INTRUCTION

1. This automated ECCD is for kinder teacher to lessen their burden

in answering conventional ECCD.
2. First, you can COPY each file for your 1 pupils or COPY the tab and rename it enter the birthdate of
the pupil and the date you are performing the test so that the age will aumotamatically appear
3. All you have to do is to choose on th drop down list on the column G10-G150 on your first test
and J10-to J150 on your 2nd test, Your raw acore, scale and interpretation is on a drop down list also.
you can get the raw, scale and interpretion after putting a check in cell with ( ✓) check or-(dash) like whats on the illustration
The drop down list command will avoid an incidental erasure of the fomulas
4. In the row of raw score, scale score, and interpretation will apear if you click the drop down list
you update the raw, scaled and interpretation by clicking the drop down list if you've edit the the number of check
you make the first test and the 2nd test can be hidden by clicking the
blank list likewise with your 2nd test click again the drop down list as what you need
5. always start at the top of the checklist so that you can get the rigth raw , scaled and interpretation

For raw score For scaled score

6. The raw score is automatically counted

7. The scaled score is also automatically counted
8. interpretation will appear automatically
9. The Total raw score is also automated
10. The Total for the scaled score is also automated
11. The standard score is also automated For interpretation
12. Interpretation of standard score will automatically appear
for each do1-3 SSGDOD Suggest Significant delay in Over all Devepment
4-6 SSLDOD Suggest Slight delay in Over all Devepment
7-13 AD Average Development
14-16 SSAD Suggest Slightly Advanced Development
17-19 SHAD Suggest Highly advanced development

For the int 69- below SSGDOD Suggest Significant delay in Over all Devepment
70-79 SSLDOD Suggest Slight delay in Over all Devepment
80-119 AD Average Development
120-129 SSAD Suggest Slightly Advanced Development
130 ABOVE SHAD Suggest Highly advanced development
13.each ECCD forms are for ages 4.1 -5.0 and 5.1-5.11
14. This automated ECCD is an intellectual property of PAMELA C. DE LEON
password ; canon
like whats on the illustration

e number of check
 Republic of th Philippines
Department of Education
DIVISION OF CITY SCHOOLS
City of San Jose del Monte

REVISED EARLY CHILDHOOD CARE AND DEVELOPMENT CHECKLIST FOR AGES 5.1-5.11
Name of Pupil: CAJANDAB, CARLO RIVAS LRN: 107163200459 1st TEST 2nd TEST 3rd TEST
School: SAN RAFAEL BBH ELEMENTARY SCHOOL Age 5 .5 5.8 5 . 11 COMMENTS
Birthday: 3/18/2017 Date taken 9/5/2022 12/5/2022 3/6/2023
GROSS MOTOR DOMAIN 1 2 3
1 Nakakaakyat sa upuan o iba pang maaakyatang bagay/kasangkapan gaya ng kama nang walang tulong. ✓ ✓ ✓
2 Nakalalakad ng paatras. ✓ ✓ ✓
3 Nakatatakbo ng hindi nadadapa. ✓ ✓ ✓
Nakakababa sa hagdan gamit ang dalawang paa sa bawat hakbang habang nakahawak ang isang kamay sa
4 gabay ng hagdan ✓ ✓ ✓

Nakakaakyat sa hagdan gamit ang dalawang paa sa bawat hakbang habang nakahawak ang isang kamay sa
5 ✓ ✓ ✓
gabay ng hagdan.
