Edited MFAT-Handbook (Jan 24,2018)

MULTI-FACTORED ASSESSMENT TOOL (MFAT) ADMINISTRATION HANDBOOK
TABLE OF CONTENTS
I. Introduction------------------------------------------------------------- 2
II. Goals and Objectives -----------------------------------------------3
III. Table of Specification------------------------------------------------3
IV. Time Allotment----------------------------------------------------------4
V. MFAT Materials ------------------------------------------------------5-6
VI. Test Procedure: -----------------------------------------------------7-9

a. Test Protocols----------------------------------------------------7
b. Preparations before the Test
Administration---------------------------------------------------7
c. During the Test Administration-----------------------------7
d. Pre, During and Post Test Forms---------------------------8
e. After the Test Administration-------------------------------9
VII. Appendices: -----------------------------------------------------10 -11

Form A - Learners’ Profile-------------------------- 10
Form B - School Profile------------------------------ 10
Form C – MFAT------------------------------------11- 36
Form D - Summary of MFAT Results-------------37
1
I. Introduction
The Multi-Factored Assessment Tool (MFAT) is a screening tool intended to

gather information on learner’s strengths, needs, learning styles, and other
educational concerns. It shall be conducted in all schools a month after the
beginning of each school year. This is a one-time assessment administered to Grade
I learners enrolled in the regular schools who may exhibit developmental
advancement or delays or with manifestations of learning disability. It is an activity-
based assessment covering the five domains of learning namely:
(1) COGNITIVE DOMAIN – refers to the learner’s ability to remember, see or hear
likenesses and differences and determine its relationship between ideas and things;
(2) COMMUNICATION DOMAIN - signifies the learner’s ability to learn a

systematic pattern of language developed through listening and speaking and to
clearly send and receive a message;
(3) SOCIO-EMOTIONAL DOMAIN – refers to the learner’s ability to deal with

oneself, express and understand feelings and how the child relates to other people;
(4) MOTOR DOMAIN- pertains to the coordinated movements of large muscles

(gross motor movements) and small muscles (fine motor movements) of the body
through various degrees of eye-hand coordination; and
(5) DAILY LIVING SKILLS DOMAIN – shows the learner’s ability to take care of
oneself in day-to-day needs such as feeding, hygiene and good grooming.
Each domain is a strong gauge to measure the child’s capabilities and/or

needs. The data gathered from MFAT result provides immediate and appropriate
intervention programs or referral for further assessment to identified learners in the
schools.
2
II. Goals and Objectives
The MFAT aims to identify the strengths and weaknesses of learners in Grade 1
which would require appropriate intervention/s and proper placement. It will also
assist teachers for instructional planning and educational placement of learners.
The result of the MFAT does not in any way, affect the performance of the learner,
teacher, school, division nor the region.
The main goal of MFAT is to identify Learners with Special Educational Needs
(LSENs) who would need education services and/or medical/allied services.
III. Table of Specification
The Table of Specification shows the indicators per domain. It contains the
number of items for each domain. The different skills are coded for analysis and
interpretation of results. Assessment items of the different activities are grouped per
domain.
Table 1. MFAT Table of Specifications and Coding of Items
MFAT Table of Specification per Item
Cognitive Communication Daily Living Skills Motor Skill Socio-

(Fine/Gross) Emotional
Behavior
COG COM DLS MS(F&G) SEB
Indicators No. Indicators No. of Indicators No. of Indicators No. of Indicators No. of
(CODE) of (CODE) Items (CODE) Items (CODE) Items (CODE) Items
Item
s
Numeracy 8 Audition 3 Feeding 9 Gross Motor 14 Emotional 9
(NU) (AU) (FE) (GM) Skills
(ES)
Simple 6 Speech 3 Dressing 6 Fine Motor 11 Social 16
Analytic (SA) (SP) (DR) (FM) Skills
(SS)
Reasoning 6 Voicing 3 Grooming 5
(RE) (VO) and Hygiene
(GH)
Classification 2 Receptive 6 Toileting 3
(CL) Language (TL)
(RL)
Retention (RT) 1 Expressive 10 Health and 2
Language Safety
(EL) (HS)
Reading(RD) 2
Total per 25 25 25 25 25
Domain
Overall Total 125
3
IV. Time Allotment
The Table 2. below shows the activities with suggested time allotment.
Table 2. Activity with suggested time allotment

Activity Time
Activity 1 - Let’s Talk 10 minutes
Break 3 minutes
Activity 2 - Treasure Box 30 minutes
Break 3 minutes
Activity 3 - My Daily Routine 20 minutes
Break 5 minutes
Activity 4 - Whether Weather 10 minutes
Break 2 minutes
Activity 5 – Work of Hands 15 minutes
Break 2 minutes
Activity 6 - Let’s Get Physical! 20 minutes
TOTAL 120 minutes or 2 hours
After each activity, an observation checklist has been included to record

specific behaviour of learners during assessment. This will help validate results at the
end of the MFAT administration.
V. MFAT Materials
Materials are essential for the successful implementations of the MFAT Test.
Below are the materials needed to be prepared for each assessment activity.
Below is Table 3 on materials per assessment activity.
Table 3. List of MFAT Materials

