3 Points to 5 named pictured objects when asked to do so.

REVISED ECCD CHECKLIST 4 Follow one-step instructions that include simple prepositions
GROSS MOTOR 1ST 2ND 5 Follows 2-step instructions that include simple prepositions.
1 Climbs on chair or other elevated piece of furniture like a bed without help TOTAL SCORE:
2 Walks backwards. EXPRESSIVE LANGUAGE DOMAIN 1ST 2ND
3 Runs without tripping or falling. 1 Uses 5-20 recognizable words
4 Walks downstairs, 2 feet on each step with one hand held. 2 Uses pronouns (e.g. I, me, ako, sakin)
5 Walks upstairs holding handrail, 2 feet on each step 3 Uses 2-3 words verb-noun combinations(e.g. hingi gatas)
6 Walks upstairs with alternate feet w/o holding handrail. 4 Names objects in pictures.
7 Walks downstairs with alternate feet w/o holding handrail. 5 Speaks in grammatically correct 2-3 word sentences
8 Moves body part as directed 6 Asks “what” questions
9 Jumps up 7 Asks “who” and “why” questions
10 Throws ball overhead with direction Gives account of recent experiences (w/ prompting) in order of occurrence using
11 Hops 1 to 3 steps on preferred foot. 8
past tense.
12 Jumps and turns half turn 180 degrees. TOTAL SCORE:
13 Dances patterns/join group movement activities. COGNITIVE DOMAIN 1ST 2ND
TOTAL SCORE: 1 Looks at direction of fallen objects
FINE MOTOR 1ST 2ND 2 Looks for partially object hidden
1 Uses all 5 fingers to get food/toys placed on flat surface. 3 Imitates behavior just seen a few minutes earlier
2 Picks up objects with thumbs and index finger 4 Offers object but will not release it
3 Displays a definite hand preference 5 Looks for completely hidden object
4 Puts small objects in/out of containers 6 Exhibits simple pretend play (feed, put doll to sleep.
5 Holds crayon with all fingers of his hand making a fist (i.e., palm grasp) 7 Matches objects.
6 Unscrews lid of container or unwraps food 8 Matches 2-3 colors
7 Scribbles spontaneously 9 Matches pictures.
8. Scribbles vertical and horizontal lines. 10 Sorts based on shapes
9 Draws circle purposely. 11 Sorts objects based on 2 attributes (e.g. size & color)
10 Draws a human figure (head, eyes, trunk, arms, hands/fingers) 12 Arranges objects according to size from smallest to biggest
11 Draws a house using geometric forms. 13 Names 4-6 colors
TOTAL SCORE: 14 Copies shapes
SELF-HELP DOMAIN 1ST 2ND 15 Name 3 animals or vegetables when asked
1 Feeds self with finger food (e.g. biscuits/bread) using fingers. 16 States what common household items are used for
2 Feeds self using fingers with spillage 17 Can assemble simple puzzles
3 feeds self using spoon with spillage Demonstrates an understanding of opposites by completing a statement(e.g. Ang
18
4 Feeds self using fingers without spillage aso ay malaki)
5 Feeds self using spoon without spillage 19 Points to left and right sides of body
6 Eats without need for spoon feeding during any meal 20 Can state what is silly or wrong with pictures (e.g. Ano ang mali sa larawang ito?)
7 Helps hold cup for drinking 21 Matches upper & lower case letters
8 Drinks from cup with spillage TOTAL SCORE:
9 Drinks from cup unassisted SOCIAL – EMOTIONAL DOMAIN 1ST 2ND
10 Gets drink for self unassisted 1 Enjoys watching activities or nearby people or animals.
11 Pours from pitcher without spillage 2 Friendly with strangers but initially may show slight anxiety or shyness.
12 Prepares own food/snack 3 Plays alone but likes to be near familiar adults or brothers and sisters.
13 Prepares meals for younger siblings/family members when no adult is around 4 Laughs or squeals aloud in play.
14 Participates when being dressed (e.g. raises arms or lifts leg) 5 Play peek0a-boo (bulaga)
15 Pulls down gartered shorts pants 6 Rolls ball interactively with caregiver/examiner.
16 Removes sando 7 Hugs or cuddles toys.
17 Dresses without assistance except for buttons and tying 8 Demonstrates respect for elders using terms like “po” and “opo”
18 Dresses w/o assistance including buttons and tying. 9 Share toys with others.
Informs the adult only after he has already urinated (peed) or moved his bowels 10 Imitates adult activities(e.g. Cooking, washing)
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(pooed) in his underpants. 11 Identifies feelings in others.
Informs adult of need to urinate (pee) or move bowels (pooh-pooh) so he can be 12 Appropriately uses cultural gestures of greetings w/o much prompting
20
brought to a designated place (e.g. Comfort Room) 13 Comforts playmates/siblings in distress
Goes to the designated place to urinate (pee) or move bowels (pooh) but sometimes 14 Persists when faced with a problem or obstacle to his wants.
21
still does this in his underpants 15 Helps with family chores (e.g. wiping tables, watering plants, etc.)
Goes to the designated place to urinate (pee) and bowels (pooh) and never does 16 Curious about environment but knows when to stop asking questions of adults.
22
this is in his underpants anymore. 17 Waits for turn.
23 Wipes/Cleans self after a bowel movement (pooh) 18 Asks permission to play with toy being used by another.
24 Participates when bathing (e.g. rubbing arms with soap) 19 Defends possessions with determination.
25 Washes and dries hands without any help
20 Plays organized group games fairly (e.g. does not cheat in order to win)
26 Washes face without any help
21 Can talk about difficult feelings (e.g., anger, sadness, worry) he experiences.)
27 Bathes without any help
Honors a simple bargain with caregiver(e.g.) can play outside only after
TOTAL SCORE: 22
cleaning/finishing his room)
RECEPTIVE LANGUAGE DOMAIN 1ST 2ND 23 Watches responsibly over younger siblings/family members.
1 Points to family member when asked to do so. 24 Cooperates with adults and peers in group situations to minimize quarrels and conflicts.
2 Points to 5 body parts on himself when asked to do so TOTAL SCORE:
 SCORE INTERPRETATION Republic of the Philippines
SCALED SCORE INTERPRETATION ABBREVIATION Department of Education
1–3 Suggest Significant Delay in Overall Development SSD Region X
4–6 Suggest Slight Delay in Overall Development SD Division of LANAO DEL NORTE
7 – 13 Average Development AD DISTRICT OF SALVADOR
14 – 16 Suggest Slightly Advanced in Overall Development SSAD
17 – 19 Suggest Highly Advanced in Overall Development SHAD PANSUR PRIMARY SCHOOL

