Immaculate Conception Academy of Malabon
272 Gen. Luna St. Concepcion, Malabon City
BASIC EDUCATION DEPARTMENT
Classroom Performance Evaluation Form
NAME :__________________________________________________________________________
GRADE & SEC. :__________________________________________________________________________
SUBJECT :__________________________________________________________________________
TEACHER :__________________________________________________________________________
Direction: please encircle the number of your choice. Thank you.
BEHAVIOR
1 Follow direction 1 2 3 4 5 NA
2 Stays within workplace/study place 1 2 3 4 5 NA
3 Starts doing task immediately 1 2 3 4 5 NA
4 Stays focused on task/sparingly needs to be prompted to continue working 1 2 3 4 5 NA
5 Finishes tasks 1 2 3 4 5 NA
6 Participate when assigned to work in groups 1 2 3 4 5 NA
7 Is attentive whenever the teacher/classmate is speaking in front 1 2 3 4 5 NA
8 Responds to and follows n on-verbal cues 1 2 3 4 5 NA
9 Attends class on time/regularly 1 2 3 4 5 NA
10 Listens attentively 1 2 3 4 5 NA
11 Respect teachers 1 2 3 4 5 NA
12 Treats classmates fairly 1 2 3 4 5 NA
13 Avoids then use of foul language in class 1 2 3 4 5 NA
14 Mingles/interacts with classmates appropriately 1 2 3 4 5 NA
15 Avoids creating distraction in class 1 2 3 4 5 NA
16 Comes to class in complete and appropriate uniform 1 2 3 4 5 NA
ACADEMIC PERFORMANCE
17 Bring materials needed to accomplish tasks 1 2 3 4 5 NA
18 Submits homework and projects on time 1 2 3 4 5 NA
19 Is capable of completing task that requires memory 1 2 3 4 5 NA
20 Doed seatwork and quizzes accurately 1 2 3 4 5 NA
21 Does the task/activity after a given direction 1 2 3 4 5 NA
22 Takes practical tests 1 2 3 4 5 NA
23 Copies note within reasonable period of time 1 2 3 4 5 NA
24 Copies note accurately 1 2 3 4 5 NA
25 Does homework on his/her own 1 2 3 4 5 NA
TOTAL
Legend / Legend Explanations:
NA - Not Applicable OVER
1 - Deficient - The student rarely is yet to learn how to do The behavior
2 - Limited - The student occasionally does the behavior
3 - Adequate - The student often does the behavior
4 - Proficiency- The student usually does the behavior
5 - Excellent - The student consistently does the behavior
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA