Supervise

Work-Based
Learning
FORM 1.1 SELF-ASSESSMENT CHECK
INSTRUCTIONS: This Self-Check Instrument will give the trainer necessary
data or information which is essential in planning training
sessions. Please check the appropriate box of your answer
to the questions below.
BASIC COMPETENCIES
CAN I…? YES NO
PARTICIPATE IN WORKPLACE COMMUNICATIONS
LO 1. Obtain and convey workplace information 

LO 2. Complete relevant work related documents. 

LO 3. Participate in workplace meeting and discussion. 

WORK IN A TEAM ENVIRONMENT
LO 1. Describe and identify team role and responsibility in 
a team.
LO 2. Describe work as a team. 
PRACTICE CAREER PROFESSIONALISM
LO 1. Integrate personal objectives with organizational 
goals
LO 2. Set and meet work priorities 

LO 3. Maintain professional growth and development 

PRACTICE OCCUPATIONAL HEALTH AND SAFETY PROCEDURES
LO 1. Identity hazards and risks 

LO 2. Evaluate hazards and risks 

LO 3. Control hazards and risks 

LO 4. Maintain occupational health and safety awareness 

COMMON COMPETENCIES
CAN I…? YES NO
IMPLEMENT AND MONITOR INFECTION CONTROL POLICIES AND
PROCEDURES
LO 1. Provide information to the work group about the 
organization’s infection control policies and procedures
LO 2. Integrate the organization’s infection control policy 
and procedure into work practices

LO 3. Monitor infection control performance and implement
improvements in practices
RESPOND EFFECTIVELY TO DIFFICULT/CHALLENGING BEHAVIOR
LO 1. Plan responses 
LO 2. Apply response 
BASIC COMPETENCIES
CAN I…? YES NO
COMMON COMPETENCIES
CAN I…? YES NO
LO 3. Report and review incidents 
APPLY BASIC FIRST AID
LO 1. Assess the situation 
LO 2. Apply basic first aid techniques 

LO 3. Communicate details of the incident
MAINTAIN HIGH STANDARDS OF PATIENT SERVICES
LO 1. Communicate appropriately with patients 
LO 2. Establish and maintain good interpersonal 
relationship with patients

LO 3. Act in a respectful manner at all times
LO 4. Evaluate own work to maintain a high standard of 
patient service
CORE COMPETENCIES
CAN I…? YES NO
1.PLAN THE HILOT WELLNESS PROGRAM OF CLIENTS
LO1.Assess/Interview clients. 
LO2. Determine the Hilot wellness program. 
LO3. Confirm hilot wellness program. 
2. PROVIDE PRE-SERVICE TO CLIENT
LO 1. Schedule of client. 
LO 2. Receive clients. 
LO3. Identify clients special customer service 
needs/requirements.
LO 4. Deliver hilot wellness service to clients. 
LO 5. Respond to clients complaints. 
3. APPLY HILOT WELLNESS MASSAGE TECHNIQUES
LO1. Prepare clients and work area for hilot wellness 
massage techniques.
LO 2.Prepare self for hilot wellness session.
LO 3. Perform hilot wellness massage techniques. 
4. PROVIDE POST-ADVICE AND POST-SERVICE TO CLIENTS
LO 1: Identify products and services. 
BASIC COMPETENCIES
CAN I…? YES NO
LO 2: Explain products and services knowledge. 
LO 3: Recommend specialized products and services. 
LO 4: Perform after care service. 
LO 5: Administer service.

Note: In making the Self-Check for your Qualification, all required competencies
should be specified. It is therefore required of a Trainer to be well-versed
of the CBC or TR of the program qualification he is teaching.
Evidences/Proof of Current Competencies(Sample)
Form 1.2: Evidence of Current Competencies acquired related to
Job/Occupation

