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SURVEY QUESTIONNAIRE

PART I. SOCIODEMOGRAPHIC PROFILE


Directions: Please fill in completely.
Name

_______________________________________

Name of School

_______________________________________

Respondent Group

[
[
[
[

]
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School teacher
School head
GPTA Officer
Student

If School head, GPTA Officer, or student, please write the


complete name of the teacher being evaluated:
_________________________________
PART II. TEACHERS PERFORMANCE
Directions: Please rate the performance of the teacher based on
the specified indicators. Use the following scale:
5
Excellent
4
Very Satisfactory
3
Satisfactory
2
Unsatisfactory
1
Poor
I. INSTRUCTIONAL COMPETENCE
A. Lesson Planning
1. Selects contents and prepares
appropriate instructional materials /
teaching aids.
2. Formulates/adopts objectives of lesson
plan.
3. Selects teaching methods/strategies.
4. Relates new lesson with previous
knowledge/skills.
B. Delivery
1. Provides appropriate motivation.
2. Conveys ideas clearly.
3. Utilizes the art of questioning to
develop higher level of thinking.
4. Ensures pupils/students participation.
C. Evaluation of Pupils Performance
1. Diagnosis learners needs.

2. Shows mastery of the subject matter.


3. Evaluates learning outcomes.
4. Assesses lesson to determine desired
outcomes within the allotted time.
D. Technical Assistance (for Master
Teachers only)
1. Provides assistance to teachers in
improving their teaching competence.
2. Prepares prototype instructional
materials for use.
3. Assists in the conduct of in-service
trainings/conferences.
4. Serves as demonstration teacher on
innovative teaching techniques,
classroom management, materials
development.
E. Learners Achievement
1. Improves learners achievements level
over the pretest
F. School, Home, and Community Involvement
1. Organizes and maintains functional
homeroom/PTA.
2. Conducts homeroom/PTA meetings to
report learners progress.
3. Disseminates school policies / plans /
programs / accomplishments to the
schools clientele,
4. Participates in community projects and
in civic organizations.
5. Encourages involvement of parents in
school programs and activities.
II. DEVELOPMENT / IMPLEMENTATION OF
EDUCATION PROGRAM
1. The teacher aligns his/her lesson with
trends in education development.
2. The teacher uses a lesson plan that is
balanced and broad in coverage so that
students learning experiences can be
enriched.
3. The teacher adjusts the learning
content of his lesson plan and
formulates his strategy to cater for
the learning needs of his students.
4. The teacher arranges different
learning experiences to cater for
students personal development needs,

in order to foster students selfmanagement ability and help them set


personal goals for learning.
III. ADMINISTRATIVE MANAGEMENT
1. The teacher plans for delivery of
lessons relative to short-term and
long-term objectives.
2. The teacher uses minimum class time for
non-instructional routines thus
maximizing time on task.
3. The teacher clearly defines expected
behavior and encourages positive
behavior and controls negative
behavior.
4. The teacher establishes rapport with
students and provides a pleasant, safe,
and orderly climate conducive to
learning.
PART III. TEACHERS PROFESSIONAL AND PERSONAL CHARACTERISTICS
Directions: Please rate the characteristics of the teacher based
on the specified indicators. Use the following scale:
5
Excellent
4
Very Satisfactory
3
Satisfactory
2
Unsatisfactory
1
Poor
CHARACTERISTICS
1. Decisiveness
2. Honesty / Integrity
3. Dedication / Commitment
4. Initiative / Resourcefulness
5. Courtesy
6. Human relations
7. Leadership
8. Stress tolerance
9. Fairness / Justice
10. Proper attire / good grooming

PART IV. ISSUES AND CONCERNS ON EVALUATION


Directions: Please list down below the issues and concerns with
regard to the evaluation process.
1. Issues
________________________________________________________
________________________________________________________
________________________________________________________
________________________________________________________
________________________________________________________
2. Concerns
________________________________________________________
________________________________________________________
________________________________________________________
________________________________________________________
________________________________________________________

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