QATAME SESSION EVALUATION FORM

This form should be accomplished by the QATAME at the end of every session.

TOPIC: DO 8, s. 2015 REGION: IX

NAME OF FACILITATOR: RUSSEL P. PALMERO DIVISION/SCHOOL: Villacastor NHS

DATE AND TIME OF SESSION: December 14, 2020 VENUE/PLATFORM OF SESSION: Grade-10
8:00-11:45 AM Classroom, Villacastor National High
School

Number of members present (attach attendance document) if applicable:

Materials and resources Used:

___ Self-Learning Module
___ Activity sheets
___ Digital resources
___ Online resources
___ Smartphone
___ PC
___ Others. Please specify:
_______________________________________

Part A
Please indicate the extent to which you agree with each of the following statements by
checking the appropriate box.

(SD = Strongly Disagree; D = Disagree; N = Neutral; A = Agree; SA = Strongly agree)

Comments / Remarks
(For example, if you disagree or
strongly disagree, please indicate
SD D N A SA why.)

MEMBER PARTICIPATION

1. All of the members came

prepared for the session

2. All of the members had an

opportunity to share and
discuss their assignment,
insights, and ideas
 3. Members listened to each
other’s insights and ideas.

4. The members’ assignments

showed an understanding of
the lessons in the session.

5. The members demonstrated

engagement in and/or
enthusiasm for the learning
tasks during the session
(including providing feedback
on each other’s assignment).

FACILITATION

6. The facilitator managed the

sharing and discussion during
the LAC session by keeping
the discussion focused on the
lesson or topic.

7. He/She encouraged all the

members to actively
participate in the LAC session
(i.e., for the teachers to share
their work and ideas/
insights).

8. He/She provided useful

feedback on the teachers’
assignments.

Part B
Please provide the information requested.

1. The best part of the session (i.e. what went well):

2. Problems or challenges encountered and how they were resolved:

3. Other topics discussed apart from the recommended topics, if any:

4. Recommendations/Plans for next session: