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FEEDBACK-SYSTEM-TOOLS

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CALOOCAN ELEMENTARY SCHOOL
FEEDBACK SYSTEM ON LEARNING PERFORMANCE – FORM 1
(MODULAR DISTANCE LEARNING)
NAME OF TEACHER: EDNA G. PASTRANA
SCHOOL:
CALOOCAN ELEMENTARY SCHOOL_______________________________________
CLASS SECTION: THREE- APPLE________________________
MONITORING DATE_________________________________
INSTRUCTIONS:
This system is to be used for the monitoring and feedback giving of individual learners’ performance.
Please check the appropriate column based on the provided information/feedback from the parents or as observed during actual monitoring. Indicate in the REMARKS column the reasons for
Non-Performance of the assigned/expected tasks/activities.
NAME OF LEARNER: ARRIANE MAE R. TUGARI
SUBJECT/LEARNING AREA: ENGLISH 3_____________________________________________
INDICATORS
IS THE LEARNER ABLE TO PERFORM THE ASSIGNED
TASKS/ACTIVITIES?
YES
NO
1
Understand the instructions contained in the SelfLearning Modules (SLMs)
/
2
Perform the assigned Pre-Test or activities in the
SLMs
/
3
Read with ease and comprehension the contents of
the SLMs
Apply the learned concepts to real-life contexts or
scenarios
/
Comply all the required performance tasks/activities
as required in the SLMs
/
4
5
PREPARED BY:
EDNA G. PASTRANA
Teacher I
GRADE LEVEL: THREE___________________
/
APPROVED BY:
FERDINAND E. PAGINAG
Head Teacher II
REMARKS
FEEDBACK ON LEARNING PERFORMANCE- FORM 4
(SUMMARY REPORT)
NAME OF TEACHER: EDNA G. PASTRANA
SCHOOL: CALOOCAN
ELEMENTARY SCHOOL
GRADE/SECTION: THREE-APPLE
Reporting Date: ___________________________________
Instructions: This summary Report shall be accomplished by the class Adviser on a weekly basis, and shall be attached to FS-LP Form 1, 2 & 3. Submit the
accomplished Summary Report to your School Head for consolidation and reporting to the Public Schools District Supervisor.
LEARNING DELIVERY MODALITY
1 MODULAR DISTANCE
LEARNING
ENGLISH
NO. OF
ENROLMENT
NO. OF
LEARNERS
PERFORMING
WELL
NO. OF
LEARNERS
NEEDING
SUPPORT/
INTERVENTION
20
7
DIFFICULTIES IDENTIFIED
TYPES OF INTERVENTION
27
27


Difficulty in sharing opinions
and information in various
ways
Difficulty in writing or
constructing sentences
using English.

Improve reading
comprehension by
giving her more reading
material that will allow
the learner to
understand what he/she
is reading which will
result to an improve
writing skills using the
English language.
MATH
27
18
9

Difficulty in interpreting and
converting data.

Provide visual aids that
will allow the learner to
understand
mathematical data
easily.
FILIPINO
27
22
5

Difficulty in writing
paragraphs.
Difficulty in summarizing a
text.

Provide examples that
will show the correct
way of doing the
identified difficulties.

ARPAN
27
21
6


Poor reading
comprehension.
Difficulty in expressing
thoughts

Giving reading materials
that will allow student to
improve his/her reading
comprehension.
Communicate with the
guardians and asked
them to provide
instructions to the
learners that will enable
them to improve the
identified difficulty
Ask for help from the
guardians.
Provide reading
materials.
Provide students new
visual aids that will help
them visualize the
concepts and theories
being discussed.
ESP
27
22
5

Difficulty in executing
instructions.

