You are on page 1of 2

Republic of the Philippines

Department of Education
Region IX, Zamboanga Peninsula
DIVISION OF ZAMBOANGA CITY
Baliwasan Chico, Zamboanga City
Telefax: (062) 993-1514 ● Email: zamboanga.city@deped.gov.ph
visit us at: depedzamboangacity.ph● like us @ facebook.com/depedzcdivision

MONITORING AND EVALUATION TOOL FOR INSTRUCTIONAL MANAGEMENT

Name: _________________________________________Years Teaching: ___________________________________

School: ________________________________________ Subject & Grade: __________________________________


District: ________________________________________ Date: ______________________________________________

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

3 - Relevant

2 - Moderately Relevant
1 - Not relevant

C. Compliance to Agreement :
Republic of the Philippines
Department of Education
Region IX, Zamboanga Peninsula
DIVISION OF ZAMBOANGA CITY
Baliwasan Chico, Zamboanga City
Telefax: (062) 993-1514 ● Email: zamboanga.city@deped.gov.ph
visit us at: depedzamboangacity.ph● like us @ facebook.com/depedzcdivision

Date Given TA : _____________ Agreed Date for follow-up : ______________

Number of points of agreement : _________________________________

Number of points of agreement complied: ______________________

Remarks: _________________________________________________________________________________

__________________________________________ ____________________________

Signature of Teacher over Printed Name Signature of Principal

You might also like