Republic of the Philippines

Department of Education
Region IX, Zamboanga Peninsula
DIVISION OF ZAMBOANGA CITY
Baliwasan Chico, Zamboanga City
Telefax: (062) 993-1514, Emal: zamboangacity@deped.gov.ph
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MONITORING AND EVALUATON TOOL FOR INSTRUCTIONAL MANAGEMENT

Name: Dominic Ann R. Pioquinto Years Teaching: 10 years
School: Mampang Elementary School Subject & Grade: Filipino III
District: Talon-Talon Date: 10-17-2022

Please put a check (?) in the appropriate column.

A. Satisfaction from Technical Assistance Provided YES NO
1. Were the suggestions specific and well-illustrated? ✓
2. Were the suggestions clear enough to help you execute them properly? ✓
3. Were all your instructional/ supervisory needs addressed during the ✓
provision of TA?
4. Were you satisfied in the manner the TA was provided to you? ✓

B. Degree of Relevance:

Rate the degree of relevance on how the TA contributed in the improvement of your instructional
delivery/leadership using the descriptions below. (Pls. enter your score in the box below.)

4- Highly Relevant 4

3- Relevant

2- Moderate Relevant

1- Not relevant

C. Compliance to Agreement:

Date Given TA: 10-17-2022 Agreed Date for Follow-up:10-18-2022

Number of points of agreement: 4______________________________
Number of points of agreement complied: 4______________________________

Remarks: Complied all_______________________________________________

DOMINIC ANN R. PIOQUINTO ____________________

Signature of Teacher over Printed Name Principal’s Signature
 Republic of the Philippines
Department of Education
Region IX, Zamboanga Peninsula
DIVISION OF ZAMBOANGA CITY
Baliwasan Chico, Zamboanga City

Date: 10-17-2022

TECHNICAL ASSISTANCE FORM

(For school Heads and Teachers)

Name of Teacher/School Head: Dominic Ann R. Pioquinto Designation: Teacher III Yrs. In Service: 10 years
Major: English Grade Level/s Taught: Three School: Mampang E/S District: Talon-Talon

A. CONCERNS/ OBSERVATIONS:

Check/monitor the preparation of school forms (SF1 and SF2) and LP/DLL.
__________________________________________________________________________________________________________
 The school forms (SF1 and SF2) were not properly filled out and had missing details.
__________________________________________________________________________________________________________
 The LP/DLL needs to be revised to include more appropriate and varied instructional strategies that cater
__________________________________________________________________________________________________________
to the diverse learning needs of students.
__________________________________________________________________________________________________________
Supervise the remedial reading progress and remediation classes.
__________________________________________________________________________________________________________
 The teacher needs to provide more individualized attention and support to struggling readers to help them.
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________

B. AGREEMENT:

The teacher agreed to properly fill out the missing details in SF1 and SF2, to include more appropriate and varied
__________________________________________________________________________________________________________
instructional strategies that caters to the diverse learning needs of students and provide more individualized
__________________________________________________________________________________________________________
attention and support to struggling readers to help them improve.
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________

DOMINIC ANN R. PIOQUINTO

_________________________________________________________________
Teacher’s/School Head’s Signature Over Printed Name