The Checklist is divided in 7 DOMAINS : Gross Motor (13 ), Fine Motor (11 ), BoSY EoSY

Self Help ( 27 ), Receptive Language ( 5 ), Expressive Language ( 8 ), Cognitive SELF HELP DOMAIN BoSY EoSY RECEPTIVE LANGUAGE DOMAIN
P O R P O R
( 21 ), Social Emotional ( 24 ).
1 Points to family members when asked to do so / /
The Philippine Early Childhood Checklist will be administred twice a year SELF HELP DOMAIN (Feeding sub domain) P O R P O R Points to 5 body parts on himself when asked to do
2 / /
1) Beginning of School Year - BoSY. so
2) End of School Year - EoSY. Feeds self with finger food (e.g. biscuits, bread Points to 5 names pictured objects when asked to
1 / / 3 / /
using fingers) do so
BoSY EoSY
GROSS MOTOR DOMAIN Feeds self using fingers to eat rice / viands with Follows one-step instructions that include simple
P O R P O R 2 / / 4 / /
spillage prepositions (e.g. in, on, etc.)
Climbs on chair or other elevated piece of furniture like 3 Feeds self using spoon with spillage / / Follows 2-step instructions that include simple
1 / / 5 / /
a bed without a help prepositions
4 Feeds self using fingers without spillage / /
2 Walks backwards / / Total Score 5 5
5 Feeds self using spoon without spillage / /
3 Runs without tripping or falling /
Eats without need for spoon feeding during any BoSY EoSY
Walks downstairs, 2 feet on each step, with one hand 6 EXPRESSIVE LANGUAGE DOMAIN
4 / meal P O R P O R
held.
7 Helps hold cup for drinking 1 Uses 5-20 recognizable words /
5 Walks upstairs holding hand trail, 2 feet on each step / 8 Drinks from cup with spillage / / 2 Uses pronoun (e.g. I, me, ako, akin) / /
Walks upstairs with alternate feet without holding hand 9 Drinks from cup unassisted / /
6 / Uses 2-3 words verb – noun combinations (e.g.
trail 3 / /
10 Gets drink for self unassisted / / hingi gatas)
Walks downstairs with alternate feet without holding
7 / 11 Pour from pitcher without spillage / / 4 Names objects in picture / /
hand trail
12 Prepare own food / snack Speaks in grammatically correct 2-3 word
8 Moves body part as directed / / 5 / /
Prepares meals for younger siblings / family sentences
9 Jumps up / / 13
members when no adult is around
6 Ask ” what” questions / /
10 Throws ball overhead with direction / / SELF HELP DOMAIN (Dressing sub - domain) P O R P O R 7 Ask “who and “why” questions / /
11 Hops 1 to 3 steps on preferred foot / / Participates when being dressed (e.g. raises
14 / / Give account of recent experiences (with
arms or lifts leg) 8 /
12 Jumps and turns / / prompting) in order of occurrence using past tense
15 Pull down gartered shorts pants / / Total Score 6 8
13 Dances patterns / joins group movement activities /
16 Remove sando
Total Score 9 11 Dresses without assistance except for buttons
17 / /
and tying BoSY EoSY
COGNITIVE DOMAIN
Dresses without assistance including buttons and
BoSY EoSY 18 P O R P O R
tying
FINE MOTOR DOMAIN 1 Looks at direction of fallen objects / /
SELF HELP DOMAIN (Toilet Training sub - domain)
P O R P O R Looks for partially hidden objects (hide a partially
Informs the adult only after he has already 2 / /
hidden objects)
Uses all 5 fingers to get food / toys placed on flat 19 urinated (peed) or moved his bowels (poohed) in
1 / / 3 Imitates behavior just seen a few minutes earlier / /
surface his underpants
4 Offers objects but will not release it / /
2 Picks up objects with thumb and index finger / Informs adult of need to urinate (pee) or move
20 bowels (pooh-pooh) so he can be brought to a / / 5 Looks for completely hidden objects / /
3 Displays a definite hand preference / / designated place (e.g. comfort room) Exhibits simple pretend play (feed put doll to
6 / /
Goes to the designated place to urinate or moved sleep)
4 Puts small objects in/out of containers / / 21 / / 7 Matches objects / /
bowels but sometimes still does this in his pants
Holds crayon with all fingers of all his hand making a Goes to the designated place to urinate or move 8 Matches 2-3 colors / /
5 / /
fist (i.e, palmar grasp) 22 bowels and never does this in his underpants / / 9 Matches picture / /
6 Unscrews lid of containers or unwraps food / anymore 10 Sorts based on objects / /
Sorts objects based on 2 attributes (e.g size and
7 Scribbles spontaneously / / 23 Wipes / cleans self after a bowel movement / / 11 / /
color)
Scribbles vertical and horizontal lines / / SELF HELP DOMAIN (Bathing sub - domain) P 0 R P O R Arranges objects according to size from smallest
8 12 / /
Participates when bathing (e.g. rubbing arms with to biggest
9 Draw circle purposely / / 24 / / 13 Names 4-6 colors / /
soap)
25 Washes and dries hand without any help / / 14 Copies shapes / /
Draws a human figure (head, eyes, trunk, arms,
10 / 26 Washes face without help / / 15 Names 3 animals or vegetables when asked / /
hands / fingers)
States what common households items are used
11 Draws a house using geometric forms 7 10 27 Bathes without help 16
for
Total Score Total Score 19 19 17 Can assemble simple puzzles / /
 Demonstrates an understanding of opposites by
Can talk about difficult feeling (e.g. anger, Republic of the Philippines
18 completing a statements (e.g. ang aso ay malaki, / / 21 / /
ang daga ay________).
sadness, worry he experiences) Department of Education
19 Points to left and right side of the body / / Honors a simple bargain with caregiver (e.g. can Region IV-A
20
Can state what is silly or wrong with picture (e.g. 22 play outside only after cleaning / finishing his / / Division of Sto. Tomas
ano ang mali sa larawang ito) room)
21 Matches upper and lower case letters / /
District of South Sto. Tomas
23
Watches responsibly over younger siblings /
/ THE HOLY CHILD MONTESSORI SCHOOL OF BATANGAS INC.
Total Score 19 19 family members SY 2024-2025

