Data Gathering Instrument for Trainee’s Characteristics

Please answer the following instrument according to the characteristics

described below. Encircle the letter of your choice that best describes you as a
learner. Blank spaces are provided for some data that need your response.

Characteristics of learners
Average grade in: English Average grade in: Math
a) 95 and above a) 95 and above
Language, literacy and b) 90 to 94 b) 90 to 94
numeracy (LL&N) c) 85 to 89 c) 85 to 89
d) 80 to 84 d) 80 to 84
e) 75 to 79 e) 75 to 79
Ethnicity/culture:
a) Higaonon
b) Muslim
Cultural and language c) Igorot
background d) Tigwahanon
e) Manobo
f) Talaandig
g) Others( please specify) Bisaya
Highest Educational Attainment:
a) High School Level
Education & general b) High School Graduate
knowledge c) College Level
d) College Graduate
e) Others( please specify)_____________
a) Male
Sex
b) Female
Age Your age: 23
1) Disabilities(if any)_____________________

2) Existing Health Conditions (Existing illness if any)

a) None
b) Asthma
Physical ability
c) Heart disease
d) Anemia
e) Hypertension
f) Diabetes
g) Others(please specify) ___________________
Certificates
a) Driving NCII
Previous experience b) BOSH
with the topic
c) BPP NCII
d) __________________________
List down related trainings
Previous learning a) BOSH
experience b) BPP NCII
c) ___________________________
 National Certificates acquired and NC level
Training Level a) BPP NCII
completed
b) Driving NCII
Other related courses
a) BOSH
Special courses
b) ___________________________
c) ___________________________
a) Visual - The visual learner takes mental pictures of
information given, so in order for this kind of
learner to retain information, oral or written,
presentations of new information must contain
diagrams and drawings, preferably in color. The
visual learner can't concentrate with a lot of
activity around him and will focus better and learn
faster in a quiet study environment.
b) Kinesthetic - described as the students in the
classroom, who have problems sitting still and who
often bounce their legs while tapping their fingers
on the desks. They are often referred to as
hyperactive students with concentration issues.
Learning styles c) Auditory- a learner who has the ability to
remember speeches and lectures in detail but has a
hard time with written text. Having to read long
texts is pointless and will not be retained by the
auditory learner unless it is read aloud.
d) Activist - Learns by having a go
e) Reflector - Learns most from activities where they
can watch, listen and then review what has
happened.
f) Theorist - Learns most when ideas are linked to
existing theories and concepts.
g) Pragmatist - Learns most from learning activities
that are directly relevant to their situation.

a) Financially challenged
b) Working student
Other needs
c) Solo parent
d) Others(please specify)___________________________

 Accepted  Not Accepted

Filled up by: Date: _____________________

KEONE R. SALUDES
Name and Signature of trainees
Prepared by:
LAURICE JANE A. SATOR
Trainer/Instructor