Republic of the Philippines

Department of Education
Region Xi
Schools Division of the Island Garden City of Samal

Instructional Supervision Form 1 –Pre-Observation Information

Teacher:___________________________School:__________________________
District:____________________________Division:_________________________
Grade/Year & Section:________________Subject:_________________________
School Year:_________Semester:________Conference Date:________________
Instructional Supervisor:________________________________

Directions:
1. This form shall be answered by the teacher prior to instructional visit.
2. The information will serve as guide for the pre-observation conference. Observer may ask
additional job-relevant data to provide a background for actual observation.
3. The filled up form shall be given back to the teacher to be placed in front of the Teacher
Observation Form which will be used by the observer.

PRE-OBSERVATION INFORMATION:

1. What will you be teaching in this lesson?

2. How will you communicate the learning objectives to the learners?

3. How has this lesson been influenced by collaboration with other teachers in terms of applying the
content across curriculum learning areas?(indicator 1)

4. What adjustments to your communication strategies might you make if you see some of your
learners struggle with the concepts during the actual delivery of the lesson? (indicators 2 and 3)

5. How do your classroom procedures and/or the physical arrangement of the classroom help learners
be successful in your classroom? How have you changed your organizational procedures /
arrangement based on the existing health standards? (indicator 4)

6. How have you organized the classroom to promote a respectful and fair learning environment?
(indicator 5)
7. How have you organized your class to keep learners engaged in learning experiences/continued
learning? (indicator 6)

8. How have you organized the overall structure, pacing, materials , and strategies within this lesson to
engage learners in the learning process and to sustain their active engagement and self-motivation?
( indicator 7)

9. What have you learned about your students this year that has gone into planning for this lesson?
How will you address the individual and group of learners’ background to create an environment where
learners feel actually involved?(indicator 8)

10. How have you adapted and used instructional strategies to respond to the individual and group of
learners’ cultural background for them to feel equally involved?(indicator 9)

11. What would you like me to specifically observe during the lesson?

Submitted by: Noted by:

________________________ ____________________________
Teacher’s Name and Signature Observer’s Name and Signature
 Republic of the Philippines
Department of Education
Region Xi
Schools Division of the Island Garden City of Samal

Instructional Supervision Form 2 –Post-Observation Information

Teacher:___________________________School:__________________________
District:____________________________Division:_________________________
Grade/Year & Section:________________Subject:_________________________
School Year:_________Semester:________Conference Date:________________
Instructional Supervisor:________________________________

Directions:
1. This form shall be answered by the teacher after the instructional visit.
2. The information will serve as guide for the post-observation conference.
Observer may ask questions relative to the areas that are observed.
3. The filled up form shall be given back to the teacher after the post-observation
conference.

PRE-OBSERVATION INFORMATION:

1. What did your learners gain in your lesson in terms of Knowledge, Skills and
Attitudes (KSAS)? Please enumerate
a. knowledge

b, skills

c. attitude

2. How was the communication of the learning objectives to the learners? Did you achieve those
objectives? What indicators/evidences proved that you were able

3. How did your students’ show that they had mastered the content across curriculum learning areas?
Why do you think they were able to master the content across curriculum learning areas? (indicator 1)

4. Did some of your learners struggle with the concepts during the actual delivery of the lesson? How
did you address the needs of the learners? (indicators 2 and 3)
5. Did your classroom procedures and/or the physical arrangement of the classroom help learners
succeed in your classroom? How did you implement the changes of your organizational procedures /
arrangement based on the existing health standards? (indicator 4)

6. What were the indications that you were able to organize the classroom in a manner that promoted
a respectful and fair learning environment?(indicator 5)

7. What manifestations did your learners show that you were able to sustain their engagement in the
learning experiences/continued learning? (indicator 6)

8. Were you able to execute the overall structure, pacing, materials , and strategies within this lesson
to engage learners in the learning process and to sustain their active engagement and self-motivation?
What indicators/situations proved that your students had sustained their engagement in the learning
process throughout the lesson?( indicator 7)

9. How was the implementation of your plan in relation to what you had learned about the background
of your students? Were you able to address the individual and group of learners’ background to
create an environment where learners felt actually involved? In what ways did you address it?(indicator
8)

10. Did the instructional strategies that you adapted and used respond to the individual and group of
learners’ cultural background for them to feel equally involved?(indicator 9)

10. How do you plan to assess your students’ progress towards mastery of the identified learning
objectives?
11. Thinking beyond the classroom, how do you communicate and connect with the learners families to
help build a link between home and school?

12. What would you like me to specifically observe during the lesson? (indicators 1 to 9)

Submitted by: Noted by:

__________________________ ____________________________
Teacher’s Name and Signature Observer’s Name and Signature