Republic of the Philippines

Department of Education
Region VI – Western Visayas
SCHOOLS DIVISION OFFICE - CAPIZ

Quarterly Monitoring and Evaluation Tool for MAPEH

This monitoring tool aims to ensure that the schools in the SDO-Capiz are fully
implementing the MAPEH Program.

School: _________________________________________________ Quarter: TWO

DATA PRIVACY AGREEMENT: By providing your personal information and responses to us

through this form, you consent to the collection and use of the information under the
provision of RA 10173 or the Data Privacy Act of 2012. Rest assured that the information
will be handled and secured properly.

A. List of Top 3 Least Learned Competencies/ Undelivered Competencies and

Action Taken

Top 3 Least
Top 3 Undelivered
Learned
Action Competencies per Action
MAPEH Component Competencies per
Taken Grade Level & Taken
Grade Level &
Component
Component
Music
Grade 1

Grade 2

Grade 3

Grade 4

Grade 5

Grade 6

Grade 7

Grade 8

Grade 9

Grade 10

Address: Banica, Roxas City

Contact Number: (036) 6518 456/0968-869-5867
Email Address: capiz@deped.gov.ph
Website: http://depedcapiz.ph
 Republic of the Philippines
Department of Education
Region VI – Western Visayas
SCHOOLS DIVISION OFFICE - CAPIZ

Arts
Grade 1

Grade 2

Grade 3

Grade 4

Grade 5

Grade 6

Grade 7

Grade 8

Grade 9

Grade 10

PE
Grade 1

Grade 2

Grade 3

Grade 4

Grade 5

Grade 6

Grade 7

Grade 8

Grade 9

Grade 10
Address: Banica, Roxas City
Contact Number: (036) 6518 456/0968-869-5867
Email Address: capiz@deped.gov.ph
Website: http://depedcapiz.ph
 Republic of the Philippines
Department of Education
Region VI – Western Visayas
SCHOOLS DIVISION OFFICE - CAPIZ

Health
Grade 1

Grade 2

Grade 3

Grade 4

Grade 5

Grade 6

Grade 7

Grade 8

Grade 9

Grade 10

Add additional row if necessary

B. Quarterly Assessment Result

Quarter:
Total Number Number of Number of Average
Grade Level
of Learners Learners who Learners who Grades of
Enrolled Passed Failed Learners
Grade 1
Grade 2
Grade 3
Grade 3
Grade 5

Address: Banica, Roxas City

Contact Number: (036) 6518 456/0968-869-5867
Email Address: capiz@deped.gov.ph
Website: http://depedcapiz.ph
 Republic of the Philippines
Department of Education
Region VI – Western Visayas
SCHOOLS DIVISION OFFICE - CAPIZ

Grade 6
Grade 7
Grade 8
Grade 9
Grade 10

C. Development of Contextualized Learning Resources

No. of
No. of SDO QAed
Type of Learning Resources Published
MAPEH LRs
MAPEH LRs
SLMs
Activity Sheets

Add additional row if necessary

D. Utilization of Learning Resources

Total No. of MAPEH LRs

LRs
MAPEH MAPE MAPEH MAPEH MAPEH MAPEH MAPEH
4 H5 6 7 8 9 10
SLMs
Learning
Activity Sheets
DepEd
Textbooks
Materials
Equipment
Add additional row if necessary

Address: Banica, Roxas City

Contact Number: (036) 6518 456/0968-869-5867
Email Address: capiz@deped.gov.ph
Website: http://depedcapiz.ph
 Republic of the Philippines
Department of Education
Region VI – Western Visayas
SCHOOLS DIVISION OFFICE - CAPIZ

E. Innovation

No. of
No. of
MAPEH SDO Non-
Implementing Innovation Gains
Banner Innovation Implementing
Schools
Schools

Add additional row if necessary

Top 3 Issues and Concerns you like Division to take action:

________________________________________________________________________________________
________________________________________________________________________________________
______________________________________________________________________

Prepared by: (MAPEH Coordinator with e Signature)

NOTED: School Head with e Signature)

Date: _______________________________

Address: Banica, Roxas City

Contact Number: (036) 6518 456/0968-869-5867
Email Address: capiz@deped.gov.ph
Website: http://depedcapiz.ph