Means of
Current competencies Proof/Evidence
validating
BASIC COMPETENCIES
PARTICIPATE IN WORKPLACE COMMUNICATIONS
LO1.Obtain and convey Certificate of Achievement Validated the
workplace information. in PARTICIPATE IN authenticity of
WORKPLACE the certificate/s
COMMUNICATIONS Oral questioning
LO2.Complete relevant Certificate of Achievement Validated the
work related documents. in PARTICIPATE IN authenticity of
WORKPLACE the certificate/s
COMMUNICATIONS Oral questioning
LO3.Participate in Certificate of Achievement Validated the
workplace meeting and in PARTICIPATE IN authenticity of
discussion. WORKPLACE the certificate/s
COMMUNICATIONS Oral questioning
WORK IN A TEAM ENVIRONMENT
LO1.Describe and Certificate of Achievement Validated the
identify team role and in WORK IN A TEAM authenticity of
responsibility in a team. ENVIRONMENT the certificate/s
Oral questioning
LO2.Describe work as a Certificate of Achievement Validated the
team. in WORK IN A TEAM authenticity of
ENVIRONMENT the certificate/s
Oral questioning
PRACTICE CAREER PROFESSIONALISM
LO 1. Integrate Certificate of Achievement Validated the
personal objectives with in PRACTICE CAREER authenticity of
organizational goals PROFESSIONALISM the certificate/s
Oral questioning
LO 2.Set and meet work Certificate of Achievement Validated the
priorities in PRACTICE CAREER authenticity of
PROFESSIONALISM the certificate/s
Oral questioning
LO 3. Maintain Certificate of Achievement Validated the
professional growth and in PRACTICE CAREER authenticity of
development PROFESSIONALISM the certificate/s
 Oral questioning
PRACTICE OCCUPATIONAL HEALTH AND SAFETY PROCEDURES
LO 1. Identity hazards Certificate of Achievement Validated the
and risks in PRACTICE authenticity of
OCCUPATIONAL HEALTH the certificate/s
AND SAFETY Oral questioning
PROCEDURES
LO 2. Evaluate hazards Certificate of Achievement Validated the
and risks in PRACTICE authenticity of
OCCUPATIONAL HEALTH the certificate/s
AND SAFETY Oral questioning
PROCEDURES
LO 3. Control hazards Certificate of Achievement Validated the
and risks in PRACTICE authenticity of
OCCUPATIONAL HEALTH the certificate/s
AND SAFETY Oral questioning
PROCEDURES
LO 4. Maintain Certificate of Achievement Validated the
occupational health and in PRACTICE authenticity of
safety awareness OCCUPATIONAL HEALTH the certificate/s
AND SAFETY Oral questioning
PROCEDURES
COMMON COMPETENCIES
IMPLEMENT AND MONITOR INFECTION CONTROL POLICIES AND
PROCEDURES
LO 1. Provide Certificate of Achievement Validated the
information to the work in IMPLEMENT AND authenticity of
group about the MONITOR INFECTION the certificate/s
organization’s infection CONTROL POLICIES AND Oral questioning
control policies and PROCEDURES
procedures
LO 2. Integrate the Certificate of Achievement Validated the
organization’s infection in IMPLEMENT AND authenticity of
control policy and MONITOR INFECTION the certificate/s
procedure into work CONTROL POLICIES AND Oral questioning
practices PROCEDURES
Certificate of Achievement Validated the
LO 3. Monitor infection
in IMPLEMENT AND authenticity of
control performance and
MONITOR INFECTION the certificate/s
implement improvements
CONTROL POLICIES AND
in practices Oral questioning
PROCEDURES
RESPOND EFFECTIVELY TO DIFFICULT/CHALLENGING BEHAVIOR
LO 1. Plan responses Certificate of Achievement Validated the
in RESPOND authenticity of
EFFECTIVELY TO the certificate/s
DIFFICULT/CHALLENGING
 BEHAVIOR Oral questioning
LO 2. Apply response Certificate of Achievement Validated the
in RESPOND authenticity of
EFFECTIVELY TO the certificate/s
DIFFICULT/CHALLENGING Oral questioning
BEHAVIOR
LO 3. Report and review Certificate of Achievement Validated the
incidents in RESPOND authenticity of
EFFECTIVELY TO the certificate/s
DIFFICULT/CHALLENGING Oral questioning
BEHAVIOR
APPLY BASIC FIRST AID
LO 1. Assess the Certificate of Achievement Validated the
situation in APPLY BASIC FIRST AID authenticity of
the certificate/s
Oral questioning
LO 2. Apply basic first Certificate of Achievement Validated the
aid techniques in APPLY BASIC FIRST AID authenticity of
the certificate/s
Oral questioning
Certificate of Achievement Validated the
LO 3. Communicate
in APPLY BASIC FIRST AID authenticity of
details of the incident
the certificate/s
Oral questioning
MAINTAIN HIGH STANDARDS OF PATIENT SERVICES
LO 1. Communicate Certificate of Achievement Validated the
appropriately with in MAINTAIN HIGH authenticity of
patients STANDARDS OF PATIENT the certificate/s
SERVICES Oral questioning
LO 2. Establish and Certificate of Achievement Validated the
maintain good in MAINTAIN HIGH authenticity of
interpersonal STANDARDS OF PATIENT the certificate/s
relationship with SERVICES Oral questioning
patients
Certificate of Achievement Validated the
LO 3. Act in a respectful
in MAINTAIN HIGH authenticity of
manner at all times
STANDARDS OF PATIENT the certificate/s
SERVICES Oral questioning
LO 4. Evaluate own work Certificate of Achievement Validated the
to maintain a high in MAINTAIN HIGH authenticity of
standard of patient STANDARDS OF PATIENT the certificate/s
service SERVICES Oral questioning
CORE COMPETENCIES
PROVIDE PRE-SERVICE TO CLIENT
LO 1. Schedule of client. National Certificate in Validated the
Beauty Care Level II authenticity of
Certificate of Training in the certificate/s
Beauty Care NCII Oral questioning
LO 2. Receive clients. National Certificate in Validated the
Beauty Care Level II authenticity of
Certificate of Training in the certificate/s
Beauty Care NCII Oral questioning
Identifying Training Gaps

From the accomplished Self-Assessment Check (Form 1.1) and the

evidences of current competencies (Form 1.2), the Trainer will be able to
identify what the training needs of the prospective trainee are.

