Instructional Supervision form 3A/CB-PAST FORM 3A

Teacher Observation Guide for Instructional Competence

Name: __________________________________ Position: _____________________________

School: __________________________________ District: ______________________________
Not Observed (o) BB – Below Basic (1) HP – Highly Proficient (4)
B - Basic (2) P -Proficient (3)

Circle the number that described best your observation of the teacher. Start here….

Performance Behavior Observation Rating

A. A. Diversity of Learners NO BB B P HP
1. Sets lessons objectives with in the experience & 0 1 2 3 4
capabilities of learners
2. Utilizes varied techniques and strategies suited to 0 1 2 3 4
different kinds of learners
3. Shows fairness in dealing with learners 0 1 2 3 4
4. Paces lessons appropriate to the needs and difficulties 0 1 2 3 4
of learners
5. Provides appropriate intervention activities for learners 0 1 2 3 4
at risk
Total Score: Average: Description:
Narrative Description:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
_______________________________________

Comments of the Teacher:

___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
_________________________________

Agreements of the Teacher and Observer:

___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
_________________________________

_______________________ _______________________________
Teacher’s Name & Signature Observer’s Name & Signature
Principal /Supervisor

Instructional Supervision form 3A/CB-PAST FORM 3A

 Teacher Observation Guide for Instructional Competence

Name: __________________________________ Position: _____________________________

School: __________________________________ District: ______________________________
Not Observed (o) BB – Below Basic (1) HP – Highly Proficient (4)
B - Basic (2) P -Proficient (3)

Circle the number that described best your observation of the teacher. Start here….
Performance Behavior Observation Rating
B. Curriculum Content & Pedagogy NO BB B P HP
B.1 Teacher Behavior in Actual Teaching
1. Teachers accurate and updated content using 0 1 2 3 4
appropriate approaches and strategies
2. Aligns lesson objectives, teaching methods, learning 0 1 2 3 4
activities and instructional materials
3. Encourages learners to use higher order thinking skills 0 1 2 3 4
in asking questions
4. Engages and sustains learners interest in the subject 0 1 2 3 4
matter by making content meaningful and relevant
5. Establishes routines and procedures to maximizes of 0 1 2 3 4
time and instructional materials
6. Integrates language, literacy skills and values in 0 1 2 3 4
teaching
7. Presents lesson logically in a developmental manner 0 1 2 3 4
8. Utilizes technology resources in planning, designing and 0 1 2 3 4
delivery of the lesson
9. Creates situations that encourages learners to use 0 1 2 3 4
higher order thinking skills
Total Score: Average: Description:

Narrative Description
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
_______________________________________.
Comments of the Teacher:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

Agreements of the Teacher and Observer

______________________________________________________________________________
______________________________________________________________________________
_______________________________________________________________________

______________________ _________________________
Teacher’s Name & Signature Observer’s Name & Signature
Principal/ Supervisor

Instructional Supervision form 3A/CB-PAST FORM 3A

 Teacher Observation Guide for Instructional Competence

Name: __________________________________ Position: _____________________________

School: __________________________________ District: ______________________________
Legend:
NO – Not Observed (o) BB – Below Basic (1) HP – Highly Proficient (4)
B - Basic (2) P -Proficient (3)

Circle the number that described best your observation of the teacher. Start here….

Performance Behavior Observation Rating

B. Content & Pedagogy NO BB B P HP
B.2 Learners’ Behavior in the Classroom
1. Answers in own words at a desired cognitive level 0 1 2 3 4
2. Participates actively in the learning tasks with some 0 1 2 3 4
levels of independence
3. Asks questions relevant to the lesson 0 1 2 3 4
4. Sustains interest in the lesson/activity 0 1 2 3 4
5. Follows routines and procedure to maximize 0 1 2 3 4
instructional time
6. Shows appropriate behavior of individualism, 0 1 2 3 4
cooperation, competition in classroom interactions
7. Imbibes and values learning from the teacher and from 0 1 2 3 4
classmates
8. Demonstrates in varied ways, learning achieved in the 0 1 2 3 4
activities
Total Score: Average: Description:

Narrative Description:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

Comments of the Teacher:

______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

Agreements of the Teacher and Observer:

______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

______________________ _________________________
Teacher’s Name & Signature Observer’s Name & Signature
Principal/ Supervisor

Instructional Supervision form 3A/CB-PAST FORM 3A

 Teacher Observation Guide for Instructional Competence

Name: __________________________________ Position: _____________________________

School: __________________________________ District: ______________________________
Legend:
NO – Not Observed (o) BB – Below Basic (1) HP – Highly Proficient (4)
B - Basic (2) P -Proficient (3)

Circle the number that described best your observation of the teacher. Start here….
Performance Behavior Observation Rating
C. Planning, Assessing, Reporting Learners’ Outcomes 0 1 2 3 4
1. Provides timely, appropriate 0 1 2 3 4
reinforcement/feedback to learners’ behavior
2. Uses appropriate formative, summative tests 0 1 2 3 4
congruent to the lesson
3. Uses non-traditional authentic assessment 0 1 2 3 4
techniques when needed
4. Keeps accurate records of learners’ performance 0 1 2 3 4
level
5. Gives assignment as reinforcement or enrichment 0 1 2 3 4
of the lesson
6. Provides opportunity for learners to demonstrate 0 1 2 3 4
their learning
Average: Description:
Total Score:
Narrative Description:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

Comments of the Teacher:

______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

Agreements of the Teacher and Observer

______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

____________________________ ________________________________
Teacher’s Name & Signature Observer’s Name and Signature
Observer’s Name & Signature Principal / Supervisor

Signatures indicate that observations have been clarified by both parties.