ACTIVITY MATERIALS for MFAT
any objects from the treasure box
- letter cards
o Card size 3” x 3”
o Font Style: Century Gothic
o Font Size: 150, bold
Let’s Talk!
- flashcards with the following words:
o ask, act, and
o pat, mat, bat
o Ana, Aga, Eva
o Card size 3” x 5”
4
- flashcards with the following words:

o is, are, has, for, give, his
Card size 3” x 5”
Treasure Box
- plastic storage box
8” height, 14” length, 12” width
Cut out Pictures of the following:
- red donut (small) 2” diameter
- blue big tire (6” diameter)
- yellow round clock (medium) 4” diameter
- red bunting (medium) 4”
- blue cone (big) 6”
- yellow triangle ruler 2”
- red big box 6”
- blue handkerchief 2”
- yellow medium-sized mirror 4”
- red big book 6”
- blue eraser 2”
- yellow envelope 4”
- big letters of the alphabet 3” x 5”, Century Gothic, bold, 150 font
- 5 Big letters with corresponding small letters 3” x 5”, Century Gothic,
Treasure Box
bold, 150 font
- number cards with numbers 1-20 (3” x 5”, century gothic, bold, 150
font)
- popsicle sticks (20pcs)
- real money: p20 peso bill, p10, p5, p1 coins placed in a medium zip
lock
- paper clock, 6” x 8”
- pictures of (half crosswise of a 8.5 x 13 bond paper)
- child waking up
- child raising the right hand and reciting the “Panunumpa sa
Watawat ng Pilipinas”
- children inside the classroom
- children playing
- child sleeping
- body parts puzzle, size: 8.5 x 11
- 2 Pictures of a child (1 with one shoe missing and the other with
complete pair of shoes, (half crosswise of a 8.5 x 13 bond paper)
- 2 Story books (Araw sa Palengke, Chenelyn, Chenelyn), size: 8”’ x 11”
- bath soap, shampoo, towel (face), pail (1.5 l) and dipper (small)
- toothbrush (small), toothpaste (small)
My Daily
- polo shirt/blouse (with button) and shorts/skirt/pants (with zipper)
Routine
- shoes with shoelace
- comb/hairbrush
- handkerchief/ tissue paper
5

- basin (small) with water
- plate, glass, spoon and fork, placemat
- bread/pan de sal, sandwich spread, bread knife
- bottles/jars/food containers
- sandwich wrapper/table napkin
- bowl, serving spoon, cup
- flashcards with danger signs and symbols (slippery when wet, road
under construction, toxic/poisonous, flammable, falling debris) size:
4” x 4”
- pictures of broken glasses, high places, streets, sharp and pointed
objects Size: 4” x 4”
Cut-out faces of emotions: 4” x 4”
- happy
- sad
- scared
- angry
Whether Picture of a mother hanging clothes, cooking, sweeping and
Weather gardening, stick figure, pencil
pictures of the following (for interview)

- at home – mother cooking
- school – teacher writing on the board
- playground – boy dribbling a ball
- market – mother buying vegetables
- sheets of bond paper (size: 8.5 x 13)
- pictures of a glass and a ball with broken lines (half crosswise of a
Work of 8.5 x 13 bond paper)
Hands
- pair of scissors, 4”, kiddie scissor maped brand
- pencil
- crayons (8 colors), crayola
- masking tape 2”
- 3 chairs
Let’s Get - rubber ball, 6” diameter
Physical! - wooden model stairs with handrail, 3 steps, measurement of 8”
height, 10” width, 18” length (measurement of each step)
materials: marine plywood ¾”, 1 x 2 lumber
- printer and ink (black /colored)

Common - laminating machine and sheet
- photo paper
materials
- plastic envelop for the specific activity
6
VI. Test Procedure:
a. Test Protocols
To ensure the confidentiality of the assessment, assessors are expected to

safeguard assessment tools, corresponding materials and results. The MFAT Tool
should be kept or deposited in the guidance/principal’s office.
b. Preparations before the Test Administration
Prior to the administration of the test, the following should be prepared:

1. Identify learners who may exhibit developmental advancement or delays or
with manifestations of learning disability and the Post test result of Early
Childhood Development (ECD) Checklist should be considered.
2. Ensure that materials per activity are complete, properly labelled and
arranged; and,
3. Organize the room or space where the assessment activity will take place.
c. During the Test Administration
During the administration of the test, assessors should:

1. Ensure that materials can be easily accessed by the assessor but will not
distract the learner;
2. Use English, Filipino or mother tongue depending on the preferred language
of the learner;
3. Record time started and ended per activity;
4. Make sure that the child is comfortable before every activity;
5. Explain instructions properly per activity/task;
6. Give instructions twice only;
7. Record learner’s response;
8. Use in between breaks for proper transition to the next activity;
9. Continue the assessment the following day if the child is no longer attentive;
and
10. Thank the learner at the end of the assessment.
The MFAT has script within each activity for easy referral and use of assessors.
The Table 4 below shows the sample script and recommended sequence.
Table 4. Sample script and sequence