Form 1.3 Summaries of Current Competencies versus Required

Competencies (Sample)

Required Units of Current Training

Competency/Learning Competencies Gaps/Requirements
Outcomes based on CBC
BASIC COMPETENCIES
PARTICIPATE IN WORKPLACE COMMUNICATIONS
LO 1. Obtain and convey LO 1. Obtain and
workplace information. convey workplace
information.
LO 2. Complete relevant LO 2. Complete
work related documents. relevant work
related documents.
LO 3. Participate in LO 3. Participate in
workplace meeting and workplace meeting
discussion. and discussion.
WORK IN A TEAM ENVIRONMENT
LO 1. Describe and LO 1. Describe and
identify team role and identify team role
responsibility in a team. and responsibility in
a team.
LO 2. Describe work as LO 2. Describe
a team. work as a team.
PRACTICE CAREER PROFESSIONALISM
LO 1. Integrate personal LO 1. Integrate
objectives with personal objectives
organizational goals with organizational
goals
LO 2. Set and meet work LO 2. Set and meet
priorities work priorities
LO 3. Maintain LO 3. Maintain
professional growth and professional growth
development and development
PRACTICE OCCUPATIONAL HEALTH AND SAFETY PROCEDURES
LO 1. Identity hazards LO 1. Identity
and risks hazards and risks
LO 2. Evaluate hazards LO 2. Evaluate
and risks hazards and risks
LO 3. Control hazards LO 3. Control
and risks hazards and risks
LO 4. Maintain LO 4. Maintain
occupational health and occupational health
safety awareness and safety
awareness
COMMON COMPETENCIES
IMPLEMENT AND MONITOR INFECTION CONTROL POLICIES AND
PROCEDURES
LO 1. Provide information LO 1. Provide
to the work group about information to the
the organization’s work group about
infection control policies the organization’s
and procedures infection control
policies and
procedures
LO 2. Integrate the LO 2. Integrate the
organization’s infection organization’s
control policy and infection control
procedure into work policy and
practices procedure into work
practices
LO 3. Monitor infection LO 3. Monitor
control performance and infection control
implement improvements performance and
in practices implement
improvements in
practices
RESPOND EFFECTIVELY TO DIFFICULT/CHALLENGING BEHAVIOR
LO 1. Plan responses LO 1. Plan
responses
LO 2. Apply response LO 2. Apply
response
LO3. Report and review LO3. Report and
incidents review incidents
APPLY BASIC FIRST AID
LO 1. Assess the situation LO1. Assess the
situation
LO 2. Apply basic first aid LO 2. Apply basic
techniques first aid techniques
LO 3. Communicate LO 3. Communicate
details of the incident details of the
incident
MAINTAIN HIGH STANDARDS OF PATIENT SERVICES
LO 1. Communicate LO 1. Communicate
appropriately with appropriately with
patients patients
LO 2. Establish and LO 2. Establish and
maintain good maintain good
interpersonal relationship interpersonal
with patients relationship with
patients

LO 3. Act in a respectful LO 3. Act in a

manner at all times respectful manner at
all times
LO 4. Evaluate own work LO 4. Evaluate own
to maintain a high work to maintain a
standard of patient high standard of
service patient service
CORE COMPETENCIES
1 Plan the hilot wellness program of clients.
LO1.Assess/Interview LO1.Assess/Interview
clients. clients.
LO2. Determine the Hilot LO2. Determine the
wellness program. Hilot wellness program.

LO3. Confirm hilot LO3. Confirm hilot

wellness program. wellness program.
2. Provide pre-service to clients.
LO 1. Schedule of client. LO 1. Schedule of Analyze and interpret
client. assessment
information.
LO 2. Receive clients. LO 2. Receive
clients.
LO3. Identify clients LO3. Identify clients
special customer special customer
service service
needs/requirements. needs/requirements.
LO 4. Deliver hilot LO 4. Deliver hilot
wellness service to wellness service to
clients. clients.
LO 5. Respond to clients LO 5. Respond to
complaints. clients complaints.
3. Apply hilot wellnss mssage techniques.
LO1. Prepare clients and LO1. Prepare clients
work area for hilot and work area for hilot
wellness massage wellness massage
techniques. techniques.
LO 2.Prepare self for hilot LO 2.Prepare self for
wellness session. hilot wellness session.
LO 3. Perform hilot LO 3. Perform hilot
wellness massage wellness massage
techniques. techniques.
4. Provide post-advice and post-services to clients.
LO 1: Identify products LO 1: Identify
and services. products and services.
LO 2: Explain products LO 2: Explain
and services knowledge. products and services
knowledge.
LO 3: Recommend LO 3: Recommend
specialized products and specialized products
services. and services.
LO 4: Perform after care LO 4: Perform after
service. care service.
LO 5: Administer service. LO 5: Administer
service.
 Using Form No.1.4, convert the Training Gaps into a Training
Needs/Requirements. Refer to the CBC in identifying the Module Title or
Unit of Competency of the training needs identified.

