Republic of the Philippines

Department of Education
DIVISION OF DAVAO CITY
SAN JUAN ELEMENTARY SCHOOL
MINTRADE DRIVE, BRGY. CENTRO, AGDAO, DAVAO CITY
Office of the School Principal
SJES SPED FORM 1.1

NAME:__________________________________________________Grade and Section: ______________

TEACHER:_______________________________________________________

PARENTS NAME & SIGNATURE: _____________________________________

Difficulty in Basic Learning and Applying Knowledge Checklist

CHARACTERISTICS CHECK
IF OBSERVED
1. Difficulty learning connections between letters and sounds
2. Confused in short words (at and to)
3. Letter reversals
4. Word reversals
5. Frequently adds and/or forgets letters in a word
6. Difficulty in remembering simple sequences
7. Difficulty keeping in place when reading
8. Poor sequencing of numbers
9. Poor spelling
10. Avoids reading aloud
11. Difficulty organizing ideas to speak or write
12. Avoids writing tasks
13. Left and Right confusion
14. Slow to memorize tasks and math facts
15. Trouble following oral instructions
16. Appearing restless or easily distracted
Difficulty in Reading

letters in a word

telephone numbers

eeping in place when reading

Address: Mintrade Drive, Brgy. Centro, Agdao, Davao City

Tel. No.: (02) 297-7577
E-mail: sanjuan.es@deped.gov.ph
 Republic of the Philippines
Department of Education
DIVISION OF DAVAO CITY
SAN JUAN ELEMENTARY SCHOOL
MINTRADE DRIVE, BRGY. CENTRO, AGDAO, DAVAO CITY
Office of the School Principal

alphabets and math facts

Difficulty in Writing

irregular shapes, sizes or slant of letters

writing

– despite training

-vocalizing
g

planning
Difficulty in Spelling

make., reversal of letter, syllables or omission and additions

but for learners with might take it for five to ten minutes.
Difficulty in Counting & Calculating
to count and skips over numbers long after kids the
same age can remember numbers in right order

shortest

nd the meaning of counting (when asked for

five blocks, she just hands you an armful, rather than counting them out)

- and to use them correctly

like mental math

less than
-spatial representations of numbers, such as
number lines

Address: Mintrade Drive, Brgy. Centro, Agdao, Davao City

Tel. No.: (02) 297-7577
E-mail: sanjuan.es@deped.gov.ph
 Republic of the Philippines
Department of Education
DIVISION OF DAVAO CITY
SAN JUAN ELEMENTARY SCHOOL
MINTRADE DRIVE, BRGY. CENTRO, AGDAO, DAVAO CITY
Office of the School Principal

column.

a simple recipe
ore in sports games

cost, making exact change and figuring out a tip

ingredients in a simple recipe or

liquids in a bottle

Reference: NTOT/ BLD-SID

Address: Mintrade Drive, Brgy. Centro, Agdao, Davao City

Tel. No.: (02) 297-7577
E-mail: sanjuan.es@deped.gov.ph