Psychosocial Evaluation Re

This templates aims to collate and organize the responses of learners in the Psychosocial Evaluation (Pag

Intructions:
a) Download this form. YOU CANNOT EDIT DIRECTLY ON THIS GOOGLE SHEET. Secure your own co
b) Collect learners' responses from the Quick Psychosocial Evaluation form.
c) Encode learners' responses according to your grade level.
d) Submit the encoded and collated learners' responses to your School Head for submission.
e) If there are concerns regarding the template, contact DRRMS-MHPSS through e-mail at drrms+mhpss

DO NOT REQUEST "EDIT" ACCESS. D

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ial Evaluation Response Template
hosocial Evaluation (Pagsusuri sa Sikososyal para sa Pagbabalik Eskwela). This is primarily for the use of the TEACH

ET. Secure your own copy.

ubmission.
e-mail at drrms+mhpss@deped.gov.ph

T" ACCESS. DOWNLOAD THE TEMPLATE.

for the use of the TEACHERS who are expected to facilitate the psychosocial support activities and administer this e
 Evaluation
Form was Region Division School ID School Name Learners' Name LRN
Administered
l1
 mga gusto imbis tulong tuwing
masaya, emosyon tulad nararamdaman pangkatan o sa malasakit sa
na mang-agaw o may
malungkot, ng saya, (hal. galit, mga gawain mga kamag-aral
makasakit ng pangangailanga
5 3 1
 galak kapag pumapasok sa
Nakikipaglaro sa pakikisalamuha sigla sa klase o
may silid-aralan lalo
mga kamag-aral. sa mga kamag- sa pagpasok sa
nagagawang na sa simula ng
 Evaluation
Form was Region Division School ID School Name Grade Level Learners' Name
Administered
 makinig kapag ang aking sarili para lutasin ang
nararamdaman nararamdaman kamag-aral, o
LRN gusto kong kapag ako'y mga problema o
tulad ng saya, sa aking mga guro, o kaibigan,
sabihin o ibahagi takot, galit, o pagsubok na
ang aking mga ang mga Masaya akong May gana akong pangyayari,
aking pag-aaral pagkakasakit o
kalakasan at damdamin ng makabalik sa in- pumasok muli sa gaya ngsakuna,
ang in-person na nag-iingat mula
kakayahan sa aking mga person na klase. paaralan. sa pamamagitan
 Date of Evaluation
Form was Grade
Region Division School ID School Name
Administered to Level
Learners

