Professional Documents
Culture Documents
DEPARTMENT OF EDUCATION
Region X
Division of Lanao del Norte
Brgy. Pigcarangan, Tubod
Lanao del Norte, 9209
(Note to teacher/adviser: Prior to home visit, a letter must be given informing of the home visit. This
form must be accomplished in the presence of parents/guardian during home visit. Teacher/adviser
may use vernacular dialect to achieve accurate answers.)
QUESTION ANSWER
1. What time does the student fall asleep at
night? What time does the student usually
wake up in the morning?
1 2 3
Question/Statement (DO NOT (NEUTRAL) (AGREE)
AGREE)
1. School/Education is important.
If there are any other reasons for the frequent tardiness and absences of the students, what are
these?
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Signed by:
Norvel H. Alilangan
School Principal
_______________________________ ______________________________
Adviser Parents/Guardian
(name over signature) (name over signature)