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Subject: Instructor:
Name:
Age:
Address:
Contact Number:
0-6 MONTHS
YES NO MAYBE
Cries in different ways to express different needs (e.g. , hungry, sleepy, wet)
Shows excitement or pleasure by moving arms, kicking, moving the entire
body and face lighting up.
Smiles or laughs in responce to a pleasant experience (e.,g., caregiver singing
him/her)
Amuses self by simple repetitive muscle movements without objects
(e.,g.,rolling back and forth)
Likes playing with water
Enjoys going to park
Shows fear and hesitation towards unfamiliar persons.
13-18 MONTHS
The child demonstrates ability to self-regulate feelings/emotions and follow schedules as well as rules
and regulations.
0-6 MONTHS
19-24 MONTHS
the child forms health attachments to primary caregivers and other significant adults and children in
his/her life.
0-6 MONTHS
13-MONTHS
19-24 MONTHS
Eventually novies away from primary caregivers when playing with unfamilliar
children or adults and children, but may look occasionally in his/her direction
The child plasy ang has positive interactions with other children.
0-6 MONTHS
Standards 1 .1. The child is able to match identical objects, colours, shapes, symbols.
Standards 1.2: The child is able to recite the alphabet and numbers in sequence
Based on your experience, are these indicators generally observed on and/or performed by a
child on the specific age.
Standard 1: The child is able to sustain attention and modulate his activity at age-expected levels.
Based on your experience, are these indicators generally observed on and or performed
by a child on the specific age?
The child recognizes and respects similarities and differences in people, language, culture.
19-24 MONTHS
Able to differentiate between boys and girls
Treats house help or those less fortunate with respect (e.,g., talking
them in polite manner)
13-18 Months YES NO MONTHS
Maybe distracted but responds when
made to re-focus
Resists interruption while engaged in play
Standards 1. The child develops basic concepts pertaining to contancy, space, time, quantity
serration, etc. and uses these as the basis for understanding how materials are
categorized in his/her environment.
Based on your experience, are these indicator, are these indicators generally observed
on and/or performed by a child on the specific age?
Based on your experience, are these indicators generally observed on and/or perforrmed
by a child on the specified age?
Subject: instructor:
Name:
Age:
Address:
Contact Number:
Standard 1. The child is able to use words and gestures to express his thoughts and feelings
Based on your experience, are these indicators generally observed on and/or performed
by a child on the specific age?
0-6 months Yes No Months
Make gurgling, cooing,
babbling, or other vocal
sounds
Uses gestures (e.,g.,
streching hi/hr arms
pointing) to indicate what
he/she wants
Name:
Age:
Address:
Contact #:
7-12 months
Reacts with pleasure when he/she smells something nice
React by making a face when he/she smells something foul
13-18 months
Play without Iring easily, able to keep pace with playmates
13-18 MONTHS
Plays cooperatively to other children
May hug/kiss or hold hands with other children
Shows or shared foods, books, and toys with the other
children
Asks to play with other children or invites them to play
with him/her
19-24 MONTHS
Talks to other children, ask the questions
Shows preference for some children and interacts more
with them
0-6 MONTHS
7-12 MONTHS
13-18 MONTHS
0-6 MONTHS
7-12 months
13-18 months
Unscrews lids
Unwraps candt/food
Scribbles spontaneously
19-24 months
13-18 MONTHS
19-24 MONTHS
The child comprehends and displays sel-appraisal emotions (shame, pride , guilt)
7-12 MONTHS
13-18 MONTHS
19-24 MONTHS
The child is receptive to different emotions of other people and shows empathy.
7-12 MONTHS
13-18 MONTHS
7-12 Months Yes No Months
Standards 1. The child is able to recall people he has met, events, and places he has been to.
Based on your experiences,are those indicators generally observed on and/or
prerformed by a child on the specific age?
Standards 1. This child is able to store verbal information in short and long term memory
Based on your experience, are these indicators generally observed on and/or performed
by a child on the specific age?