Deparment of Education

REGION V11, CENTRAL VISAYAS

CONTEXTUALIZED MULTI-FACTORED ASSESSMENT TOOL (MFAT)

MFAT CONSOLIDATION FORM

Division: BOHOL School: ____________________________________
Name of Assessor: ______________________________
ASSESSMENT ACTIVITY LEARNER'S RESPONSES/ASSESSOR'S RECOMMENDATIONS
DOMAIN/S ITEM CODE OBSERVATIONS
(From) (To)

Instructions: (Use additional sheets)

Domain: refers to the learning domain tested
Code: refers to the code of the learning domain
Assessment Activity: Acitivity given or done in assessing the child as reflected in the assessment tool
How did the learner respond? What difficulties/inconveniences did you encounter in doing the activity? What made the activity
Observations: inappropriate? What should be done/changed?
Recommendations: How should the activity be done? What should be used? Write the suggested Assessment Activity.

Prepared by: Noted: _______________________________________________

Gr. 1 Teacher/Assessor School Head
Form E
Department of Education
REGION V11, CENTRAL VISAYAS
CONTEXTUALIZED MULTI-FACTORED ASSESSMENT TOOL (MFAT)
Report on the Number of Learners Assessed, Number of Learners With Developmental Delay by Domain
Division: Bohol

# of Learners
# of Learners Who are
District School Number of Learners with Developmental Delays by Domain Remarks
Assessed Development
ally Advanced

COG COM DLS MS (F&G) SEB

Prepared by: Noted:

School Head Schools District Supervisor/Acting PSDS
MFAT Form F
Department of Education
REGION V11, CENTRAL VISAYAS
CONTEXTUALIZED MULTI-FACTORED ASSESSMENT TOOL (MFAT)
Report on Number of Learners With Developmental Delay by Domain and Corresponding Intervention/Enhancement Program

Division: ___ BOHOL

# of # of
# of # of # of Learners
Learners
Learners Learners Learners w/
w/
w/ w/ w/ Develop
Develop Intervention/
# of Developm Intervention/ Developm Intervention/ Developm Intervention/ mental Intervention/
mental
District School Learners ental Delay Enhancement Delay in Enhancement ental Enhancement ental Delay Enhancement Enhancement
Assessed in Program Program Delay in Program in Motor Program Delay in Program
Communi Socio-
Cognitive Daily Skill
cation emotiona
Domain Living Skill (MSF/MSG
Skill l Skill
(COG) (DLS) )
(COM) (SEB)

Prepared by: Noted:

School Head Schools District Supervisor/Acting PSDS
MFAT Form F1
Deparment of Education
REGION V11, CENTRAL VISAYAS
CONTEXTUALIZED MULTI-FACTORED ASSESSMENT TOOL (MFAT)

Report on the Number of Learners Assessed, Number of Learners With Developmental Advancement

Division: BOHOL School: ____________________________________

# of Learners Who are

District School # of Learners Assessed Intervention/Enhancement Program
Developmentally Advanced

Prepared by: Noted:

School Head Schools District Supervisor/Acting PSDS