August 17, 2022 VII BOHOL 302895 Pres. Carlos P. Garcia Memorial High School 9
August 17, 2022 VII BOHOL 302895 Pres. Carlos P. Garcia Memorial High School 9
August 17, 2022 VII BOHOL 302895 Pres. Carlos P. Garcia Memorial High School 9
August 17, 2022 VII BOHOL 302895 Pres. Carlos P. Garcia Memorial High School 9
August 17, 2022 VII BOHOL 302895 Pres. Carlos P. Garcia Memorial High School 9
August 17, 2022 VII BOHOL 302895 Pres. Carlos P. Garcia Memorial High School 9
August 17, 2022 VII BOHOL 302895 Pres. Carlos P. Garcia Memorial High School 9
August 17, 2022 VII BOHOL 302895 Pres. Carlos P. Garcia Memorial High School 9
August 17, 2022 VII BOHOL 302895 Pres. Carlos P. Garcia Memorial High School 9
August 17, 2022 VII BOHOL 302895 Pres. Carlos P. Garcia Memorial High School 9
August 17, 2022 VII BOHOL 302895 Pres. Carlos P. Garcia Memorial High School 9
August 17, 2022 VII BOHOL 302895 Pres. Carlos P. Garcia Memorial High School 9
August 17, 2022 VII BOHOL 302895 Pres. Carlos P. Garcia Memorial High School 9
August 17, 2022 VII BOHOL 302895 Pres. Carlos P. Garcia Memorial High School 9
August 17, 2022 VII BOHOL 302895 Pres. Carlos P. Garcia Memorial High School 9
August 17, 2022 VII BOHOL 302895 Pres. Carlos P. Garcia Memorial High School 9
August 17, 2022 VII BOHOL 302895 Pres. Carlos P. Garcia Memorial High School 9
August 17, 2022 VII BOHOL 302895 Pres. Carlos P. Garcia Memorial High School 9
August 17, 2022 VII BOHOL 302895 Pres. Carlos P. Garcia Memorial High School 9
August 17, 2022 VII BOHOL 302895 Pres. Carlos P. Garcia Memorial High School 9
August 17, 2022 VII BOHOL 302895 Pres. Carlos P. Garcia Memorial High School 9
August 17, 2022 VII BOHOL 302895 Pres. Carlos P. Garcia Memorial High School 9
August 17, 2022 VII BOHOL 302895 Pres. Carlos P. Garcia Memorial High School 9
August 17, 2022 VII BOHOL 302895 Pres. Carlos P. Garcia Memorial High School 9
August 17, 2022 VII BOHOL 302895 Pres. Carlos P. Garcia Memorial High School 9
August 17, 2022 VII BOHOL 302895 Pres. Carlos P. Garcia Memorial High School 9
August 17, 2022 VII BOHOL 302895 Pres. Carlos P. Garcia Memorial High School 9
August 17, 2022 VII BOHOL 302895 Pres. Carlos P. Garcia Memorial High School 9
August 17, 2022 VII BOHOL 302895 Pres. Carlos P. Garcia Memorial High School 9
August 17, 2022 VII BOHOL 302895 Pres. Carlos P. Garcia Memorial High School 9
August 17, 2022 VII BOHOL 302895 Pres. Carlos P. Garcia Memorial High School 9
August 17, 2022 VII BOHOL 302895 Pres. Carlos P. Garcia Memorial High School 9
August 17, 2022 VII BOHOL 302895 Pres. Carlos P. Garcia Memorial High School 9
August 17, 2022 VII BOHOL 302895 Pres. Carlos P. Garcia Memorial High School 9
August 17, 2022 VII BOHOL 302895 Pres. Carlos P. Garcia Memorial High School 9
August 17, 2022 VII BOHOL 302895 Pres. Carlos P. Garcia Memorial High School 9
August 17, 2022 VII BOHOL 302895 Pres. Carlos P. Garcia Memorial High School 9
August 17, 2022 VII BOHOL 302895 Pres. Carlos P. Garcia Memorial High School 9
August 17, 2022 VII BOHOL 302895 Pres. Carlos P. Garcia Memorial High School 9
August 17, 2022 VII BOHOL 302895 Pres. Carlos P. Garcia Memorial High School 9
August 17, 2022 VII BOHOL 302895 Pres. Carlos P. Garcia Memorial High School 9
August 17, 2022 VII BOHOL 302895 Pres. Carlos P. Garcia Memorial High School 9
August 17, 2022 VII BOHOL 302895 Pres. Carlos P. Garcia Memorial High School 9
August 17, 2022 VII BOHOL 302895 Pres. Carlos P. Garcia Memorial High School 9
 Binabahagi ko
Mayroon akong Kinikilala at
ang aking mga
mga naiintindihan ko
iniisip at
mapagkakatiwal ang aking iba’t-
nararamdaman
aang kamag-aral ibang mga
sa aking mga
at guro na bukas naiisip at
Learners' Name LRN kamag-aral,
upang lapitan at nararamdaman,