1. Start with greetings
“Good morning/afternoon (name of the learner)! How are you today?” (Be sure that
the learner feels at ease and relaxed as he/she gives his/her response).
2. Introduce the activity

“Today, we are going to play. We will do some activities. Don’t worry. These are just
simple activities and the result of these will not affect your grade. In fact, it will help
you improve your performance in class. Do not be shy to ask questions in case you do
not understand my instruction. I will be here to help you.”
3. Ask the learner if she/he has some questions or concerns

“Do you have questions before we start? (Wait for the response of the learner. If the
learner says “none”, proceed to the assessment session. If the learner says “yes”, ask
what the concern is and provide appropriate answers. Only if there are no more
7
questions to answer you can proceed with the activity.)
4. Ensure that the learner is ready to start

“Are you ready? (Do not start until the learner is ready or has shown any sign of
approval.)
5. Read the instruction/s as stated in each activity.
6. Record time per activity
Ensure that you have a timer/watch to guide you with the time allotment per activity.
Record time started and ended per activity on the space provided.
7. Record learner’s responses
a. Check () YES if the learner performed the task, or the item indicated was
observed. If not, check NO and write in the LEARNER’S ACTUAL RESPONSE column
the learner’s response or reaction towards the given task/activity.
b. Observe the learner’s behavior during the activity.
8. Use in between breaks for proper transition to the next activity
“We are going to take a short break. Are you still comfortable? Do you need to go to
the comfort room or do you need anything?
a. Give a few minutes for the learner to rest; go to the comfort room (as needed)
and, get ready for the next activity.
b. Use this time to pack materials you will no longer use.
c. Prepare the next set of assessment tools and materials you need for the
succeeding activity.
d. Ask the learner if s/he is ready to continue.
9. Thank the learner at the end of the assessment
“Good job! We finished the activity. Thank you for being cooperative and I hope you
had fun.”
d. Pre-, During and Post- Test Forms
The DepEd Central Office through the Student Inclusion Division - Bureau of
Learning Delivery (BLD-SID) will provide the assessment tool and materials needed for
the test administration.
The assessor should ensure that there are enough forms prior to the
administration of the assessment. The Table 5 below shows the materials / forms for
the test.
Table 5. MFAT Forms

Stages of
FORM Content
Assessment
1. Important data
Learner’s
A 2. Mother tongue
Pre- Profile
3. Learner’s Reference Number (LRN)
Assessment
School 1. Basic school information
B
Profile 2. Number of learners and teachers per grade level
1. Time Record (Time started and ended)
2. Items organized per assessment activity
During
C MFAT 3. Script for the assessor
Assessment
4. Columns for learner’s response (Yes, No, Response)
5. Observation checklist
Post Summary
Assessment D Consolidated result per domain
of Results
8
e. After the Test Administration:
After the assessment, assessors are expected to:
1. Summarize the result for intervention or recommendation.

2. Properly pack the materials used and keep in the designated place.
9
VII. Appendix
MFAT FORMS FOR THE ASSESSMENT TOOL
For the Assessor: The purpose of this survey is to gather information about the
assessor, learner and the school. Your answers to this survey will be used in the
improvement of the MFAT. This will enable the Department of Education to enhance
the said instrument and the assessment practices for our learners’ welfare.
FORM A. LEARNERS’ PROFILE
Learners Code: ____ -____- G- LRN: ______________________________________
Date of Assessment (Month/Day/Year): ______/______/______________________________
Date of Birth (Month/Day/Year): ______/______/_____________________________________
Order of Birth (1st, 2nd, etc.): _______________________________________________________
Mother Tongue:
 Tagalog  Kapampangan  Pangasinense
 Iloko  Bikol  Chabacano
 Cebuano  Hiligaynon  Waray
 Tausug  Maguindanaoan  Maranao
FORM B. SCHOOL PROFILE
Division: ___________________________ District: __________________________ School ID: ___________
School Name: ____________________________Name of School Head: __________________________
School Address: ___________________________________________________________________________
Contact Number of School:

___________________________________________________________________________________________
Type of School:
 Central
 Non- Central
 Multi-Grade
 Mono Grade
Number of Teachers and Learners:
Level Number of Learners Number of Teachers
Grade I
Total
10
Learner’s Code LRN

DIRECTIONS: Check () YES if the learner performed the task, or the item indicated was observed. If not, check NO and write in the learner’s response column
the behavior manifested by the learner towards the given task/activity. Also write down the intervention/s made in the column provided.
TIME STARTED: _____________________________ TIME ENDED: ______________________________
Activity 1 Title: LET’S TALK

ITEM CODE ASSESSMENT ACTIVITY YES NO LEARNER’S RESPONSE INTERVENTION/S
Time Started:____________________________
Hello, good morning/good afternoon!
Note: The teacher drops a bunch of keys on the floor to

COM-AU-1
produce sounds.
1. Turns head to source when sound is heard

Note: First, the teacher introduces her/himself.
What is your name?
COM-EL-2
2. Tells one’s name / identifies oneself
Note: The teacher taps the table.

