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POLOT ELEMENTARY SCHOOL

K I N D E R G A R T E N
Anecdotal Record
School Year 2018-2019
Name Sex Learner Reference Number
Birthdate Age Handedness
Address Adviser:

W O R K I N G H A B I T

Completeness of Work Work Quality


Q1 Q2 Q3 Q4 Indicators Q1 Q2 Q3 Q4 Indicators
Always Outstanding
√ √ Most of the times Very Satisfactory
√ Sometimes √ √ Satisfactory
√ Missed activities √ Fair
Missed assignments
Needs Improvement
No work at all √

A R E A S T H A T N E E D S T O W O R K O N

Developmental Domains Behavior at School


Q1 Q2 Q3 Q4 Domains Q1 Q2 Q3 Q4 Indicators
Socio-Emotional
√ √ √ √ Development Outstanding
Gross/Fine Motor
√ √ √ Development Very Satisfactory
Aesthetic
√ √ √ √ Development √ Satisfactory
Physical Health and
√ √ √ Motor Development √ Fair
Language, Literacy
√ √ √ √ and Communication √ Poor
Mathematics
√ √ √ √
Needs Improvement
Physical and Natural
√ √ √ √ Environment √

PARENT'S SIGNATURE

Areas for Improvement 1st

Q1 Q2 Q3 Q4 Skills
2nd
√ √ Following instruction

√ √ √ Listening
3rd
√ √ √ √ Speaking

√ √ √ Writing
4th
4th
√ √ Speaking on task

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