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Anecdotal Record Home Visitation 2021

This document is an anecdotal record form used for home visits by Lutucan Central School. It collects information about a Grade 2 student, including academic performance data in reading, mathematics, and other subjects. Personal information is also gathered, such as the student's name, birthdate, parents' occupations, number of siblings, and economic status of the family. The form is used to assess the student's academic profile and needs during home visits.

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Honeylyn Cubero Obon
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42 views1 page

Anecdotal Record Home Visitation 2021

This document is an anecdotal record form used for home visits by Lutucan Central School. It collects information about a Grade 2 student, including academic performance data in reading, mathematics, and other subjects. Personal information is also gathered, such as the student's name, birthdate, parents' occupations, number of siblings, and economic status of the family. The form is used to assess the student's academic profile and needs during home visits.

Uploaded by

Honeylyn Cubero Obon
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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DepEd – LUTUCAN CENTRAL SCHOOL

Lutucan Malabag, Sariaya, Quezon


[email protected]/(042) 525-7237

“Lead, Commit, and Serve”


 

ANECDOTAL RECORD
Home Visit Form
(Grade 2 – Malinis)
Date of Visit: _____________________

Name of Pupil: _______________________________________________________ Birth date:________________

Residence: ___________________________________________________________________

Father: ___________________________________________ Mother: _________________________________________

Occupation: _______________________________________ Occupation: _____________________________________

Educational Attainment:____ Elementary Educational Attainment:____ Elementary


____ High School ____ High School
____ Vocational ____ Vocational
____ College ____ College

No. of Children in the Family: _______ Boy: ____ Girl: ____ Living with Parents: Yes: ____ No: ____

State if both parents are living: _______ Yes: ____ No: ____ If no, pls. specify: __________________

Economic Status: ___Very Poor ___ Poor ___ Average ___ High

A. Academic Profile

1. Reading

Filipino 2 English 2
1 2 3 4 1 2 3 4
Non-Reader Non-Reader
Frustration Frustration
Instructional Instructional
Independent Independent

Legend: 1-Non Reader 2-Frustration 3-Instructional 4-Independent


(Please check appropriate box in each grade applicable opposite Nos. 1, 2, 3, or 4 and case may be.)

2. Mathematics

GRADE 2
1 2 3 4
Addition
Subtraction
Multiplication
Division

Legend: W- level of mastery is very poor X- some degree of mastery but needs more practice
Y- just enough mastery Z- manifest excellence
(Above code shall be entered for each of the curriculum year)

____________________________________________
Name & Signature of Person Contacted

Noted: HONEYLYN O. MANAHAN


Name of Adviser

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