Form No. 1.4: Training Needs (Sample)

Module
Gaps Title/Module of Duration (hours)
Instruction
LO1.Assess/Interview 1. PLANNING THE 11 HOURS
clients. HILOT WELLNESS
PROGRAM OF
LO2. Determine the CLIENTS. 9HOURS
Hilot wellness program.
LO3. Confirm hilot 8 HOURS
wellness program.
LO3. Identify clients 2.PROVIDING PRE- 28 HOURS
special customer SERVICE TO
service CLIENTS.
needs/requirements
.
LO 4. Deliver hilot
wellness service to
clients.
LO 5. Respond to
clients complaints.
LO1. Prepare clients 3. APPLYING HILOT 19 HOURS
and work area for hilot WELLNESS
wellness massage MASSAGE
techniques. TECHNIQUES.
LO 2.Prepare self for 29 HOURS
hilot wellness session.
LO 3. Perform hilot
wellness massage
techniques.
LO 1: Identify 4.PROVIDING POST- 70 HOURS
products and services. ADVICE AND POST-
SERVICE TO
LO 2: Explain 150 HOURS
CLIENTS.
products and services
knowledge.
LO 3: Recommend 31 HOURS
specialized products
and services.
LO 4: Perform after 29 HOURS
care service.
LO 5: Administer
service.
 TRAINING PLAN

Qualification: HILOT WELLNESS MASSAGE NCII

UNIT OF COMPETENCY: APPLY HILOT WELLNESS MASSAGE TECHNIQUE
Facilities/To
Trainees’ Training Training Mode of Assessment Date and
Staff ols and Venue
Requirements Activity/Task Training Method Time
Equipment
LO 1. PLAN THE Explain factors Internship Consta TV, LCD, Silvara Observation March.10
HILOT WELLNESS which may ncia Massage Spa, with Written – April 09,
PROGRAM OF interfere with the S.A.ber Table, Oil, Bocaue, Exam 2016
CLIENT effectiveness of the nardino Towel, Bulacan 8:00 am
treatment. , Thermometer, to 5:00
Explain the mode Trainer Powder, pm
Skills
of administration Dory A. Alcohol, BP
and management Apparatus Provider
Jose,
of the treatment of Technolo
Supervi
the client / patient. gical
sor
Request client / Institute
patient to monitor Laura Bocaue,
reactions and L. Bulacan
contact Opiana,
practitioner. Coordin
Ensure consent for ator
treatment.
Drape client /
patient to expose
only the part of the
body being worked
on.
Provide the
therapeutic
massage according
to the treatment
plan.
Recognize and
 promptly respond
reactions to
treatment if
necessary.
Clearly explain
time, location, and
content of future
sessions to the
client / patient
Document
recommendations
fully
LO 2. PROVIDE Proper or correct Internship Consta TV, LCD, Silvara Observation March.10
PRE-SERVICE TO therapeutic ncia Massage Spa, with Written – April 09,
CLIENT massage S.A. Table, Oil, Bocaue, Exam 2016
techniques is Bernar Towel, Bulacan 8:00 am
applied or dino, Thermometer, to 5:00
administered Trainer Powder, pm
according to plan. Skills
Dory A. Alcohol, BP
Procedure is well Apparatus Provider
Jose,
explained to the Technolo
Supervi
client according to gical
sor
the degree of Institute
understanding and Laura Bocaue,
language used. L. Bulacan
Correct body Opiana,
mechanics is Coordin
applied or observed ator
according to proper
body mechanics.
Reactions to
treatment are
identified and
promptly
responded
according to
 patient’s
verbalization.
LO 3. APPLY Answer client Internship Consta TV, LCD, Silvara Observation March.10
HILOT WELLNESS /patient queries ncia S. Massage Spa, with Written – April 09,
MASSAGE with clarity, using A. Table, Oil, Bocaue, Exam 2016
TECHNIQUES the appropriate Bernar Towel, Bulacan 8:00 am
language. dino, Thermometer, to 5:00
Use honesty and Trainer Powder, pm
Skills
integrity when Dory A. Alcohol, BP
explaining Apparatus Provider
Jose,
treatment plans Technolo
Supervi
and gical
sor
recommendations Institute
to the client / Laura Bocaue,
patient. L. Bulacan
Use appropriate Opiana,
interpersonal skills Coordin
when explaining ator
treatment plans
and
recommendations
to the client /
patient.
Promote client
/patient
independence and
responsibility in
treatment wherever
possible.
LO 4. PROVIDE Evaluate progress Internship Consta TV, LCD, Silvara Observation March.10
POST-ADVICE with the client / ncia Massage Spa, with Written – April 09,
AND POST- patient. S.A. Table, Oil, Bocaue, Exam 2016
SERVICE TO Identify and record Bernar Towel, Bulacan 8:00 am
CLIENT effects of previous dino, Thermometer, to 5:00
treatment. Trainer Powder, pm
Review previous Alcohol, BP Skills
treatment plan. Dory A. Apparatus Provider
Evaluate need for Jose, Technolo
ongoing and/or Supervi gical
additional sor Intitute
treatment. Bocaue,
Laura
Negotiate changes Bulacan
L.
to the plan with Opiana,
the client / patient Coordin
to ensure optimal ator
outcomes.
 Technical Education and Skills Development Authority

Skills Provider Technological Institute,Inc.

