needs
orally?
15
CODE S O
Time Started:____________________________

COM-AU-1
to produce sounds.

H-6 2. Does the learner have difficulty listening when spoken
to?
H-19 3. Does the learner have difficulty recognizing commands?
H-25 4. Does the learner turns or tilts head to use one eye
only in performing tasks?
Activity 2 Title: TREASURE BOX

ITEM YE
ASSESSMENT ACTIVITY NO LEARNER’S RESPONSE INTERVENTION/S
CODE S
Time Started:
__________________________________
Note: Teacher gets 3 objects from the treasure
box and places them on the table.
From your left, which object is in the

COG NU-26 middle? last? first?
26. Recognizes position of objects-

first/middle/last
COG-SA- 27 Note: Teacher gets cut-out pictures from the

box and lays them down on the table.
Here are cut-out pictures of different

objects. Group them according to shapes.
(triangle, rectangle, square, and circle)
16
ITEM YE
CODE S
27. Sorts objects based on shapes
Arrange the cut-out pictures of objects

from smallest to biggest.
COG-SA-28
28. Arranges objects according to size from
smallest to biggest
I have here a picture, get another picture

on the table that is of the same size with
the one I am holding.
COG-SA-29
29. Matches objects according to size
Put together cut-out pictures that are

red.
Put together cut-out pictures that are

COG-SA-30 small.
30. Sorts objects based on 2 attributes (e.g.

color & size)
Get three shapes with the same color.

COG-SA-31
31. Matches 2 – 3 colors
Name the letters of the alphabet.

COG-RD-32
32. Names the letters of the alphabet
COG-SA-33 Note: Teacher places letters M, R, S, T, A, and P
on the table and prepares the matching small
letters with two distractor letters.
I have here 6 big letters of the alphabet.

Get the small letters on the table and
17
ITEM YE
CODE S
match them with the big letters.
33. Matches big with small letters
Count from one to twenty.

COG-NU-34
34. Rote counts 1 to 20
Get three number cards from the treasure

box one at a time and tell me what
COG-NU-35 number it is.
35. Identifies numbers from 1 to 20

Note: Place the number cards on the table.
(2,5,7)
Get the popsicle sticks from the treasure

box.
COG-NU-36
Show the number of popsicle sticks that
matches the number on the card.
36. Associates numbers 1 to 10 with objects
Using popsicle sticks, add the following:
1) 8+ 2 = ___
2) 5+ 5 = ___
COG-NU-37
3) 1+ 9= ___
37. Adds objects to get a sum of 10
COG-NU-38 Using popsicle sticks, subtract the

following:
1) 11 – 1 =___
2) 12 – 2 = ___
3) 13 – 3 =___
18
ITEM YE
CODE S
38. Subtracts objects to get a difference of 10.
Note: Follow the same instruction for the P10,

P5, and P1 coins.
COG-NU-39 Get a 20-peso bill from the treasure box.
39. Identifies Philippine Peso Bills and Coins
What is/are the missing number/s?

(1, 2, ____, 4, 5, ____
2, 4, 6, __, 10, 12...
3, 6, ____, ...
COG-RE-40
5, ___, 15...)
40. Follows number patterns
Note: Teacher sets the time at 3:00, 7:00, and

9:00.
COG- NU- Look at the clock I am holding. Tell me

41 what time it is.
41. Identifies time by the hour
Identify the events in the pictures. Which

do you think comes first? last? Arrange
the pictures.
COG-RE-42
42. Sequences picture story of 4 to 6 events
COG-RE-43 Look at the pictures again. Tell me which

event happened in the morning?
afternoon? night?
43. Identifies time concept of the day (morning,

19
ITEM YE
CODE S
afternoon, night)
Arrange the puzzle to complete the

picture.
COG-RE-44
44. Completes simple puzzles
Note: In case the learner was not able to do the
puzzle, the teacher shows the guide picture.
Point the head, neck, shoulder, hands,

COG-CL-45
fingers, legs, knees and toes.
45. Identifies body parts
Which part of the body is for seeing?

hearing? tasting? feeling? smelling?
COG-CL-46
46. Identifies five senses
Look at these two pictures. What are the

differences between these pictures?
COG-RE-47
47. Identifies what is different in the picture
What is missing in the picture?

