Phil-IRI Form 4, Page 1 of 2

Individual Summary Record (ISR) Individual Summary Record (ISR)

Talaan ng Indibidwal na Pagbabasa (TIP) Talaan ng Indibidwal na Pagbabasa (TIP)

Name: Age: Grade / Section: IV-Emerald

School: Ampayon Central Elementary School Teacher: Ms. Mary Grace B. Villaronte Summary of Comprehension Responses (Talaan ng Pag-Unawa)
English: Filipino: English: ✘ Filipino:

Level Passage ✘ Pre-Test ✘ Post Test

Started Level Set Word Reading Comprehension Date Taken Level Panimulang Pagtatasa Panapos na Pagtatasa
Indicate if A
Mark with Score per
A, B, C, or Ind Ins Frus Ind Ins Frus B Responses to Questions Score
an * Type of
D C Sagot sa mga Tanong Marka
Question
K D
I Q1 Q2 Q3 Q4 Q5 Q6 Q7 Q8
II L= /
* III I I= /
IV C= /
V L= /
VI II I= /
VII C= /
Legend: Ind - Independent; Ins - Instructional; Frus - Frustration L= /
III C= /
Oral Reading Observation Checklist: I= /
Talaan ng mga Puna Habang Nagbabasa
L= /
Behaviors while Reading (Paraan ng Pagbabasa) ✓ or X IV I= /
C= /
Does word-by-word reading (Nagbabasa nang pa-isa isang salita )
L= /
Lacks expression; reads in a monotonous tone ( Walang damdamin; walang V I= /
pagbabago ang tono)
Lacks expression; reads in a monotonous tone ( Walang damdamin; walang V
pagbabago ang tono) C= /
L= /
Voice is hardly audible (Hindi madaling marinig ang boses)
VI I= /
C= /
Disregards punctuation (Hindi pinapansin ang mga bantas)
L= /
VII I= /
Points to each word with his/her finger ( Itinuturo ang bawat salita)
C= /
Employs little or no method of analysis ( Bahagya o walang paraan ng Legend: Ind - Independent; Ins - Instructional; Frus - Frustration
pagsusuri)
Other observations: (Ibang Puna)
Integrated School Forms
 Phil-IRI Form 4, Page 2 of 2

ecord (ISR)
gbabasa (TIP)

napos na Pagtatasa

Reading Level
Score
% Antas ng
Marka
Pagbasa
Integrated School Forms
 Phil-IRI Form 4, Page 1 of 2

Individual Summary Record (ISR)

Talaan ng Indibidwal na Pagbabasa (TIP)

Name: Age: Grade / Section:

School: Teacher:
English: Filipino: ✘

Level
Started Level Set Word Reading Comprehension Date Taken
Indicate if
Mark with
A, B, C, or Ind Ins Frus Ind Ins Frus
an *
D
K
I
II
III
IV
V
VI
VII
Legend: Ind - Independent; Ins - Instructional; Frus - Frustration

Oral Reading Observation Checklist:

Talaan ng mga Puna Habang Nagbabasa
Behaviors while Reading (Paraan ng Pagbabasa) ✓ or X
Does word-by-word reading (Nagbabasa nang pa-isa isang salita )

Lacks expression; reads in a monotonous tone ( Walang damdamin; walang

pagbabago ang tono)
Voice is hardly audible (Hindi madaling marinig ang boses )

Disregards punctuation (Hindi pinapansin ang mga bantas )

Points to each word with his/her finger ( Itinuturo ang bawat salita)

Employs little or no method of analysis ( Bahagya o walang paraan ng

pagsusuri)
Other observations: (Ibang Puna)
Integrated School Forms
m 4, Page 1 of 2 Phil-IRI Form 4, Page 2 of 2

Individual Summary Record (ISR)

Talaan ng Indibidwal na Pagbabasa (TIP)

Summary of Comprehension Responses (Talaan ng Pag-Unawa)

English: Filipino: ✘

Passage Pre-Test Post Test

Level Panimulang Pagtatasa Panapos na Pagtatasa
A
B Score per Reading Level
Responses to Questions Score
Type of % Antas ng
C Sagot sa mga Tanong Marka
Question Pagbasa
D
Q1 Q2 Q3 Q4 Q5 Q6 Q7 Q8
L= /
I I= /
C= /
L= /
II I= /
C= /
L= /
III C= /
I= /
L= /
IV I= /
C= /
L= /
V I= /
C= /
L= /
VI I= /
C= /
L= /
VII I= /
C= /
Legend: Ind - Independent; Ins - Instructional; Frus - Frustration
Integrated School Forms
Form 4, Page 2 of 2