STANDARD SCORE INTERPRETATION EARLY CHILDHOOD CARE AND DEVELOPMENT (ECCD)

STANDARD SCORE INTERPRETATION ABBREVIATION CHECKLIST
69 & BELOW Suggest Significant Delay in Overall Development SSD
70 – 79 Suggest Slight Delay in Overall Development SD SOCIODEMOGRAPHIC
80 – 119
120 – 129
Average Development
Suggest Slightly Advanced in Overall Development
AD
SSAD
PROFILE
130 & ABOVE Suggest Highly Advanced in Overall Development SHAD
Learner’s Reference Number: ___________
SUMMARY OF RESULTS
1st Assessment 2nd Assessment
DOMAINS Raw
Score
Scaled
Score
Raw Score Scaled
Score
Child’s Name: _______________
GROSS MOTOR
FINE MOTOR
Sex: _______
SELF-HELP
RECEPTIVE LANGUAGE Date of Birth: _________
EXPRESSIVE LANGUAGE
COGNITIVE Address: PANSUR, SALVADOR LANAO DEL NORTE
SOCIAL-EMOTIONAL
Sum of Scaled Score
Child’s Handedness: (check) ___ right _____ left ____ both
Standard Score
Interpretation
Father’s Name: _________________

PREPARED BY: Father’s Occupation: _________________

AKIMA S. NORON Mother’s Name: _________________

Adviser
APPROVED BY: Mother’s Occupation: _________________

HANIFAH T. RADIAB
HT-1/Cluster School Head