Department of Education Department of Education

Region VI – Western Visayas Region VI – Western Visayas

Division of Aklan Division of Aklan
District of Ibajay West District of Ibajay West
MABUSAO ELEMENTARY SCHOOL MABUSAO ELEMENTARY SCHOOL
Mabusao, Ibajay, Aklan Mabusao, Ibajay, Aklan

ANECDOTAL RECORD ASSESSMENT FORM ANECDOTAL RECORD ASSESSMENT FORM

THIRD QUARTER FOURTH QUARTER
NAME: JHENIKAH MAE O. PERMITEZ GRADE AND SECTION: NAME: GRADE AND SECTION:
KINDERGARTEN KINDERGARTEN
WORK HABITS WORK HABITS
Completes Work On Time Work Quality Completes Work On Time Work Quality
a lw a ys always Excellent
Exc e lle nt Most of the time Good
M o st o f th e tim e
Go o d Sometimes
So m e tim e s Satisfactory
Missed Recess/Vacant time to complete work
Missed Recess/Vacant time to complete work Needs Improvement
Sa t isfa c t o ry Missed Assignments
M issed Assig n m e n ts
Ne e d s Im p rov e m e nt No work submitted for the whole quarter
No w o rk sub m itte d fo r th e w h o le q ua rte r

NEEDS TO WORK ON Reading Spelling

Writing NEEDS TO WORK ON Math/Math facts
Re a d in g Sp e llin g

Writin g Ma th /Ma th fa cts

Others
Please specify:
____________________________________________________________________________________________________
BEHAVIOR
Behavior at School Needs for Improvement Others
Please specify: Speaking
Sp e a kin g
____________________________________________________________________________________________________
BEHAVIOR Listening Skills
Exc e lle nt List e n in g Skills
Behavior at School FollowingNeeds
Instructions
for Improvement
Go o d Fo llo w in g In stru c tio n s Staying On Task
Sa t isfa c t o ry Sta yin g O n Ta sk Needs Improvement
Others Please Specify:
Exc e lle nt
Ne e d s Im p rov e m e nt ______________________________________________ Go o d

ATTENDANCE RECORD Sa t isfa c t o ry

MONTHS NUMBER OF DAYS NUMBER OF ABSENTS REMARKS
Others Please Specify:
______________________________________________
ATTENDANCE RECORD
MONTHS NUMBER OF DAYS NUMBER OF ABSENTS REMARKS
Catherine S. Sitjar
TEACHER’S COMMENTS___________________________________________________________________________

Teacher’s Name and Signature

PARENT’S COMMENTS_____________________________________________________________________________ TEACHER’S COMMENTS___________________________________________________________________________