DEPED TANAUAN CITY DIVISION
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.
8. What priority objectives in your IPPD did you include for School Year ______ that you intend to
accomplish? Please write.
a.
b.
c.
Submitted by: Noted by:
JENELYN T. BURGOS NERISSA A. AUSTRIA
Teacher I EPS I - Araling Panlipunan
Note: This space shall be used for needed information given during the pre-observation but are included above .
6.2 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
job-relevant 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?
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
___________________________________________________________________
Note: This space shall be used for needed information given during the post observation conference but are
included above.
