Phil-IRI Form 4, Page 1 of 2

Individual Summary Record (ISR)

Talaan ng Indibidwal na Pagbabasa (TIP)

Name: Age: Grade / Section:

School: Teacher:
English: ✘ Filipino:

Level Date
Started Level Set Word Reading Comprehension Taken
Indicate if
Mark with
A, B, C, or Ind Ins Frus Ind Ins Frus
an *
D
K
I
II
* III B ✓ ✓ 20-Jun-18
IV
V
VI
VII
Legend: Ind - Independent; Ins - Instructional; Frus - Frustration

Oral Reading Observation Checklist:

Talaan ng mga Puna Habang Nagbabasa
Behaviors while Reading (Paraan ng Pagbabasa) ✓ or X
Does word-by-word reading ( Nagbabasa nang pa-isa isang salita ) X

Lacks expression; reads in a monotonous tone ( Walang damdamin; walang x

pagbabago ang tono)
Voice is hardly audible ( Hindi madaling marinig ang boses ) x

Disregards punctuation ( Hindi pinapansin ang mga bantas ) x

Points to each word with his/her finger ( Itinuturo ang bawat salita ) ✓

Employs little or no method of analysis ( Bahagya o walang paraan ng

✓
pagsusuri)
Other observations: (Ibang Puna) X
Integrated School Forms
m 4, Page 1 of 2 Phil-IRI Form 4, Page 2 of 2

Individual Summary Record (ISR)

Talaan ng Indibidwal na Pagbabasa (TIP)

Summary of Comprehension Responses (Talaan ng Pag-Unawa)

English: ✘ Filipino:

Passage Pre-Test Post Test

Level Panimulang Pagtatasa Panapos na Pagtatasa
A
B ✘ Score per Reading Level
Responses to Questions Score
Type of % Antas ng
C Sagot sa mga Tanong Marka
Question Pagbasa
D
Q1 Q2 Q3 Q4 Q5 Q6 Q7 Q8
L= /
I I= /
C= /
L= /
II I= /
C= /
L= /
III ✓ x ✓ ✓ ✓ X C= / 4/6 67% Instructional
I= /
L= /
IV I= /
C= /
L= /
V I= /
C= /
L= /
VI I= /
C= /
L= /
VII I= /
C= /
Legend: Ind - Independent; Ins - Instructional; Frus - Frustration
Integrated School Forms
Form 4, Page 2 of 2
 Phil-IRI Form 4, Page 1 of 2

Individual Summary Record (ISR)

Talaan ng Indibidwal na Pagbabasa (TIP)

Name: Age: Grade / Section:

School: Teacher:
English: Filipino: ✘

Level Date
Started Level Set Word Reading Comprehension Taken
Indicate if
Mark with
A, B, C, or Ind Ins Frus Ind Ins Frus
an *
D
K
I
II
III
IV
V
VI
VII
Legend: Ind - Independent; Ins - Instructional; Frus - Frustration

Oral Reading Observation Checklist:

Talaan ng mga Puna Habang Nagbabasa
Behaviors while Reading (Paraan ng Pagbabasa) ✓ or X
Does word-by-word reading ( Nagbabasa nang pa-isa isang salita )

Lacks expression; reads in a monotonous tone ( Walang damdamin; walang

pagbabago ang tono)
Voice is hardly audible ( Hindi madaling marinig ang boses )

Disregards punctuation ( Hindi pinapansin ang mga bantas )

Points to each word with his/her finger ( Itinuturo ang bawat salita )

Employs little or no method of analysis ( Bahagya o walang paraan ng

pagsusuri)
Other observations: (Ibang Puna)
Integrated School Forms
m 4, Page 1 of 2 Phil-IRI Form 4, Page 2 of 2

Individual Summary Record (ISR)

Talaan ng Indibidwal na Pagbabasa (TIP)

Summary of Comprehension Responses (Talaan ng Pag-Unawa)

English: Filipino: ✘

Passage Pre-Test Post Test

Level Panimulang Pagtatasa Panapos na Pagtatasa
A
B Score per Reading Level
Responses to Questions Score
Type of % Antas ng
C Sagot sa mga Tanong Marka
Question Pagbasa
D
Q1 Q2 Q3 Q4 Q5 Q6 Q7 Q8
L= /
I I= /
C= /
L= /
II I= /
C= /
L= /
III C= /
I= /
L= /
IV I= /
C= /
L= /
V I= /
C= /
L= /
VI I= /
C= /
L= /
VII I= /
C= /
Legend: Ind - Independent; Ins - Instructional; Frus - Frustration
Integrated School Forms
Form 4, Page 2 of 2