LAST NAME FIRST NAME EXAMINEE NO.

A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A

B B B B B B B B B B B B B B B B B B B B B B B B B B B B B B B B B B B B

C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C

D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D D

E E E E E E E E E E E E E E E E E E E E E E E E E E E E E E E E E E E E

F F F F F F F F F F F F F F F F F F F F F F F F F F F F F F F F F F F F

G G G G G G G G G G G G G G G G G G G G G G G G G G G G G G G G G G G G

H H H H H H H H H H H H H H H H H H H H H H H H H H H H H H H H H H H H

I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I

J J J J J J J J J J J J J J J J J J J J J J J J J J J J J J J J J J J J

K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K K

L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L L

M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M M

N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N N

O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O

P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P P

Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q

R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R R

S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S S

T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T T

U U U U U U U U U U U U U U U U U U U U U U U U U U U U U U U U U U U U

V V V V V V V V V V V V V V V V V V V V V V V V V V V V V V V V V V V V

W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W W

X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X

Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z Z

Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Ñ Boy

-- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- Girl

A 0 0 0 0 0 0 0 0 JAN

B 1 1 1 1 1 1 1 1 FEB

C 2 2 2 2 2 2 2 2 0 0 0 0 0 0 0 0 0 0 0 0 MAR 0 0 0 0 6 0 6 0 0 0

D1 3 3 3 3 3 3 3 1 1 1 1 1 1 1 1 1 1 1 1 APR 1 1 1 1 7 1 7 1 1 1

D2 4 4 4 4 4 4 4 2 2 2 2 2 2 2 2 2 2 2 2 MAY 2 2 2 2 8 2 8 2 2 2

E 5 5 5 5 5 5 5 3 3 3 3 3 3 3 3 3 3 3 3 JUN 3 3 3 3 9 3 9 3 3 3

F 6 6 6 6 6 6 6 4 4 4 4 4 4 4 4 4 4 4 4 JUL 4 4 4 4 4 4 4

G 7 7 7 7 7 7 7 5 5 5 5 5 5 5 5 5 5 5 5 AUG 5 5 5 5 5 5 5

H 8 8 8 8 8 8 8 6 6 6 6 6 6 6 6 6 6 6 6 SEP 6 6 6 6 6 6 6

I 9 9 9 9 9 9 9 7 7 7 7 7 7 7 7 7 7 7 7 OCT 7 7 7 7 7 7 7

J 8 8 8 8 8 8 8 8 8 8 8 8 NOV 8 8 8 8 8 8 8

K 9 9 9 9 9 9 9 9 9 9 9 9 DEC 9 9 9 9 9 9 9

L

M

N

P ● Use No. 1 or No. 2 pencil only.

R YES DONT KNOW U Urban ● Do not use ink, ballpoint or felt tip pens.

NO R Rural ● Make solid marks that fill the response

YES NO 0 0 completely.

1 1 ● Erase cleanly any marks you wish to change.

NUMBER OF SHIFTS PER DAY (G3) 1 2 3 4 2 2 ● Make no stray marks on this form.

3 3

4 4

5 5

6 6 A B C D A B C D

Central / Pilot Elementary School Multi-Grade School 7 7 A B C D

Non-Central Elementary School State College/University ES 8 8 A B C D

Primary School Madaris School 9 9

1. A B C D E F G H I J K L M N O P Q R S T 6. A B C D E F G H

2. A B C D E F G H I J K L M N O P Q R S T 7. A B C D E F G H

3. A B C D E F G H I J K L M N O P Q R S T 8. A B C D E

4. A B C D E F G H I J K L M N O P Q R S T 9. A B C D E

5. A B C D E F G H 10. A B C

11. A B C D E F G

EXAMPLE

ELEMENTARY SCHOOL TYPERIGHT WRONG

EXAMINEE'S DESCRIPTIVE QUESTIONNAIRE (EDQ)

ARMM Do you belong to a class/section?

CARAGA section with Special

Science Curriculum?

FOR THOSE IN PUBLIC

SCHOOLS ONLY:TYPE OF

COMMUNITY

How many areMARKING INSTRUCTIONS

CAR you in your

7

8

9

10

11

12

NCR

2

3

4A

4B

5

6

1

DAY YEAR English Filipino

GENDER

Is your family a

recipient of Pantawid

Pamilya Pilipino

Program?

NATIONAL EDUCATION TESTING & RESEARCH CENTER

LANGUAGE ASSESSMENT FOR PRIMARY GRADES

Answer Sheet

NAME:

MI

REG DIV SCHOOL IDLEARNER REFERENCE NUMBER (LRN)

BIRTHDATE LATEST

GRADE AGEMONTH

DEPARTMENT OF EDUCATIONDEPARTMENT OF EDUCATION

B

A

R

C

O

D

E

DEPARTMENT OF EDUCATIONDEPARTMENT OF EDUCATION

B

A

R

C

O

D

E