SURVEY QUESTIONNAIRE

PART I: SOCIODEMOGRAPHIC PROFILE

Name (optional)

: ________________________________________

Name of School

: ________________________________________

Respondent Group:
[
[
[
[

]
]
]
]

School Head
School teacher
PTA officer
Student

I. OCCUPATIONAL COMPETENCE
A. Instructional Supervision
1. Prepares school year instructional
supervisory plan
2. Implements the instructional supervisory
plan
B. Development/Implementation of Educational
Programs
1. Pupil/Student Development
a. Increased school MPS by 2% over the
previous year
b. Decreased drop out rate by 2% or
maintained for those who have zero dropout
c. Increase survival rate by 2%
increase in participation rate
d. Increased survival rate by 2%
e. Increased retention rate by 2%
f. Health and Nutrition
Program/Supplementary Diet
2. Curriculum Development
3. Staff Development
3.1 Assesses training needs of teachers
3.2 Prepares school-based training design
3.3 Conducts in-service training (INSET)

PERFORMANCE INDICATORS

10

PART II: TEACHERS PERFORMANCE

3.4 Provides opportunities for professional

/ personal enhancement
C. Administrative Management
1. Resource Management
1.1 Management of human resources
1.2 Management of physical facilities
1.3 Fiscal Management (for high school
principals only)
2. Data Management
3. Conflict Management
4. Linkage Management
D. Research
E. Performance Assessment
II. PROFESSIONAL AND PERSONAL CHARACTERISTICS
1. Decisiveness
2. Honesty/Integrity
3. Dedication/Commitment
4. Initiative/Resourcefulness
5.Courtesy
6. Human Relations
7. Leadership
8. Stress Tolerance
9. Fairness / Justice
10. Proper Attire / Good Grooming
Please rate the performance of the teacher
specified indicators. Use the following scale:
Excellent
5
Very Satisfactory
4
Satisfactory
3
Unsatisfactory
2
Poor
1
I. INSTRUCTIONAL COMPETENCE
A. Lesson Planning and Delivery
1.
Formulates / adopts objectives of lesson
plan
2.
Selects contents and prepares
appropriate instructional materials /
teaching aids
3.
Selects teaching methods / strategies
4.
Relates new lesson with previous
knowledge / skills
5.
Provides appropriate motivation

based

on

the

2 1

6.
Presents and develops lessons
7 . Conveys ideas clearly
8.
Utilizes the art of questioning to
develop higher level of thinking
9.
Ensures pupils/students participation
10. Addresses individual differences
11. Shows mastery of the subject matter
12. Diagnoses learner's needs
13. Evaluates learning outcomes
14. Assesses lesson to determine desired
outcomes within the allotted time
15. Maintains clean and orderly classroom
16. Maintains classroom conducive to learning
B. Technical Assistance (for Master Teachers only)
1.
Provides assistance to teachers in
improving their teaching competence
2.
Prepares prototype instructional
materials for use
3.
Assists in the conduct of in-service
trainings/conferences
4.
Serves as demonstration teacher on
innovative teaching techniques,
classroom management, materials
development
C. Learners' Achievement
1.
Improves learners' achievement lever
over pretest
D. School, Home and Community Involvement
1.
Organizes and maintains functional
homeroom / PTA
2.
Conducts Homeroom / PTA meetings to
report learners' progress
3.
Disseminates school policies / plans /
programs / accomplishments to the schools
clientele
4.
Participates in community projects and
in civic organizations
5.
Encourages involvement of parents in
school programs and activities
II. PROFESSIONAL AND PERSONAL CHARACTERISTICS
1. Decisiveness
2. Honesty/Integrity
3. Dedication/Commitment
4. Initiative/Resourcefulness
5. Courtesy
6. Human Relations
7. Leadership
8. Stress Tolerance
9. Fairness / Justice

10. Proper Attire / Good Grooming

PART 3: ISSUES AND CONCERNS ON EVALUATION
Please list down below the issues and concerns with regard to
the evaluation process.
3.1 Issues
1. _____________________________________________________
2. _____________________________________________________
3. _____________________________________________________
4. _____________________________________________________
5. _____________________________________________________
3.2 Concerns
1. _____________________________________________________
2. _____________________________________________________
3. _____________________________________________________
4. _____________________________________________________
5. _____________________________________________________
END