Republic of the Philippines
Department of Education
NATIONAL CAPITAL REGION
SCHOOLS DIVISION OFFICE OF QUEZON CITY
PAYATAS C ELEMENTARY SCHOOL
QUEZON CITY, METRO MANILA
ANECDOTAL RECORD ASSESSMENT FORM
S.Y.: 2024-2025
NAME OF LEARNER:
____________________________________________________________
LRN: ________________________________ GRADE AND SECTION:
__________________
WORK HABITS
Completes Work on Time Work Quality
Always Excellent
Most of the time Good
Satisfactory
Sometimes
Needs Improvement
Missed Recess/ Vacant time to
complete work
Missed Assignment
No work submitted for the whole
school year
Needs to Work On
Reading Writing Spelling Math
Others
Please specify:
_________________________________________________________________
_________________________________________________________________
BEHAVIOR
Excellent Speaking
Good Listening Skills
Satisfactory Following Instruction
Needs Improvement Staying on Task
Others
Please specify:
_____________________________________
_
ATTENDANCE RECORD
School Year Number of Present Number of Absent Remarks
Teacher’s Comment
Teacher’s Signature Over Printed Name