guro, kaibigan,
sabihan tungkol kasama na ang
mga magulang o
sa ang aking mga
tagapangalaga
APARECE, ENCIENT MEIRE A. 118729130212 mga iniisip at 1 pinagmumulan o3 nang walang 2
nararamdaman. sanhi nito.
AUGUIS, ADONES JAY A. 119252130215 4 4 alinlangan. 4
AUGUIS, JOHN CARLO 118726130024 4 4 4
AUGUIS, KARL STEPHEN C. 118723130072 4 4 4
AUTENTICO, AUBREY R. 118723130025 3 4 5
AUTENTICO, JAMES JULIAN 118729130215 4 4 4
AUTIDA, VINCE CELVRIC S. 119967140278 4 4 4
BUFE, VINCENT A. 118723140013 4 5 5
CADORNA, RALPH STEPHEN P. 118723130089 4 4 3
CUIZON, ALGECAR P. 118761130011 4 4 4
DAYONO, ALIJAH DAVID ROI 107152120752 5 3 5
ELIADORA, RAMIL P. 118723130094 4 4 4
GARCIA, KENNY LOYD A. 118723130125 4 3 3
ONCEPEDO, JOHN CARLO 123247130044 4 4 4
OROYAN, JOSEPH P. 118719130061 2 4 1
POLESTICO, EMMANUEL R. 118723110084 4 4 4
POLO, DAVE PAUL B. 118723130010 4 4 4
POLO, DIETHER PAUL B. 118723130011 4 4 4
SIACOR, ALLEN MAICO A. 118723130036 5 4 4
TOLEDO, ACE DUSTINE T. 136810120174 4 4 5
TOLEDO, WILMER JHON T. 136810130021 4 4 4
TRAZO, FRED LAWRENCE D. 118723130107 4 4 4
AUGUIS, ALTHEA C. 118763130026 4 4 4
AVERGONZADO, MARIA CLARA A. 118723130137 4 4 3
BANLAYGAS, ALEXA 121132130040 5 5 5
CELOCIA, LLANEIL JANE A. 118729130232 3 1 1
CLEOPAS, QUENZEBEL P. 118723130137 4 3 2
CUIZON, MARIEL B. 118726130051 5 4 5
DOBLAS, CHERYL O. 118723120017 5 4 4
GINOO, JENIEVEVE A. 118723130115 4 5 4
LAUREL, KEITH 136885130877 3 3 5
LAUREL, KENZ 136885120821 4 4 4
MISSIONA, SHANE L. 118726130078 4 4 4
MONTICALVO, JEAN A. 118719130083 3 4 4
MORALDE, ROSHEL P. 118723130117 4 1 1
NOGALADA, JIELEE B. 118723130118 4 4 1
PADIN, HANNAH E. 118723130124 2 4 2
PARSACALA, PAULINE ANNE R. 127606130030 4 4 4
PETALLAR, CHARISS MAE D. 118035140074 4 5 5
POLESTICO, KRESHA JANE M. 118723130126 4 3 4
RICARDEL, ZEANNA B. 118723130058 4 3 2
TANEO, FINKY JEAN P. 118726130060 4 4 4
TIMON, SHAIRAMAE R. 118761130029 4 4 2
TORREJAS, MARIAN P. 118723140057 4 3 4
Pinapagaan ko
ang aking
Naghahanap
pakiramdam at Humihingi ako
ako ng mga
pinapakalma ko ng tulong sa
paraan para
ang aking sarili aking mga
lutasin ang mga
kapag ako’y kamag-aral o
problema o
maraming guro kapag
sulirinanin kapag
inaalala o nahihirapan ako
ako’y
nakararamdam sa pag-aaral.
ng sama ng 2 3 nahihirapan. 2
loob. 4 4
4 4
4 4
3 4
4 4
4 4
4 2
4 4
3 3
4 5
4 4
4 3
4 4
5 4
4 4
4 4
4 4
5 4
5 4
4 4
4 4
4 3
4 4
5 5
2 1
4 4
4 5
5 4
5 4
5 3
4 4
4 4
4 4
3 4
5 4
4 4
5 4
5 4
4 4
5 2
4 4
4 4
Inuunawa ko
Naipapamalas
ang mga Mainam sa
ko ang aking Masaya akong
pinagdadaanan aking pag-aaral
mga kalakasan makabalik sa in-
ng aking mga ang in-person na
at kakayahan sa person na klase.
kamag-aral o klase.
paaralan.
kapwa.
1 4 3 5
4 4 4 4 4
5 4 5 5 5
4 4 4 4 4
4 3 4 5 5
4 4 4 4 4
4 4 4 5 5
5 1 4 4 5
4 2 4 4 4
3 3 4 4
4 4 4 5 5
4 4 4 4 4
3 3 5 5 4
4 4 4 4 4
4 1 5 5 4
4 4 4 4 4
4 4 4 4 4
4 4 4 4 4
4 4 4 5 5
4 4 3 5 4
4 4 4 4 4
4 4 4 4 4
4 3 4 5 5
4 3 5 4 5
5 5 5 5 5
2 1 1 2 2
5 3 5 4 5
5 4 3 5 5
4 4 4 4 4
5 5 5 5 5
3 4 4 5 1
4 5 4 5 4
4 4 4 4 4
5 3 4 5 4
3 4 4 4 4
4 4 3 5 4
4 4 4 4 4
4 4 4 5 5
4 4 5 5 4
4 3 4 5 4
5 2 4 5 5
4 4 4 4 4
4 2 4 4 4
3 4 3 5 4 5 4
 Napapanatili
kaming ligtas
mula sa epekto Pinoprotektahan
ng mga hindi ko ang aking
inaasahang sarili mula sa
Nakaiinam sa
pangyayari, pagkakasakit o
aking pag-aaral
gaya ngsakuna, epekto ng mga
ang face-to-face
sa pamamagitan hindi
na klase.
ng mga inaasahang
ginagawang pangyayari gaya
1 paghahanda at 3 ng mga sakuna.5
4 pag-iingat ng 4 4
aming paaralan.
1 5 5
4 4 4
4 5 5
4 4 4
4 4 4
2 5 4
4 4 4
4 3 3
4 4 5
4 4 4
4 3 5
4 4 4
4 5 5
4 4 4
4 4 4
4 4 4
4 4 5
5 4 4
4 4 4
4 4 4
4 4 4
5 5 5
5 5 5
1 1 1
2 4 4
5 5 5
4 5 4
5 5 5
5 5 5
4 4 4
4 4 4
4 4 5
4 4 4
4 4 4
4 4 4
5 3 4
3 4 4
5 3 3
4 4 4
4 4 4
4 2 4
3 2 4