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School: Address: District: Date: Type of Test Teacher School Head

1. The document is an early childhood development checklist from BASA Elementary School in Brgy. BASA assessing gross motor skills. 2. It evaluates 20 students (14 boys and 6 girls) and finds that most students scored 13 out of 13 in gross motor skills indicating average development. 3. The checklist was prepared by teacher Nikki Rose B. Pequiro and noted by school head Gerlie Y. Geroche.

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Mendracel Caturan Cedro
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51 views

School: Address: District: Date: Type of Test Teacher School Head

1. The document is an early childhood development checklist from BASA Elementary School in Brgy. BASA assessing gross motor skills. 2. It evaluates 20 students (14 boys and 6 girls) and finds that most students scored 13 out of 13 in gross motor skills indicating average development. 3. The checklist was prepared by teacher Nikki Rose B. Pequiro and noted by school head Gerlie Y. Geroche.

Uploaded by

Mendracel Caturan Cedro
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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School: BASA ELEMENTARY SCHOOL

Address: BRGY. BASA , ADS Note: Margins are already set i


District: TRENTO II Paper size is set to legal si
Date: You may NOT print the Su
Type of test
Teacher NIKKI ROSE B. PEQUIRO
School Head GERLIE Y. GEROCHE
Summary of enrolment
No. Name of Learners - BOYS Male
1 Female
2
3
4
5
6
7
8
9
10
11
12
13
14

No. Name of Learners - GIRLS


1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
Margins are already set in all sheets.
Paper size is set to legal size BUT it will be printed to A4
You may NOT print the Summary of Interpretation

enrolment
14
16
School: BASA ELEMENTARY SCHOOL
Address: BRGY. BASA , ADS
District: TRENTO II

EARLY CHILDHOOD DEVELOPMENT (ECD) CHECKLIST


0 0

No. Name of Pupil


Enrollment 4yrs. A. Gross Motor Raw Scaled Interpretation
With
Day Care Private ECE w/o ECE 1 2 3 4 5 6 7 8 9 10 11 12 13 Score Score
1
0 1 1 1 1 1 1 1 1 1 1 1 1 1 13 11 AD
2
0 1 1 1 1 1 1 1 1 1 1 1 1 1 13 11 AD
3
0 1 1 1 1 1 1 1 1 1 1 1 1 1 13 11 AD
4
0 1 1 1 1 1 1 1 1 1 1 1 1 1 13 11 AD
5
0 1 1 1 1 1 1 1 1 1 1 1 1 1 13 11 AD
6
0 1 1 1 1 1 1 1 1 1 1 1 1 1 13 11 AD
7
0 1 1 1 1 1 1 1 1 1 1 1 1 1 13 11 AD
8
0 1 1 1 1 1 1 1 1 1 1 1 1 1 13 11 AD
9
0 1 1 1 1 1 1 1 1 1 1 1 1 1 13 11 AD
10
0 1 1 1 1 1 1 1 1 1 1 1 1 1 13 11 AD
11
0 1 1 1 1 1 1 1 1 1 1 1 1 1 13 11 AD
12
0 1 1 1 1 1 1 1 1 1 1 1 1 1 13 11 AD
13
0 1 1 1 1 1 1 1 1 1 1 1 1 1 13 11 AD
14
0 1 1 1 1 1 1 1 1 1 1 1 1 1 13 11 AD
15 0 0 1 S*DOD
16 0 0 1 S*DOD
17 0 0 1 S*DOD
18 0 0 1 S*DOD
19 0 0 1 S*DOD
20 0 0 1 S*DOD
Total Score 14 14 14 14 14 14 14 14 14 14 14 14 14 182 160

Average 13.0 11.4 AD


Name of Learners - GIRLS 1 2 3 4 5 6 7 8 9 10 11 12 13
0 1 1 1 1 1 1 1 1 1 1 1 1 1 13 11 AD
1