Do you hear the tapping sound on the table?
COM-AU-3
3. Responds to questions or nods head appropriately
when spoken to
Repeat it.
COM-AU-4
4. Repeats table tapping patterns correctly
11

Do the following:
Stand;
Turn around;
COM-RL-5 Sit down.
5. Recognizes two to three word instructions
Note: Observed in item 5

COM-RL-6
6. Responds to two-word combination
Who are the members of your family? What are their

names?
COM-EL-7
7. Calls family members by name
Tell me about your family.
COM-EL-8
8. Tells stories to peers/class and teacher coherently
Answer the following questions:
a. What do you do before going to school?
b. What are the things you see in school?
COM-EL-9 c. Who are in school?
d. What do you do in school?
9. Answers wh- questions

Note: The teacher gets three (3) objects from the box
one at a time. (ball, pencil and book)
COM-RL-10
What is this?
10. Identifies familiar objects when presented

Describe it. (ball, pencil and book)
COM-EL-11
11. Describes simple and familiar objects
12

Note: Place the letters and number cards on the table.
(a, b, w, r, s, t,1,2,3,4,5)
COM-RL-12
Pick up the letters.
12. Picks up the letters.

What is the sound of a motorcycle?
COM-SP-13 13. Makes random non-speech sounds (e.g. wooh,

wooh, etc.)
Note: The teacher reads the words and let the child
answer the following questions:
Identify the initial sound of the words: ask, act and ant.
COM-RL-14 Identify the medial sound of the words: pat, mat and
bat.
Identify the final sound of the words: Ana, Aga and Eva.
14. Discriminates initial, medial and final sounds

Repeat what I will say, “My Teacher, My Hero”.
Indicator: Repeats the words/phrases

COM-EL-15
15. Imitates words/phrases and/or local TV/radio
commercial
Note: Let the child read the words.
Read the following words: is, are, has, for, give and his.
COM-RL-16
16. Recognizes pre-primer and primer sight words
13

Recite/sing any nursery rhyme that you know.
COM-EL-17 17. Recites common nursery rhymes
Note: To be observed during the conversation
COM-SP-18 18. Prefers talking rather than using gestures and

physical communication

COM-EL-19
19. Answers in complete sentence when asked

COM-EL-20
20. Expresses thoughts or ideas correctly
COM-SP-21 21. Speaks in an articulated manner in (e.g. without

stuttering)
COM-VO-22
22. Controls volume of voice when in conversation
COM-VO-23 23. Speaks with voice quality when in conversation (e.g.

pitch)
COM-VO-24 24. Speaks with uninterrupted flow of sounds, words,

syllables, and phrases
14

Do you feel tired? hungry? thirsty? need to go to the
toilet? What do you want to do?
COM-EL-25
25. Expresses basic needs and/or wants (verbal,
gestural, sign)
Time Ended:_______________________
Directions: For Observation Checklist check () YES if observed and NO if not. Write in the ‘Remarks’ column, significant observations
during the conduct of the activity.
ITEM CODE OBSERVATION CHECKLIST YES NO Remarks
CM-34 1. Does the learner have difficulty expressing needs orally?
H-6 2. Does the learner have difficulty listening when spoken

to?
H-19 3. Does the learner have difficulty recognizing commands?
H-25 4. Does the learner turns or tilts head to use one eye only in
performing tasks?
Activity 2 Title: TREASURE BOX

Time Started: __________________________________
Note: Teacher gets 3 objects from the treasure
box and places them on the table.
From your left, which object is in the middle? last?

COG NU-26
first?
26. Recognizes position of objects-first/middle/last
15

Note: Teacher gets cut-out pictures from the box
and lays them down on the table.
Here are cut-out pictures of different objects.

COG-SA- 27 Group them according to shapes. (triangle,
rectangle, square, and circle)
27. Sorts objects based on shapes
Arrange the cut-out pictures of objects from

smallest to biggest.
COG-SA-28
28. Arranges objects according to size from
smallest to biggest
I have here a picture, get another picture on the

table that is of the same size with the one I am
holding.
COG-SA-29
29. Matches objects according to size
Put together cut-out pictures that are red.
Put together cut-out pictures that are small.

COG-SA-30
30. Sorts objects based on 2 attributes (e.g. color
& size)
Get three shapes with the same color.

COG-SA-31
31. Matches 2 – 3 colors
Name the letters of the alphabet.

COG-RD-32
32. Names the letters of the alphabet
16

Note: Teacher places letters M, R, S, T, A, and P
on the table and prepares the matching small
letters with two distractor letters.
I have here 6 big letters of the alphabet. Get the

COG-SA-33
small letters on the table and match them with
the big letters.
33. Matches big with small letters
Count from one to twenty.

COG-NU-34
34. Rote counts 1 to 20
Get three number cards from the treasure box

one at a time and tell me what number it is.
COG-NU-35
35. Identifies numbers from 1 to 20
Note: Place the number cards on the table.
(2,5,7)
Get the popsicle sticks from the treasure box.