Bocaue, Bulacan

TRAINEE’S RECORD BOOK

I.D.
Trainee’s No:000241

NAME: Andreah M. San Agustin

QUALIFICATION:Hilot Wellness NCII

TRAINING DURATION: 120 Hours

TRAINER: Constancia S.A. Bernardino

Instructions:
 This Trainees’ Record Book (TRB) is intended to serve as record of all accomplishment/task/activities while undergoing
training in the industry. It will eventually become evidence that can be submitted for portfolio assessment and for whatever
purpose it will serve you. It is therefore important that all its contents are viably entered by both the trainees and instructor.
The Trainees’ Record Book contains all the required competencies in your chosen qualification. All you have to do is to fill in
the column “Task Required” and “Date Accomplished” with all the activities in accordance with the training program and to be
taken up in the school and with the guidance of the instructor. The instructor will likewise indicate his/her remarks on the
“Instructors Remarks” column regarding the outcome of the task accomplished by the trainees. Be sure that the trainee will
personally accomplish the task and confirmed by the instructor.
It is of great importance that the content should be written legibly on ink. Avoid any corrections or erasures and maintain
the cleanliness of this record.
This will be collected by your trainer and submit the same to the Vocational Instruction Supervisor (VIS) and shall form part
of the permanent trainee’s document on file.

THANK YOU.

NOTES:
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Unit of Competency 1: PLAN THE HILOT WELLNESS PROGRAM OF CLIENTS
NC Level II
Learning Task/Activity Date Instructors
Outcome Required Accomplish Remarks
ed
LO1. Define concept of Dec.12, Competent
ASSESS/INTERVI massage and 2018
EW CLIENT treatment clearly
based on the
medical manuals
or relevant
references.
Identify and Dec.12, Competent
explain massage 2018
principles based on
medical manuals.
Interpret Health Dec.13, Competent
issues based on 2018
therapeutic
massage
philosophy.
LO2. DETERMINE Identify and Dec.13, Competent
THE HILOT describe major 2018
WELLNESS methods of
PROGRAM treatment used in
therapeutic
massage.
Identify and Dec.14, Competent
describe additional 2018
complementary
therapies used in
therapeutic
massage.
Identify and Dec.14,
describe massage 2018
 assessment
techniques.
LO 3. CONFIRM Provided Dec.14, Competent
HILOT WELLNESS Information on 2018
PROGRAM other
complementary
therapies.
Explain similarities Dec.14, Competent
and differences 2018
between
physiotherapy,
osteopathy,
chiropractic
therapy and
massage therapy.
Describe the Dec.15, Competent
characteristics 2018
between the
allopathic and
naturopathic
approaches to
treatment.
Identify Dec.15, Competent
Relationship 2018
between therapies.
LO4.REPRESENT Explain practices Dec.15, Competent
THERAPEUTIC and principles of 2018
MASSAGE therapeutic
FRAMEWORK TO massage in an
THE COMMUNITY easily understood
way and in a one-
to-one group
setting.
Provide enquiries Dec.15, Competent
in clarified and 2018
appropriate
 information.
Made requests for Dec.16, Competent
client / patient to 2018
bring relevant data
to the consultation
Discuss Dec.16, Competent
alternative sources 2018
of information /
advice with the
client / patient.
LO 5. WORK Access and follow Dec.16, Competent
WITHIN CLINIC clinic guidelines 2018
AND according to
REGULATION health care facility
GUIDELINES policy.
Access and follow Dec.19, Competent
legal and 2018
regulatory
guidelines based
on government
regulation.
Establish relevant Dec.19, Competent
documentations 2018
based on the clinic
guidelines.

Trainee’s Signature Trainer’s Signature

Unit of Competency2: PROVIDE PRE-SERVICE TO CLIENTS
Learning Task/Activity Date Instructors
Outcome Required Accomplishe Remarks
d
LO Interpret health Dec.20, 2018 Competent
1.SCHEDULE assessment according
CLIENTS to client’s case
history.
Recognize and identify Dec.21, 2018 Competent
signs and symptoms
of condition in the
client /patient as
prerequisites or
contra-indications for
treatment/care.
Assess and assign Dec.22, 2018 Competent
information gathered
priorities in
consultation with the
client / patient using
the knowledge and
experience and
theoretical principles
applied by the
practitioners.
Gather, record and Dec.22, 2018 Competent
organize information
in a way which can be
interpreted readily by
other professionals
Analyze and Dec.23, 2018 Competent
differentiate body
patterns by assessing
 signs and symptoms.
LO 2. Discuss rationale for Dec.23, 2018 Competent
RECEIVE the treatment
CLIENTS assessment with the
client patient
Able to respond Dec.26, 2018 Competent
practitioner client /
patient enquiries
using language the
client/ patient
understands
Discuss referral and Dec.27, 2018
collaborative options
with the client /
patient if necessary.

Trainee’s Signature Trainer’s Signature

Unit of Competency 3: APPLY HILOT WELLNESS TECHNIQUES
Learning Task/Activity Date Instructors
Outcome Required Accomplished Remarks
LO1.PREPARE Determine Dec.28, 2018 Competent
CLIENTS AND appropriate
WORK AREA therapeutic
FOR HILOT principles of
WELLNESS treatment
MASSAGE according to
TECHNIQUS assessment of
client / patient
and within the
skills of
competence of
the practitioner
Ascertain contra- Dec.29, 2018 Competent
indications to
treatment and
possible
complicating
factors and
treatment
strategy used is
modified
according to
therapeutic
massage
principles
Select and Dec.30, 2018 Competent
support
treatment
appropriate to
the client /
patient’s
condition on the
basis of
 established
therapeutic
massage
practice.
LO 2. Allocate Dec.30, 2018 Competent
PREPARE sufficient time to
SELF FOR conclude
HILOT sessions at a
WELLNESS pace appropriate
SESSION to the
client/patient.
Negotiate Jan. 2, 2018 Competent
Client / patient
compliance.
Explain any Jan. 3, 2018 Competent
perceived risks
of the client /
patient’s
condition and
treatment.
Discuss the Jan. 4, 2018 Competent
responsibilities
of practitioner
and client /
patient within
the treatment
plan.