COG-RE-48
48. Identifies what is missing in the picture
Who are the members of your family?

COG-RT-49
49. Name members of the family.
COG-RD-50 Note: Observe the reaction of the learner and

ask the learner which of the two books he likes
most?
20
ITEM YE
CODE S
Get 2 books from the treasure box.
50. Exhibits interest in books

Time Ended:_______________________
ITEM
OBSERVATION CHECKLIST YES NO Remarks
CODE
V 1. Does the learner hold the materials too close to
his/her eyes?
V 2. Does the learner use his/her fingers to maintain
place of words/letters/lines while reading?
V 3. Does the learner rub eyes in an effort to see

better?
V 4. Does the learner blink continuously?
V 5. Does the learner squint, cover or close his/her eyes

while performing a given task?
Cog 6. Does the learner have difficulty associate numbers

with symbols?
Com 7. Does the learner have difficulty remembering things
heard?
Com 8. Does the learner have difficulty giving appropriate
response to questions?
Cg 9. Does the learner have difficulty following a series
of directions?
Cg-26 10. Does the learner have difficulty recalling

information in the past?
21
ITEM
CODE
Cg-31 11. Does the learner have difficulty giving appropriate
response to interview questions?
12. Does the learner have difficulty responding orally in

Cg-9
identifying one -word objects?
13. Does the learner repeat, omit or adds words when

Cg-10
she/he answers?
Cg-9 14. Does the learner have difficulty responding orally in
identifying one -word objects?
Cg-10 15. Does the learner repeat, omit or adds words when
s/he answers?
Cg-21 16. Does the learner have difficulty remembering names

of body parts and senses?
Activity 3 Title: MY DAILY ROUTINE

ITEM N
ASSESSMENT ACTIVITY YES LEARNER’S RESPONSE INTERVENTION/S
CODE O
Time Started: _________________________________
Suppose you are taking a bath. Show me
how you do it.
DLS-GH-
51 51. Takes a bath
DLS-GH- Show me how you brush your teeth.

52
22
ITEM N
CODE O
52. Brushes own teeth
Note: Teacher gives a polo shirt/blouse and

shorts/skirt/pants and ask the learner to stand
and wear it.
DLS-DR-53
Show me how you put on your clothes.
53. Puts on clothes.

(If the learner does not button the clothes, the
teacher may instruct the learner to do the
instruction below.)
Show me how to button your polo

DLS-DR-54 shirt/blouse.
Then show me how you unbutton your

shirt/blouse.
54. Buttons and unbuttons clothes

Note: Let the learner stand and demonstrate
how to zip and unzip pants/skirts/shorts.
DLS-DR-55 Show me how to zip and unzip your

pants/skirts/shorts.
55. Zips and unzips pants

Show me how you take off your clothes.
DLS-DR-56
56. Takes off clothes
Show me how you put on your shoes.
DLS-DR-57
57. Puts on shoes
DLS-DR-58 Note: If the learner is already wearing shoes with
lace, ask the child to untie first, then tie.
Show me how you tie your shoe lace.
23
ITEM N
CODE O
Then untie your shoe lace.
58. Ties and Unties shoe lace
Note: Teacher will let the child demonstrate.