COG-NU-36
Show the number of popsicle sticks that matches
the number on the card.
36. Associates numbers 1 to 10 with objects
Using popsicle sticks, add the following:
1) 8+ 2 = ___
2) 5+ 5 = ___
COG-NU-37
3) 1+ 9= ___
37. Adds objects to get a sum of 10
17

Using popsicle sticks, subtract the following:
1) 11 – 1 =___
2) 12 – 2 = ___
COG-NU-38
3) 13 – 3 =___
38. Subtracts objects to get a difference of 10.
Note: Follow the same instruction for the P10, P5,

and P1 coins.
COG-NU-39 Get a 20-peso bill from the treasure box.
39. Identifies Philippine Peso Bills and Coins
What is/are the missing number/s?

(1, 2, ____, 4, 5, ____
2, 4, 6, __, 10, 12...
3, 6, ____, ...
COG-RE-40
5, ___, 15...)
40. Follows number patterns
Note: Teacher sets the time at 3:00, 7:00, and

9:00.
Look at the clock I am holding. Tell me what time

COG- NU-41
it is.
41. Identifies time by the hour
Identify the events in the pictures. Which do you

think comes first? last? Arrange the pictures.
COG-RE-42
42. Sequences picture story of 4 to 6 events
18

Look at the pictures again. Tell me which event
happened in the morning? afternoon? night?
COG-RE-43
43. Identifies time concept of the day (morning,
afternoon, night)
Arrange the puzzle to complete the picture.

COG-RE-44
44. Completes simple puzzles
Note: In case the learner was not able to do the
puzzle, the teacher shows the guide picture.
Point the head, neck, shoulder, hands, fingers,

COG-CL-45
legs, knees and toes.
45. Identifies body parts
Which part of the body is for seeing? hearing?

tasting? feeling? smelling?
COG-CL-46
46. Identifies five senses
Look at these two pictures. What are the

differences between these pictures?
COG-RE-47
47. Identifies what is different in the picture
What is missing in the picture?

COG-RE-48
48. Identifies what is missing in the picture
Who are the members of your family?

COG-RT-49
49. Name members of the family.
19

Note: Observe the reaction of the learner and
ask the learner which of the two books he likes
most?
COG-RD-50
Get 2 books from the treasure box.
50. Exhibits interest in books

Time Ended:_______________________

V 1. Does the learner hold the materials too close to
his/her eyes?
V 2. Does the learner use his/her fingers to maintain place
of words/letters/lines while reading?
V 3. Does the learner rub eyes in an effort to see better?
V 4. Does the learner blink continuously?
V 5. Does the learner squint, cover or close his/her eyes while

performing a given task?
Cog 6. Does the learner have difficulty associate numbers

with symbols?
Com 7. Does the learner have difficulty remembering things
heard?
Com 8. Does the learner have difficulty giving appropriate
response to questions?
Cg 9. Does the learner have difficulty following a series of
directions?
20

Cg-26 10. Does the learner have difficulty recalling information
in the past?
Cg-31 11. Does the learner have difficulty giving appropriate

response to interview questions?
12. Does the learner have difficulty responding orally in

Cg-9
identifying one -word objects?
13. Does the learner repeat, omit or adds words when

Cg-10
she/he answers?
Cg-9 14. Does the learner have difficulty responding orally in
identifying one -word objects?
Cg-10 15. Does the learner repeat, omit or adds words when
s/he answers?
Cg-21 16. Does the learner have difficulty remembering names of

body parts and senses?
Activity 3 Title: MY DAILY ROUTINE

Time Started: _________________________________
Suppose you are taking a bath. Show me how you
do it.
DLS-GH-51
51. Takes a bath
Show me how you brush your teeth.

DLS-GH-52
52. Brushes own teeth
Note: Teacher gives a polo shirt/blouse and

DLS-DR-53 shorts/skirt/pants and ask the learner to stand and
wear it.
21

Show me how you put on your clothes.
53. Puts on clothes.

(If the learner does not button the clothes, the
teacher may instruct the learner to do the
instruction below.)
DLS-DR-54 Show me how to button your polo shirt/blouse.
Then show me how you unbutton your shirt/blouse.
54. Buttons and unbuttons clothes

Note: Let the learner stand and demonstrate how
to zip and unzip pants/skirts/shorts.
DLS-DR-55 Show me how to zip and unzip your

pants/skirts/shorts.
55. Zips and unzips pants

Show me how you take off your clothes.
DLS-DR-56
56. Takes off clothes
Show me how you put on your shoes.
DLS-DR-57
57. Puts on shoes
Note: If the learner is already wearing shoes with
lace, ask the child to untie first, then tie.
Show me how you tie your shoe lace.