6 Nakakaakyat sa hagdan nang salitan ang mga paa at hindi humahawak sa gabay ng hagdanan. ✓ ✓ ✓
7 Nakabababa sa hagdan nang salitan ang mga paa at hindi humahawak sa gabay ng hagdanan. ✓ ✓ ✓
8 Naigagalaw ang bahagi ng katawan na tinutukoy. ✓ ✓ ✓
9 Nakakatalon. ✓ ✓ ✓
10 Naihahagis ang bola ng paitaas na may direksyon. ✓ ✓ ✓
11 Nakalulundag ng 1-3 beses gamit ang mas gustong paa. ✓ ✓ ✓
12 Nakatatalon at nakaiikot. ✓ ✓ ✓
13 Nakasasayaw ng may tinutularan/ nakalalahok sa mga gawaing ukol sa kilos o galaw na para sa grupo. ✓ ✓ ✓
Raw Score 13 13 13
Scaled Score 11 11 11
Interpretation AD AD AD
FINE MOTOR 1 2 3
1 Nagagamit ang lahat ng limang mga daliri upang makuha ang pagkain/ laruan na nakalagay sa patag. ✓ ✓ ✓
2 Nakukuha ang mga bagay gamit ang hinlalaki at hintuturo. ✓ ✓ ✓
3 Naipapakita ang gustong kamay na laging ginagamit. ✓ ✓ ✓
4 Nailalagay ang mga maliliit na bagay mula sa lalagyan. ✓ ✓ ✓
5 Nahahawakan ang mga krayola nang nakatikom ang mga daliri sa palad. ✓ ✓ ✓
6 Natatanggal ang takip ng bote/ lalagyan o inaalis ang mga balot ng mga pagkain. ✓ ✓ ✓
7 Nakaguguhit ng kusa. ✓ ✓ ✓
8 Nakaguguhit nang patayo at pahalang na linya. ✓ ✓ ✓
9 Nakaguguhit ng hugis bilog. ✓ ✓ ✓
10 Nakaguguhit ng larawan ng tao (ulo, mata, katawan, braso, kamay at paa) ✓ ✓ ✓
11 Nakaguguhit ng bahay gamit ang iba't-ibang uri ng hugis (parisukat at tatsulok) ✓ ✓ ✓
Raw Score 11 11 11
Scaled Score 12 12 12
Interpretation AD AD AD
RECEPTIVE LANGUAGE 1 2 3
1 Naituturo ang miyembro ng pamilya kapag ipinagawa. ✓ ✓ ✓
2 Naituturo ang limang bahagi ng katawan. ✓ ✓ ✓
3 Naituturo ang limang napangalanang larawan ng mga bagay. ✓ ✓ ✓
Nakasusunod sa isang hakbang na panuto na mayroong simpleng pang-ukol (halimbawa sa, sa mga, para sa/
4 ✓ ✓ ✓
kay)
Nakasusunod sa dalawang hakbang na panuto na mayroong simpleng pang-ukol(halimbawa: Kunin ang bola sa
5 ✓ ✓ ✓
ilalim ng upuan at ibigay kay nanay.)
Raw Score 5 5 5
Scaled Score 11 11 11
Interpretation AD AD AD
EXPRESSIVE LANGUAGE 1 2 3
1 Nakagagamit ng 5-20 na nakikilalang salita (hal. mama, papa at iba pa) - - ✓
2 Nakagagamit ng mga panghalip (hal. ako, ikaw, siya) - ✓ ✓
3 Nakagagamit 2-3 kombinasyon ng pandiwa-pangngalan (hal. Hingi ng gatas) ✓ ✓ ✓
4 Napapangalanan ang mga bagay sa isang larawan (Hal. larawan ng bola, nasasabi ng bata na ito ay bola) ✓ ✓ ✓
5 Nakapagsasalita ng 2-3 tamang salita sa tamang panungusap. ✓ ✓ ✓
6 Nakapagtatanong ng "ano" na tanong. ✓ ✓ ✓
7 Nakapagtatanong ng "sino" at "bakit' na tanong. ✓ ✓ ✓
Naikukwento ang karanasan (kapag tinatanong/dinidiktahan ng naayon sa pagkakasunod na pangyayari gamit
8 ✓ ✓ ✓
ang mga salitang tumutukoy sa pangnakaraan o past tense.