0 1 1 1 1 1 1 1 1 1 1 1 1 1 13 11 AD
2

0 1 1 1 1 1 1 1 1 1 1 1 1 1 13 11 AD
3

0 1 1 1 1 1 1 1 1 1 1 1 1 1 13 11 AD
4

0 1 1 1 1 1 1 1 1 1 1 1 1 1 13 11 AD
5

0 1 1 1 1 1 1 1 1 1 1 1 1 1 13 11 AD
6

0 1 1 1 1 1 1 1 1 1 1 1 1 1 13 11 AD
7

0 1 1 1 1 1 1 1 1 1 1 1 1 1 13 11 AD
8

0 1 1 1 1 1 1 1 1 1 1 1 1 1 13 11 AD
9

0 1 1 1 1 1 1 1 1 1 1 1 1 1 13 11 AD
10

0 1 1 1 1 1 1 1 1 1 1 1 1 1 13 11 AD
11

0 1 1 1 1 1 1 1 1 1 1 1 1 1 13 11 AD
12

0 1 1 1 1 1 1 1 1 1 1 1 1 1 13 11 AD
13

0 1 1 1 1 1 1 1 1 1 1 1 1 1 13 11 AD
14

0 1 1 1 1 1 1 1 1 1 1 1 1 1 13 11 AD
15

0 1 1 1 1 1 1 1 1 1 1 1 1 1 13 11 AD
16

0 0 1 S*DOD
17

0 0 1 S*DOD
18

19 0 0 1 S*DOD
20 0 0 1 S*DOD
Total Score 16 16 16 16 16 16 16 16 16 16 16 16 16 208 180
Average 13.0 11.3 AD
Prepared by: Noted by:
NIKKI ROSE B. PEQUIRO GERLIE Y. GEROCHE
Teacher School Head
School: BASA ELEMENTARY SCHOOL
Address: BRGY. BASA , ADS
District: TRENTO II

Raw
B. Fine Motor Scaled Interpretation
No. Name of Pupil
1 2 3 4 5 6 7 8 9 10 11 Score Score
0 1 1 1 1 1 1 1 1 1 0 0 9 8 AD
1

0 1 1 1 1 1 1 1 1 1 1 1 11 12 AD
2

0 1 1 1 1 1 1 1 1 1 0 1 10 10 AD
3

0 1 1 1 1 1 1 1 1 1 1 1 11 12 AD
4

0 1 1 1 1 1 1 1 1 1 1 1 11 12 AD
5

0 1 1 1 1 1 1 1 1 1 0 0 9 8 AD
6

0 1 1 1 1 1 1 1 1 1 1 1 11 12 AD
7

0 1 1 1 1 1 1 1 1 1 0 0 9 8 AD
8

0 1 1 1 1 1 1 1 1 1 1 1 11 12 AD
9

0 1 1 1 1 1 1 1 1 1 1 1 11 12 AD
10

0 1 1 1 1 1 1 1 1 1 0 1 10 10 AD
11

0 1 1 1 1 1 1 1 1 1 0 0 9 8 AD
12

0 1 1 1 1 1 1 1 1 1 0 0 9 8 AD
13

0 1 1 1 1 1 1 1 1 1 1 1 11 12 AD
14

15 0 0 1 S*DOD
16 0 0 1 S*DOD
17 0 0 1 S*DOD
18 0 0 1 S*DOD
19 0 0 1 S*DOD
20 0 0 1 S*DOD
Total Score 14 14 14 14 14 14 14 14 14 7 9 142 150

Average 10.1 10.7 AD


Name of Learners - GIRLS 1 2 3 4 5 6 7 8 9 10 11
0 1 1 1 1 1 1 1 1 1 1 1 11 12 AD
1