Cooperates with adults and peers in group PHILIPPINE EARLY CHILDHOOD

24
BoSY EoSY situations to minimize quarrels and conflict DEVELOPMENT CHECKLIST
SOCIAL EMOTIONAL DOMAIN P O R P O R CHILD’S RECORD FORM 2
Total Score 21 23
1 / / Sociodemographic Profile
Enjoy watching activities of nearby people or
animals
ECD Summary Report
2 Friendly with strangers but initially may show / / BoSY EoSY School ID: 409120
slight anxiety or shyness Date Tested 08/5/24 03/29/25 CHILD’S NAME:
3 Plays alone but likes to be near familiar adults or / / Pupil’s Age Last Name First Name M.I.
brothers or sisters Raw Scale Raw Scale Date of Birth: Age: Sex: ____
4 Laughs or squeals aloud in play / / DOMAINS Score Score Score Score month/day/year y/m M/F
5 Plays peek-a-boo / / Gross-Motor 9 1 11 4 Address
Fine Motor 7 5 10 10 Barangay Municipality Province
6 Rolls ball interactively with caregiver / examiner / /
Self-Help 19 2 19 2
7 Hugs or cuddles toys / / Child’s Handedness
Receptive Language 5 11 5 11 Right left
(Check Appropriate Box)
8 Demonstrates respect for elders using terms like / / Expressive Language 6 5 8 11
“po” and “opo” 19 11 19 11 Both Not yet Established
Cognitive
9 Shares toys with others / /
Socio-emotional 21 6 23 11 Is the child presently studying?
10 Imitates adult activities (e.g. cooking, washing) / / Sum of Scaled Scores 41 60 (Check Appropriate Box) Yes no
11 Identifies feelings in others / / Standard Scores 54 82
Father's Name: Age:
12 Appropriately uses cultural gestures of greetings / / INTERPRETATION Father's Occupation:
without much prompting (e.g. mano, bless,kiss, Educational Attainment: ________________________________
etc) BoSY: Suggest slight delay in overall development
Mother's Name: Age:
13 Comforts playmates / siblings in distress / /
Mother's Occupation:
14 Persist when faced with a problem or obstacle to / /
Educational Attainment: ________________________________
his wants
________________________________ Child's Number of Siblings: Child's Birth Order:
15 Helps with family chores (e.g. wiping tables, / Parent/Guardian’s Signature
To the Parent:
watering plants, etc.) EoSY: Average overall development
The Philippine Early Childhood Development Checklist contains
16 Curious about environment but knows when to / / knowledge, skills, attitudes of children 3.2 to 5.1 y/o. This may be used as a
stop asking questions of adults guide in knowing your child and consequently give appropriate care and
17 Waits for turn / / ________________________________ teaching to guide their growth and development.
Parent/Guardian’s Signature
18 Asks permission to play with toy being used by / / OFELIA A. SISON SONNY BOY T. ABANDO,PhD
another
19 Depends possessions with determination / / Teacher Principal

20 Plays organized group games fairly (e.g. does / /

not cheat in order to win)