Republic of the Philippines

Department of Education
Division of Romblon
DON CARLOS M. MEJIAS MEMORIAL NATIONAL HIGH SCHOOL
Panangcalan, San Fernando, Romblon

INSTRUCTIONAL SUPERVISION FORM FOR STAR OBSERVATION TECHNIQUE

Observer: ______________________________________________ Date: _____________________

Name of Teacher Observed: _____________________________________ Time Started: __________

Subjects & Grade Level Taught: __________________________________ Time Ended: ___________

Number of Observation: 1 2 3 3 4

WHAT TO OBSERVE OBSERVATION (Record in Details if possible)

Situation
Focus and observe close to the context and teaching
episode, i.e. learning environment, motivation,
presentation of the lesson, evaluation, others.
Provides context for teacher’s action(s). Describes
specific event, job, or assignment that triggered or
warranted a response
Task
(Focus and observe closely Teacher’s action in
particular situation describe above)
Action
Focus and observe closely the learner’s action relative
to the teacher’s action and Teacher’s task described
above.
Specific response of teacher to the situation or task.
What teacher said or did. Can be multiple actions or
can also be non- action
Result
What happened due to the teacher’s action
(outcome). Can be effective or ineffective. Can be
concrete (e.g., report, test results, etc.). Can be less
tangible (e. g., low morale, misunderstanding, etc.)
(i.e. 85% of the learners were able to identify nouns)
and qualitatively (most of the learners actively
participated in the class)
General Comments for Teacher Support

Suggestions/ Recommendations

____________________________________ ___________________________________
Name and Signature of the Observer Name and Signature of the Teacher