0 1 1 1 1 1 1 1 1 1 1 1 11 12 AD
2

0 1 1 1 1 1 1 1 1 1 0 0 9 8 AD
3

0 1 1 1 1 1 1 1 1 1 0 1 10 10 AD
4

0 1 1 1 1 1 1 1 1 1 0 1 10 10 AD
5

0 1 1 1 1 1 1 1 1 1 1 1 11 12 AD
6

0 1 1 1 1 1 1 1 1 1 0 0 9 8 AD
7

0 1 1 1 1 1 1 1 1 1 0 1 10 10 AD
8

0 1 1 1 1 1 1 1 1 1 1 1 11 12 AD
9

0 1 1 1 1 1 1 1 1 1 1 1 11 12 AD
10

0 1 1 1 1 1 1 1 1 1 0 1 10 10 AD
11

0 1 1 1 1 1 1 1 1 1 0 1 10 10 AD
12

0 1 1 1 1 1 1 1 1 1 0 0 9 8 AD
13

0 1 1 1 1 1 1 1 1 1 1 1 11 12 AD
14

0 1 1 1 1 1 1 1 1 1 0 1 10 10 AD
15

0 1 1 1 1 1 1 1 1 1 1 1 11 12 AD
16

0 0 1 S*DOD
17

0 0 1 S*DOD
18

19 0 0 1 S*DOD
20 0 0 1 S*DOD
Total Score 16 16 16 16 16 16 16 16 16 7 13 164 172
Average 10.3 10.8 AD
Prepared by: Noted by:
NIKKI ROSE B. PEQUIRO GERLIE Y. GEROCHE
Teacher School Head
School: BASA ELEMENTARY SCHOOL
Address: BRGY. BASA , ADS
District: TRENTO II

Raw
No. Name of Pupil
C. Self Help Scaled Interpretation
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 Score Score
0 1 1 1 1 1 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 25 10 AD
1

0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 0 1 1 1 1 25 10 AD
2

0 1 1 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 26 12 AD
3

0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 27 13 AD
4

0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 27 13 AD
5

0 1 1 1 1 1 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 25 10 AD
6

0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 26 12 AD
7

0 1 1 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 26 12 AD
8

0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 1 1 26 12 AD
9

0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 27 13 AD
10

0 1 1 1 1 1 1 1 1 1 1 1 0 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 25 10 AD
11

0 1 1 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 26 12 AD
12

0 1 1 1 1 1 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 25 10 AD
13

0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 1 1 26 12 AD
14

15 0 0 2 S*DOD
16 0 0 2 S*DOD
17 0 0 2 S*DOD
18 0 0 2 S*DOD
19 0 0 2 S*DOD
20 0 0 2 S*DOD
Total Score 14 14 14 14 14 14 14 14 14 14 11 7 14 14 14 14 11 14 14 14 14 14 11 14 14 14 14 362 173

Average 25.9 12.4 AD


Name of Learners - GIRLS 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
0 1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 26 12 AD
1

0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 27 13 AD
2

0 1 1 1 1 1 1 1 1 1 1 0 0 1 1 1 1 0 1 1 1 1 1 0 1 1 1 1 23 7 AD
3

0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 27 13 AD
4

0 1 1 1 1 1 1 1 1 1 1 1 0 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 25 10 AD
5

0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 27 13 AD
6

0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 0 1 1 1 1 25 10 AD
7

0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 0 1 1 1 1 25 10 AD
8

0 1 1 1 1 1 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 0 1 1 1 1 24 9 AD
9

0 1 1 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 0 1 1 1 1 25 10 AD
10

0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 27 13 AD
11

0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 27 13 AD
12

0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 27 13 AD
13

0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 27 13 AD
14

0 1 1 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 0 1 1 1 1 25 10 AD
15

0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 1 1 26 12 AD
16

0 0 2 S*DOD
17

0 0 2 S*DOD
18

19 0 0 2 S*DOD
20 0 0 2 S*DOD
Total Score 16 16 16 16 16 16 16 16 16 16 14 11 15 16 16 16 12 16 16 16 16 16 9 16 16 16 16 413 189
Average 25.8 11.8 AD
Prepared by: Noted by:
NIKKI ROSE B. PEQUIRO GERLIE Y. GEROCHE
Teacher School Head
School: BASA ELEMENTARY SCHOOL
Address: BRGY. BASA , ADS
District: TRENTO II

