Professional Documents
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Name:_______________________________
_____________________________________ Nickname: _________ Sex: _____ Nationality: ___________
__________________________________
(Surname) (Given) (Middle)
3.Special ability or talents Gr. I: _________________ Gr II: __________________ Gr. III: ________________
Gr. IV: ___________________ Gr. V: __________________ Gr. VI: _______________
3. Material’s Read:
SPOT CHART
Grade I Grade II Grade III Grade VI Grade VI Grade VI
CHARACTERISTICS/
School Yr. School Yr. School Yr. School Yr. School Yr. School Yr.
PROBLEMS 1st sem 2nd sem 1st sem 2nd sem 1st sem 2nd sem 1st sem 2nd sem 1st sem 2nd sem 1st sem 2nd sem
Chronological Age………
Intelligence Quotient…….
Weight…………………………..
Height……………………………
BEHAVIORAL PROBLEMS
Quarrels………………………..
Cheats……………………………
Steals…………………………….
Talkative………………………..
Lies………………………………..
Gossips………………………….
Disobeys………………………..
PERSONALITY PROBLEMS
Withdraws or is timid…..
Is moody………………………..
Is selfish…………………………
Shows temper tantrums..
ADJUSTMENT PROBLEMS
Health habits…………………
Eating habits………………….
Home chores…………………
PHYSICAL DEFECTS
Vision…………………………….
Hearing…………………………
Harelip…………………………
Sickly……………………………..
Skin Diseases…………………
Speech Defects………………
SOCIAL PROBLEMS
Can’t get along with………
Teacher………………………….
Classmates…………………….
Friends…………………………..
Family……………………………
EMOTIONAL PROBLEMS
Easily cries……………………..
Daydreams…………………….
Sensitive………………………..
INTELLECTUALLY HANDICAPPED
Slow Learner…….……………
Non – reader………………….
ANECDOTAL RECORD
Grade Date Incident Comments Observer