PUPIL’S SOCIO-DEMOGRAPHIC PROFILE

SOCIO- EMOTIONAL DOMAIN BoSY EoSY

RS SS I RS SS I Child’s Handedness: (Check Appropriate Box) Republic of the Philippines

Enjoys watching activities of people or nearby Right Left Not yet established Department of Education
1 / / Region IV-A CALABARZON
animals.

2
Friendly w/ strangers but may initially show slight
/ /
Father’s Name: Eduardo _M. Lucido_______________ Division of Cavite
shyness. Municipality of Rosario
Occupation:_Philippine Navy____________________
3
Plays alone but likes to be near to familiar adults or
brother and sister.
/ / Educational Attainment: College Under Graduate_____ BIBLE CHRISTIAN ACADEMY
Mother’s Name:_Candy Lucido___________________ Block 1, Lot 17, Cuevas Subdivision
4 Laughs or squeals aloud in play. / /
Tejeros Convention, Rosario, Cavite
5 Plays peek-a-boo (bulaga). / / Occupation:__Housewife_______________________ S.Y. 2018-2019
6 Rolls ball interactively with caregiver/ examiner. / / Educational Attainment:College Under Graduate_____
7 Hugs or cuddles toys. / /
Demonstrates respect for elders using “po” and
8 / /
“opo”.
Early Childhood Care and
Shares toys with others familiar adults or brother and SUMMARY OF ASSESMENT
9
sister.
/ / Development Checklist (ECCD)
BoSY EoSY
10 Imitates adults activities (e.g. cooking, washing) / / Date Assessed 2018-06-025 2019-03-15
Pupil’s Age 5.3.7 5.11.97
11 Identifies feelings of others. / /
Domains RS SC RS SC
Appropriately uses cultural gestures of greetings Gross-Motor 13 11 13 11
12 / /
without much prompting( e.g. mano/bless, kiss, etc.)
Fine Motor 11 12 13 12
13 Comforts playmates/siblings in distress. / / Self-Help 27 13 27 13

Persists when faced with a problem or obstacle to his Receptive Language 5 11 5 11

14
wants.
/ /
Expressive Language 8 11 8 11
Name: _Lucido, Elisha Edzekiel_J.____________________