Raw
D. Receptive Language Scaled Interpretatio E. Expressive Language Raw Scaled Interpretatio
No. Name of Pupil n n
1 2 3 4 5 Score Score 1 2 3 4 5 6 7 8 Score Score
0 1 1 1 1 1 5 11 AD 1 1 1 1 1 1 1 1 8 11 AD
1

0 1 1 1 1 1 5 11 AD 1 1 1 1 1 1 1 1 8 11 AD
2

0 1 1 1 1 1 5 11 AD 1 1 1 1 1 1 1 1 8 11 AD
3

0 1 1 1 1 1 5 11 AD 1 1 1 1 1 1 1 1 8 11 AD
4

0 1 1 1 1 1 5 11 AD 1 1 1 1 1 1 1 1 8 11 AD
5

0 1 1 1 1 1 5 11 AD 1 1 1 1 1 1 1 1 8 11 AD
6

0 1 1 1 1 1 5 11 AD 1 1 1 1 1 1 1 1 8 11 AD
7

0 1 1 1 1 1 5 11 AD 1 1 1 1 1 1 1 1 8 11 AD
8

0 1 1 1 1 1 5 11 AD 1 1 1 1 1 1 1 1 8 11 AD
9

0 1 1 1 1 1 5 11 AD 1 1 1 1 1 1 1 1 8 11 AD
10

0 1 1 1 1 1 5 11 AD 1 1 1 1 1 1 1 1 8 11 AD
11

0 1 1 1 1 1 5 11 AD 1 1 1 1 1 1 1 1 8 11 AD
12

0 1 1 1 1 1 5 11 AD 1 1 1 1 1 1 1 1 8 11 AD
13

0 1 1 1 1 1 5 11 AD 1 1 1 1 1 1 1 1 8 11 AD
14

15 0 0 1 S*DOD 0 5 DOD
16 0 0 1 S*DOD 0 5 DOD
17 0 0 1 S*DOD 0 5 DOD
18 0 0 1 S*DOD 0 5 DOD
19 0 0 1 S*DOD 0 5 DOD
20 0 0 1 S*DOD 0 5 DOD
Total Score 14 14 14 14 14 70 160 14 14 14 14 14 14 14 14 112 184

Average 5.0 11.4 AD 8.0 13.1 AD


Name of Learners - GIRLS 1 2 3 4 5 1 2 3 4 5 6 7 8
0 1 1 1 1 1 5 11 AD 1 1 1 1 1 1 1 1 8 11 AD
1

