12. Arrange objects according to size.

TOTAL SCORE
13. Names 4 – 6 colors.
14. Copies shapes.
Philippine Early Childhood Development Checklist ( Form 2 )
( 3.0 – 5.11 years old )
15. Names 3 animals or vegetables when asked.
16. State what common household items are used for. Child’s Name: ___________________________________ Birthdate: ______________
17. Can assembles simple puzzles. Sex: ______ Age: _____ as of June 2016 Handedness: ___________
18. Demonstrates an understanding of opposite by
completing a statement (e.g. Ang aso ay malaki, ang daga_.)
Province: Mis. Or. City: Gingoog City Barangay: ____________
19. Points to a left and right side of the body.
20. Can state what is silly/wrong with the pictures. TO THE PARENTS:
The PECDC (Form 2) contains knowledge skills and attitudes of children 3 – 5.11 years old.
21. Matches upper and lower case letters.
This may be used as a guide in knowing your child and consequently give appropriate care and
TOTAL SCORE teaching to guide their growth and development.
P O R COMME P O R COMME P O R COMME
SOCIAL – EMOTIONAL DOMAIN NTS NTS NTS
Content:
1. Enjoy watching activities of nearby people or animals. Every page contains different domains of development with their corresponding total scores:
2. Friendly with strangers but initially may show slight
- Gross Motor Domain - 13 items - Expressive Language Domain – 8 items
anxiety or shyness. - Fine Motor Domain – 11 items - Cognitive Domain – 21 items
3. Plays alone but likes to be near familiar adults or siblings. - Self-help Domain – 27 items - Social-Emotional Domain – 24 items
4. Laughs and squeals aloud in play. - Receptive Language Domain – 5 items
5. Plays peek-a-boo. (bulaga) Each item observed are recorded three times within a year: 1.) at the start of the year, 2.) at the
6. Rolls ball interactively with caregiver/ examiner. middle of the year, 3.) at the end of the year
7. Hugs and cuddles toys.
Columns: P – Present or the child can do the task
8. Demonstrate respect for elders using terms like “po,opo”
O – Observed or the child was observed doing the task
9. Share toys with others. R –Report given by the parent/caregiver about the skill
10. Imitates adult activities (e.g. cooking, washing)
Score: ( ⁄ ) Present or the child can do the task
11. Identifies feelings in others.
( - ) Skill is not present or child does not respond
12. Appropriately uses cultural gestures of greeting without
much prompting (e.g. mano, bless, kiss, etc.)
( -9) no opportunity to observe the skill
13. Comforts playmates/siblings in distress.
COMME COMME COMME
14. Persists when faced with a problem or obstacle to his GROSS MOTOR DOMAIN P O R NTS P O R NTS P O R NTS
wants. 1. Climbs on chair/ other elevated place of furniture like a
15. Helps with family chores (e.g. wiping tables, etc.) bed without help.
16. Curious about environment but knows when to stop 2. Walks backwards.
asking questions of adults. 3. Runs without tripping or falling.
17. Waits for turn.
4. Walks down stairs, 2 feet on each step, with one hand
18. Ask permission to play with toy being used by another. held.
19. Defends possessions with determination. 5. Walks upstairs holding handrail, 2 ft on each step.
20. Plays organized group games fairly. 6. Walks upstairs with alternate feet without holding
handrail.
21. Can talk about difficult feelings he experience.
7. Walk downstairs with alternate feet without holding
22. Honors simple bargain with caregiver. handrail.
23. Watches responsibly over younger siblings/family 8. Moves body parts as directed.
members. 9. Jumps up.
24. Cooperates with adults and peers in group situations to
10. Throws ball overhead with direction.
minimize quarrels and conflicts.
11. Hops 1 - 3 steps on preferred foot.
12. Jumps and turns. he/she can be brought to a designated place.
13. Dances patterns/ joins group movement activities. 21. Goes to the designated place to urinate or move bowels
but sometimes still does this in his/her underpants.
TOTAL SCORE 22. Goes to the designated place to urinate or move bowels
and never does this in his/her underpants anymore.
23. Wipes/ Clean self after a bowel movement.
COMME COMME COMME
FINE MOTOR DOMAIN P O R NTS P O R NTS P O R NTS
24. Participates when bathing (e.g. rubbing arms with soap)
1. Uses all 5 fingers to get food/toys placed on flat surface. 25. Washes and dries hands without any help.

2. Picks up objects with thumbs and index finger. 26. Washes face without any help.
3. Displays a definite hand preference. 27. Bathes without any help.

4. Puts small objects in/out of containers. TOTAL SCORE

5. Holds crayon with all fingers of his hand making a fist.
6. Unscrews lid of container or unwraps food.
RECEPTIVE LANGUAGE P O R
COMME
P O R
COMME
P O R
COMME
NTS NTS NTS
7. Scribbles spontaneously.
DOMAIN
1. Points to family member when asked to do so.
8. Scribbles vertical and horizontal lines.
2. Points to 5 body parts of himself when asked to do so.
9. Draws circle purposely.
3. Points to 5 named picture objects when asked to do so.
10. Draws a human figure (head, eyes, trunk, arms, hands )
4. Follow one-step instructions that include simple
11. Draws a house using geometric forms. prepositions (e.g. in, on, under, etc.)
TOTAL SCORE 5. Follow 2-step instructions that include simple
prepositions.
COMME COMME COMME TOTAL SCORE
SELF- HELP DOMAIN P O R NTS P O R NTS P O R NTS
1. Feeds self with finger food (e.g. bread) using fingers.
EXPRESSIVE LANGUAGE P O R
COMME
P O R
COMME
P O R
COMME
2. Feeds self using fingers with spillage. NTS NTS NTS
DOMAIN
3. Feeds self using spoon with spillage. 1. Uses 5 – 20 recognizable words.
4. Feeds self using fingers without spillage. 2. Uses pronouns (e.g. I, me, ako, ikaw, akin)
5. Feeds self using spoon without spillage. 3. Uses 2-3 words verb-noun combinations (e.g.hingi gatas)
6. Eats without need for spoon feeding during any meal. 4. Names objects in picture.
7. Helps hold cup for drinking. 5. Speaks in grammatically correct 2-3 word sentence.
8. Drinks from cup with spillage. 6. Asks “what” questions.
9. Drinks from cup unassisted. 7. Asks “who” and “why” questions.
10. Gets drink for self unassisted. 8. Give account of recent experience in order of occurrence.
11. Pours from pitcher without spillage. TOTAL SCORE
12. Prepares own food/ snack. P O R COMME P O R COMME P O R COMME
COGNITIVE DOMAIN NTS NTS NTS
13. Prepares meals for younger siblings/ family members
1. Looks at direction of fallen object.
when no adult is around.
14. Participates when being dressed (e.g. raise arms) 2. Looks for partial hidden object.
15. Pulls down gartered short pants. 3. Imitates behavior just seen a few minutes earlier.
16. Removes sando. 4. Offers objects but will not release it.
17. Dresses without assistance except buttons and tying. 5. Looks for completely hidden object.
18. Dresses without assistance including buttons and tying. 6. Exhibits simple pretend play. (e.g. play, put doll to sleep)
19. Informs the adult only after he/she has already urinated 7. Matches objects.
or moved his/her bowels in his/her underpants. 8. Matches 2 – 3 colors.
20. Informs adult of need to urinate or move bowels so
9. Matches pictures.
10. Sorts based on shapes.
11. Sorts objects based on 2 attributes (e.g. size and color)