DLS-DR-58
Then untie your shoe lace.
58. Ties and Unties shoe lace
22

Note: Teacher will let the child demonstrate.
DLS-GH-59 Show me how to comb or brush your hair.
59. Combs or brushes hair

Note: Give the learner a handkerchief or a tissue
paper.
DLS-GH-60 Show me how you wipe or blow your nose using

the tissue paper or handkerchief.
60. Wipes / blows nose properly

Note: Bring the child to the washroom.
If there is none, provide a pail of water, dipper,
basin, soap, and towel.
DLS-GH-61
Wash your hands, then dry them.
61. Washes and dries hands

Note: Provide the learner with plate, spoon, fork,
glass, and placemat.
DLS-FE-62
Show me how to set the table.
62. Sets the table

Note: Provide the learner with bread, sandwich
spread in a bottle, and spoon.
If the child is not exposed to preparing a

sandwich, he/she may be interviewed on other
DLS-FE-63 meals that he/she has prepared like cooking
egg/camote, etc.
Show me how to prepare a sandwich.
63. Prepares a 2-3 step meal

23

Note: The assessor will provide any container that
the learner will open and close. This may be
observed while the child is preparing the meal.
DLS-FE-64 Show me how to open bottles/ jars and other food

containers, then close them.
64.Opens and closes bottles/jars/and food

containers boxes/ food
Note: The assessor will provide the table
napkin/sandwich wrapper to the learner.
Wrap your sandwich.

DLS-FE-65
Now, you’re ready to eat your sandwich. Unwrap it.
65.Wraps /Unwraps
Note: The assessor will verify this with the parent
through observation
DLS-FE-66
Do you consume the food on plate?
66.Consumes food on one’s plate

Note: Validate through interview with the parent.
Can you serve yourself from a serving plate? Show

DLS-FE-67
me how.
67. Serves self from serving plate

Note: The assessor will provide the eating utensils to
be used. Let the learner pretend using eating
utensils.
DLS-FE-68
Do you know how to use your eating utensils
properly? Show me how.
24

68. Uses eating utensils properly
Show me how you drink from a cup/glass/bottle.

DLS-FE-69
69. Drinks from a cup/glass/ bottle
Note: Validate through interview with the parents.
Do you clear your own place after eating at the

DLS-FE-70
table? Show me how.
70. Clears own place (at table) after eating

Note: Compare answer with Activity 1 item no. 25.
This may be observed during the duration of the
assessment.
DLS-TL-71
Do you tell your teacher if you need to go to the
toilet/CR?
71. Expresses the need to go to the toilet

assessment.
DLS-TL-72
Do you flush the toilet after using it?
72. Flushes toilet after use

assessment.
DLS-TL-73
After using the toilet, do you wash your hands?
73. Cleans self after toileting
Note: Show 6 danger signs/symbols:
 slippery when wet
DLS-HS-74
 high voltage
 poisonous/toxic
25

 flammable
 road under construction
 falling debris
Are you familiar with these symbols?
What does this symbol mean? When you see this,

what should you do?
74. Identifies danger signs and symbols

Here are pictures of broken glasses, high places,
streets or sharp and pointed objects. What will you
do if you see these? Why?
DLS-HS-75
75. Keeps out of danger, broken glass/high places,
streets or sharp and pointed objects
Time Ended:_______________________
Motor 1. Does the learner have difficulty in dressing?
Motor 2. Does the learner have difficulty going to the toilet

independently?
Motor 3. Does the learner have difficulty accomplishing tasks

using his/her fine motor skills (e.g. unwrapping, shoe
lacing, opening of bottle, etc. )
26
Activity 4 Title: WHETHER WEATHER

Time Started: ________________________________
Do you play with your friends? What games do
you play?
SEB-SS-76
76. Plays with peers
Note: Interview the teacher adviser if the learner

can follow rules during games.
SEB-SS-77
77. Follows rules and regulations.
When is the best time to play with friends?

Why?
SEB-SS-78
78. Participates in the conversation
Note: Interview the teacher adviser.
What do you do if you lose/win? Why?

SEB-SS-79
79. Shows sportsmanship
I have here pictures of different faces. Which of

these shows the feeling when you win? lose?
SEB-SS-80
80. Expresses appropriate emotions
Note: Let the learner name at least three friends.
SEB-SS-81 How many friends do you have? Name them.
81. Makes friends easily
SEB-SS-82 What activities does your mother/father do at

home? Show me how.
27

82. Imitates adult activities

Do you have personal belongings? Name some
of them.
SEB-ES-83
83. Identifies personal belongings.
Note: Free hand drawing.
How many are you in the family? Draw the

members of your family. Encircle where you are.
SEB-ES-84
(Items number 9 and 10)
84. Identifies self as a member of a

family/cultural group
Note: The teacher observes the behavior of the
learner while doing the activity number 9.
SEB-ES-85
85. Shows initiative to work on tasks
Note: The teacher gives constructive criticisms
on the drawing. Refer to Item number 9.
SEB-ES-86
86. Accepts criticisms positively
Note: Based on the reaction of the learner on
item number 11.
SEB-ES-87
87. Shows self-control
Note: Prior knowledge of the teacher on the
learner should be noted.
SEB-ES-88
88. Engages in communication with others
Note: The courteous expressions used by the
learner.
SEB-SS-89
How do you greet your teacher in the:
a) morning?
b) afternoon?
28

