Republic of the Philippines

Department of Education
MIMAROPA REGION
SCHOOLS DIVISION OF CALAPAN CITY
Office of the Schools Division Superintendent
MONITORING TOOL FOR F2F CLASSES
SENIOR HIGH SCHOOLS
School's Information Name of School Head:
Name of School: Email Add. of School Head:
Email Add. of School: Contact # of School Head:
Learners' Information
1. Total Number of Learner-Participants to F2F Classes 2. No. of Absent:
G11____ M____ F_____ G11____ M____ F_____
G12____ M____ F_____ G12____ M____ F_____
Reason/s for being absent: ______________________________________________________________
3. Is/are there Learner/s experienced COVID-19 symptoms Confirmed COVID-19 cases for the past 5
4.
for the past 5 days? days?
YES ____ Symptom/s:_______________ YES ____
G11____ M____ F_____ G11____ M____ F_____
G12____ M____ F_____ G12____ M____ F_____
(Symptoms: fever, cough & colds, difficulty of breathing, sore throat, NO____
diarrhea, fatigue/tireness, headache, loss of smell/taste, body pain)
NO ____
Teachers' Information
1. Total No. of teachers directly involved in F2F classes 2. Total No. of Absent Teachers
G11____ M____ F_____ G11____ M____ F_____
G12____ M____ F_____ G12____ M____ F_____
3. Is/are there School Personnel who experienced COVID symptoms for 4. COVID-Confirmed case/s for
the past 5 days? the past 5 days?
YES ____ M____ F_____ Symptom/s: ____________ YES ____ M____ F_____
NO____ NO____
Stakeholders' Health Information
2. Stakeholders visited w/ COVID-
1. Is/are there Stakeholders (parents, partners, etc) visited/entered the school
Confirmed case/s for the past 5
premises detected w/ symptoms for the past 5 days?
days?
YES ____ M____ F_____ Symptom/s: _____________ YES ____ M____ F_____
NO____ NO____
Implementation of Blended LDM
Which of the following challenges were encountered by the teachers in relation to f2f classes?
Select all that apply.
1. Limited time to clarify the lesson
2. Limited teaching and learning resources
3. Unreadiness of the learners in the f2f learning
4. Multiple attention to both learners in the f2f & in the modular learning
5. No Challenges encountered
6. Others: (Please specify) _____________________________________________
School and Community
1. Is/are there learners referred to professional or concerned authorities (e.i. BHERT, Health Centers?
1. Emergency care (but not COVID-related): No. of learners ___________
2. COVID-related: No. of learners __________________
3. Mental Health & Psychological Support: No. of learners ________________
4. Other/s (Please specify): ____________________________________________________________
2. Is/are there School Personnel referred to professional or concerned authorities (e.i. BHERT, Health Centers?
1. Emergency care (but not COVID-related): No. of Personnel ___________
2. COVID-related: No. of Personnel __________________
3. Mental Health & Psychological Support: No. of Personnel ________________
4. Other/s (Please specify): ____________________________________________________________
Challenges encountered.

MONITOR SCHOOL HEAD

DATE
sgod/smme/mack

Quezon Drive, Hilltop, Calero, Calapan City

SDO Telefax: (043) 288-1581 / (043) 441-6883
SDO Email Address: deped.calapan@deped.gov.ph