Republic of the Philippines

Department of Education
SOCCSKSARGEN REGION
SCHOOLS DIVISION OF SARANGANI
GLAN 4 DISTRICT
D. MASALON Y RECTO ELEMENTARY SCHOOL

NO NAME OF LEARNERS SEX AGE No. of items which the child failed to exhibit/perform per domain Sum of Stand
Scaled ard
. Score Score
GROSS MOTOR FINE MOTOR SELP-HELP RECEPTIVE EXPRESSIVE COGNITIVE SOCIAL- Remarks
DOMAIN DOMAIN DOMAIN DOMAIN EMOTIONAL
DOMAIN Not
Scal Scal Scal Scal Scal Scal Scal Read Rea
Raw Raw Raw Raw Raw Ra Raw
ed ed ed ed ed ed ed y dy
Sco Sco Sco Sco Sco w Sco
re Scor re Scor re Scor re Scor re Scor Sco Scor re Scor
e e e e e re e e
1 
BALCO, CARLO MAGAN M
12 7 7 5 23 7 3 4 3 5 17 9 21 9 46 62
2 
CALYAG, ALFRED BATON M
12 7 9 8 25 10 3 4 5 6 15 7 19 6 48 65
3 
DIGAN, ROCKY M
12 7 7 5 23 7 3 4 3 5 17 9 21 9 46 62
4 11 
ESTOON, EDWIN DALUSAY M
13 8 7 26 12 3 4 6 6 14 6 19 6 52 70
5 7 
ESTOON, RICKY BOY TUNLE M
12 8 7 26 12 4 8 8 11 16 8 21 9 62 85
6 11 
TONLE, ERNESTO GAPA M
13 9 8 26 12 4 8 6 6 16 8 21 9 62 85
7 11 
TORANDO TONTON M
13 10 10 26 12 5 11 7 6 19 11 22 10 71 98
8 11 
TUSI, ELVIE TORANDO M
13 9 8 26 12 4 8 7 6 18 10 22 10 65 89
9 11 
ZONIO, CLYDE FELING M
13 9 8 26 12 4 8 6 6 16 8 21 9 62 85
10 11 
ABA, ANGELINE F
13 9 8 26 12 4 8 7 6 18 10 22 10 65 89
Address: Upper LanaranKaltuad, Glan, Sarangani Province
School ID: 208037
Email Address: 208027@deped.gov.ph
 Republic of the Philippines
Department of Education
SOCCSKSARGEN REGION
SCHOOLS DIVISION OF SARANGANI
GLAN 4 DISTRICT
D. MASALON Y RECTO ELEMENTARY SCHOOL

11 11 
BULANI, VEA CENON F
13 9 8 26 12 4 8 6 6 16 8 21 9 62 85
12 11 
CABANDA, PRINCESS PADAYAG F
13 9 8 26 12 4 8 6 6 16 8 21 9 62 85
13 
CALYAG, JULLIANA CABAT F
12 7 8 7 25 10 4 8 6 6 16 8 21 9 52 70
14 
DALUSAY, LORNA CABAT F
12 7 8 7 23 7 4 8 5 6 14 8 19 6 49 66
15 11 
DAMPAN, SHEKA MAGAN F
13 9 8 26 12 4 8 6 6 16 8 21 9 62 85
16 
DELA PENA, MARIBEL SAROT F
12 7 8 7 25 10 4 8 6 6 16 8 21 9 52 70
Pre-Test Summary on Early Childhood Checklist for Kindergarten (Form 1)

NO NAME OF LEARNERS SEX AGE No. of items which the child failed to exhibit/perform per domain Sum of Stand
Scaled ard
. Score Score
GROSS MOTOR FINE MOTOR SELP-HELP RECEPTIVE EXPRESSIVE COGNITIVE SOCIAL- Remarks
DOMAIN DOMAIN DOMAIN DOMAIN EMOTIONAL
DOMAIN Not
Scal Scal Scal Scal Scal Scal Scal Read Rea
Raw Raw Raw Raw Raw Ra Raw
ed ed ed ed ed ed ed y dy
Sco Sco Sco Sco Sco w Sco
re Scor re Scor re Scor re Scor re Scor Sco Scor re Scor
e e e e e re e e
17. LACADWE, DAISY GRACE F 12 7 9 8 25 10 4 8 8 11 16 8 21 9 61 84 
PADAYAG
Address: Upper LanaranKaltuad, Glan, Sarangani Province
School ID: 208037
Email Address: 208027@deped.gov.ph
 Republic of the Philippines
Department of Education
SOCCSKSARGEN REGION
SCHOOLS DIVISION OF SARANGANI
GLAN 4 DISTRICT
D. MASALON Y RECTO ELEMENTARY SCHOOL