Trainee’s Signature Trainer’s Signature

Unit of Competency4: PROVIDE POST-ADVICE AND POST-SERVICES TO CLIENTS
NC Level II
Learning Task/Activity Date Instructors
Outcome Required Accomplished Remarks
LO 1. Explain factors which Jan. 5, 2018 Competent
IDENTIFY may interfere with the
PRODUCTS effectiveness of the
AND treatment.
SERVICES Explain the mode of Jan. 6, 2018 Competent
administration and
management of the
treatment of the client
/ patient.
Request client / Jan. 9, 2018 Competent
patient to monitor
reactions and contact
practitioner.
Ensure consent for Jan. 10, Competent
treatment. 2018
Drape client / patient Jan. 11, Competent
to expose only the 2018
part of the body being
worked on.
Provide the Jan. 12, Competent
therapeutic massage 2017
according to the
treatment plan.
Recognize and Jan. 13, Competent
promptly respond 2017
reactions to treatment
 if necessary.
Clearly explain time, Jan. 16, Competent
location, and content 2017
of future sessions to
the client / patient
Document Jan. 17, Competent
recommendations 2018
fully
LO 2. Proper or correct Jan. 17, Competent
EXPLAIN therapeutic massage 2018
PRODUCTS techniques is applied
AND or administered
SERVICES according to plan.
KNOWLEDGE Procedure is well Feb. 3, 2018 Competent
explained to the client
according to the
degree of
understanding and
language used.
Correct body Feb. 6,2018 Competent
mechanics is applied
or observed according
to proper body
mechanics.
Reactions to Feb.10, 2018 Competent
treatment are
identified and
promptly responded
according to patient’s
verbalization.
LO 3. Answer client Feb.10, 2018 Competent
RECOMMEND /patient queries with
SPECIALIZED clarity, using the
PRODUCTS appropriate language.
AND SERVICE Use honesty and Feb.13, 2018 Competent
integrity when
 explaining treatment
plans and
recommendations to
the client / patient.
Use appropriate Feb. 15, Competent
interpersonal skills 2018
when explaining
treatment plans and
recommendations to
the client / patient.
Promote client Feb. 16,2018 Competent
/patient
independence and
responsibility in
treatment wherever
possible.
LO 4. Evaluate progress Feb. 16,2018 Competent
PERFORM with the client /
AFTERCARE patient.
SERVICE Identify and record Feb.18, 2018 Competent
effects of previous
treatment.
Review previous Feb.20, 2018 Competent
treatment plan.
Evaluate need for Feb.23, 2018 Competent
ongoing and/or
additional treatment.
Negotiate changes to Feb 27, 2018 Competent
the plan with the
client / patient to
ensure optimal
outcomes.

Trainee’s Signature Trainer’s Signanature

 TRAINEE’S PROGRESS SHEET

Name : Andreah M. San Agustin Trainer : Constancia S.A. Bernardino

Nominal
Qualification : Hilot WellnessNCII : 120 Hours
Duration
Trai Trainee’s
ning Initial
Units of Date Date Supervisor’s
Training Activity Dur Rating
Competency Started Finished Initial
atio
n
PLAN THE Demonstrate commitment to 11 Dec.12, Dec.13, 2018 COMPETENT
HILOT central philosophies of HOU 2018
WELNESS therapeutic massage practice RS
PROGRAM
OF CLIENTS
Identify and describe the 9HO Dec.13, Dec.14, 2018 COMPETENT
principles and practices of URS 2018
therapeutic massage
Develop knowledge of 8 Dec.14, Dec.15, 2018 COMPETENT
complementary therapies HOU 2018
RS

Represent therapeutic massage 7HO Dec.15, Dec.16, 2018 COMPETENT

framework to the community URS 2018
 Work within clinic and regulation 13 Dec.16, Dec.19, 2018 COMPETENT
guidelines. HOU 2018
RS