MAPEH
27
21
6


MTB
27
18
9

SCIENCE
27
19
8

Difficulty in performing or
doing activities.
Poor reading skills and
reading competencies.
Difficulty in understanding
theories and concepts in
Science.
TOTAL
Prepared by:
EDNA G. PASTRANA
Teacher I
Appendix F


27
Approved by:
FERDINAND E. PAGINAG
Head Teacher II
INDIVIDUAL LEARNING MONITORING PLAN
LEARNER’S NAME: ARRIANE MAE R. TUGARI
GRADE LEVEL: THREE-APPLE
LEARNING AREA
LEARNER’S
INTERVENTION
NEEDS
STRATEGIES
PROVIDED
SCIENCE 3
The learner needs
to improve her skill
when it comes to
understanding the
topics and concepts
related to Science.
MONITORING
DATE
June 17, 2021
LEARNER’S STATUS
Insignificant
Progress
Significant Progress
Mastery
/
- Regularly
communicate with
the guardian about
the improvement of
their daughter.
-Provide more
activity sheets and
visual aids that will
allow the student
improve her
understanding in
the said topic.
INTERVENTION STATUS
Learner is not making significant progress in a timely manner. Intervention strategies need to be revised.
Learner is making significant progress. Continue with the learning plan.
Learners has reached mastery of the competencies in learning plan.
FEEDBACK SYSTEM ON LEARNING PERFORMANCE – FORM 5
(MDL, ODL, MMDL)
Name of School Head:
Name of Teacher Monitored
FERDINAND E. PAGINAG
EDNA G. PASTRANA
Date Monitored ___________________________
Learning Modality: Modular Distance Learning
Instructions:
This system is to be used for the monitoring of individual teacher’s performance. Please check the appropriate column based on the submitted report or
as observed during actual monitoring of teachers. Indicate in the REMARKS column the reasons for Non-Performance of the assigned/expected tasks/activities.
INDICATORS
Is the teacher able
to perform the
assigned
tasks/activities?
YES
1
2
3
4
5
6
7
8
Regular weekly monitoring of assigned class or individual
learners (Based on the submitted feedback monitoring
report)
Scheduled coordination to parents especially those
learners needing support.
Identification of the number of learners needing
immediate assistance based on the monitoring/giving of
feedbacks by the parents
Development of Individual Learning Monitoring Plan for
the learners needing immediate support or intervention.
Implementation of customized/learner need-based
intervention plan
Monitoring of learners’ progress and performance based
on the chosen learning delivery modality.
Adjusting weekly home learning plans based on the
context of the learners (based on the individual Learning
Monitoring Plan)
Provision of Weekly Home Learning Plan to parents (with
clear instructions and contact number of the teacher for
referral or coordination)
NO
REMARKS
FEEDBACK SYSTEM ON LEARNING PERFORMANCE – FORM 6
(Summary Report)
Name of School Head:
FERDINAND E. PAGINAG
School:
CALOOCAN ELEMENTARY SCHOOL
District:
KORONADAL DISTRICT 4
Reporting Date:
_______________________________
Instructions: This Summary Report shall be accomplished by the School Head on a weekly basis, and shall be attached to FS-LP Form 5. Submit the
accomplished Summary Report to your Public Schools District Supervisor for consolidation and reporting to the Schools Division Office.
LEARNING DELIVERY
MODALITY
1
Modular Distance
Learning
2
3
Online Distance Learning
Multi-Modal Distance
Learning
TOTAL
No. of
Teachers
No. of
Learners
Needing
Support/
Intervention
No. of
Teachers
Needing
Support
Identified Difficulties of the Teachers
Types of Intervention to be Provided
FEEDBACK SYSTEM ON LEARNING PERFORMANCE – FORM 7
(MDL, ODL, MMDL)
NAME OF MONITOR____________________________________________________________ DATE MONITORED___________________________
NAME OF SCHOOL HEAD MONITORED:___________________________________________
DISTRICT__________________________________
Instruction: This system is to be used for the monitoring of Individual school and school head’s performance. Please Check the appropriate column
based on the submitted report or as observed during actual monitoring of school. Indicate in the REMARKS column the reasons for Nonperformance of the assignment/expected tasks/activities.
INDICATORS
Is the School Head
able to perform the
assigned/expected
tasks/activities
Yes
1
Regular daily/weekly monitoring of teachers (Based
on the submitted feedback monitoring plan)
2
Scheduled conference to teachers especially those
with parents and learners needing support.
3
Identification of the number of teachers needing
immediate assistance based on the monitoring.
4
Development of Intervention Plans for teachers
identified to be needing immediate needs/support
5
Implementation of customized teacher need-based
intervention plan
6
Monitoring of teachers’ progress and performance
No
7
Adjusting School Learning Modality Delivery Plan
based on the information/data from submitted reports
of teachers and/or actual observations.
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