Instructional Supervision Form 1

Pre-Observation Information
Teacher__________________________School____________________________
District___________________________Division____________________________
Grade/ Year & Section ______________Subject ___________________________ School Year__________
Semester_________Conference Date________________
Instructional Supervisor __________________
Directions:
1. This form shall be answered by the Teacher prior to Instructional Support Visit.
2. The information will serve as guide for the pre-observation conference. Observer may ask additional job-relevant
data to provide a background for actual observation..
3. The filled up form shall be given back to the Teacher to be placed in front of the Teacher Observation Form
3A,B,C which will be used by the observer.

Pre-Observation Information
1. When would you like to have instructional supervision and support?
Date and Time _________________________
2. In which of your classes would you like to be observed?
Class and the Period to be observed:_____________________
3.What area or domain would like to be observed? Please check.
__Diversity of Learners
__Content and Pedagogy
__Learning Environment
__School, Home, Community Linkages
__Social Regard for Learning
__Personal Growth and Professional Development
__Planning, Assessing and Reporting
__Others, specify
4. What specific teaching-learning parameters would you like to be focused? Please check.
___ Motivation
___Teacher-Learners Interaction
___ Questioning/Answering skills
___ Pacing of the Lesson
___ Testing
___ Classroom management
___ Time on Task
___ Addressing multiple intelligences/learning styles
___ Others, specify.________________________________________________________________________
5. What teaching method/strategy will you use? __________________________________________________
6. How would you describe the class you will be teaching during the visit? Please provide information by
checking or filling up the required data.
a. Type of class:
( ) Monograde ( ) 2 class combination ( ) Multigrade
b. Size of class:
( ) Small class size Number of Learners_______
( ) Big class size
Number of Learners_______
c. Class diversity:
( ) Homogeneous ( Describe)________________________________________________________
( ) Heterogenous ( Describe) _______________________________________________________
7. What three priority areas in your TSNA do you need the most support and assistance? Please enumerate
and specify.
a. ___________________________________________________________________________________
b.____________________________________________________________________________________
c.____________________________________________________________________________________
Submitted by:
Noted by:
_____________________
__________________________
Teacher Name & Signature
School Head Name & Signature
Instructional Supervision Form 2

Post-Observation Information
Teacher__________________________School____________________________
District___________________________Division____________________________
Grade/ Year & Section ______________Subject ___________________________ School Year__________
Semester_________ Conference Date________________
Instructional Supervisor __________________
Directions:
4. This form shall be answered by the Teacher after the actual class observation.
5. The information will serve as guide for the post-observation conference. Observer may ask for additional jobrelevant information to clarify or support observations.
6. The filled up form shall be given back to the Teacher to be placed at the back of the Teacher Observation Form
3A,B,C which was used by the observer.

Post-Observation Information
1. What did your learners gain in your lesson in terms of Knowledge, Skills and
Attitudes (KSAs)? Please enumerate.
a. Knowledge:_________________________________________________________________________
___________________________________________________________________________________
b. Skills:______________________________________________________________________________
___________________________________________________________________________________
c. Attitude:____________________________________________________________________________
___________________________________________________________________________________
2. How did you make the learners gain the KSAs which you listed above?_____________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
3. What did your pupils/students do in order to gain/learn the KSAs ?_________________________________
______________________________________________________________________________________
______________________________________________________________________________________
4. Were you able to accomplish your lesson objective(s)?
Yes _______ All_____ Some_______
No _______ All_____ Some_______
5. If yes, how did you do it? _________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
6. If No, what difficulties did you encounter? ____________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
7. Did you and your class enjoy the lesson? Yes____ No____ Why?__________________________________
______________________________________________________________________________________
______________________________________________________________________________________
8. If you are going to teach the same lesson again, can you think of ways to improve it? Please write it down.
______________________________________________________________________________________
______________________________________________________________________________________
9. What teaching assistance would you need to overcome difficulties that you have encountered? _________
______________________________________________________________________________________
______________________________________________________________________________________
10. Can you suggest from whom you can ask this assistance and support? And how? ___________________
______________________________________________________________________________________
11. Would you welcome another visit or observation? Yes_____ No____ Why? _________________________
________________________________________________________________________________________
Commendation for the Teacher: ________________________________________________________________

________________________________________________________________________________________
________________________________________________________________________________________
Suggested support for the Teacher: ______________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
_____________________
Teachers Name & Signature

________________________
Observers Name & Signature