Philippine Early Childhood

Development Checklist
Form 2
(3.0 – 5.11 years old)

Child’s Name: ______________________________________________ 

Birthdate: ___________ Age: ________ as of _________ Sex: _____ 

 SOCIAL - P O R COMMENTS P O R COMMENTS P O R COMMENTS
EMOTIONAL
Child’s Name: _____________________
_________________________________
_______________________
_____________________ 
__________  DOMAIN
15.
15. Help
Helps s wit
withh fam
familily
y
chores (e.g., wiping
Province: ____________Municipality/City
____________Municipality/City:: ___________
___________ Barangay:___________ 
Barangay:___________ 
tables, watering
plants, etc.)
Sex: _______ Male Handedness: __________
__________ Right 16.
16. Curi
Curiou
ous s ab
about
out
environment but
_______ Female __________
__________ Left knows when to stop
asking questions of 
adults
To the Parents:
17.
17. Wait
Waits s for
for turn
turn
The Philippine Early Childhood Development Checklist (Form 2) contains knowledge,
18.
18. Asks
Asks per
permimiss
ssio
ionn to
to
skills and attitudes of children 3 – 5.11 years old. This may be used as a guide in play with toy being
knowing your child and consequently give appropriate care and teaching to guide used by another 
their growth and development.
development. 19.
19. Defe
Defendnds s poss
possesessi
sion
onss
Content: with determination
20.
20. Play
Plays s orga
organinize
zedd
group games fairly (e.
Every page contains different domains of development with their corresponding
corresponding total g., does not cheat in
scores: order to win)
21.
21. Can talk
talk about
about diffic
difficul
ultt
- Gro
Gross
ss Moto
Motorr Dom
Domai
ain
n has
has 13 item
items
s - Exp
Expre
ressssiv
ive
e Lan
Langu
guagage
e Doma
Domain in has
has 8 feelings (e.g., anger,
items sadness, worry) he
experiences.
- Fin
Fine
e Mot
Motor
or Doma
Domain
in has
has 11
11 item
items
s - Cogn
Cognititiv
ive
e Dom
Domaiain
n has
has 21 item
itemss
22.
22. Hono
Honors rs a sim
simple
ple
- Sel
Self-
f-h
help Doma
omain has 27 ititems
ems - So
Soc
ciia
al-E
l-Emoti
motion
ona
al Dom
Doma ain has 24 it
items
ems bargain with caregiver 
- Receptive Language Domain has 5 (e.g., can play outside
items only after 
cleaning/finishing his
room)
23.
23. Watc
Watche hess resp
respononsisibl
bly
y
Each item observed are recorded three time within a year: 1) at the start of the over younger 
year, 2) at the middle of the year, and 3) at the end of the year. siblings/family
members
Columns: 24.
24. Coop
Cooper erat
ates
es with
with
adults and peers in
group situations to
P – Present or the child can do the task minimize quarrels and
conflicts
O – Observed or the child was observed doing the task TOTAL SCORE:
Score:
R – Report given by the parents/caregiver about the skill
 (√ ) Present or child is able to do the task cultural gestures of 
greetings without much
prompting (e.g., mano,
( - ) Skill is not present or child does not respond bless, kiss, etc.)

( -9) no opportunity to observe the skill 13. Comforts

playmates/siblings in
distress
14. Persis
Persists
ts when
when face
faced
d with
with
a problem or obstacle to
his wants