DLS-GH-
Show me how to comb or brush your hair.
59
59. Combs or brushes hair
Note: Give the learner a handkerchief or a tissue
paper.
DLS-GH-
Show me how you wipe or blow your nose
60
using the tissue paper or handkerchief.
60. Wipes / blows nose properly

Note: Bring the child to the washroom.
If there is none, provide a pail of water, dipper,
basin, soap, and towel.
DLS-GH-
61
Wash your hands, then dry them.
61. Washes and dries hands

Note: Provide the learner with plate, spoon, fork,
glass, and placemat.
DLS-FE-62
Show me how to set the table.
62. Sets the table

DLS-FE-63 Note: Provide the learner with bread, sandwich
spread in a bottle, and spoon.
If the child is not exposed to preparing a

sandwich, he/she may be interviewed on other
meals that he/she has prepared like cooking
egg/camote, etc.
Show me how to prepare a sandwich.
24
ITEM N
CODE O
63. Prepares a 2-3 step meal

Note: The assessor will provide any container
that the learner will open and close. This may be
observed while the child is preparing the meal.
DLS-FE-64 Show me how to open bottles/ jars and

other food containers, then close them.
64.Opens and closes bottles/jars/and food

containers boxes/ food
Note: The assessor will provide the table
napkin/sandwich wrapper to the learner.
Wrap your sandwich.

DLS-FE-65
Now, you’re ready to eat your sandwich.
Unwrap it.
65.Wraps /Unwraps
Note: The assessor will verify this with the
parent through observation
DLS-FE-66
Do you consume the food on plate?
66.Consumes food on one’s plate

Note: Validate through interview with the parent.
Can you serve yourself from a serving

DLS-FE-67
plate? Show me how.
67. Serves self from serving plate

DLS-FE-68 Note: The assessor will provide the eating
utensils to be used. Let the learner pretend
using eating utensils.
Do you know how to use your eating

utensils properly? Show me how.
25
ITEM N
CODE O
68. Uses eating utensils properly

Show me how you drink from a
cup/glass/bottle.
DLS-FE-69
69. Drinks from a cup/glass/ bottle
Note: Validate through interview with the
parents.
DLS-FE-70 Do you clear your own place after eating at

the table? Show me how.
70. Clears own place (at table) after eating

Note: Compare answer with Activity 1 item no.
25. This may be observed during the duration of
the assessment.
DLS-TL-71
Do you tell your teacher if you need to go
to the toilet/CR?
71. Expresses the need to go to the toilet

parents. This may be observed during the
duration of the assessment.
DLS-TL-72
Do you flush the toilet after using it?
72. Flushes toilet after use

parents. This may be observed during the
duration of the assessment.
DLS-TL-73
After using the toilet, do you wash your
hands?
73. Cleans self after toileting
DLS-HS-74 Note: Show 6 danger signs/symbols:
 slippery when wet
 high voltage
26
ITEM N
CODE O
 poisonous/toxic
 flammable
 road under construction
 falling debris
Are you familiar with these symbols?
What does this symbol mean? When you

see this, what should you do?
74. Identifies danger signs and symbols

Here are pictures of broken glasses, high
places, streets or sharp and pointed
objects. What will you do if you see these?
DLS-HS-75 Why?
75. Keeps out of danger, broken glass/high

places, streets or sharp and pointed objects
Time Ended:_______________________
ITEM NO
CODE
Motor 1. Does the learner have difficulty in dressing?
Motor 2. Does the learner have difficulty going to the toilet

independently?
Motor 3. Does the learner have difficulty accomplishing tasks

using his/her fine motor skills (e.g. unwrapping, shoe
lacing, opening of bottle, etc. )
27
Activity 4 Title: WHETHER WEATHER

ITEM YE N
ASSESSMENT ACTIVITY LEARNER’S RESPONSE INTERVENTION/S
CODE S O
Time Started:
________________________________
Do you play with your friends? What
games do you play?
SEB-SS-76
76. Plays with peers
Note: Interview the teacher adviser if the

learner can follow rules during games.
SEB-SS-77
77. Follows rules and regulations.
28
ITEM YE N
CODE S O
When is the best time to play with
friends?
Why?
SEB-SS-78
78. Participates in the conversation
Note: Interview the teacher adviser.
What do you do if you lose/win? Why?