Raw Score 6 7 8
Scaled Score 5 5 11
Interpretation SSLDOD SSLDOD AD
COGNITIVE DOMAIN 1 2 3 COMMENTS
1 Nakikita ang direksyon ng nahulog na bagay. ✓ ✓ ✓
2 Nahahanap ang mga bagay na bahagyang nakatago. ✓ ✓ ✓
3 Nagagaya ang mga kilos na nakikita pa lamang. ✓ ✓ ✓
4 Naibibigay ang bagay ngunit hindi ito binibitawan. ✓ ✓ ✓
5 Nahahanap ang mga bagay na lubusang nakatago. ✓ ✓ ✓
6 Nakapaglalaro ng kunwari-kunwarian (hal. gaya ng pagpapakain at pagpapatulog sa manika) ✓ ✓ ✓
7 Napagtutugma ang mga bagay. ✓ ✓ ✓
8 Napagtutugma ang 2-3 mga kulay. ✓ ✓ ✓
9 Napagtutugma ang mga larawan. ✓ ✓ ✓
10 Nahihiwalay ang mga bagay batay sa hugis. ✓ ✓ ✓
11 Nahihiwalay ang mga bagay batay sa dalawang katangian (hal. Sa laki at sa hugis). - ✓ ✓
12 Naisasaayos ang mga bagay batay sa laki mula sa pinakamaliit hanggang sa pinakamalaki, - ✓ ✓
13 Napapangalanan ang 4-6 na kulay. ✓ ✓ ✓
14 Nagagaya ang mga hugis. ✓ ✓ ✓
15 Napapangalanan ang mga hayop at gulay kapag tinanong. ✓ ✓ ✓
16 Nasasabi ang gamit na karaniwang kasangkapan sa bahay. ✓ ✓ ✓
17 Nabubuo ang simpleng puzzle. ✓ ✓ ✓
Naiintindihan ang magkakasalungat na salita sa pamamagitan ng pagkumpleto ng pangungusap (hal." Ang aso
18 - ✓ ✓
ay malaki, ang daga ay _______)
19 Naituturo ang kaliwa at kanang bahagi ng katawan. - ✓ ✓
20 Nasasabi kung ano ang mali sa larawan. - - -
21 Napagtutugma ang malalaki at maliliit na letra - - -
Raw Score 15 19 19
Scaled Score 7 11 11
Interpretation AD AD AD
SELF-HELP DOMAIN 1 2 3
1 Pinapakain ang sarili ng mga pagkain tulad ng biskwit at tinapay (finger food) ✓ ✓ ✓
2 Pinapakain ang sarili ng ulam at kanin gamit ang daliri ngunit may natatapong pagkain ✓ ✓ ✓
3 Pinapakain ang sarili gamit ang kutsara ngunit may natatapong pagkain ✓ ✓ ✓
4 Pinapakain ang sarili gamit ang daliri na walang natatapong pagkain ✓ ✓ ✓
5 Pinapakain ang sarili gamit ang kutsara na walang natatapong pagkain ✓ ✓ ✓
6 Kumakain ng hindi na kailangang subuan pa. ✓ ✓ ✓
7 Tumutulong sa paghawak ng baso/tasa sa pag-inom ✓ ✓ ✓
8 Umiinom sa baso ngunit may natatapon. ✓ ✓ ✓
9 Umiinom sa baso ng walang umaalalay ✓ ✓ ✓
10 Kumukuha ng inumin ng mag-isa ✓ ✓ ✓
11 Binubuhos ang tubig mula sa pitsel na walang natatapon. ✓ ✓ ✓
12 Naghahanda ng sariling pagkain/miryenda - - -
Naghahanda ng sariling pagkain para sa nakababatang kapatid/ibang miyembro ng pamilya kung walang
13 - - -
matanda sa bahay.
14 Nakikipagtulungan kung binibihisan. (hal nagtataas ng braso or itinataas ang binti) ✓ ✓ ✓
15 Hinuhubad ang shorts na may garter. ✓ ✓ ✓
16 Hinuhubad ang sando. ✓ ✓ ✓
17 Binibihisan ang sarili na walang tumutulong, maliban sa pagbubutones at pagtatali. ✓ ✓ ✓
18 Binibihisan ang sarili na walang tumutulong, kasama na ang pagbubutones at pagtatali. ✓ ✓ ✓
19 Ipinapakita o ipinapahiwatig na naihi o nadumi sa shorts. ✓ ✓ ✓
Pinapaalam sa tagapa-alaga ang pangangailangang umihi o dumumi upang makapunta sa tamang lugar, (hal.
20 ✓ ✓ ✓
Banyo, CR)
Pumupunta sa tamang lugar upang umihi o dumumi ngunit paminsan-minsan ay may pagkakataong hindi
21 ✓ ✓ ✓
mapigilang maihi o madumi sa shorts.