SOCIAL-EMOTIONAL DOMAIN GROSS MOTOR DOMAIN

A. 3.1 – 5.0 Years A. 3.1 – 4.0 Years

SOCIAL - EMOTIONAL P O R COMMENTS P O R COMMENTS P O R COMMENTS Gross Motor P O R COMMENTS P O R COMMENTS P O R COMMENTS
DOMAIN 1. Clim
Climbs
bs on chai
chairr or 
or 
1. enjo
enjoys
ys wat
watch
chin
ing
g acti
activi
viti
ties
es other elevated piece
of nearby people or  of furniture like a
animals bed without help
2. Frie
Friend
ndlyly with
with stra
strang
nger
ers
s 2.
but initially may show Walks backwards
B. 4.1 – 5.0
slight anxiety or shyness
Gross Motor P O R COMMENTS P O R COMMENTS P O R COMMENTS
3. Play
Playss alo
alonene but
but lik
likes
es to be 3. Runs without
near familiar adults or  tripping or falling
brothers and sisters 4. W al
alk s d ow
ow n st ai
ai rs
rs ,
SOCIAL - EMOTIONAL P O R COMMENTS P O R COMMENTS P O R COMMENTS
2 feet on each
DOMAIN step, with one
4. L au
au gh
gh s o r s qu
qu ea
ea ls
ls al
al ou
ou d hand held
in play 5. Walks up upstairs
5. Plays pepeek- a-a-boo holding handrail, 2
(bulaga) feet on each step
6. Roll
Rollss bal
balll int
inter
erac
acti
tive
vely
ly 6. Walks up upstairs
with caregiver/examiner  with alternate feet
7. Hu gs
gs o r cu dd
dd le
le s t oy
oys without holding
handrail
B. 5.1
5.1 – 5.1
5.11
1 Yea
Years
rs 7. Walks do downst aiairs
SOCIAL - EMOTIONAL P O R COMMENTS P O R COMMENTS P O R COMMENTS with alternate feet
DOMAIN without holding
8. Demo
Demonsnstr
trat
ates
es res
respe
pect
ct for 
for  handrail
elders using terms like 8. Moves bo body pa
part
“po” and “opo” as directed
9. Shar
Shares
es toys
toys with
t h othe
others
rs 9. Jumps up
10. Throws ba ball
10. Imitate
Imitates s adult
adult activi
activities
t ies overhead with
(e.g., cooking, washing) direction
11. Iden
Identi
tifi
fies
es feel
feelin
ings
gs in C. .1 – 5.11
others
12. Appr
Approp
opri riat
atel
ely
y use
usess
 FINE MOTOR DOMAIN
Gross Motor P O R COMMENTS P O R COMMENTS P O R COMMENTS
10. Throws ba ball
A. 3.1 – 4.0 Years overhead with
Fine Motor  P O R COMMENTS P O R COMMENTS P O R COMME direction
NTS
1 1.
1. Ho ps
ps 1 t o 3 st
st ep
ep s
1. Uses
Uses all
all 5 fin
finge
gers
rs to get
get
on preferred foot
food/toys placed on flat
1 2.
2. Ju mp
mp s a nd
nd tu
tur ns
ns
surface
13. Dances
2. Pick
Pickss up
up obj
objec
ects
ts with
th
patterns/joins
thumbs and index finger 
group movement
3. Disp
Displa
lays
ys a defi
defini
nite
te han
handd
activities
preference
TOTAL SCORE:
4. Puts
Puts sma
small ll obj
objec
ects
ts in/
in/ou
outt
of containers
5. Hold
Holdss cra
crayo
yon n wit
with
h all
all
A. 3.1 – 4.0
4.0 Year
Years
s
fingers of his hand
COGNITIVE DOMAIN P O R COMMENTS P O R COMMENTS P O R COMMENTS
making a fist (I.e.,
palmar grasp)
6. Exhi
Exhibi
bits
ts simp
simple
le pret
preten
end
d
play(feed, put doll to
B. 4.1 – 5.0 Year  sleep)
Fine Motor P O R COMMENT P O R COMMENTS P O R COMM
S ENTS 7. Mat ch
ches object s
6. Unscrews lid of 
container or unwraps B. 4.1 – 5.0
5.0 Year
Years
s
food COGNITIVE DOMAIN P O R COMMENTS P O R COMMENTS P O R COMMENTS
7. Scri
Scribb
bble
les
s spont
spontananeo
eous
usly
ly 8. M at
at ch
ch es
es 2 -3
-3 c ol
olo rs
rs
8. Scri
Scribb
bble
les
s vert
vertic
ical
al and
and 9. Matches pi pict ur
ures
horizontal lines 10.
10. Sort
Sortss bas
baseded on shap
shapeses
11.
11. Sort
Sortss obj
objec
ects
ts base
based d on
on
C. 5.1 – 5.11 2 attributes (e.g., size
Fine Motor P O R COMMENTS P O R COMMENTS P O R COMM and color)
ENTS 12.
12. Arra
Arrang
nges
es obje
object
ctss
9. Draw
Drawss circ
circle
le pur
purpo
posesely
ly according to size from
10.
10. Draw
Drawss a huma
human n figur
figure
e smallest to biggest
(head, eyes, trunk, arms, 13.
13. Name
Names s 4-6
4-6 colo
colors
rs
hands/fingers) 1 4.
4. Co pi
pi es
es sh
sh ap
ap es
es
11. Draw
Drawss a hous
house e usin
usingg 15.
15. Name
Names s 3 anim
animalalss or 
or 
geometric forms vegetables when asked
TOTAL SCORE: 16.
16. Stat
States
es what
what com
commomon n
household items are
used for 