SEB-SS-79
79. Shows sportsmanship
I have here pictures of different faces.

Which of these shows the feeling when
you win? lose?
SEB-SS-80
80. Expresses appropriate emotions
Note: Let the learner name at least three

friends.
SEB-SS-81 How many friends do you have? Name

them.
81. Makes friends easily
What activities does your mother/father

SEB-SS-82 do at home? Show me how.
82. Imitates adult activities

Do you have personal belongings? Name
some of them.
SEB-ES-83
83. Identifies personal belongings.
SEB-ES-84 Note: Free hand drawing.
How many are you in the family? Draw

the members of your family. Encircle
29
ITEM YE N
CODE S O
where you are. (Items number 9 and 10)
84. Identifies self as a member of a

family/cultural group
Note: The teacher observes the behavior of
the learner while doing the activity number 9.
SEB-ES-85
85. Shows initiative to work on tasks
Note: The teacher gives constructive criticisms
on the drawing. Refer to Item number 9.
SEB-ES-86
86. Accepts criticisms positively
Note: Based on the reaction of the learner on
item number 11.
SEB-ES-87
87. Shows self-control
Note: Prior knowledge of the teacher on the
learner should be noted.
SEB-ES-88
88. Engages in communication with others
Note: The courteous expressions used by the
learner.
How do you greet your teacher in the:

a) morning?
SEB-SS-89 b) afternoon?
When you receive a gift, what will you

say?
89. Uses courteous expressions appropriately

If you accidentally bump somebody, what
will you say?
SEB-SS 90
90. Apologizes when necessary.
SEB-SS 91 Note: This can be observed during the
administration. Does the learner pay attention
to someone who is talking?
30
ITEM YE N
CODE S O
91. Pays attention to someone talking

If you have a difficult homework, what
will you do?
SEB-SS 92
92. Seeks or accepts help when he/she needs
it.
Prior knowledge of the teacher on the learner
should be noted.
SEB-SS 93
93. Waits for one’s turn
Note: If not observed during the assessment,
validate from the teacher.
SEB-SS 94
94. Displays sense of humor
should be noted.
SEB-SS 95
95. Leads a group activity
should be noted.
SEB-SS 96
96. Asks permission to use things owned by
others
should be noted.
SEB-SS 97
97. Seeks older friends
should be noted.
SEB-SS 98
98. Prefers working alone
SEB-SS 99 Note: The teacher should act as one of the
characters in the role playing.
I have four pictures here. Pick one and

let’s act it out.
a. At Home – mother cooking
31
ITEM YE N
CODE S O
b. School – teacher writing on the
board
c. Playground - boy dribbling a ball
d. Market - mother buying
vegetables
99. Participates in role play

Note: Validate with the teacher.
If one of your classmates has no “baon”,

SEB-ES-
what should you do?
100
100. Displays sensitivity to the feelings of
others
Time Ended:_______________________
ITEM
CODE
Behaviour 1. Does the learner have difficulty concentrating
on given tasks?
Behaviour 2. Does the learner have difficulty staying on

his/her seat during the activity?
Behaviour 3. Does the learner have short attention span?
4. Is the learner easily distracted with materials

Behaviour for the activity?
5._Does the learner easily get frustrated when s/he

Behaviour has difficulty performing tasks?
6. Does the learner have difficulty identifying
Behaviour things used for personal hygiene?
32
ITEM
CODE
7. Does the learner have difficulty giving
Behaviour appropriate response to questions about
his/her feelings in given situations?
8. Does the learner have difficulty displaying
Behaviour interest in activities related with people, friends
and play?
9. Does the learner have difficulty articulating in

Behaviour
expressing his/her thoughts?
10. Does the learner have difficulty giving