PROVIDE Analyze and interpret assessment 28 Dec.20, Dec.23, 2018 COMPETENT

PRE- information. HOU 2018
SERVICE TO RS
CLIENTS

Discuss the treatment strategy 20 Dec.23, Dec.27, 2018 COMPETENT

with the client/ patient. HOU 2018
RS

APPLY Select the therapeutic principles 19 Dec.28, Dec.30, 2018 COMPETENT

HILOT relevant to determine treatment. HOU 2018
WELLNESS RS
MASSAGE
TECHNIQUE Discuss the treatment strategy 29 Dec.30, January 4, COMPETENT
S with the client/ patient. HOU 2018 2018
RS
PROVIDE Manage the therapeutic massage 70 Jan. 5, Jan. 17, COMPETENT
POST- treatment. HOU 2018 2018
ADVICE AND RS
POST- Apply therapeutic massage 150 Jan. 17, Feb.10, 2018 COMPETENT
SERVICE TO techniques. HOU 2018
CLIENTS RS
Advise the client/ patient 31 Feb.10, Feb. 16,2018 COMPETENT
accordingly. HOU 2018
RS
REVIEW THERAPEUTIC 29 Feb. February 27, COMPETENT
MASSAGE TREATMENT HOU 16,2018 2018
RS
 PERFORM SELECT THE REMEDIAL 18 Feb 27, March 1, COMPETENT
THE THERAPEUTIC MASSAGE HOU 2018 2018
REMEDIAL PRINCIPLES TO DETERMINE RS
THERAPEUTI TREATMENT STRATEGY
C MASSAGE DISCUSS THE MODIFIED 30 March March 6, COMPETENT
TREATMENT TREATMENT STRATEGY WITH HOU 1, 2017 2017
CLIENT/ PATIENT RS

120
Total Hours (Core Competencies) hour
s

Note: The trainee and the supervisor must have a copy of this form. The column for rating maybe used either by giving a numerical
rating or simply indicating competent or not yet competent. For purposes of analysis, you may require industry supervisors to give a
numerical rating for the performance of your trainees. Please take note however that in TESDA, we do not use numerical ratings
Name: Andreah M. San Agustin Date:March 6, 2018
Qualification:Hilot Wellness NCII
TRAINING SESSION EVALUATION FORM
This post-training evaluation instrument is intended to measure how
satisfactory your trainer prepared and facilitated your training. Please give your
honest rating by checking on the corresponding cell of your response. Your
answers will be treated with utmost confidentiality
TRAINER/ Poor/ Fair/ Good / Very Outstandi
Adequa Good/Ve ng
INSTRUCTORS Unsatisfacto Satisfacto
te ry
ry ry
Name of Traine satisfacto
Constancia S.A. ry
3
Bernardino 1 2 4 5

1. Orients
trainees about
CBT, the use
of CBLM and

the evaluation
system
2. Exhibits
clearly the
unit of
competencies 
to be attained
at the start of
every module
3. Motivates and
elicits active
participation
from the

students or
trainees
4. Keeps records
of evidence/s
of competency
attainment of 
each
student
/trainee
5. Instills value
of safety and

 orderliness in
the classrooms
and
workshops
6. Instills the
value of
teamwork and 
positive work
values
7. Instills good
grooming and 
hygiene
8. Instills value
of time

9. Quality of
voice while 
teaching
10. Clarity of
language
/dialect used

in teaching
11. Provides
extra attention
to trainees and
students with

specific
learning needs
12. Attends
classes
regularly and

promptly
13. Shows
energy and
enthusiasm

while teaching
14. Maximizes
use of training
supplies and

materials
15. Dresses
appropriately

16. Shows
empathy 
17. Demonstrate
s self-control

PREPARATIO Poor/ Fair/ Good / Very Outstandi
N Adequa Good/Ve ng
Unsatisfacto Satisfacto
te ry
ry ry
satisfacto
ry
3
1 2 4 5
1. Workshop
layout
conforms with
the 
components of
a CBT
workshop.
2. Number of
CBLM is 
sufficient
3. Objectives of
every training
session is well

explained
4. Expected
activities/outp 
uts are clarified
PROGRAM Poor/ Fair/ Good / Very Outstandi
DESIGN AND Unsatisfacto Adequa Good/Ve ng
Satisfacto
DELIVERY te ry
ry ry
satisfacto
ry
3
1 2 4 5
1. Course
contents are
sufficient to 
attain
objectives
2. CBLM are
logically
organized 
and
presented
3. Information
Sheet are 
 comprehensi
ve in
providing the
required
knowledge
4. Examples,
illustrations
and
demonstratio

ns help you
learn
PROGRAM Poor/ Fair/ Good / Very Outstandi
DESIGN AND Unsatisfacto Adequa Good/Ve ng
Satisfacto
DELIVERY te ry
ry ry
satisfacto
ry
3
1 2 4 5
5. Practice
exercises like
Task/Job
Sheets are
sufficient to

learn
required
skills
6. Valuable
knowledge
are learned
through the

contents of
the course
7. Training
Methodologie 
s are effective
8. Assessments
Methods and
evaluation
system, are
suitable for

the trainees
and the
competencies
9. Recording of
achievements

 and
competencies
acquired is
prompt and
comprehensi
ve
10. Feedba
ck about the
performance
of learners

are given
immediately
TRAINING Poor/ Fair/ Good / Very Outstandi
FACILITIES Adequa Good/Ve ng
Unsatisfacto Satisfacto
/ te ry
ry ry
RESOURCES satisfacto
ry
3
1 2 4 5
1. Training
Resources
are
adequate2.
Training
Venue is
conducive 
and
appropriate
2. Training
Venue is
conducive 
and
appropriate
3. Equipment,
Supplies and
Materials are

sufficient
4. Equipment,
supplies and
Materials are 
suitable and
appropriate
5. Promptness
in providing

supplies and
 Materials
SUPPORT Poor/ Fair/ Good / Very Outstandi
AND STAFF Adequa Good/Ve ng
Unsatisfacto Satisfacto
te ry
ry ry
satisfacto
ry
3
1 2 4 5
1. Support
Staff are
accommodati

ng

COMMENTS /SUGGESTIONS:
Ms. Constancia teaches us how to conduct proper massage treatment.
She teaches us how to conduct treatment according to industry standard. I like
the part wherein we use a BP Apparatus it’s not that easy at first but
eventually through the help of our trainer we conduct it properly.