0 1 1 1 1 1 5 11 AD 1 1 1 1 1 1 1 1 8 11 AD
2

0 1 1 1 1 1 5 11 AD 1 1 1 1 1 1 1 1 8 11 AD
3

0 1 1 1 1 1 5 11 AD 1 1 1 1 1 1 1 1 8 11 AD
4

0 1 1 1 1 1 5 11 AD 1 1 1 1 1 1 1 1 8 11 AD
5

0 1 1 1 1 1 5 11 AD 1 1 1 1 1 1 1 1 8 11 AD
6

0 1 1 1 1 1 5 11 AD 1 1 1 1 1 1 1 1 8 11 AD
7

0 1 1 1 1 1 5 11 AD 1 1 1 1 1 1 1 1 8 11 AD
8

0 1 1 1 1 1 5 11 AD 1 1 1 1 1 1 1 1 8 11 AD
9

0 1 1 1 1 1 5 11 AD 1 1 1 1 1 1 1 1 8 11 AD
10

0 1 1 1 1 1 5 11 AD 1 1 1 1 1 1 1 1 8 11 AD
11

0 1 1 1 1 1 5 11 AD 1 1 1 1 1 1 1 1 8 11 AD
12

0 1 1 1 1 1 5 11 AD 1 1 1 1 1 1 1 1 8 11 AD
13

0 1 1 1 1 1 5 11 AD 1 1 1 1 1 1 1 1 8 11 AD
14

0 1 1 1 1 1 5 11 AD 1 1 1 1 1 1 1 1 8 11 AD
15

0 1 1 1 1 1 5 11 AD 1 1 1 1 1 1 1 1 8 11 AD
16

0 0 1 S*DOD 0 5 DOD
17

0 0 1 S*DOD 0 5 DOD
18

19 0 0 1 S*DOD 0 5 DOD
20 0 0 1 S*DOD 0 5 DOD
Total Score 16 16 16 16 16 80 180 16 16 16 16 16 16 16 16 128 196
Average 5.0 11.3 AD 8.0 12.3 AD
Prepared by: Noted:
NIKKI ROSE B. PEQUIRO GERLIE Y. GEROCHE
Teacher School Head
School: BASA ELEMENTARY SCHOOL
Address: BRGY. BASA , ADS
District: TRENTO II

Raw
No. Name of Pupil
F. Cognitive Scaled Interpretation
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 Score Score
0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 0 1 0 0 17 9 AD
1

0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 21 13 AD
2

0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 0 19 11 AD
3

0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 21 13 AD
4

0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 21 13 AD
5

0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 0 1 0 0 17 9 AD
6

0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 0 1 19 11 AD
7

0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 0 1 0 0 17 9 AD
8

0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 20 12 AD
9

0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 21 13 AD
10

0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 21 13 AD
11

0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 0 1 0 0 17 9 AD
12

0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 0 1 0 0 17 9 AD
13

0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 0 19 11 AD
14

15 0 0 1 S*DOD
16 0 0 1 S*DOD
17 0 0 1 S*DOD
18 0 0 1 S*DOD
19 0 0 1 S*DOD
20 0 0 1 S*DOD
Total Score 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 8 7 14 8 6 267 161

Average 19.1 11.5 AD


Name of Learners - GIRLS 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 21 13 AD
1

0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 21 13 AD
2

0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 0 1 19 11 AD
3

0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 21 13 AD
4

0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 21 13 AD
5

0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 21 13 AD
6

0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 0 1 0 0 17 9 AD
7

0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 0 1 0 0 17 9 AD
8

0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 21 13 AD
9

0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 21 13 AD
10

0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 0 1 1 0 18 10 AD
11

0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 0 1 0 0 17 9 AD
12

0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 21 13 AD
13

0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 0 1 0 0 17 9 AD
14

0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 21 13 AD
15

0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 21 13 AD
16

0 0 1 S*DOD
17

0 0 1 S*DOD
18

19 0 0 1 S*DOD
20 0 0 1 S*DOD
Total Score 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16 10 11 16 11 11 315 191
Average 19.7 11.9 AD
Prepared by: Noted by:
NIKKI ROSE B. PEQUIRO GERLIE Y. GEROCHE
Teacher School Head
School: BASA ELEMENTARY SCHOOL
Address: BRGY. BASA , ADS
District: TRENTO II

Raw
G. Socio-Emotional Scaled Interpretation
No. Name of Pupil
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 Score Score
0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 23 11 AD
1

0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 24 13 AD
2

0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 23 11 AD
3

0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 24 13 AD
4

0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 23 11 AD
5

0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 24 13 AD
6

0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 23 11 AD
7

0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 23 11 AD
8

0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 23 11 AD
9

0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 24 13 AD
10

0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 23 11 AD
11

0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 23 11 AD
12

0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 23 11 AD
13

0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 24 13 AD
14

15 0 0 1 S*DOD
16 0 0 1 S*DOD
17 0 0 1 S*DOD
18 0 0 1 S*DOD
19 0 0 1 S*DOD
20 0 0 1 S*DOD
Total Score 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 5 14 14 14 14 14 14 14 327 170

Average 23.4 12.1 AD


Name of Learners - GIRLS 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24
0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 24 13 AD
1

0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 24 13 AD
2

0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 24 13 AD
3

0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 24 13 AD
4

0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 24 13 AD
5

0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 24 13 AD
6

0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 24 13 AD
7

0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 24 13 AD
8

0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 24 13 AD
9

0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 24 13 AD
10

0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 24 13 AD
11

0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 24 13 AD
12

0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 24 13 AD
13

0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 24 13 AD
14

0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 24 13 AD
15

0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 24 13 AD
16

0 0 1 S*DOD
17

1 0 1 S*DOD
18

19 0 0 1 S*DOD
20 0 0 1 S*DOD
Total Score 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16 384 212
Average 24.0 13.3 AD
Prepared by: Noted by:
NIKKI ROSE B. PEQUIRO GERLIE Y. GEROCHE
Teacher School Head
School: BASA ELEMENTARY SCHOOL
Address: BRGY. BASA POB. AGUSAN DEL SUR
District: TRENTO II

SUMMARY
TOTAL Standar
No. Name of Pupil A. Gross Motor B. Fine Motor C. Self Help D. Receptive E. Expressive F. Cognitive G. Socio-Emotional RAW d Interpre-
RS SS I RS SS I RS SS I RS SS I RS SS I RS SS I RS SS I SCORE Score tation
1 13 11 AD 9 8 AD 25 10 AD 5 11 AD 8 11 AD 17 9 AD 23 11 AD 71 Err:514 AD
2 13 11 AD 11 12 AD 25 10 AD 5 11 AD 8 11 AD 21 13 AD 24 13 AD 81 Err:514 AD
3 13 11 AD 10 10 AD 26 12 AD 5 11 AD 8 11 AD 19 11 AD 23 11 AD 77 Err:514 AD
4 13 11 AD 11 12 AD 27 13 AD 5 11 AD 8 11 AD 21 13 AD 24 13 AD 84 Err:514 AD
5 13 11 AD 11 12 AD 27 13 AD 5 11 AD 8 11 AD 21 13 AD 23 11 AD 82 Err:514 AD
6 13 11 AD 9 8 AD 25 10 AD 5 11 AD 8 11 AD 17 9 AD 24 13 AD 73 Err:514 AD
7 13 11 AD 11 12 AD 26 12 AD 5 11 AD 8 11 AD 19 11 AD 23 11 AD 79 Err:514 AD
8 13 11 AD 9 8 AD 26 12 AD 5 11 AD 8 11 AD 17 9 AD 23 11 AD 73 Err:514 AD
9 13 11 AD 11 12 AD 26 12 AD 5 11 AD 8 11 AD 20 12 AD 23 11 AD 80 Err:514 AD
10 13 11 AD 11 12 AD 27 13 AD 5 11 AD 8 11 AD 21 13 AD 24 13 AD 84 Err:514 AD
11 13 11 AD 10 10 AD 25 10 AD 5 11 AD 8 11 AD 21 13 AD 23 11 AD 77 Err:514 AD