Instructional Supervision form 3A/CB-PAST FORM 3A

 Teacher Observation Guide for Instructional Competence

Name: __________________________________ Position: ____________________________

School: __________________________________ District: _____________________________
Legend:
NO – Not Observed (o) BB – Below Basic (1) HP – Highly Proficient (4)
B - Basic (2) P -Proficient (3)

Circle the number that described best your observation of the teacher. Start here….

Performance Behavior Observation Rating

D. Learning Environment N B B P H
O B P
1 Maintains a safe and orderly classroom 0 1 2 3 4
2 Engages learners in different learning activities for higher learning 0 1 2 3 4
3 Handles behavior problems quickly and with due respect to 0 1 2 3 4
children’s rights
4 Creates situation that develops a positive attitude among learners 0 1 2 3 4
towards their subjects and teachers
5 Provides gender sensitive opportunities for learning 0 1 2 3 4
Total score : Average: Description:

Narrative Description:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

Comments of the Teacher:

______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

Agreements of the Teacher and Observer:

______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

____________________________ ________________________________
Teacher’s Name & Signature Observer’s Name and Signature
Observer’s Name & Signature Principal / Supervisor

Signatures indicate that observations have been clarified by both parties.

Instructional Supervision form 3A/CB-PAST FORM 3A

 Teacher Observation Guide for Instructional Competence

Name: __________________________________ Position: ____________________________

School: __________________________________ District: _____________________________
Legend:
NO – Not Observed (o) BB – Below Basic (1) HP – Highly Proficient (4)
B - Basic (2) P -Proficient (3)

Circle the number that described best your observation of the teacher. Start here…
Performance behavior Observation Rating
E. School, Home and Community linkages N B B P H
O B P
1 Involves the community in sharing accountability for learners’ 0 1 2 3 4
achievement
2 Uses varied and available community resources {human , materials} 0 1 2 3 4
to support learning
3 Uses community as laboratory for teaching and learning 0 1 2 3 4
4 Shares with the community information on school events and 0 1 2 3 4
achievements
5 Encourages learners to apply classroom learning at home and in 0 1 2 3 4
community
6 Informs learners, parents and stakeholders regarding school policies 0 1 2 3 4
and procedures
Total score: Average: Description:

Narrative Description:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
_____________________________

Comments of the Teacher:

______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Agreements of the Teacher and Observer:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
_______________________________________

____________________________ ________________________________
Teacher’s Name & Signature Observer’s Name and Signature
Observer’s Name & Signature Principal / Supervisor

Signatures indicate that observations have been clarified by both parties

Name: _________________________________ Position: ____________________________

School: __________________________________ District: _____________________________

Legend:
NO – Not Observed (o) BB – Below Basic (1) HP – Highly Proficient (4)
B - Basic (2) P -Proficient (3)

Performance Behavior Observation Rating

F. Social Regard for Learning N BB B P H
O P
1 Abides by and implements school policies and procedures 0 1 2 3 4
2 Observes punctuality in accomplishing tasks and requirements0 1 2 3 4
3 Observe punctuality in class attendance and other occasions 0 1 2 3 4
4 Maintains appropriates appearance and decorum at all times 0 1 2 3 4
5 Demonstrates appropriates behavior in dealing with 0 1 2 3 4
students ,superiors and stakeholder
Total score: Average: Description:
Narrative Description:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

Comments of the Teacher:

______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

Agreements of the Teacher and Observer:

______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

____________________________ ______________________________________
Teacher’s Name and Signature Observer’s Name and Signature
Principal / Supervisor
 Instructional Supervision form 3A/CB-PAST FORM 3A

Teacher Observation Guide for Instructional Competence

Name: __________________________________ Position: ____________________________

School: __________________________________ District: _____________________________
Legend:
NO – Not Observed (o) BB – Below Basic (1) HP – Highly Proficient (4)
B - Basic (2) P -Proficient (3)

Circle the number that described best your observation of the teacher. Start here…
Performance Behavior Observation Rating
G Personal, Social growth and professional development NO BB B P HP
0 1 2 3 4
1 Maintains Stature and behavior that upholds the dignity of teaching
2 Manifests personal qualities like enthusiasm, flexibility, caring attitudes and others 0 1 2 3 4
3 Demonstrate personal philosophy of teaching in the classroom 0 1 2 3 4
4 Updates oneself with the recent development in education 0 1 2 3 4
5 Improves teaching performance based on feedback from mentor, students, peers, 0 1 2 3 4
superiors
6 Accepts accountability for learning outcomes 0 1 2 3 4
7 Reflects on ones quality of teaching vis-a vis learning outcomes 0 1 2 3 4
8 Uses self assessment{TSNA} to enhance strengths and correct ones weaknesses 0 1 2 3 4
9 Participates actively in professional organizations 0 1 2 3 4
10 Abides by the code of Ethics for Professional Teachers 0 1 2 3 4
Total Score: Average: Description:

Narrative Description:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Comments of the Teacher:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Agreements of the Teacher and Observer:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

____________________________________ ______________________________
Teacher’s Name and Signature Observer’s Name and Signature
School Head/ Principal/ Supervisor

Signatures indicate that observations have been clarified by both parties.