15
Helps with family chores(e.g. wiping tables, watering
/ /
Cognitive 21 13 21 13 Sex: _FEMALE_________
plants)
Socio-emotional 24 13 24 13 Birthday: _March 18, 2013____________________
Curious about environment but knows when to stop
16 / / Sum of Scaled Scores 109 84 109 84
asking questions to adult.
Address: _Bunga Tanza Cavite__________________________
Standard Scores 117 - AOD 1 17 - AOD
17 Waits for turns. / /
LRN: 4 0 2 2 6 3 - 1 8 0 0 0 6
Asks permission to play with toys being used by
18 / /
others. INTERPRETATION
To the Parents:
19 Defends possessions with determination. / / Standard Score Interpretation The Philippine Early Childhood Care and Development
Checklist (Form 2) contains knowledge, skills, and attitudes of
Plays organized group games fairly(e.g. does not 69 and below Suggest significant delay in children 3 – 5.11 years old. This may be used as a guide in knowing
20 / /
cheat in order to win). overall development your child and consequently give appropriate care and
Can talk about difficult feelings (e.g. anger, sadness, 70-79 Suggest slight delay in overall teaching to guide their growth and development.
21 / /
worry) he experience. development
Honors a simple bargain with caregiver (e.g., can
22 / /
play outside only after cleaning/fixing his room)
80-119 Average overall development _CECIL A. JUPLO_____
Watches responsibly over younger siblings/family
23 / /
members. 120-129 Suggest slightly advanced Teacher
Cooperates with adults and peers in group situations
development
24 / /
to minimize quarrels and conflicts.
JOHN CHLOE D. CRUZ
130 and above Suggest highly advanced
Total Score 24 13 AD 24 13 AD development Principal
 7 Helps hold cup for drinking. / /
8 Drinks from cup with spillage. / /
GROSS MOTOR DOMAIN BoSY EoSY 9 Drinks from cup unassisted. / /
Gets drink for self unassisted.
BoSY EoSY
RS SS I RS SS I 10 / / EXPRESSIVE LANGUAGE RS SS I RS SS I
11 Pours from pitcher without spillage. / / Uses 5-20 recognizable words
1 / /
1 Climbs on chair or elevated piece of furniture like a / / 12 Prepares own food/snacks.
bed without help / / 2 Uses pronouns (e.g. I, me, ako, akin) / /
13 Prepares meals for younger siblings/ family / / 3 Uses 2-3 words verb-noun combinations (e.g. / /
2 Walks backward. / / members when no adult is around. hingigatas)
3 Runs without tripping or falling. / / 14 Participates when being dressed. / / 4 Names objects in pictures / /
4 Walks down stairs, 2 feet on each step, with one / / Pulls down gartered short pants. 5 Speaks in grammatically correct 2-3 word sentences / /
hand held.
15 / /
6 Asks “what” questions / /
Walks upstairs holding handrail, 2 feet on each step. 16 Removes sando. / /
5 / / 7 Asks “who”' and “why” questions / /
Walks upstairs with alternate feet without holding Dresses without assistance except buttons and / /
6 / / 17
tying. 8 Gives account of recent experiences (with prompting) / /
handrail. in order of occurrence using past tense
Walks downstairs with alternate feet without holding Dresses without assistance including buttons and / /
7 / / 18
tying. Total Score 8 11 AD 8 11 AD
handrail.
Moves body part as directed. Informs the adult only after he has already urinated / /
8 / / 19 (peed) or moved his bowels (pooped) in his
9 Jumps up / / underpants.
Informs adult of need to urinate (pee) or move COGNITIVE DOMAIN BoSY EoSY
10 Throws ball overhead with direction. / / / /
20 bowels (poop) so he can be brought to a designated
11 Hops 1 to 3 steps on preferred foot. / / RS SS I RS SS I
place (e.g. comfort room)
Jumps and turns. 1 Looks at direction of fallen object / /
12 / / Goes to the designated place to urinate (pee) or / / Looks for partially hidden object
Dances patterns/joins group movement activities. 21 move bowels (poop) but sometimes still does this in 2 / /
13 / / his underpants. Imitates behavior just seen a few minutes earlier
Total Score 13 11 AD 13 11 AD
3 / /
Goes to the designated place to urinate (pee) or / / 4 Offers object but will not release it / /
22 move bowels (poop) and never does this in his
underpants anymore 5 Looks for completely hidden object / /
BoSY EoSY 23 Wipes/Cleans self after a bowel movement (poop) / / Exhibits simple pretend play (feed, put doll to sleep)
FINE MOTOR DOMAIN
6 / /
RS SS I RS SS I Participates when bathing (e.g. rubbing arms with / / Matches objects
24
soap)
7 / /
Uses all five fingers to get food/toys placed on flat surface. 8 Matches 2 – 3 colors
1 / / 25 Washes and dries hands without any help. / / / /
2 Picks up objects with thumb and index finger. Washes face without any help. 9 Matches pictures / /
Displays a definite hand preference.
/ /
26 / /
3 / / Bathes without any help. 10 Sorts objects based on 2 attributes (e.g., size and / /
27 / / color)
Puts small objects in/out of containers.
4 / / Total Score 27 13 AD 27 13 AD 11 Sorts objects based on 2 attributes (e.g.,shape and / /
Holds crayon with all fingers of his hand making a fist (i.e. color)
5 palmar grasp)
/ /
12 Arranges objects according to size from smallest to / /
6 Unscrews lid of container or unwraps food. // / biggest
7 Scribbles spontaneously. / / BoSY EoSY 13 Names 4 – 6 colors / /
8 Scribbles vertical and horizontal lines. / / RECEPTIVE LANGUAGE RS SS I RS SS I 14 Copies shapes / /
9 Draws circle purposely. / / 1 Points to family member when asked to do so / /
Draws a human figure (head, eyes, trunk, arms, 15 Names 3 animals or vegetables when asked / /
10 / / 2 Points to 5 body parts on himself when asked to do so / /
hands/fingers) States what common household items are used for
11 Draws a house using geometric forms. / / 3 Points to 5 named pictured objects when asked to do so / /
16 / /
4 Follows one-step instructions that include simple / / 17 Can assemble simple puzzles / /
Total Score 11 17 SAD 11 12 AD prepositions (e.g., in, on, under, etc.) Demonstrates an understanding of opposites by
5 Follows 2-step instructions that include simple / /
18 / /
completing a statement (e.g., Angaso ay malaki,
prepositions angdaga ay _____”)
Total Score 5 11 AD 5 11 AD Points to left and right sides of body
19 / /
SELF HELP DOMAIN BoSY EoSY Can state what is silly or wrong with pictures (e.g.
RS SS I RS SS I
20 / /
Anoangmalisalarawangito?)
1 Feeds self with finger foods (e.g. biscuits, bread) 21 Matches upper and lower case letters / /
/ /
using fingers. Total Score
2 Feeds self using fingers with spillage. 21 13 AD 21 13 AD
/ /
3 Feeds self using spoon with spillage. / /
4 Feeds self using fingers without spillage. / /
5 Feeds self using spoon without spillage. / /
6 Eats without need for spoon feeding during any / /
meal.