Name:Andreah M. San Agustin Date:March

6,2018
Qualification:Hilot Wellness NCII
 The Supervised Industry Training or On the Job Training Evaluation
Form below is an evaluation form to evaluate the implementation of SIT /OJT.
It is recommended that this evaluation form be used and improved so that
appropriate areas to be evaluated are covered.

SUPERVISED INDUSTRY TRAINING OR ON THE JOB TRAINING

EVALUATION FORM

Dear Trainees:
The following questionnaire is designed to evaluate the effectiveness of the
Supervised Industry Training (SIT) or On the Job Training (OJT) you had with
the Industry Partners of SKILLS PROVIDER TECHNOLOGICAL
INSTITUTE.Please check (√) the appropriate box corresponding to your rating
for each question asked. The results of this evaluation shall serve as a basis for
improving the design and management of the SIT/OJT to maximize the benefits
of the said Program. Thank you for your cooperation.
Legend:
5 – Outstanding
4 – Very Good/ Very Satisfactory
3 – Good/Adequate
2 – Fair/ Satisfactory
1 – Poor/Unsatisfactory
NA – not applicable
Item Question Ratings
No.
INSTITUTIONAL EVALUATION 1 2 3 4 5 NA
Has Dory A. Jose conducted an 
orientation about the SIT/OJT program,
1
the requirements and preparations
needed and its expectations?
Has Silvara Spa the provided the 
necessary assistance such as referrals or
2
recommendations in finding the company
for your OJT?
3 Has Silvara Spa showed coordination with 
the Industry partner in the design and
 supervision of your SIT/OJT?
Has your in-school training adequate to 
4 undertake Industry partner assignment
and its challenges?
Has Silvara Spa monitored your progress 
5
in the Industry?
Has the supervision been effective in 
6 achieving your OJT objectives and
providing feedbacks when necessary?
Did Silvara Spa conduct assessment of 
7
your SIT/OJT program upon completion?
Were you provided with the results of the 
8 Industry and Silvara Spa assessment of
your OJT?
Comments/Suggestions

The establishment is in condition and accessible for the trainees like me. They
provide the materials and equipment we need for our qualification. It allows us
to learn the process in a real situation.
Item Question Ratings
No.
INDUSTRY PARTNER EVALUATION 1 2 3 4 5 NA
Was the Industry partner appropriate for 
1 your type of training required and/or
desired?
Has the industry partner designed the 
2 training to meet your objectives and
expectations?
Has the industry partner showed 
3 coordination with Silvara Spa in the
design and supervision of the SIT/OJT?
Has the Industry Partner and its staff 
4 welcomed you and treated you with
respect and understanding?
Has the industry partner facilitated the 
training, including the provision of the
5 necessary resources such as facilities and
equipment needed to achieve your OJT
objectives?
 Has the Industry Partner assigned a 
6 supervisor to oversee your work or
training?
Was the supervisor effective in 
7 supervising you through regular meetings,
consultations and advise?
Has the training provided you with the 
necessary technical and administrative
8
exposure of real world problems and
practices?
Has the training program allowed you to 
9 develop self-confidence, self-motivation
and positive attitude towards work?
Has the experience improved your 
10
personal skills and human relations?
Are you satisfied with your training in the 
11
Industry?
Comments/Suggestions:
Silvara Spa provide us equipment and materials we need for us to learn the
whole qualification. I have a great experience in studying Massage therapy NCII.
It is true that “Knowledge is a key to success”. I hope that Silvara spa expand
their stablishment. Tesda is a one of the brilliant idea I knew today.

Signature:
Printed Name:Andreah M. San Agustin
Qualification: Hilot WellnessNCII
Host Industry Partner:
Supervisor: Laura Luna
Period of Training: Dec.12, 2018- March 6, 2018
Instructor:Constancia S.A. Bernardino

Self-Evaluation
 The trainer shall design a self-evaluation questionnaire that
he/she shall answer after the conduct of the training. This shall serve
as a checklist of what he/she must do. A short sample is given below.
During the session, did I? Yes No
1. Establish an atmosphere of trust? 
2. Encourage participation of the 
trainees?
3. Assist the trainees when they needed 
assistance?
4. Consider the feedback of trainees? 
5. Remain aware of non-verbal 
communication?
6. Praise effort? 
7. Summarize key points? 
8. Vary activities and tasks to aid 
attainment of competency?
9. Provide opportunities for practice? 
10. Achieve the learning objectives? 

1. Were there any parts of the session which did not run as expected?
Why?
The session runs good and smoothly according to the competency
standard.
1. Did any unexpected problem arise? Did I deal with them correctly?
There is no major problem with the whole session. The procedure is
followed properly and problems are minor only.
2. Were the session outcomes achieved? If not, why?
Yes, all session outcomes were achieved. The procedure is followed
properly according to the established standard.
3. Should anything be changed for the next training sessions?
A maybe additional material to be bought since it is consumed
quickly.