22 Matagumpay na pumupunta sa tamang lugar upang umihi o dumumi. ✓ ✓ ✓
23 Pinupunasan ang sarili pagkatapos dumumi. ✓ ✓ ✓
24 Nakikipagtulungan kung pinapaliguan. ✓ ✓ ✓
25 Naghuhugas at nagpupunas ng mga kamay ng wala ng tumutulong. ✓ ✓ ✓
26 Naghihilamos ng mukha ng walang tumutulong. ✓ ✓ ✓
27 Naliligo ng walang tumutulong ✓ ✓ ✓
Raw Score 25 25 25
Scaled Score 10 10 10
Interpretation AD AD AD
SOCIAL EMOTIONAL 1 2 3
1 Natutuwang nanonood ng mga ginagawa ng mga tao o hayop sa malapit na lugar. ✓ ✓ ✓
2 Lumalapit sa mga hindi kakilala ngunit sa una ay maaaring maging mahiyain o hindi mapalagay ✓ ✓ ✓
3 Naglalarong mag-isa ngunit gustong malapit sa mga pamilyar na nakatatanda o kapatid. ✓ ✓ ✓
4 Tumatawa/tumitili nang malakas sa paglalaro. ✓ ✓ ✓
5 Naglalaro ng "bulaga" ✓ ✓ ✓
6 Pinapagulong ang bola sa kalaro o tagapag-alaga. ✓ ✓ ✓
7 Niyayakap ang laruan. ✓ ✓ ✓
8 Nagpapakita ng respeto sa nakatatanda gamit ang Nang, Nong, Opo at Po. - - -
9 Pinahihiram ang sariling laruan sa iba. ✓ ✓ ✓
10 Ginagaya ang mga ginagawa ng mga nakatatanda ( hal. pagluluto, paglalaba) ✓ ✓ ✓
11 Tinutukoy ang mga damdamin sa iba - - -
12 Gumagamit ng mga kilos na nararapat sa kultura na hindi na hinihiling/dinidiktahan (hal. Pagmamano, paghalik). - - -
13 Inaalo/inaaliw ang mga kalaro o kapatid na may problema. ✓ ✓ ✓
14 Nagpupursige kung may problema o hadlang sa kanyang gusto. ✓ ✓ ✓
15 Tumutulong sa mga gawaing pambahay (hal. Nagpupunas ng mesa, nagdidilig ng mga halaman). ✓ ✓ ✓
16 Interesado sa kanyang kapaligiran ngunit alam kung kailan kailangang huminto sa pagtatanong. ✓ ✓ ✓
17 Marunong maghintay (hal. Sa paghuhugas ng kamay, sa pagkuha ng pagkain). ✓ ✓ ✓
18 Humihingi ng permiso na laruin ang laruan ng ginagamit ng ibang bata. ✓ ✓ ✓
19 Binabantayan ang mga pag-aari ng may determinasyon. ✓ ✓ ✓
20 Naglalaro ng maayos sa mga pang-grupong laro (hal. Hindi nandadaya para manalo). - - -
21 Naikukwento ang mga mabigat na nararamdaman (hal. Galit, lungkot). - - -
Tinatanggap ang isang kasunduang ginawa ng tagapag-alaga (hal. Lilinisin muna ang kuwato bago maglagro sa
22 - - -
labas).
23 Responsableng nagbabantay sa mga nakababatang kapatid/miyembro ng pamilya. - - -
24 ✓ ✓ ✓
Nakikipagtulungan sa mga nakakatanda at nakababata sa anumang sitwasyon upang maiwasan ang bangayan.
