Let us encapsulate your possible outputs

SAMPLE EVALUATION TOOL #1

Title: _________________________________________________________
Participant’s Name: Silverio R. Javier

EVALUATION TOOL

We appreciate your help in evaluating this intervention program. Please indicate your rating
of the program in the categories below by checking the appropriate column and number,
using a scale of 1 (low) through 5 (high).
Indicators 5 4 3 2 1

1. Objective /
• The program has been based on terminal and
enabling objectives.

2. Date/Time /
• The program states specific timeline or
schedule.

3. Session Objective /
• The program has specific, measurable,
attainable, reliable, and time-bounded
session objectives.

4. Output /

• The program requires output from the

learners and teachers.
• The required output must be aligned to the session
objective.
• The output must be pupil-centered

5. Topics/Content Highlights /

• The program has relevant topics responsive to the

needs of learners.
• The topics and contents must be aligned to the
session objective/s.
• The lessons must be supplemental to good
classroom instruction.
 Indicators 5 4 3 2 1

6. Methodology /

• The program must include appropriate

platforms for activities.
• The methodology must be student
centered.
• The methodology must be employed with low
teacher-pupil ratio.

7. Program Management Team /

• The program must have appropriate service

providers and committee.
• The lesson must be taught by an expert
teacher.

8. Resources Needed /

• The program must consider availability of

appropriate and sufficient resources such as
equipment, technologies, supplies, delivery and
learning materials, and other resources needed to
conduct each session.

Prepared by :

MOVITA O. CRUZAT
Learning Facilitator/Writer
Validation Form for Evaluation Tool
Indicators Highly Evide Not
Evide nt (1) Evide
nt (2) nt (0)

1. Objective-basedness /
• The tool measures the attainment in terms of criteria
by instructional objective.
 2. Comprehensiveness /
• The tool covers all areas expected to be addressed
by the program being assessed.

3. Discriminating Power /
• The tool contents were refined and relevant to the
program.

3. Discriminating Power /
• The tool contents were refined and relevant to the
program.

5. Validity /
• The tool measures the degree of accuracy of the
results

6. Objectivity /
• The tool is free from personal bias in scoring
responses.

7. Practicability /
• The tool is feasible.
• The tool can be used easily and ensures balance
of time and cost/efficiency.

Total Score /7x100= Average Score

Prepared by :

MOVITA O. CRUZAT
Learning Facilitator/Writer