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Republic of the Philippines

Department of Education
Region IX, Zamboanga Peninsula
DIVISION OF ZAMBOANGA CITY
Baliwasan Chico, Zamboanga City
Telefax: (062) 993-1514 ● Email: zamboanga.city@deped.gov.ph
visit us at: depedzamboangacity.ph● like us @ facebook.com/depedzcdivision

MONITORING AND EVALUATION TOOL FOR INSTRUCTIONAL MANAGEMENT

Name HANNAH LEE C. TURAYA Years Teaching English 7______


School : LUMAYANG ELEMENTARY SCHOOL Subject & Grade: ENGLISH 6
District : BOALAN DISTRICT Date NOVEMBER 5, 2021

Please put a check (/) in the appropriate column.

N
A. Satisfaction From Technical Assistance Provided YES O

1. Were the suggestions specific and well-illustrated? /  

2. Were the suggestions clear enough to help you execute them properly? /  

3. Were all your instructional needs addressed during the provision of TA? /  

4. Were you satisfied in the manner the TA was provided to you? /  

HANNAH LEE C. TURAYA VALERIA FIDES G. CORTEZA, PhD.


Signature of Teacher Over Printed Name Signature Over Printed Name

B. Compliance to Agreement :

Date Observed/Given TA : ___________ Agreed Date for follow-up : ______________


Number of points of agreement : ______________________________________________________
Number of points of agreement complied : ______________________________________________
Remarks : _______________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________

C. Degree of Relevance :

Rate the degree of relevance on how the TA contributed in the improvement of your instructional
competence using the descriptions below. ( Pls. enter your score in the box below )
4 - Highly Relevant

3 - Relevant
2 - Moderately Relevant
1 - Not relevant
Thank you for being truthful in giving your responses.

_____ ______________ VALERIAFIDES G. CORTEZA, PhD.


Teacher's Signature Signature
Republic of the Philippines
Department of Education
Region IX, Zamboanga Peninsula
DIVISION OF ZAMBOANGA CITY
Baliwasan Chico, Zamboanga City
Telefax: (062) 993-1514 ● Email: zamboanga.city@deped.gov.ph
visit us at: depedzamboangacity.ph● like us @ facebook.com/depedzcdivision

F-CID-DES-018-0 05/02/2019

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