CID – M&E Form 1-A

Republic of the Philippines

Department of Education
Region IX, Zamboanga Peninsula
DIVISION OF ZAMBOANGA DEL SUR
Pagadian City

Instructional Supervision Form1A-Pre -Observation

,
Teacher:________________________________ School:__________________________
District:_SOMINOT Division: ZDS
Grade/ Year & Section :_______________________ Subject: __________________
School Year: _______________ Semester (SHS)_________Conference Date: __________
Instructional Supervisor :__________________

Directions:
1. This form shall be answered by the Teacher prior to instructional support 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 1 which will be used by the observer.

Pre-Observation Information

1. When would you like to have instructional supervision and support?

Date and Time: _______________________

2. In which of your classes would you like to be observed?

Class and the Period to be observed: __________________________

3.What area or domain you would like to be observed? Please check.

__Content Knowledge and Pedagogy

__Learning environment
__Diversity of Learners
__Curriculum and Planning
__Assessment and reporting

4. What specific teaching-learning parameters would you like to be focused? Please

check.
___ Motivation
___Teacher-Learners Interaction, Learner to Learner Interaction, Learner and
Material Interaction
___ Questioning/Answering skills
___ Pacing of the Lesson
___ Performance Task/ Test materials highlighting integration of content knowledge within
and across subject areas
___ Classroom management
___ Time on Task
___ Addressing multiple intelligences/learning styles
___ Instructional Materials highlighting content and its integration in other subjects
___ Others, specify.

5. What are your objectives and expectations for the lesson?

___________________________________________________________.
6. What teaching method/strategy will you use?
________________________________________________________________________..

7. How would you describe the class you will be teaching during the visit? Please
provide information by checking or filling up the required data.

a. Type of class:
( / ) Monograde ( ) 2 class combination ( ) Multigrade
 b. Size of class:
( / ) Small class size Number of Learners_______
( ) Big class size Number of Learners_______

c. Class diversity:
( ) Homogeneous ( Describe)__________________________________
( ) Heterogenous ( Describe) __________________________________.

7. Which among the supervisory tools do you prefer to be used in the observation?
___________________________________________.
8. What three priority areas in your Core Competencies do you need the most support
and assistance? Please enumerate and specify.

a. Intellectual competency
b. social competency
c. Emotional competency
_________________________________________________________________________
9. What priority objectives in your Development Plan did you include for School Year ______ that you intend to
accomplish? Please write.
___________________________________________________________________________
a.Improve my time management in teaching
b.Learn something new in teaching pedagogy.
c.Enhance my teaching resiliency

Submitted by: Noted by:

____________________ __________________________
Teacher Name & Signature School Head Name & Signature

Note: This space shall be used for needed information given during the pre-observation but are included
above.
 CID – M&E Form 1-B
Republic of the Philippines
Department of Education
Region IX, Zamboanga Peninsula
DIVISION OF ZAMBOANGA DEL SUR
Pagadian City

Instructional Supervision Form1B-Post -Observation

,
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 actual class observation.
2. The information will serve as guide for the post-observation conference. Observer
may ask for additional job-relevant information to clarify or support observations.
3. The filled up form shall be given back to the Teacher to be placed at the back of the
Teacher Observation Form 3A,B,C which was used by the observer.

Post-Observation Information

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

a. Knowledge:
Pupils learned things through their prior knowledge by participating the activity.
b. Skills: Actual manipulation in their assigned tasks.

c. Attitude: Pupils learned to be responsible, self-discipline and teamwork.

____________________________________________________________________

2. How did you make the learners gain the KSAs which you listed above?
As a teacher, I encourage them to do their tasks responsibly.

3. What did your pupils/students do in order to gain/learn the KSAs ?

They gained these KSA by listening, participating actively and manipulating the tasks given.

4. Were you able to accomplish your lesson objective?

Yes__ All_____ Some______

No __ All_____ Some_______

5. If yes, how did you do it?

I did it through teaching them according to their level.

6. If No, what difficulties did you encounter?

________________________________________________________________________________________
________________________________________________________________________________________
7. Did you and your class enjoy the lesson? Yes____ No____ Why?
________________________________________________________________________________________
__________________________________________________________
8. If you are going to teach the same lesson again, can you think of ways to improve
it? Please write it down.
________________________________________________________________________________________
Improve the lesson by making it more specific and understandable.

9. What teaching assistance would you need to overcome difficulties that you have encountered?
Manageable
10. Can you suggest from whom you can ask this assistance and support? And how?
________________________________________________________________________________________
__________________________________________________________

11. Would you welcome another visit or observation? Yes_____ No____ Why?

Commendation for the Teacher:

________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
____________________________

Suggested support for the Teacher:

________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
____________________________

________________________ _______________________
Teacher’s Name & Signature Observer’s Name & Signature

___________________________________________________________________

Note: This space shall be used for needed information given during the post –observation conference but are
included above. As Observer, Review the appropriate COT-RPMS rubric for the teacher to be observed.