SCALED SCORE INTERPRETATION Republic of the Philippines

Department of Education
1-3 Suggest significant delay in overall development Region VIII
Division of Samar
4-6 Suggest slight delayed in overall development
ALMAGRO CENTRAL SCHOOL
7-13 Average Development Almagro, Samar
14-16 Suggest Advanced Development
17-19 Suggest Highly Advanced Development

STANDARD SCORE INTERPRETATION Early childhood development (eccd) checklist

69 & BELOW Suggest significant delay in overall development
70-79 Suggest slight delayed in overall development
SOCIO DEMOGRAPHIC PROFILE
80-119 Average Development
S.Y. 2017-2018
120- 129 Suggest Advanced Development
130 ABOVE Suggest Highly Advanced Development
Learner’s Reference Number (LRN): 123285170001
Summary
S

Child’s Name: DENIEL M. ALVAREZ

Sex: MALE Date of Birth: SEPTEMBER 17, 2011
DOMAIN Raw Score Scaled Score
Date of Exam: ___________________________
GROSS MOTOR Address: BRGY. PANJOBJOBAN, ALMAGRO SAMAR
FINE MOTOR Birth Order: 1st Child ________ 2nd Child ________ 3rd Child ________
SELF- HELP
RECEPTIVE LANGUAGE
Child’s Handedness: (Check the box) Right Left
EXPRESSIVE LANGUAGE
Both Not yet stablished
COGNITIVE
SOCIAL- EMOTIONAL
Sum of Scaled Score
Standard Score
Date Tested

Prepared by:

Janice l. rayandayan
Adviser

Approved by:

Ofelia o. tapaya
Principal I
 Revised eccd checklist
GROSS MOTOR DOMAIN 1st 2 nd 3rd COMMENTS 1st 2nd 3rd COMMENTS 1st 2nd 3rd COMMENTS

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