Republic of the Philippines

Department of Education
Region VI-Western Visayas
Schools Division of Capiz
ROXAS FARM SCHOOL
(formerly Roxas National High School)
Roxas, Tapaz, Capiz

READING ASSESSMENT FORM

English & Filipino

Instruction: Kindly put a check mark to indicate the type of learner. Present with MOVs of the reading assessment following
minimum health protocols.

NR – Non-reader
SR – Slow reader
AR – Average reader
FR – Fast reader

Venue:_________________________________
Date: __________________________________

No. Name of Learner Se Age Grade Level & Section NR S AR FR Remarks

x R
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Prepared by:

DARREN LOUIE G. ESTOMO

Brigada sa Pagbasa Chairman

ANAJANE G. BELLOCA
Brigada sa Pagbasa Co-Chairman

Facilitated by:

_____________________________________
(Signature over Printed Name)
 Republic of the Philippines
Department of Education
Region VI-Western Visayas
Schools Division of Capiz
ROXAS FARM SCHOOL
(formerly Roxas National High School)
Roxas, Tapaz, Capiz

READING ASSESSMENT FORM

English & Filipino

Instruction: Kindly put a check mark to indicate the type of learner. Present with MOVs of the reading assessment following
minimum health protocols.

NR – Non-reader
SR – Slow reader
AR – Average reader
FR – Fast reader

Venue: Brgy. Daan Norte, Tapaz, Capiz

Date: September 15, 2021

No. Name of Learner Se Age Grade Level & Section NR S AR FR Remarks

x R
1.

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Prepared by:

DARREN LOUIE G. ESTOMO

Brigada sa Pagbasa, Chairman

ANAJANE G. BELLOCA
Brigada sa Pagbasa, Co-Chairman

Facilitated by:
 ___________________________ ___________________________ __________________________ _________________________
(Signature over Printed Name) (Signature over Printed Name) (Signature over Printed Name) (Signature over Printed
Name)

Republic of the Philippines

Department of Education
Region VI-Western Visayas
Schools Division of Capiz
ROXAS FARM SCHOOL
(formerly Roxas National High School)
Roxas, Tapaz, Capiz

READING ASSESSMENT FORM

English & Filipino

Instruction: Kindly put a check mark to indicate the type of learner. Present with MOVs of the reading assessment following
minimum health protocols.

NR – Non-reader
SR – Slow reader
AR – Average reader
FR – Fast reader

Venue: Brgy. Tabon, Tapaz, Capiz

Date: September 15, 2021

No. Name of Learner Se Age Grade Level & Section NR S AR FR Remarks

x R
1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

15.

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25.

26.

27.

28.

29.

30.

31.

32.

33.

34.

35.

36.

37.

38.

39.

40.

Prepared by:

DARREN LOUIE G. ESTOMO

Brigada sa Pagbasa Chairman

ANAJANE G. BELLOCA
Brigada sa Pagbasa Co-Chairman

Facilitated by:

___________________________ ___________________________ __________________________ __________________________

(Signature over Printed Name) (Signature over Printed Name) (Signature over Printed Name) (Signature over Printed Name)
An excerpt from THE DIFFERENT ADVENTURES OF JUAN TAMAD
Retold by: Manuel and Lyd Arguilla
ENGLISH READING

Juan was a little boy, the laziest of the lazy, and for this reason he as
named Juan Tamad. After baking some cakes one day, Juan’s mother
said: “Get up you lazy boy, and sell these bibingka in town.” Rolling up a
piece of rag, she coiled it into a round pad and set in on Juan’s head and
upon the pad she placed the heavy basket of rice cakes. The sun grew
warmer and warmer as Juan trudged townward with the rice cakes. Now
and then he stopped to rest under a bamboo or soaked his feet in the cool
river, or ate a rice cake

Isang sipi mula sa IBA’YONG ADVENTURES NG JUAN TAMAD

Ikinuwento muli nina: Manuel at Lyd Arguilla
PAGBASA SA FILIPINO

Si Juan ay isang maliit na bata, ang pinakatamad sa tamad, at sa

kadahilanang ito pinangalanan niya si Juan Tamad. Matapos maghurno ng
ilang cake isang araw, sinabi ng ina ni Juan: "Bangon ka na tamad na bata,
at ibenta ang mga bibingka na ito sa bayan." Pinagsama ang isang piraso
ng basahan, pinagsama niya ito sa isang bilog na pad at inilagay sa ulo ni
Juan at sa pad ay inilagay niya ang mabibigat na basket ng mga cake ng
bigas. Ang araw ay naging mas mainit at uminit habang nagtungo sa bayan
si Juan kasama ang mga cake ng bigas. Ngayon at pagkatapos ay tumigil
siya upang magpahinga sa ilalim ng isang kawayan o ibabad ang kanyang
mga paa sa cool na ilog, o kumain ng isang cake ng bigas