Raw Score 17 17 17
Scaled Score 3 3 3
Interpretation SSGDOD SSGDOD SSGDOD
TOTAL RAW SCORE 92 97 98
TOTAL SCALED SCORE 59 63 69
STANDARD SCORE 81 86 95
INTERPRETATION OF STANDARD SCORE AD AD AD

JESSICA F. IGNACIO
Adviser
 Republic of th Philippines
Department of Education
DIVISION OF CITY SCHOOLS
City of San Jose del Monte

REVISED EARLY CHILDHOOD CARE AND DEVELOPMENT CHECKLIST FOR AGES 5.1-5.11
Name of Pupil: MANALO, PRINCE LHANZE GONZALES LRN: 107163200459 1st TEST 2nd TEST 2nd TEST
School: SAN RAFAEL BBH ELEMENTARY SCHOOL Age 7 .2 7. 5 7. 8 COMMENTS
Birthday: 6/19/2015 Date taken 9/5/2022 12/5/2022 3/6/2023
GROSS MOTOR DOMAIN 1 2 3
1 Climbs on chair or other elevated piece of furniture like a bed without help. ✓ ✓ ✓ ✓
2 Walk backwards ✓ ✓ ✓
3 Runs without tripping or falling. ✓ ✓ ✓
4 Walk downstairs , 2 feet on each step, with one hand held. ✓ ✓ ✓
5 Walk up stairs holding handrail,2 feet on each step. ✓ ✓ ✓
6 Walk up stairs with alternate feet without holding handrail. ✓ ✓ ✓
7 Walk downstairs with alternate feet without holding handrail. ✓ ✓ ✓
8 Moves body part as directed. ✓ ✓ ✓
9 Jumps up ✓ ✓ ✓
10 Throws ball overhead with Direction. ✓ ✓ ✓
11 Hops 1 to 3 steps on preferred foot. ✓ ✓ ✓
12 Jumps and Turns ✓ ✓ ✓
13 Dances patterns/joins group movement activities. ✓ ✓ ✓
Raw Score 13 13 13 ###
Scaled Score 11 11 11 11
Interpretation AD AD AD AD
FINE MOTOR 1 2 3
1 Uses all 5 fingers to get food/toys placed on flat surface. ✓ ✓ ✓
2 Picks up objects with thumb and index finger. ✓ ✓ ✓
3 Displays a definite hand preference. ✓ ✓ ✓
4 Puts small objects in/out of containers. ✓ ✓ ✓
5 Holds crayon with all the fingers of his hand making a fist ✓ ✓ ✓
6 Uncrews lid of container or unwraps food. ✓ ✓ ✓
7 Scribbles spontaneously. ✓ ✓ ✓
8 Scribbles vertical and horizontal lines. ✓ ✓ ✓
9 Draws circle purposely ✓ ✓ ✓
10 Draws a human figure (head,eyes,trunk,arms,hands/finger) ✓ ✓ ✓
11 Draws a house using geometric forms. ✓ ✓ ✓
Raw Score 11 11 11 ###
Scaled Score 12 12 12 12
Interpretation AD AD AD AD
RECEPTIVE LANGUAGE 1 2 3
1 Points to a family member when asked to do so. ✓ ✓ ✓
2 Points to 5 body parts on himself when asked to do so. ✓ ✓ ✓
3 Points to 5 named pictured objects when asked to do so. ✓ ✓ ✓
4 Follows 1-step instructions that include simple prepositions.(e.g. in,on, under etc.) ✓ ✓ ✓
5 Follows 2-step instructions that include simple prepositions. ✓ ✓ ✓
Raw Score 5 5 5 ###
Scaled Score 11 11 11 11
Interpretation AD AD AD AD
EXPRESSIVE LANGUAGE 1 2 3
1 Uses 5-20 recognizable words. - - ✓
2 Uses pronounce (e.g. me,ako,akin) - ✓ ✓
3 Use 2-3 words verb-noun combinations(e.g. hingi gatas) ✓ ✓ ✓
4 Names objects in pictures ✓ ✓ ✓
5 Speaks in gramatically correct 23 word sentences. ✓ ✓ ✓
6 Asks "What" questions ✓ ✓ ✓
7 Asks "Who" and "Why" questions. ✓ ✓ ✓
8 Gives account of recent experiences(with prompting)in order of occurrence using past tense. ✓ ✓ ✓
Raw Score 6 7 8 ###
Scaled Score 5 5 11 5
Interpretation SSLDOD SSLDOD AD SSLDOD
COGNITIVE DOMAIN 1 2 3 COMMENTS
1 Looks at direction of falling objects ✓ ✓ ✓
2 Looks for a partially hidden objects. ✓ ✓ ✓
3 Imitates behavior just seen a few minutes earlier. ✓ ✓ ✓
4 Offers on object but may not release it. ✓ ✓ ✓
5 Looks for completely hidden objects. ✓ ✓ ✓
6 Exhibits simple "pretend" play ( feeds, puts doll to sleep ) ✓ ✓ ✓
7 Matches objects ✓ ✓ ✓
8 Matches 2-3 colors ✓ ✓ ✓
9 Matches Pictures. ✓ ✓ ✓
10 Sorts based on shapes ✓ ✓ ✓
11 Sorts objects based on attributes (e.g. size and colors) - ✓ ✓
12 Arranges objects according to size from smallest to biggest - ✓ ✓
13 Names 4 to 6 colors ✓ ✓ ✓
14 Copies shapes ✓ ✓ ✓
15 Name 3 animals or vegetables when asked. ✓ ✓ ✓
16 States what common household items are used for ✓ ✓ ✓
17 Can assemble simple puzzles. ✓ ✓ ✓
Demonstrates an understanding of opposite by completing a statement (e.g." Ang aso ay malaki, ang daga
18 - ✓ ✓
ay _______)