18. MASALON, CAIRAH FAITH 

F
BALANDAN 13 11 10 10 26 12 5 11 7 6 18 10 23 11 71 98
19 
PABLO, CRISTENA ANABON F
13 11 9 8 25 10 4 8 7 6 16 8 21 9 60 82
20 11 
PILANDOC, JESSIE JANE TALANGIN F
13 9 8 26 12 4 8 6 6 16 8 21 9 62 85
21 
SAROT, DIZIMIE LEGANTE F
13 11 10 10 26 12 5 11 7 6 18 10 23 11 71 98
22 11 
SAROT, JESSAMIE BALCO F
13 9 8 26 12 4 8 6 6 16 8 21 9 62 85
23 
TANDO ROSILYN TORANDO F
13 11 9 8 25 10 4 8 7 6 16 8 21 9 60 82
24. 
TORANDO, JELYN GAPA F
13 11 10 10 26 12 5 11 7 6 18 10 23 11 71 98
25 11 
TORANDO, ANGEL F
13 9 8 26 12 4 8 7 6 18 10 22 10 65 89

Prepared by: Noted by:

SHERRY LOU S. SARMIENTO JAYSON B. TANGARO

Kindergarten Teacher School Head

Address: Upper LanaranKaltuad, Glan, Sarangani Province

School ID: 208037
Email Address: 208027@deped.gov.ph
 Republic of the Philippines
Department of Education
SOCCSKSARGEN REGION
SCHOOLS DIVISION OF SARANGANI
GLAN 4 DISTRICT
D. MASALON Y RECTO ELEMENTARY SCHOOL

Pre-Test Summary on Early Childhood Checklist for Kindergarten

Form 2

Male: 9 Female: 16 Total : 25

Scaled Score/Interpretation
School Domain 1 – 3 Suggest 4 – 6 Suggest 7-13 Average in 14 – 16 Suggest Suggest highly Tota
significant delay slight delay in overall slightly advanced advanced l
in overall overall development in development development
development development the domain
Development in Development
the domain must must be
be monitored monitored after 6
after 3 months months
M F T M F T M F T M F T M F T
D Masalon Y Gross Motor 0 0 0 0 0 0 9 16 25 0 0 0 0 0 0 25
Recto Fine Motor 0 0 0 1 0 1 8 16 24 0 0 0 0 0 0 25
Elementary Self-Help 0 0 0 0 0 0 9 16 25 0 0 0 0 0 0 25
School Receptive 0 0 0 9 16 25 0 0 0 0 0 0 0 0 0 25
Language
Expressive 0 0 0 8 15 23 1 1 2 0 0 0 0 0 0 25
Language
Cognitive 0 0 0 1 0 1 8 16 24 0 0 0 0 0 0 25
Socio – Emotional 0 0 0 2 1 3 7 15 22 0 0 0 0 0 0 25

Address: Upper LanaranKaltuad, Glan, Sarangani Province

School ID: 208037
Email Address: 208027@deped.gov.ph
 Republic of the Philippines
Department of Education
SOCCSKSARGEN REGION
SCHOOLS DIVISION OF SARANGANI
GLAN 4 DISTRICT
D. MASALON Y RECTO ELEMENTARY SCHOOL

FORM 3

Male: 9 Female: 16 Total : 25

SCALED SCORE/INTERPRETATION
D MASALON Y 69 and below 70-79 Suggest slight 80-119 Average 120-129 Suggest 130 and above
RECTO Suggest significant delay in overall Development slightly advanced Suggest highly
ELEMENTARY delay in overall development development advanced
SCHOOL development development
M F T M F T M F T M F T M F T

3 1 4 1 2 3 5 13 18 0 0 0 0 0 0

Prepared by: Noted by:

SHERRY LOU S. SARMIENTO JAYSON B. TANGARO

Kindergarten Teacher School Head

Address: Upper LanaranKaltuad, Glan, Sarangani Province

School ID: 208037
Email Address: 208027@deped.gov.ph
 Republic of the Philippines
Department of Education
SOCCSKSARGEN REGION
SCHOOLS DIVISION OF SARANGANI
GLAN 4 DISTRICT
D. MASALON Y RECTO ELEMENTARY SCHOOL

Form 4

School Domains Proposed Interventions

D. Masalon Y Recto Elementary Gross Motor

School
Implement indoor/outdoor activities daily
Fine Motor
Print worksheets that enable pupils to improve fine motor skills such as
tracing/drawing
Self-Help
Allow pupils do the routine before and after taking recess (handwashing)
Teach them on how they take good care of themselves
Receptive Language
Give them lots of listening activities, opportunities to listen to the sounds of the
language

Expressive Language Give them lots of talking activities (rhymes, poems, finger plays)
Expose them to books to have feel of book and realize how print works.

Address: Upper LanaranKaltuad, Glan, Sarangani Province

School ID: 208037
Email Address: 208027@deped.gov.ph
 Republic of the Philippines
Department of Education
SOCCSKSARGEN REGION
SCHOOLS DIVISION OF SARANGANI
GLAN 4 DISTRICT
D. MASALON Y RECTO ELEMENTARY SCHOOL

Cognitive

Expose them to books to have feel of book and realize how print works.
Teach the letter name/letter sound.
Socio- Emotional
Allow them to mingle with other pupils.

Prepared by: Noted by:

SHERRY LOU S. SARMIENTO JAYSON B. TANGARO

Kindergarten Teacher School Head

Address: Upper LanaranKaltuad, Glan, Sarangani Province

School ID: 208037
Email Address: 208027@deped.gov.ph