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Republic of the Philippines

Region I
Schools Division Office-City of San Fernando
City of San Fernando
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Reading/Numeracy Assessment Checklist

Name of Child;_______________________________________________________________________________
School: ______________________________________________________Grade Level:____________________
Adviser:__________________________________________________________________
1.Reading in Mother Tongue

Non-Reader Sounds Syllable Word Reader Phrase Sentence Paragraph


Reader Reader Reader Reader Reader

Findings/
Comments:__________________________________________________________________________________
____________________________________________________________________________________

Signature:_________________________________________________________________________________

2.Reading in Filipino

Non-Reader Sounds Syllable Word Reader Phrase Sentence Paragraph


Reader Reader Reader Reader Reader

Findings/
Comments:__________________________________________________________________________________
____________________________________________________________________________________

Signature:_________________________________________________________________________________

3.Reading in English

Non-Reader Sounds Syllable Word Reader Phrase Sentence Paragraph


Reader Reader Reader Reader Reader

Findings/
Comments:__________________________________________________________________________________
____________________________________________________________________________________

Signature:_________________________________________________________________________________

4.Numeracy

_____Non-Enumerate_____Enumerate

Can Add Can Subtract Can Multiply Can Memorize Can Solve Problem
Multiplication Table

Findings/
Comments:__________________________________________________________________________________
____________________________________________________________________________________

Signature:_________________________________________________________________________________

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