19 Points to left and right sides of the body. - ✓ ✓
20 Can state what is silly or wrong with pictures (e.g. Ano ang mali sa larawan?) - - -
21 Matches upper and lowercase letter. - - -
Raw Score 15 19 19 ###
Scaled Score 7 11 11 7
Interpretation AD AD AD AD
SELF-HELP DOMAIN 1 2 3
1 Feeds self with finger food (e.g biscuit,bread) using fingers. ✓ ✓ ✓
2 Feeds self using fingers to eat rice /viand with spillage. ✓ ✓ ✓
3 Feeds self using spoon with spillage. ✓ ✓ ✓
4 Feeds self using fingers without spillage. ✓ ✓ ✓
5 Feeds self using spoon without spillage. ✓ ✓ ✓
6 Eats without need for spoon feeding during any meal. ✓ ✓ ✓
7 Helps hold cup for drinking. ✓ ✓ ✓
8 Drinks from cup with spillage ✓ ✓ ✓
9 Drinks from cup unassisted. ✓ ✓ ✓
10 Gets drinks for self-unassisted. ✓ ✓ ✓
11 Pours from pitcher without spillage. ✓ ✓ ✓
12 Prepares own food/snack - - -
13 Prepares meals for younger siblings/ family member when no adult is around. - - -
14 Participates when being dressed (e.g raises arms or lifts leg) ✓ ✓ ✓
15 Pulls down gartered short pants. ✓ ✓ ✓
16 Removes sando ✓ ✓ ✓
17 Dresses without assistance exccept for buttoning and tying. ✓ ✓ ✓
18 Dresses without assistance including buttoning and tying. ✓ ✓ ✓
19 Informs the adult only after he has already urinated (peed) or moved his bowels (poohed) in his underpants ✓ ✓ ✓
Informs adult to urinate (pee) or move bowels (pooh-pooh) so he can be brought to a designated place
20 ✓ ✓ ✓
(comfort room)
Goes to the designated place to urinate (pee) or move bowels (pooh) but sometimes still does this in his
21 ✓ ✓ ✓
underpants.
Goes to the designated place to urinate (pee) or move bowels (pooh)and never does this in his underpants
22 ✓ ✓ ✓
anymore.
23 Wipes/Cleans self after a bowel movement (pooh) ✓ ✓ ✓
24 Participates when bathing (e.g. rubbing arms with soap) ✓ ✓ ✓
25 Washes and dries hands without any help. ✓ ✓ ✓
26 Washes face without any help. ✓ ✓ ✓
27 Bathes without any help. ✓ ✓ ✓
Raw Score 25 25 25 ###
Scaled Score 10 10 10 10
Interpretation AD AD AD AD
SOCIAL EMOTIONAL 1 2 3
1 Enjoys watching activities of nearby people or animals ✓ ✓ ✓
2 Friendly with strangers but initially may show slight anxiety or shyness ✓ ✓ ✓
3 Plays alone but likes to be near familiar adults or brothers and sisters. ✓ ✓ ✓
4 Laughs or squeals aloud in play ✓ ✓ ✓
5 Plays peek-a-boo (bulaga) ✓ ✓ ✓
6 Rolls ball interactively with caregiver/examiner ✓ ✓ ✓
7 Hugs
using or cuddles
terms toysand “opo”
like “po” ✓ ✓ ✓
8 - - -
9 using
Shares terms
Imitates adultlike
toys with “po” and(e.g.,
others
activities “opo” ✓ ✓ ✓
10 cooking, washing) ✓ ✓ ✓
11 Identifies feelings in others - - -
12 Appropriately uses cultural gestures of greeting without much prompting (e.g., mano, bless, kiss, etc.) - - -
13 Comforts playmates/ siblings in distress ✓ ✓ ✓
14 Persists when faced with a problem or obstacle to his wants ✓ ✓ ✓
15 Helps with family chores (e.g., wiping tables, watering plants, etc.) ✓ ✓ ✓
16 Curious about environment but knows when to stop asking questions of adults ✓ ✓ ✓
17 Waits for his/her turn ✓ ✓ ✓
18 Asks permission to play with toy being used by another ✓ ✓ ✓
19 Defends possessions with determination ✓ ✓ ✓
20 Plays organized group games fairly (e.g., does not cheat in order to win) - - -
21 Can talk about difficult feelings (e.g., anger, sadness, worry) he experience - - -
22 Honors
members a simple bargain with caregiver (e.g., can play outside only after cleaning / finishing his room) - - -
23 - - -
24 Cooperates with adults and peers in group situations to minimize quarrels and conflicts ✓ ✓ ✓
Raw Score 17 17 17 ###
Scaled Score 3 3 3 3
Interpretation SSGDOD SSGDOD SSGDOD SSGDOD
TOTAL RAW SCORE 92 97 98 ###
TOTAL SCALED SCORE 59 63 69 ###
STANDARD SCORE 81 86 95 81
INTERPRETATION OF STANDARD SCORE AD AD AD AD
JESSICA F. IGNACIO
Adviser
 Republic of th Philippines
Department of Education
DIVISION OF CITY SCHOOLS
City of San Jose del Monte

