PUPIL RISK PROFILE TEMPLATE

(FOR PARDO)
Grade:
School
Name of Teacher
District:

Directions: Please accomplish this rating scale for each of your pupils. Write the number corresponding to

Scoring Guide:
A.
FAMILY BACKGROUND
1.Educational Attainment

No formal Education

A. Father
B. Mother
2. Socio-Economic Status

1
1
Poor
9000 below
1

No.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19

Name of Pupils
(Surname, First Name, Middle Initial)

Gender

Educational Attainment
Father

20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50

Division
School Year

Write the number corresponding to the information needed for the pupil. Do not leave any item unanswered.

Elementary Level/ Graduate

High School Level/Graduate

2
2
Low-Economic
Status 9001-25,000

3
3
Moderate
25,001 100,000

Educational Attainment
Mother

Socio Economic
Status

Average
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00

0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00

o not leave any item unanswered.

College Level/Graduate
4
4
Well-Off
100,001 - up
4

PUPIL RISK PR
(FOR

Directions: Please accomplish this rating scale for each of your pupils. Write the number corresponding to the
Scoring Guide:
B. FIRST GRADING ACHIEVEMENT
Learning Area
Math
English
Filipino
Science
MAKABAYAN
No.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26

Name of Pupils
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Low
Below 75%
1
1
1
1
1

Below Average
75 79%
2
2
2
2
2

Average
80 85%
3
3
3
3
3

Math

English

Filipino

27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

PUPIL RISK PROFILE TEMPLATE

(FOR PARDO)

ber corresponding to the information needed for the pupil. Do not leave any item unanswered.

Above Average
86 and Above
4
4
4
4
4
Science

MAKABAYAN

Average
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Scoring Guide:
C. First Quarter
Attendance

No.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33

1 13 days

14 26 days

27 39 days

First Quarter
Attendance

Name of Pupils
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

40 days and above

4

Scoring Guide:
D. PARTICIPATION / INTEREST IN CLASS ACTIVITIES
Never
1. Does homework
1
2. Does seatwork
1
3. Participates in class recitations
1
4. Joins group discussions
1
5. Stays put in the classroom together with
Teacher/classmates to accomplish school tasks

Seldom
2
2
2
2

Sometimes
3
3
3
3

Participation / Interest in Cla

No.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25

Does
homework

Name of Pupils
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Does seatwork

Participates in
class recitations

26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Often
4
4
4
4

Always
5
5
5
5

on / Interest in Class Activities

Joins group
discussions

Stays put in the classroom

together with Teacher/classmates
to accomplish school tasks

Average
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Scoring Guide:
E. EMOTIONAL / PERSONAL ADJUSTMENTS
Always
1

1. Resist teachers prodding

2. Seeks help from the teacher/classmates to
accomplish school tasks

3. Easily distracted
4. Is a victim of verbal aggression

1
1

EMOTIONAL / PERSONAL ADJUSTMENTS

Resist teachers
prodding
No.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26

Name of Pupils
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Often
2

Sometimes
3

Seldom
4

Never
5

2
2

3
3

4
4

5
5

ONAL ADJUSTMENTS
Seeks help from the
teacher/classmates to
accomplish school tasks

Easily distracted

Is a victim of verbal
aggression

Average
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Scoring Guide:
F. HEALTH
Always
1.
is sluggish/ sleepy due to low nutritional
level and/or other health related reasons
2.

General health condition

Sickly
1

No.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27

is sluggish/ sleepy due to low

nutritional level and/or other health
related reasons

Name of Pupils
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Often

Sometimes

Seldom

Never

Sickly

Healthy
2

General health
condition

Average
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

SARDO SUMMARY
Male
No. of Pupils
No. of SARDO
Male
Low Risk
Moderate Risk
High Risk

Female
0

Total
0

Female
0
0
0

0
Total

0
0
0

50
45
40
35
30
25
20
15
10
5
0

0
0
0

0
0

Male

Female

SUMMARY

Low Risk
Moderate Risk
High Risk
0
0
0
0

Male

High Risk
Moderate Risk
Low Risk

Female

sk

isk

Low Risk
Moderate Risk
High Risk

School-Year
Grade Level
Name of Teacher
School
District
Division
No.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50

0
0
0
0
0
0
Class
Emotional/Pers
Participation/
onal Adjustment
interest in class

Gender

Family
Background

First Grading
Achievement

First Quarter
Attendance

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00

0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00

0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00

0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00

0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00

0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00

0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00

0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00

0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

Total
Male
Female

50

0.00

0.00

0.00

0.00

0.00

Name of Pupils

0
0

No. of Pupils

Male
0

Female
0

Total
0

No. of SARDO

Low Risk

Moderate Risk
High Risk

0
0

0
0

0
0

RISK LEVEL
LOW

MODERATE

HIGH

Health

Score (Total of
the Averages)

Risk
Level

0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00

0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00

0.00

0.00

0.00

0.00

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00

NDA
NDA
NDA
NDA
NDA
NDA
NDA
NDA
NDA
NDA
NDA
NDA
NDA
NDA
NDA
NDA
NDA
NDA
NDA
NDA
NDA
NDA
NDA
NDA
NDA
NDA
NDA
NDA
NDA
NDA
NDA
NDA
NDA
NDA
NDA
NDA
NDA
NDA
NDA
NDA
NDA
NDA
NDA
NDA
NDA
NDA
NDA
NDA
NDA
NDA

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

TOTAL

0.00

L
M
H

0
0
0