Behaviour appropriate response to questions about
his/her feelings in given situations?
11. Does the learner shout during the activity?
Behaviour
Activity 5A Title: WORK OF HANDS

ITEM YE N
CODE S O
Time Started:
_____________________________
MSF-101 I have here a
whole sheet of bond paper. Fold it once in
any direction.
101. Folds paper into a shape

33
ITEM YE N
CODE S O
Then, tear the paper following the fold

you made.
MSF-102
102. Tears papers in simple shapes
Here are pictures of a ball and a glass.
Trace the broken, straight, and curve

MSF-103 lines. (For item 17-18)
103.Traces broken-straight and curved lines
104.Traces continuous- straight and curved

MSF-104
lines
Color them.
MSF-105
105. Colors objects
Cut the lines of the glass you traced and

colored. (Items 20-22)
MSF-106
106.Cuts paper in straight direction
107.Cuts paper in curved direction

MSF-107
MSF-108 108. Cuts pictures within a given line
Draw a house using different shapes.

MSF-109
109.Draws a combination of shapes
34
ITEM YE N
CODE S O
Note: Observe whether the learner can hold a
pencil/drawing tool using a tripod grip while
drawing a house.
MSF-110
110. Holds pencil and a drawing tool using a
tripod grip
Copy these letters (B, G and R) on your

paper.
MSF-111
111. Copies letters
Time Ended:_______________________
ITEM NO
CODE
Motor 1. Does the learner display poor eye-hand
coordination?
Motor 2. Does the learner have difficulty coloring within the

lines?
Motor 3. Does the learner drool excessively?/ Does saliva

come out of the learner’s mouth?
Motor 4. Does the learner have difficulty in tracing activities?
5. Does the learner have difficulty in holding the

scissors?
35
Activity 5B Title: LET’S GET PHYSICAL!

ITEM YE N
CODE S O
Time Started:
____________________________
Stand properly for 5 seconds.
MSG-112
112. Stands with normal stance
Stand on one foot without support with

your eyes closed for 10 seconds.
MSG-113
113. Stands on one foot without support for 10
seconds with eyes closed
Stand on one foot, then tip toe.
MSG-114 114. Stands on one foot and on tiptoe
Now, march in place for five seconds.
MSG-115 115. Marches in place
Note: Bring the learner to the area where the

straight line marking is.
MSG-116 Walk forward on the straight line.
116. Walks in a straight line with correct

stepping pattern,
Now, step backward. Then take three

steps sideward (R/L).
MSG-117
117. Walks sideward and backwards with
correct stepping pattern
MSG-118 Hop in place three times.

36
ITEM YE N
CODE S O
118. Hops in place
Note: Teacher points where to start.
Skip three times following the line.

MSG-119
119. Skips within a given path
Gallop five steps sideward (R/L).

MSG-120
120. Gallops sideward
Show me your highest jump. How about

your longest jump?
MSG-121
121. Jumps for distance and for a height
Note: Arrange the 3 chairs 1 meter away from

each other. Place the ball on the floor 1 meter
away from the last chair. Tell the learner to
run passing through the chairs without
tumbling and ask him/her to pick up the ball
and back to the starting point going through
the same obstacle. Remind the learner to be
careful. (Items 11-12)
MSG-122
Run passing the three chairs in zigzag
manner, get the ball and run back in the
same way. Be careful.
122. Runs at a given distance and picks up a

ball in an obstacle course.
MSG-123 Note: Stand at least 3 meters away from the

learner.
37
ITEM YE N
CODE S O
Catch the ball and throw it back to me.
123. Throws and catches a ball

