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LEARNER and PARENTS FEEDBACK FORM
LEARNER and PARENTS FEEDBACK FORM
Signature of student/pupil
__________________
__________________
Yes No
Yes No
Yes No
Yes No
Yes No
Yes No
__________________
____________________________
____________________________
PARENT'S/GUARDIAN'S FEEDBACK FORM
No
No
No
No
No
No
No
_______________________
_______________________
INSTRUCTION TO PARENT/GUARDIAN
Name of Parent/Guardian:________________________________
School: ______________________________________________
District: ______________________________________________
1. After receiving/opening the learning package check if it contains the following items:
a. Instruction for the learner and parent.
b. Flash drive containing the video modules.
c. Printed modules for the week.
d. Feeback forms for the learner and parent.
e. Activity/answer sheets.
f. Indicated filename of video module for the week.
g. List of learning package
h. Calendar/schedule of activities for the learner for the week.
2. Open the identified filename of the video module for the day.(Teacher shall specify all the important details that the parent
3. Next, assist your child in playing/watching the video.
4. Assist your child in accomplishing the printed module.
5. Assist your child in accomplishing the activity/answer sheet but let your child answer independently.
6. Ensure that your child answers first the activity/assessment before referring to the answer key
7. Call the teacher or send a message to the teacher if you have a questions/concern
8. Assist your child in answering the post assessment. If your child gets lower than 80%, help the child go back to the specific a
wrong answers and go over the exercises/activities.
9. Repack the accomplished modules and all the contents of the learning package based on the list at the end of the week.
10. Hand over the accomplished learning package to the designated messenger.
O PARENT/GUARDIAN
Quarter: _____________________________
Week: _____________________________
all specify all the important details that the parent should do.)
r than 80%, help the child go back to the specific activity where he/she got
1.Open the learning package with your parent and check the completeness of the following:
a. Instruction for the learner and parent.
b. Flash drive containing the video modules.
c. Printed modules for the week.
d. Feedback forms for the learner and parent.
e. Activity/answer sheets.
f. Indicated filename of video module for the week.
g. List of learning package
h. Calendar/schedule of activities for the learner for the week.
2. Accomplish the task one at a time according to the proper sequence in the module. Using separate note book, take note als
your module.
3. Refer to the calendar or the learner’s task/s for the day to guide you on your required task/s to accomplish.
4. Be sure to answer first the activities/assessment before referring to the key answers at the last pages of your printed modu
clean papers for your answer sheets and other required outputs.
5. If you have any question or concern, you may refer this to your parent/guardian to possibly contact your teacher. You may
as needed.
6. During the last day of the week, be sure to answer the following: post assessment and the learner’s feedback form.
7. Through your parent or guardian, return the accomplished module and attached the required outputs.
N TO THE LEARNER
________________________________
________________________________
of the following:
e module. Using separate note book, take note also of important concepts from
ardian to possibly contact your teacher. You may also replay the video module