Republic of the Philippines

Department of Education
Region XI – Davao Region
Schools Division of Davao City
MAHAYAG NATIONAL HIGH SCHOOL
Purok 1 Barangay Mahayag, Davao City

OPLAN BALIK ESKWELA EVALUATION FORM

SY 2020 – 2021

Instructions: Please assess honestly and objectively each item by using 4-

point rating scale to indicate the extent to which you agree or disagree with
each statement. Kindly check the blank space below the appropriate number.

4 3 2 1
INDICATORS Strongly Agree Disagree Strongly
Agree Disagree
A. Standard Ratio
1. The learner-teacher ratio meets standard.
2. The learner-classroom ratio meets standard.
3. The learner-toilet ratio meets standard.
4. The learner-chair ratio meets standard.
5. The learning materials are adequate and
appropriate.
B. School Environment
1. School environment is WELCOMING to the
learners.
2. School environment is SAFE.
3. School environment is CLEAN.
4. There is PEACE AND ORDER in the school.
5. Students are NOT LOITERING AROUND
(inside and outside the school premises).
6. School is 100% SMOKE-FREE.
7. School is 100% CHILD FRIENDLY.
8. School practices GENDER SENSITIVITY.
9. REGULAR CLASSES are on-going.
10. Classrooms are well lighted and ventilated.
11. Classroom facilities are appropriate and
adequate.
12. CLASS PROGRAMS are posted outside each
classroom.
13. The canteen displays adequate and
appropriate foods and ready to
accommodate.
14. The school laboratories and facilities are
functional, safe and ready to use.
15. The School Disaster Management and its
program are ready and visible.
16.The school’s WINS program is organized and
evident.
17. The WASH in School program is organized
and evident.

Address: Purok 1 Barangay Mahayag, Davao City

227-7361
 18.The school has sanitary and hygienic
conditions.
19.The school’s campaigns against COVID-19
are evident in the strategic areas.
C. School’s Personnel
1. School personnel always WEAR A SMILE.
2. There is a HELP DESK with attending school
personnel.
3. Someone is assigned to take PHONE CALLS.
4. School personnel WEAR THEIR PROPER
UNIFORMS and IDs.
5. School personnel shows welcoming attitude.
6. Teachers have their updated DLLs/DLPs.
7. Teachers are equipped with adequate and
appropriate learning materials.
8. School personnel impose and practices
appropriate HEALTH PROTOCOLS.
D. Others
1. Late enrolees are ACCOMMODATED.
2. Person with disability’s needs are provided.
3. The NO COLLECTION POLICY is strictly
followed.

____________________________________
Evaluator

Date Accomplished: __________________________________

Address: Purok 1 Barangay Mahayag, Davao City

227-7361