12 13 11 AD 9 8 AD 26 12 AD 5 11 AD 8 11 AD 17 9 AD 23 11 AD 73 Err:514 AD
13 13 11 AD 9 8 AD 25 10 AD 5 11 AD 8 11 AD 17 9 AD 23 11 AD 71 Err:514 AD
14 13 11 AD 11 12 AD 26 12 AD 5 11 AD 8 11 AD 19 11 AD 24 13 AD 81 Err:514 AD
15 0 1 S*DOD 0 1 S*DOD 0 2 S*DOD 0 1 S*DOD 0 5 DOD 0 1 S*DOD 0 1 S*DOD 12 Err:514 S*DOD
16 0 1 S*DOD 0 1 S*DOD 0 2 S*DOD 0 1 S*DOD 0 5 DOD 0 1 S*DOD 0 1 S*DOD 12 Err:514 S*DOD
17 0 1 S*DOD 0 1 S*DOD 0 2 S*DOD 0 1 S*DOD 0 5 DOD 0 1 S*DOD 0 1 S*DOD 12 Err:514 S*DOD
18 0 1 S*DOD 0 1 S*DOD 0 2 S*DOD 0 1 S*DOD 0 5 DOD 0 1 S*DOD 0 1 S*DOD 12 Err:514 S*DOD
19 0 1 S*DOD 0 1 S*DOD 0 2 S*DOD 0 1 S*DOD 0 5 DOD 0 1 S*DOD 0 1 S*DOD 12 Err:514 S*DOD
20 0 1 S*DOD 0 1 S*DOD 0 2 S*DOD 0 1 S*DOD 0 5 DOD 0 1 S*DOD 0 1 S*DOD 12 Err:514 S*DOD
Name of Learners - GIRLS
1 13 11 AD 11 12 AD 26 12 AD 5 11 AD 8 11 AD 21 13 AD 24 13 AD 83 Err:514 AD
2 13 11 AD 11 12 AD 27 13 AD 5 11 AD 8 11 AD 21 13 AD 24 13 AD 84 Err:514 AD
3 13 11 AD 9 8 AD 23 7 AD 5 11 AD 8 11 AD 19 11 AD 24 13 AD 72 Err:514 AD
4 13 11 AD 10 10 AD 27 13 AD 5 11 AD 8 11 AD 21 13 AD 24 13 AD 82 Err:514 AD
5 13 11 AD 10 10 AD 25 10 AD 5 11 AD 8 11 AD 21 13 AD 24 13 AD 79 Err:514 AD
6 13 11 AD 11 12 AD 27 13 AD 5 11 AD 8 11 AD 21 13 AD 24 13 AD 84 Err:514 AD
7 13 11 AD 9 8 AD 25 10 AD 5 11 AD 8 11 AD 17 9 AD 24 13 AD 73 Err:514 AD
8 13 11 AD 10 10 AD 25 10 AD 5 11 AD 8 11 AD 17 9 AD 24 13 AD 75 Err:514 AD
9 13 11 AD 11 12 AD 24 9 AD 5 11 AD 8 11 AD 21 13 AD 24 13 AD 80 Err:514 AD
10 13 11 AD 11 12 AD 25 10 AD 5 11 AD 8 11 AD 21 13 AD 24 13 AD 81 Err:514 AD
11 13 11 AD 10 10 AD 27 13 AD 5 11 AD 8 11 AD 18 10 AD 24 13 AD 79 Err:514 AD
12 13 11 AD 10 10 AD 27 13 AD 5 11 AD 8 11 AD 17 9 AD 24 13 AD 78 Err:514 AD
13 13 11 AD 9 8 AD 27 13 AD 5 11 AD 8 11 AD 21 13 AD 24 13 AD 80 Err:514 AD
14 13 11 AD 11 12 AD 27 13 AD 5 11 AD 8 11 AD 17 9 AD 24 13 AD 80 Err:514 AD
15 13 11 AD 10 10 AD 25 10 AD 5 11 AD 8 11 AD 21 13 AD 24 13 AD 79 Err:514 AD
16 13 11 AD 11 12 AD 26 12 AD 5 11 AD 8 11 AD 21 13 AD 24 13 AD 83 Err:514 AD
17 0 1 S*DOD 0 1 S*DOD 0 2 S*DOD 0 1 S*DOD 0 5 DOD 0 1 S*DOD 0 1 S*DOD 12 Err:514 S*DOD
18 0 1 S*DOD 0 1 S*DOD 0 2 S*DOD 0 1 S*DOD 0 5 DOD 0 1 S*DOD 0 1 S*DOD 12 Err:514 S*DOD
19 0 1 S*DOD 0 1 S*DOD 0 2 S*DOD 0 1 S*DOD 0 5 DOD 0 1 S*DOD 0 1 S*DOD 12 Err:514 S*DOD
20 0 1 S*DOD 0 1 S*DOD 0 2 S*DOD 0 1 S*DOD 0 5 DOD 0 1 S*DOD 0 1 S*DOD 12 Err:514 S*DOD

