Republic of the Philippines

Department of Education
Regional Office No. VIII
DIVISION OF NORTHERN SAMAR
Catarman
Curriculum Implementation Division (CID)
Curriculum Form No. 11-A: CLASSROOM EVALUATION CHECKLIST
(ELEMENTARY)
Teacher
: ________________________________
Grade Level/Section: ________________________________

No.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26

Indicators/Criteria
General Appearance (Cleanliness,Orderliness, & Neatness)
Vision, Mission and Core Values ( Readable,Framed, Properly Hanged)
President`s and Jose Rizal`s Picture ( Framed, properly mounted, Properly
displayed)
Perception Strips- Alphabets ( Appropriate,New, Properly displayed)
Pambansang Awit & Panunumpa sa Watawat Chart ( Readable, Covered,
properly displayed)
Charts Stand/ Pocket Chart (Appropriate,properly hanged, enough space)
Attendance Chart & Supervisory Corner (Framed, Updated, Accessible)
Teacher`s Table ( Presence of Classroom/Teacher`s Program, Code of
Ethics, Duties & Responsibilities)
Cabinets for IM`s (Well-maintained. Labeled and Properly Indexed IM`s)
Bulletin Board/ Unit Board/ Subject Area Taught (Updated , Readable,
Teacher`s Creativity)
Display Area of Pupil/student`s output (Updated, Readable Output properly
Displayed)
Health and Personality Corner (Presence of glasses, Water Container with
Potable Water, Toothbrush Rack For Elementary)
Chalkboards/White Boards (Presence of Markers/ Chalk, Eraser, Marker
Ledge)
Window Curtains (Appropriate, Color, Length)
Broom Stand/Pedestal (Closed, Painted, Properly Arranged)
Potted Plants (Appropriate, Well Trimmed, Healthy)
Door Label (Presence of Teacher`s Program, Class Program & Grade Level
& Section.)
Aquarium/ Terrarium (Optional)
Segregated Trash Cans Inside the Room (With Cover, Properly Labeled,
And Properly Placed.)
Adequate Ventilation & Lighting Facility (Maintained Electrical Fixtures,
Suitable Seating Arrangement,Appropriate, Color & Design of Curtain.)
Functional Comfort Room & Hand Washing Facility- If possible.
Painted Wall & Ceiling (Appropriate Color, Completely Painted, Free from
vandals, Scratches & Breakage.)
Armchairs/Tablet Chairs (Appropriate, Clean & Maintained/Painted.)
Demonstration Table (Painted, Free from Dust & Without Chair)
Lesson Plan (Updated, Appropriate Color Coding, Regularly Checked by the
School Head with Signature)
Curriculum Guide, Teacher`s Guide & Learner`s Materials (Updated,
Appropriate & Properly Coded Using Colored Markers Aligned with Lesson
Plan.)
Mabini St., Brgy. Acacia, Catarman N. Samar, 6400, Philippines
Telefax:(055)251-8352

Date : ______________
Rating: ______________
Meets all the
criteria
(3)

Meets only
2 of the
criteria (2)

Meets only
1 of the
criteria
(1)

Ratee:

Rater:

______________________________
____________________

Noted:

___________________________

Republic of the Philippines

Department of Education
Regional Office No. VIII
DIVISION OF NORTHERN SAMAR
Catarman
Curriculum Implementation Division (CID)
Curriculum Form No. 11-B: CLASSROOM EVALUATION CHECKLIST
(SECONDARY)
Teacher
: ________________________________
Grade Level/Section: ________________________________

No.

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23

Indicators/Criteria
General appearance (Cleanliness, Orderliness & Neatness of the
Classroom)
Vision, Mission & Core Values (Readable, Framed/Painted, Properly
Hanged)
President's & Jose Rizal's Picture (Framed, Properly Mounted, Properly
Displayed)
Pambansang Awit & Panunumpa sa Watawat Chart (Readable, Covered,
properly Displayed)
Attendance Chart & Supervisory Corner (Framed, Updated, Accessible)
Teacher's Table (Presence of Classroom/Teacher's Program, Mission,
Vision, Core Values, Code of Ethics, Duties & Responsibilities, IPCR)
Cabinets for Ims (Well-maintained, Labelled & Properly Indexed Ims)
Bulletin Board/Unit Board of Subject of Areas Taught (Updated, Readable,
Teacher's Creativity)
Display Area for Student's Output (Updated, Readable, Outputs Properly
Displayed)
Health & Personality Corner (Presence of Mirror)
Chalkboards/Whiteboards & Curtain (Presence of Marker, eraser, marker
ledge)
Broom Pedestal (Closed, Painted, Properly Arranged)
Potted Plants (Growing with Stand & at least 5 )
Door label (Presence of Teacher's Program, Class Program & Grade level &
Section)
Aquarium/Terrarium (Optional)
Segregated Trash cans inside the room (with cover, properly labelled &
properly placed)
Adequate Ventilation & Lighting facility (maintained electrical fixtures,
suitable, sitting arrangements, appropriate color & design curtain)
Functional Comfort room & Handwashing Facility (presence of liquid soap
with dispenser, with running water/dipper, trash can)
Armchairs/Tablet Chairs (free from vandals, scratches & breakage)
Demonstration Table (painted, free from dust, without chair)
Library Corner (presence of books, dictionary & other reading materials)
Lesson Plan/Lesson Log (Updated, Appropriate Color Coding, Regularly
Checked by the School Head with Signature)
Curriculum Guide, Teacher's Guide & Learner's Materials (Updated,
Mabini St., Brgy. Acacia, Catarman N. Samar, 6400, Philippines
Telefax:(055)251-8352

Date : ______________
Rating: ______________
Meets all the
criteria
(3)

Meets only
2 of the
criteria (2)

Meets only
1 of the
criteria
(1)

24

Appropriate & Properly Coded Using Colored Markers Aligned with Lesson
Plan.)
Painted walls & ceilings (appropriate color, completely painted)
Ratee:
Rater:
______________________________
____________________

___________________________

Mabini St., Brgy. Acacia, Catarman N. Samar, 6400, Philippines

Telefax:(055)251-8352

Noted: