ECCD CHECKLIST RESULTS CONSOLIDATION TEMPLATE

Name of CDW: ________________

Name of CDC: _________________

Total number of children in the CDC: _____

Total Number of children evaluated: _____

INTERPRETATION OF SCALED SCORE (based on the ECCD Checklist)

SCALED SCORE INTERPRETATION

1-3 Development in the domain must be monitored after 3 months
4-6 Development in the domain must be monitored after 6 months
7-13 Average overall development in the domain
14-16 Suggests slightly advanced development in the domain
17-19 Suggests highly advanced development in the domain

Instructions: Please indicate the actual number of the students who got specific scores based on the actual ECCD checklist data.
Attached is an example of an accomplished form. The total per row / evaluation should be equal to the number of students evaluated.

1ST EVALUATION 2nd EVALUATION 3rd EVALUATION

No. of Students Evaluated: No. of Students Evaluated: No. of Students Evaluated:
DOMAIN
Date of Evaluation: Date of Evaluation: Date of Evaluation:
Number of Children for Each Number of Children for Each Number of Children for Each Score
Score Range Score Range Range
1-3 4-6 7-13 14-16 17-19 1-3 4-6 7-13 14-16 17-19 1-3 4-6 7-13 14-16 17-19
Gross Motor
Fine Motor
Self-Help
Receptive Language
Expressive Language
Cognitive
Social-Emotional
 INTERPRETATION OF STANDARD SCORE (based on the ECCD Checklist)

SCALED SCORE INTERPRETATION

69 and below Overall development must be monitored after 3 months
70 – 79 Overall development must be monitored after 6 months
80 – 119 Average overall development
120 – 129 Slightly advanced overall development
130 and above Highly advanced overall development

Instructions: Please indicate the actual number of the students who got specific scores based on the actual ECCD checklist data.
Attached is an example of an accomplished form. The total per row / evaluation should be equal to the number of students evaluated.

1ST EVALUATION 2nd EVALUATION 3rd EVALUATION

No. of Students Evaluated: No. of Students Evaluated: No. of Students Evaluated:
SCORE
Date of Evaluation: Date of Evaluation: Date of Evaluation:
Number of Children for Each Number of Children for Each Number of Children for Each
Score Range Score Range Score Range
69 70 - 80 - 120 - 130 and 69 70 - 80 - 120 - 130 and 69 70 - 80 - 120 - 130 and
and 79 119 129 above and 79 119 129 above and 79 119 129 above
below below below
Standard Score