C. 5.1 – 5.11
5.11 Years
Years
COGNITIVE DOMAIN P O R COMMENTS P O R COMMENTS P O R COMMENTS
17.
17. Cam
Cam asse
assemb
mble
le sim
simpl
ple
e
puzzles
18.
18. Demo
Demons nstr
trat
ates
es an D. 3.1 – 4.0
4.0 Year
Years
s
understanding of  COGNITIVE DOMAIN P O R COMMENTS P O R COMMENTS P O R COMMENTS
opposites by 1. Look
Looks s at dire
direct
ctio
ionn of 
completing a statement
fallen object
(e.g., Ang aso ay
malaki, ang daga
2. Look
Looks s for
for part
partia
iall
lly
y
 _____”) object hidden
19.
19. Poin
Points ts to left
left and
and rig
right
ht 3. Imit
Imitat
ates
es beh
behav
avio
iorr just
just
sides of body seen a few minutes
20.
20. Can
Can stat
statee what is sill
silly
y earlier 
or wrong with pictures 4. Offe
Offers
rs obje
object
ct but
but wil
willl
(e.g. Ano ang mali sa not release it
larawang ito? 5. Look
Looks s for
for com
complplet
etel
ely
y
21 M at
at ch
ch es
es up
up pe
per an
an d
hidden object
lower case letters
TOTAL SCORE:
SELF-HELP DOMAIN
EXPRESSIVE LANGUAGE DOMAIN A. 3.1 – 4.0 Years
SELF-HELP P O R COMMENTS P O R COMMENTS P O R COMMENTS
A. 3.1 – 5.0 5.0 Yea
Years rs 1. Feeds
eeds self
self with
with finge
inger 
r 
EXPRESSIVE P O R COMMENTS P O R COMMENTS P O R COMMENTS food (e.g. biscuits,
LANGUAGE DOMAIN bread) using fingers
1. Uses
Uses 5-20
5-20 reco
recogn
gniza
izablblee 2. Fe ed
eds se lflf usi ng
ng
words fingers with spillage
2. Uses
Uses pron
pronou
ouns
ns (e.g
(e.g.. I, 3. Fe ed
eds se lflf usi ng
ng
me, ako, akin) spoon with spillage
3. Uses
Uses 2-3
2-3 words
words verb-
verb- 4. Fe ed
eds se lflf usi ng
ng
noun combinations (e.g. fingers without
hingi gatas) spillage
4. Name
Names s obje
object
cts
s in 5. Fe ed
eds se lflf usi ng
ng
pictures spoon without
spillage
B. 5.1 – 5.115.11 YeaYears rs
EXPRESSIVE P O R COMMENTS P O R COMMENTS P O R COMMENTS
B. 4.1 – 5.0 Years
LANGUAGE
DOMAIN SELF-HELP P O R COMMENTS P O R COMMENTS P O R COMMENTS
5. Speaks in 6. Eats
Eats with
withou
outt nee
needd for 
for 
grammatically correct spoon feeding during
2-3 word sentences any meal
6. Asks
sks “wh
“what
at”q
”que
uest
stio
ions
ns 7. He lp
lps ho
ho ld
ld c up
up fo
for  
7. As ks
ks “w
“who ” a nd
nd “w
“why ” drinking
questions 8. Drin
Drinksks from
from cup
cup with
with
8. Gi ve
ve s ac co
count of   spillage
recent experiences
(with prompting) in C. 5.1 – 5.11Years
order of occurrence SELF-HELP P O R COMMENTS P O R COMMENTS P O R COMMENTS
using past tense 9. Drinks fr
from cu
cup
TOTAL SCORE: unassisted
COGNITIVE DOMAIN
10.
10. Gets
Gets drin
drink
k for
for self 
self  designated place to
unassisted urinate (pee) or move
11.
11. Pour
Pours s fro
from
m pit
pitch
cher 
er  bowels (pooh) and
never does this is his
without spillage
underpants anymore
12.
12. Prepa
repare
ress own
own
food/snack
13.
13. Prep
Preparares
es meal
meals s for 
for 
younger 
siblings/family
members when no
adult is around SELF-HELP P O R COMMENTS P O R COMMENTS P O R COMMENTS
22. Go es
es to
to th e
designated place to
SELF-HELP P O R COMMENTS P O R COMMENTS P O R COMMENTS
urinate (pee) or move
Dressing Sub-Domain
bowels (pooh) and
14.
14. Part
Partic
icip
ipat
ates
es whe
when n
never does this is his
being dressed (e.g.
underpants anymore
raises arms or lifts leg)