REVISED EARLY CHILDHOOD CARE AND DEVELOPMENT CHECKLIST FOR AGES 5.1-5.11
Name of Pupil: BLANK LRN: 107165210233 1st TEST 2nd TEST
School: TUNGKONG MANGGA ELEMENTARY SCHOOL Age 46 .8 47 .4 COMMENTS
Birthday: 1/31/1975 Date taken 10/4/2021 6/27/2022
GROSS MOTOR DOMAIN 1 2
1 Climbs on chair or other elevated piece of furniture like a bed without help.
2 Walk backwards
3 Runs without tripping or falling.
4 Walk downstairs , 2 feet on each step, with one hand held.
5 Walk up stairs holding handrail,2 feet on each step.
6 Walk up stairs with alternate feet without holding handrail.
7 Walk downstairs with alternate feet without holding handrail.
8 Moves body part as directed.
9 Jumps up
10 Throws ball overhead with Direction.
11 Hops 1 to 3 steps on preferred foot.
12 Jumps and Turns
13 Dances patterns/joins group movement activities.
Raw Score 0 0 ###
Scaled Score 1 1
Interpretation SSGDOD SSGDOD
FINE MOTOR 1 2
1 Uses all 5 fingers to get food/toys placed on flat surface.
2 Picks up objects with thumb and index finger.
3 Displays a definite hand preference.
4 Puts small objects in/out of containers.
5 Holds crayon with all the fingers of his hand making a fist
6 Uncrews lid of container or unwraps food.
7 Scribbles spontaneously.
8 Scribbles vertical and horizontal lines.
9 Draws circle purposely
10 Draws a human figure (head,eyes,trunk,arms,hands/finger)
11 Draws a house using geometric forms.
Raw Score 0 0 ###
Scaled Score 1 1
Interpretation SSGDOD SSGDOD
RECEPTIVE LANGUAGE 1 2
1 Points to a family member when asked to do so.
2 Points to 5 body parts on himself when asked to do so.
3 Points to 5 named pictured objects when asked to do so.
4 Follows 1-step instructions that include simple prepositions.(e.g. in,on, under etc.)
5 Follows 2-step instructions that include simple prepositions.
Raw Score 0 0 ###
Scaled Score 1 1
Interpretation SSGDOD SSGDOD
EXPRESSIVE LANGUAGE 1 2
1 Uses 5-20 recognizable words.
2 Uses pronounce (e.g. me,ako,akin)
3 Use 2-3 words verb-noun combinations(e.g. hingi gatas)
4 Names objects in pictures
5 Speaks in gramatically correct 23 word sentences.
6 Asks "What" questions
7 Asks "Who" and "Why" questions.
8 Gives account of recent experiences(with prompting)in order of occurrence using past tense.
Raw Score 0 0 ###
Scaled Score 5 5
Interpretation SSLDOD SSLDOD
COGNITIVE DOMAIN 1 2 COMMENTS
1 Looks at direction of falling objects
2 Looks for a partially hidden objects.
3 Imitates behavior just seen a few minutes earlier.
4 Offers on object but may not release it.
5 Looks for completely hidden objects.
6 Exhibits simple "pretend" play ( feeds, puts doll to sleep )
7 Matches objects
8 Matches 2-3 colors
9 Matches Pictures.
10 Sorts based on shapes
11 Sorts objects based on attributes (e.g. size and colors)
12 Arranges objects according to size from smallest to biggest
13 Names 4 to 6 colors
14 Copies shapes
15 Name 3 animals or vegetables when asked.
16 States what common household items are used for
17 Can assemble simple puzzles.
Demonstrates an understanding of opposite by completing a statement (e.g." Ang aso ay malaki, ang daga ay
18
_______)
19 Points to left and right sides of the body.
20 Can state what is silly or wrong with pictures (e.g. Ano ang mali sa larawan?)
21 Matches upper and lowercase letter.
Raw Score 0 0 ###
Scaled Score 1 1