Kick the ball forward. This time, kick the
ball sideward (R/L).
MSG-124
124. Kicks forward and sideward
Note: Bring the learner to the stairs.
Go upstairs with one hand holding the

rail, then go down.
MSG-125 This time, go up and down the stairs

without holding the rail.
125. Climbs upstairs and goes downstairs with

one hand holding the rail and without holding
the rail.
Time Ended:_______________________
ITEM
CODE
Motor 1. Does the learner have difficulty in balancing?
Motor 2. Does the learner have difficulty following instructions in

performing motor activities?
Motor 3. Does the learner have difficulty in balancing?
38
FORM D. SUMMARY OF MFAT RESULTS
Communication Cognitive Daily Living Motor Skills Socio-Emotional

Skills Behavior
1 26 51 76 101
2 27 52 77 102
3 28 53 78 103
4 29 54 79 104
5 30 55 80 105
6 31 56 81 106
7 32 57 82 107
8 33 58 83 108
9 34 59 84 109
10 35 60 85 100
11 36 61 86 111
12 37 62 87 112
13 38 63 88 113
14 39 64 89 114
15 40 65 90 115
16 41 66 91 116
17 42 67 92 117
18 43 68 93 118
19 44 69 94 119
20 45 70 95 120
21 46 71 96 121
22 47 72 97 122
23 48 73 98 123
24 49 74 99 124
25 50 75 100 125
TOT
AL
39

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MULTI-FACTORED ASSESSMENT TOOL (MFAT) ADMINISTRATION HANDBOOK

II. Goals and Objectives

VI. Test Procedure:

VII. Appendices: -----------------------------------------------------10

Form D - Summary of MFAT

The Multi-Factored Assessment Tool (MFAT) is a screening tool intended to

(2) COMMUNICATION DOMAIN - signifies the learner’s ability to learn a

(3) SOCIO-EMOTIONAL DOMAIN – refers to the learner’s ability to deal

(4) MOTOR DOMAIN- pertains to the coordinated movements of large

Each domain is a strong gauge to measure the child’s capabilities and/or

intervention programs or referral for further assessment to identified learners in

II. Goals and Objectives

The MFAT aims to identify the strengths and weaknesses of learners in

The main goal of MFAT is to identify Learners with Special Educational

III. Table of Specification

Table 1. MFAT Table of Specifications and Coding of Items

Cognitive Communicatio Daily Living Motor Skill Socio-

Overall Total 125

IV. Time Allotment

Table 2. Activity with suggested time allotment

TOTAL 120 minutes or 2 hours

After each activity, an observation checklist has been included to record

Materials are essential for the successful implementations of the MFAT

Below is Table 3 on materials per assessment activity.

Table 3. List of MFAT Materials

- flashcards with the following words:

- flashcards with the following words:

Treasure Box Treasure Box

ACTIVITY MATERIALS for MFAT

pictures of the following (for interview)

ACTIVITY MATERIALS for MFAT

- printer and ink (black /colored)

VI. Test Procedure:

To ensure the confidentiality of the assessment, assessors are expected to

b. Preparations before the Test Administration

Prior to the administration of the test, the following should be prepared:

c. During the Test Administration

During the administration of the test, assessors should:

5. Explain instructions properly per activity/task;

Table 4. Sample script and sequence

2. Introduce the activity

3. Ask the learner if she/he has some questions or concerns

4. Ensure that the learner is ready to start

d. Pre-, During and Post- Test Forms

Table 5. MFAT Forms

e. After the Test Administration:

After the assessment, assessors are expected to:

1. Summarize the result for intervention or recommendation.

FORM A. LEARNERS’ PROFILE

Learners Code: ____ -____- G- LRN: ______________________________________

Number of Teachers and Learners:

Level Number of Learners Number of Teachers

FORM B. SCHOOL PROFILE

Learner’s Code LRN

TIME STARTED: _____________________________ TIME ENDED: ______________________________

Activity 1 Title: LET’S TALK

Note: The teacher drops a bunch of keys on the floor

1. Turns head to source when sound is heard

Note: The teacher taps the table.

Learners Code: -- G- LRN: __________________________________

TIME STARTED: _ TIME ENDED: __