Legend: RS- Raw Score SS-Scaled Score I-Interpretation

Prepared by: Noted by:


NIKKI ROSE B. PEQUIRO GERLIE Y. GEROCHE
Teacher School Head
School: BASA ELEMENTARY SCHOOL
Address: BRGY. BASA , ADS
District: TRENTO II

SUMMARY OF THE INTERPRETATION


No. Name of Pupil A. Gross Motor B. Fine Motor C. Self Help D. Receptive E. Expressive F. Cognitive G. Socio-Emotional
S*DOD DOD AD SAD HAD S*DOD DOD AD SAD HAD S*DOD DOD AD SAD HAD S*DOD DOD AD SAD HAD S*DOD DOD AD SAD HAD S*DOD DOD AD SAD HAD S*DOD DOD AD SAD HAD
0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0
1

0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0
2

0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0
3

0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0
4

0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0
5

0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0
6

0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0
7

0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0
8

0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0
9

0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0
10

0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0
11

0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0
12

0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0
13

0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0
14

15 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 1 0 0 0 1 0 0 0 0 1 0 0 0 0
16 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 1 0 0 0 1 0 0 0 0 1 0 0 0 0
17 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 1 0 0 0 1 0 0 0 0 1 0 0 0 0
18 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 1 0 0 0 1 0 0 0 0 1 0 0 0 0
19 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 1 0 0 0 1 0 0 0 0 1 0 0 0 0
20 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 1 0 0 0 1 0 0 0 0 1 0 0 0 0
Name of Learners - GIRLS
0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0
1

0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0
2

0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0
3

0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0
4

0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0
5

0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0
6

0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0
7

0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0
8

0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0
9

0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0
10

0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0
11

0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0
12

0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0
13

0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0
14

0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0
15

0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0
16

0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 1 0 0 0 1 0 0 0 0 1 0 0 0 0
17

18 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 1 0 0 0 1 0 0 0 0 1 0 0 0 0
19 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 1 0 0 0 1 0 0 0 0 1 0 0 0 0
20 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 1 0 0 0 1 0 0 0 0 1 0 0 0 0
Total 10 0 30 0 0 10 0 30 0 0 10 0 30 0 0 10 0 30 0 0 0 10 30 0 0 10 0 30 0 0 10 0 30 0 0
Department of Education
SCHOOLS DIVISION OFFICE OF NUEVA VIZCAYA
TRENTO II
BASA ELEMENTARY SCHOOL

EARLY CHILDHOOD CARE AND DEVELOPMENT REPORT


0 0

Enrolment GROSS MOTOR FINE MOTOR SELF HELP RECEPTIVE EXPRESSIVE COGNITIVE SOCIAL GRAND TOTAL
SCHOOL
M F T S*DOD SDOD AD SAD HAD S*DOD SDOD AD SAD HAD S*DOD SDOD AD SAD HAD S*DODSDOD AD SAD HAD S*DOD SDOD AD SAD HAD S*DOD SDOD AD SAD HAD S*DOD SDOD AD SAD HAD S*DOD SDOD AD SAD HAD

BASA
ELEMENTARY
SCHOOL 14 16 30 10 0 30 0 0 10 0 30 0 0 10 0 30 0 0 10 0 30 0 0 0 10 30 0 0 10 0 30 0 0 10 0 30 0 0 9 1 30 0 0

total /enrolme 14 16 30 10 0 30 0 0 10 0 30 0 0 10 0 30 0 0 10 0 30 0 0 0 10 30 0 0 10 0 30 0 0 10 0 30 0 0 9 1 30 0 0
NOTE: S*DOD Suggest significant delay in over-all development SAD Suggest slightly advance development
DOD Suggest slight delay in overall development HAD Suggest highly advance development
AD Average Development
Prepared and Submitted by: Certified Correct:
NIKKI ROSE B. PEQUIRO GERLIE Y. GEROCHE
Teacher School Head

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