Interpretation SSGDOD SSGDOD
SELF-HELP DOMAIN 1 2
1 Feeds self with finger food (e.g biscuit,bread) using fingers.
2 Feeds self using fingers to eat rice /viand with spillage.
3 Feeds self using spoon with spillage.
4 Feeds self using fingers without spillage.
5 Feeds self using spoon without spillage.
6 Eats without need for spoon feeding during any meal.
7 Helps hold cup for drinking.
8 Drinks from cup with spillage
9 Drinks from cup unassisted.
10 Gets drinks for self-unassisted.
11 Pours from pitcher without spillage.
12 Prepares own food/snack
13 Prepares meals for younger siblings/ family member when no adult is around.
14 Participates when being dressed (e.g raises arms or lifts leg)
15 Pulls down gartered short pants.
16 Removes sando
17 Dresses without assistance exccept for buttoning and tying.
18 Dresses without assistance including buttoning and tying.
19 Informs the adult only after he has already urinated (peed) or moved his bowels (poohed) in his underpants
Informs adult to urinate (pee) or move bowels (pooh-pooh) so he can be brought to a designated place (comfort
20
room)
21 Goes to the designated place to urinate (pee) or move bowels (pooh) but sometimes still does this in his underpants.

22 Goes to the designated place to urinate (pee) or move bowels (pooh)and never does this in his underpants anymore.
23 Wipes/Cleans self after a bowel movement (pooh)
24 Participates when bathing (e.g. rubbing arms with soap)
25 Washes and dries hands without any help.
26 Washes face without any help.
27 Bathes without any help.
Raw Score 0 0 ###
Scaled Score 2 2
Interpretation SSGDOD SSGDOD
SOCIAL EMOTIONAL 1 2
1 Enjoys watching activities of nearby people or animals
2 Friendly with strangers but initially may show slight anxiety or shyness
3 Plays alone but likes to be near familiar adults or brothers and sisters.
4 Laughs or squeals aloud in play
5 Plays peek-a-boo (bulaga)
6 Rolls ball interactively
Demonstrates respectwith caregiver/examiner
for elders
7 Hugs
using or cuddles
terms toysand “opo”
like “po”
8
9 using
Shares terms
Imitates adultlike
toys with “po”
othersand(e.g.,
activities “opo”
10 cooking, washing)
11 Identifies feelings in others
12 Appropriately uses cultural gestures of greeting without much prompting (e.g., mano, bless, kiss, etc.)
13 Comforts playmates/ siblings in distress
14 Persists when faced with a problem or obstacle to his wants
15 Helps with family chores (e.g., wiping tables, watering plants, etc.)
16 Curious about environment but knows when to stop asking questions of adults
17 Waits for his/her turn
18 Asks permission to play with toy being used by another
19 Defends possessions with determination
20 Plays organized group games fairly (e.g., does not cheat in order to win)
21 Can talk about difficult feelings (e.g., anger, sadness, worry) he experience
 Watches responsibly over younger siblings/family
22 Honors
membersa simple bargain with caregiver (e.g., can play outside only after cleaning / finishing his room)
23
24 Cooperates with adults and peers in group situations to minimize quarrels and conflicts
Raw Score 0 0 ###
Scaled Score 1 1
Interpretation SSGDOD SSGDOD
TOTAL RAW SCORE 0 0 ###
TOTAL SCALED SCORE 12 12 ###
STANDARD SCORE 37 37
INTERPRETATION OF STANDARD SCORE SSGDOD SSGDOD

ANAME F. ESTEBAN
Adviser