Instructional Supervision Form I- Pre- Observation Information

Teacher: _____________________________ School: _________________________________

District: ______________________________ Division: ________________________________
Grade/ Year /Section: ___________________ Subject : ________________________________
School Year: _________________Semester: ____________ Conference Date: ______________
Instructional Supervisor : ________________________________________________________
Directions:
1. This form shall be answered by the teacher prior to Instructional Support visit
2. The information will serve as guide for the pre-observation conference. Observer may ask
additional job relevant data to provide a background for actual observation.
3. The filled up form shall be given back to the teacher to be placed in front of the teacher
observation form3A,B,C which will be used by the observer.

Pre-Observation Information
1. When would you like to have instructional supervision and support?
Date : __________ Time: ____________ Subject:_________ Grade level: ________
2. In which of your classes would you like to be observe?
Class :____________ Period to be Observe: _________________
3. What area or domain would you like to be observed? Please check

______ Diversity of learners _____ Content and pedagogy ____ Learning Environment
_______ School home community linkages ______ Social Regard for Learning
______ Personal growth and Professional development _____planning, Assessing and
Reporting , ________ Others, specify
4. What specific teaching-learning parameters would you like to be focused ?Please Check.
______ Motivation _______ Teacher- learners interaction ___Questioning/ Answering
Skills ___ pacing of the lesson ___Testing_____ Classroom management ____ Time on
Task ___Addressing multiple intelligence/learning styles ____ others , specify
5. What teaching methods/ strategy will you use?

__________________________________________________________________
6. How would you describe the class you will be teaching during the visit? Please provide
information by checking or filling up the required data.
a. Type of class { } Monograde { } 2 classes combination { } Multigrade
b. Size of class { } Small class size – number of learners______
{ } Big class size – number of learners ________
c. Class diversity { } Homogeneous { describe} _____________________________
{ } heterogeneous { describe} _____________________________
7. What three priority areas in you TSNA do you need the most support and assistance?
Please enumerate and specify.
a.

b.

c.
 8. What priority objectives in your IPPD did you include for school year________ that you
intend to accomplish? Please write.
a.

b.

c.

_________________________________________________________________________

Submitted by: Noted by:

_______________________________ __________________________________
Teacher Name and Signature School head Name and Signature

Note : This space shall be used for needed information given during the pre-observation but are
included above.
Instructional Supervision Form 2- Post- Observation Information

Teacher: _____________________________ School: _________________________________

District: ______________________________ Division: ________________________________
Grade/ Year /Section: ___________________ Subject : ________________________________
School Year: _________________Semester: ____________ Conference Date: ______________
Instructional supervisor: _____________________________________________
Directions:
1. This form shall be answered by the teacher after the actual class observation
2. The information will serve as guide for the post-observation conference. Observer may
ask additional job relevant information to clarify or support observation.
3. The filled up form shall be given back to the teacher to be placed in front of the teacher
observation form3A,B,C which was used by the observer.
Post- Observation Information
1. What did your learners gain in the your lesson in terms of Knowledge, Skills and attitudes
{KSAs} ? Please enumerate.
a. Knowledge:

b. Skills:

c. Attitude:

2. How did you make the learners gain the KSAs which you listed above?

3. What did your pupils/students do in order to gain/learn the KSAs?

4. Were you able to accomplish your lesson objective?

Yes ______ All _______ Some ________

No ______ All _______ Some _________

5. If yes, how did you do it ?

6. If No, what difficulties did you encounter?

7. Did you and your class enjoy the lesson ? Yes ________ No _______ Why?
8. If you are going to teach the same lesson again, can you think of ways to improve it ?Please
write it down.

9. What teaching assistance would you need to overcome difficulties that you have
encountered?

10. Can you suggest from whom you can ask this assistance and support? And how ?

11. Would you welcome another visit or observation? Yes _______ No ________ Why ?

Commendation for the teacher:

Suggested support for the teacher:

_______________________________ _______________________________
Teacher’s Name and Signature Observer’s Name and Signature

____________________________________________________________________________
Note: This space shall be used for needed information given during the Post-observation
conference but included above.
 Republic of the Philippines
Department of Education
REGION XI
Division of Davao del Sur
Digos City

CLINICAL SUPERVISION GUIDE

Name of Teacher Identified Instructional issues Clinical Supervision Schedule

___________________________________________
School Head / Principal