The document is a teacher reflection form from the Department of Education in the Philippines. It contains 9 objectives for teachers to reflect on and rate themselves on maintaining responsive learning environments, regularly reviewing teaching practice using laws and regulations, and upholding the dignity of teaching by exhibiting caring attitudes, respect and integrity. Teachers are to write specific experiences and reflections in response to prompts to demonstrate how they exhibited each objective, limiting responses to 10 sentences maximum. Evaluators then rate each teacher's response as exemplary, fully acceptable, or not fully acceptable.