INSTRUCTIONAL SUPERVISION CHECKLIST

Dapitan City
Teacher: ____________________________________
Subject: ____________________________________
Grade/Year & Section: ________________________
Direction:

School: ________________________________
Date: _________________________________
Time: _________________________________

Please check the column which corresponds to the skills/abilities demonstrated by the teacher in
each indicator using the scale below:
Outstanding

- 5

Very Good

- 4

Good

- 3

Fair

- 2

Needs Improvement (NI) - 1

INDICATORS
5
4
3
2
1
Remarks
A. Classroom Preparation/Classroom Management
Sets all adequate appropriate lesson plans/guide and relevant
1
visual aids/instructional materials ahead of time.
Creates an environment that is safe and conducive to
2
learning.
3 Maintains order and discipline in the classroom.
Establishes and maintains consistent standards of learners
4
behavior.
5 Adapts systematic checking of attendance/assignments.
Sub Total
B. Teaching and Learning Process
Captures and maintains the interest of the learners
1
throughout the lesson.
Uses appropriate strategy/ies in developing the lesson; uses
2
varied learning activities to improve learners capabilities.
Provides meaningful connections between previous and
3
present lessons.
4 Shows proficiency in the required language of instruction.
5 Ask questions that develop high order thinking skills.
Sub Total
C. Learner
1 Communicates effectively in oral and written form.
Participates actively in the various teaching-learning
2
experiences.
Demonstrates ability to process, evaluate and utilize
3
information heard, read and/or seen.
4 Manifests desirable work habits and attitude.
Sub Total
D. Evaluation
Evaluates pupils/students learning outcomes in terms of
1 knowledge, performance, understanding, process that are
congruent to the lesson objectives.
Attains satisfactory mastery level based on the results of the
2
formative tests.*
Sub Total
TOTAL
E. Other Findings
______________________________________________________________________________________
______________________________________________________________________________________
F. Comments/Suggestions:
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________

______________________________________
Signature of Monitoring Officer over Printed Name
Position: _________________________________

_______________________________
Teachers Signature over Printed Name