Republic of the Philippines

Department of Education
Region III – Central Luzon
Tarlac City Schools Division
District VIII Tarlac West - B
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Tarlac City

ANECDOTAL RECORD ASSESTMENT FORM

First Quarter

NAME: _______________________________ GRADE & SECTION: _______________________

WORK HABITS
Completes Work On Time Work Quality

Always Excellent
Most of the time Good
Sometimes Satisfactory
Missed Recess/vacant time to complete work Needs Improvement
Missed Assignments
No work submitted for the whole quarter
Needs To Work On
Letters/Sounds Writing

Activities Numeracy/Math Facts

Others please specify:
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BEHAVIOR
Behavior At School Areas For Improvement
Excellent Speaking
Good Listening Skills
Satisfactory Following Instruction
Needs Improvement Staying on Task
Writing
Others please specify:
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Teacher Comments
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Teachers Signature Over Printed Name

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Parents Signature Over Printed Name