Republic of the Philippines

Department of Education
REGION III-CENTRAL LUZON

REGIONAL DIAGNOSTIC ASSESSMENT MONITORING TOOL

SY 2022 - 2023

Division: _________________________________________________ Date: __________________

School: ___________________________________________________

School Head: _________________________________ Contact No.: __________________________

School Testing Coordinator: _________________________ Contact No.: __________________

A. NUMBER OF TAKERS

Number of Number of Test Number of Non- Remarks*

Enrolled takers
Grade Level Takers
Learners

Grade 1

Grade 2

Grade 3

Grade 4

Grade 5

Grade 6

Grade 7

Grade 8

Grade 9

Grade 10

Grade 11

Grade 12

Total

*Note: State the reason/s for not taking the diagnostic assessment

B. MODE OF TESTING

_________________________________________________________________________________________

Address: Matalino St. D.M. Government Center, Maimpis, City of San Fernando (P)
Telephone Number: (045) 598-8580 to 89; Email Address: region3@deped.gov.ph
 Republic of the Philippines
Department of Education
REGION III-CENTRAL LUZON
Paper & Computer- Online
Grade Level Remarks
Pencil based (Offline) Assessment

Grade 1

Grade 2

Grade 3

Grade 4

Grade 5

Grade 6

Grade 7

Grade 8

Grade 9

Grade 10

Grade 11

Grade 12

Note: Put a check per grade level based on the mode of testing conducted

C. SOURCES OF FUND (PRINTING AND REPRODUCTION OF ASSESSMENT TOOLS)

Source of Fund Yes No Cost Remarks

School Maintenance and Other

Operating Expenses (MOOE)

Special Education Fund (SEF)

Others
(Pls. specify)

D. SOURCE OF ASSESSMENT TOOLS

Source Check (/) Remarks

Division Google Drive through

LR Supervisor

_________________________________________________________________________________________

Address: Matalino St. D.M. Government Center, Maimpis, City of San Fernando (P)
Telephone Number: (045) 598-8580 to 89; Email Address: region3@deped.gov.ph
 Republic of the Philippines
Department of Education
REGION III-CENTRAL LUZON
Others
(Pls. specify)

E. OTHER REQUIREMENTS

Findings
Indicators Remarks
YES NO

The teachers orient the learners about the

conduct of the regional diagnostic
assessment.

The school follows the schedule of the

diagnostic assessment per learning area.

The test takers used another sheet of paper as an

answer sheet.

The teachers conducted the diagnostic assessment

as prescribed in the RM No. 502, s. 2022 and
reflected in their DLL/DLP.

The teachers have the prescribed templates to be

used in reporting the results of the diagnostic
assessment.

The school implemented more than 1 set of scheme

in administering the assessment tools (e.g. Set A,
Set B,…)

F. ISSUES AND CONCERNS

Remarks
Please specify the
Issues and Concerns Action Taken (resolved, unsolved,
Issues and Concerns
referred)

Downloading of Materials

Printing and Reproduction of Test Materials

_________________________________________________________________________________________

Address: Matalino St. D.M. Government Center, Maimpis, City of San Fernando (P)
Telephone Number: (045) 598-8580 to 89; Email Address: region3@deped.gov.ph
 Republic of the Philippines
Department of Education
REGION III-CENTRAL LUZON

Actual Conduct of the Diagnostic Assessment

Others

________________________________ ________________________________
School Head Monitor

_________________________________________________________________________________________

Address: Matalino St. D.M. Government Center, Maimpis, City of San Fernando (P)
Telephone Number: (045) 598-8580 to 89; Email Address: region3@deped.gov.ph