PHIL-IRI DISTRICT FORM S.Y.

2021-2022
(FILIPINO POST-TEST)

School:___________________________ Grade/Sec._____________________ Class Adviser:________________________________

CURRENT GRADE
No. Name of Learner SEX AGE READING LEVEL REMARKS
LEVEL
Independent Instructional Frustration
1 Example: Dalisay, Cardo L. M 11 Grade 5 Grade 2 Level Grade 3 Level Grade 4 Level
2 Example: Santos, Pedro M. M 12 Grade 5 None None All levels Non Reader

Prepared by: Submitted by: Noted:

_____________________________ _____________________________ _____________________________

Class Adviser School Phil-IRI Coordinator School Head
 PHIL-IRI DISTRICT FORM S.Y. 2021-2022
(English POST-TEST)

School:___________________________ Grade/Sec._____________________ Class Adviser:________________________________

CURRENT GRADE
No. Name of Learner SEX AGE READING LEVEL REMARKS
LEVEL
Independent Instructional Frustration
1 Example: Perez, Juan M 12 Grade 6 Grade 4 Level Grade 5 Level Grade 6 Level
2 Example: Tan, John L. M 12 Grade 6 None None All levels Non Reader

Prepared by: Submitted by: Noted:

_____________________________ _____________________________ _____________________________

Class Adviser School Phil-IRI Coordinator School Head