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Name of Student : _______________________________________________Year & Section: __________________

Evaluated by / Sign: ______________________________________________Date of Activity:___________________


Activity: HAND AND ARM MASSAGE

Dimension Highly Skilled Skilled Moderately Unskilled No attempt


(5 pts) (4pts) Skilled (3pts) (2pts) (1 pt)
1. Application of Systematic Systematic Systematic Never follows No attempt to
procedure application of application of application of systematic apply procedure.
procedure all procedure most of procedure some application of
the time w/o the time w/ of the time w/ some of the time
supervision minimum supervision constant with constant
supervision supervision
2. Use of Tools Appropriate Appropriate Appropriate Never select, No attempt to
Equipment & selection, selection, selection, prepare and use use tools,
Materials preparation preparation and use preparation and appropriate materials and
and use of of materials, tools & use of materials, tools & equipment
materials, equipment most of materials, tools equipment
tools & the time & equipment
equipment all sometimes
the time
3. Safety / Work Highly self- Self- motivated & Self- motivated Needs to be No motivation
Habits motivated & observes most safety & observes motivated and and totally
observes all precautions most of sometimes does not observe disregards
safety the time some safety safety precaution precautions
precautions at precautions
all times
4. Speed & Time Work finished Work finished on Work finished Work finished No concept of
ahead of time time closed to given beyond given time
time time

Student’s Signature ________________ Parent’s Signature _______________ Teacher’s Signature ______________

Name of Student : _______________________________________________Year & Section: __________________


Evaluated by / Sign: ______________________________________________Date of Activity:___________________
Activity: HAND AND ARM MASSAGE

Dimension Highly Skilled Skilled Moderately Unskilled No attempt


(5 pts) (4pts) Skilled (3pts) (2pts) (1 pt)
1. Application of Systematic Systematic Systematic Never follows No attempt to
procedure application of application of application of systematic apply procedure.
procedure all procedure most of procedure some application of
the time w/o the time w/ of the time w/ some of the time
supervision minimum supervision constant with constant
supervision supervision
2. Use of Tools Appropriate Appropriate Appropriate Never select, No attempt to
Equipment & selection, selection, selection, prepare and use use tools,
Materials preparation preparation and use preparation and appropriate materials and
and use of of materials, tools & use of materials, tools & equipment
materials, equipment most of materials, tools equipment
tools & the time & equipment
equipment all sometimes
the time
3. Safety / Work Highly self- Self- motivated & Self- motivated Needs to be No motivation
Habits motivated & observes most safety & observes motivated and and totally
observes all precautions most of sometimes does not observe disregards
safety the time some safety safety precaution precautions
precautions at precautions
all times
4. Speed & Time Work finished Work finished on Work finished Work finished No concept of
ahead of time time closed to given beyond given time
time time

Student’s Signature:________________ Parent’s Signature: _______________ Teacher’s Signature: ______________