15.
15. Pull
Pulls
s down
down gar
garte
tere
red
d
23.
23. Wipe
Wipes/s/Cl
Clea
eans
ns sel
self 
f 
after a bowel
short pants
movement (pooh)
1 6.
6. Re mo
mo ve
ve s s an
an do
do 24.
24. Part
Partic
icip
ipat
ates
es whe
when n
bathing (e.g. rubbing
17.
17. Dres
Dresse
ses
s with
withou
outt arms with soap)
assistance except for  25.
25. Wash
Washes es and
and dri
dries
es
buttons and tying hands without any
18.
18. Dres
Dresse
ses
s with
withou
outt help
assistance including 26.
26. Wash
Washes es fac
face
e with
withou
outt
buttons and tying any help
27.
27. Bath
Batheses wit
witho
hout
ut any
any
Toilet Training sub-domain help
19.
19. Infor
Informs
ms the adul
adultt onl
only
y TOTAL SCORE:
after he has already RECEPTIVE LANGUAGE DOMAIN
urinated (peed) or  A. 3.1 – 5.11 Years
moved his bowels RECEPTIVE P O R COMMENTS P O R COMMENTS P O R COMMENTS
(poohed) in his LANGUAGE
underpants DOMAIN
1. Points to fami ly ly
20.
20. Info
Inform
rmss adul
adultt of nee
need
d member when asked
to urinate (pee) or  to do so
move bowels (pooh- 2. P oi
oi nt
nt s t o 5 bo
bo dy
dy pa
pa rt
rt s
pooh) so he can be on himself when
brought to a asked to do so
designated place (e.g.
comfort room) 3. Points to 5 na
named
pictured objects when
21 Goes to
to th
the asked to do so
4. Follo ws
ws on
one- st
step
instructions that
include simple
prepositions
5. Follows 2-step
instructions that
include simple
prepositions
TOTAL SCORE: