REPUBLIKA NG PINIPINAS

KAGAWARAN NG EDUKASYON
REHIYON XI
SANGAY NG LUNGSOD NG DAVAO
PUROK NG MALABOG
LUNGSOD NG DAVAO
EMAIL: malabog.district@deped.gov.ph

DISTRICT READING AND NUMERACY ASSESSMENT FORM

Name of Teacher: ____________________________ Date of Assessment: ____________________
Grade Level/Section: _________________________ School: _______________________________
Numeracy Reading
Name
Score Remarks Reading Level

Summary:
Reading Level No. of Pupils % Numeracy Level No. of Pupils %
1. Independent 1. Mastery
2. Instructional 2. Nearing Mastery
3. Frustration 3. Average
4. Non-reader 4. Needs Improvement
TOTAL
Prepared by: Conformed: Noted by:

________________________ ______________________ _______________________ ISMAEL L. SEGUNDO

Reading/Numeracy Evaluator Teacher In-Charge School Head PSDS