When you receive a gift, what will you say?
89. Uses courteous expressions appropriately

If you accidentally bump somebody, what will
you say?
SEB-SS 90
90. Apologizes when necessary.
Note: This can be observed during the
administration. Does the learner pay attention to
SEB-SS 91 someone who is talking?
91. Pays attention to someone talking

If you have a difficult homework, what will you
do?
SEB-SS 92
92. Seeks or accepts help when he/she needs it.
Prior knowledge of the teacher on the learner
should be noted.
SEB-SS 93
93. Waits for one’s turn
Note: If not observed during the assessment,
validate from the teacher.
SEB-SS 94
94. Displays sense of humor
should be noted.
SEB-SS 95
95. Leads a group activity
should be noted.
SEB-SS 96
96. Asks permission to use things owned by others
SEB-SS 97 should be noted.
29

97. Seeks older friends
should be noted.
SEB-SS 98
98. Prefers working alone
Note: The teacher should act as one of the
characters in the role playing.
I have four pictures here. Pick one and let’s act it

out.
SEB-SS 99 a. At Home – mother cooking
b. School – teacher writing on the board
c. Playground - boy dribbling a ball
d. Market - mother buying vegetables
99. Participates in role play

Note: Validate with the teacher.
If one of your classmates has no “baon”, what

SEB-ES-100
should you do?
100. Displays sensitivity to the feelings of others

Time Ended:_______________________

Behaviour 1. Does the learner have difficulty concentrating on
given tasks?
Behaviour 2. Does the learner have difficulty staying on his/her

seat during the activity?
Behaviour 3. Does the learner have short attention span?
30

4. Is the learner easily distracted with materials for
Behaviour the activity?
5. Does the learner easily get frustrated when s/he has

Behaviour difficulty performing tasks?
6. Does the learner have difficulty identifying things

Behaviour used for personal hygiene?
7. Does the learner have difficulty giving

Behaviour appropriate response to questions about his/her
feelings in given situations?
8. Does the learner have difficulty displaying interest

Behaviour
in activities related with people, friends and play?
9. Does the learner have difficulty articulating in

Behaviour
expressing his/her thoughts?
10. Does the learner have difficulty giving

Behaviour appropriate response to questions about his/her
feelings in given situations?
11. Does the learner shout during the activity?
Behaviour
Activity 5A Title: WORK OF HANDS

Time Started: _____________________________
I have here a
whole sheet of bond paper. Fold it once in any
direction.
MSF-101
101. Folds paper into a shape
31

Then, tear the paper following the fold you made.
MSF-102
102. Tears papers in simple shapes
Here are pictures of a ball and a glass.
Trace the broken, straight, and curve lines. (For

MSF-103 item 17-18)
103.Traces broken-straight and curved lines
MSF-104 104.Traces continuous- straight and curved lines
Color them.
MSF-105
105. Colors objects
Cut the lines of the glass you traced and

colored. (Items 20-22)
MSF-106
106.Cuts paper in straight direction
107.Cuts paper in curved direction

MSF-107
MSF-108 108. Cuts pictures within a given line
Draw a house using different shapes.

MSF-109
109.Draws a combination of shapes
Note: Observe whether the learner can hold a

MSF-110
pencil/drawing tool using a tripod grip while
32

drawing a house.
110. Holds pencil and a drawing tool using a

tripod grip
Copy these letters (B, G and R) on your paper.

MSF-111
111. Copies letters
Time Ended:_______________________

Motor 1. Does the learner display poor eye-hand
coordination?
Motor 2. Does the learner have difficulty coloring within the

lines?
Motor 3. Does the learner drool excessively?/ Does saliva

come out of the learner’s mouth?
Motor 4. Does the learner have difficulty in tracing activities?
5. Does the learner have difficulty in holding the

scissors?
33
Activity 5B Title: LET’S GET PHYSICAL!

Time Started: ____________________________
Stand properly for 5 seconds.
MSG-112
112. Stands with normal stance
Stand on one foot without support with your eyes

closed for 10 seconds.
MSG-113
113. Stands on one foot without support for 10
seconds with eyes closed
Stand on one foot, then tip toe.
MSG-114 114. Stands on one foot and on tiptoe
Now, march in place for five seconds.
MSG-115 115. Marches in place
Note: Bring the learner to the area where the

straight line marking is.
Walk forward on the straight line.

MSG-116
116. Walks in a straight line with correct stepping
pattern,
Now, step backward. Then take three steps

sideward (R/L).
MSG-117
117. Walks sideward and backwards with correct
stepping pattern
34

Hop in place three times.
MSG-118
118. Hops in place
Note: Teacher points where to start.
Skip three times following the line.

MSG-119
119. Skips within a given path
Gallop five steps sideward (R/L).

MSG-120
120. Gallops sideward
Show me your highest jump. How about your

longest jump?
MSG-121
121. Jumps for distance and for a height
Note: Arrange the 3 chairs 1 meter away from

each other. Place the ball on the floor 1 meter
away from the last chair. Tell the learner to run
passing through the chairs without tumbling and
ask him/her to pick up the ball and back to the
starting point going through the same obstacle.
Remind the learner to be careful. (Items 11-12)
MSG-122
Run passing the three chairs in zigzag manner,
get the ball and run back in the same way. Be
careful.
122. Runs at a given distance and picks up a

ball in an obstacle course.
MSG-123 Note: Stand at least 3 meters away from the

35

learner.
Catch the ball and throw it back to me.
123. Throws and catches a ball

Kick the ball forward. This time, kick the ball
sideward (R/L).
MSG-124
124. Kicks forward and sideward
Note: Bring the learner to the stairs.
Go upstairs with one hand holding the rail, then

go down.
MSG-125 This time, go up and down the stairs without

holding the rail.
125. Climbs upstairs and goes downstairs with

one hand holding the rail and without holding
the rail.
Time Ended:_______________________
Motor 1. Does the learner have difficulty in balancing?
Motor 2. Does the learner have difficulty following instructions in

performing motor activities?
Motor 3. Does the learner have difficulty in balancing?
36
FORM D. SUMMARY OF MFAT RESULTS
Communication Cognitive Daily Living Skills Motor Skills Socio-Emotional

Behavior
1 26 51 76 101
2 27 52 77 102
3 28 53 78 103
4 29 54 79 104
5 30 55 80 105
6 31 56 81 106
7 32 57 82 107
8 33 58 83 108
9 34 59 84 109
10 35 60 85 100
11 36 61 86 111
12 37 62 87 112
13 38 63 88 113
14 39 64 89 114
15 40 65 90 115
16 41 66 91 116
17 42 67 92 117
18 43 68 93 118
19 44 69 94 119
20 45 70 95 120
21 46 71 96 121
22 47 72 97 122
23 48 73 98 123
24 49 74 99 124
25 50 75 100 125
TOTAL
37

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MULTI-FACTORED ASSESSMENT TOOL (MFAT) ADMINISTRATION HANDBOOK

II. Goals and Objectives -----------------------------------------------3

III. Table of Specification------------------------------------------------3

IV. Time Allotment----------------------------------------------------------4

V. MFAT Materials ------------------------------------------------------5-6

VI. Test Procedure: -----------------------------------------------------7-9

VII. Appendices: -----------------------------------------------------10 -11

The Multi-Factored Assessment Tool (MFAT) is a screening tool intended to

(2) COMMUNICATION DOMAIN - signifies the learner’s ability to learn a

(3) SOCIO-EMOTIONAL DOMAIN – refers to the learner’s ability to deal with

(4) MOTOR DOMAIN- pertains to the coordinated movements of large muscles

Each domain is a strong gauge to measure the child’s capabilities and/or

II. Goals and Objectives

III. Table of Specification

Table 1. MFAT Table of Specifications and Coding of Items

MFAT Table of Specification per Item

Cognitive Communication Daily Living Skills Motor Skill Socio-

Overall Total 125

IV. Time Allotment

Table 2. Activity with suggested time allotment

TOTAL 120 minutes or 2 hours

After each activity, an observation checklist has been included to record

Below is Table 3 on materials per assessment activity.

Table 3. List of MFAT Materials

ACTIVITY MATERIALS for MFAT

- flashcards with the following words:

ACTIVITY MATERIALS for MFAT

pictures of the following (for interview)

- printer and ink (black /colored)

VI. Test Procedure:

To ensure the confidentiality of the assessment, assessors are expected to

b. Preparations before the Test Administration

Prior to the administration of the test, the following should be prepared:

c. During the Test Administration

During the administration of the test, assessors should:

Table 4. Sample script and sequence

2. Introduce the activity

3. Ask the learner if she/he has some questions or concerns

questions to answer you can proceed with the activity.)

4. Ensure that the learner is ready to start

d. Pre-, During and Post- Test Forms

Table 5. MFAT Forms

e. After the Test Administration:

After the assessment, assessors are expected to:

1. Summarize the result for intervention or recommendation.

FORM A. LEARNERS’ PROFILE

Learners Code: ____ -____- G- LRN: ______________________________________

Date of Assessment (Month/Day/Year): ______/______/______________________________

Date of Birth (Month/Day/Year): ______/______/_____________________________________

Order of Birth (1st, 2nd, etc.): _______________________________________________________

FORM B. SCHOOL PROFILE

Division: ___________________________ District: __________________________ School ID: ___________

School Name: ____________________________Name of School Head: __________________________

School Address: ___________________________________________________________________________

Contact Number of School:

Number of Teachers and Learners:

Level Number of Learners Number of Teachers

Learner’s Code LRN

TIME STARTED: _____________________________ TIME ENDED: ______________________________

Learners Code: -- G- LRN: __________________________________

Date of Assessment (Month/Day/Year): //__________________________

Date of Birth (Month/Day/Year): //_________________________________

Division: ___________ District: School ID: _

School Name: __Name of School Head:

TIME STARTED: _ TIME ENDED: __