SENIOR HIGH SCHOOL SURVEY FORM

FOR LEARNERS

Name: Age:

School: Year:

Direction: Kindly shade/blacken the circle corresponding to your answer:

Dear student,
In SY 2016-2017, The Department of Education will implement Grade 11. This will give you better
opportunities to acquire more knowledge, skills and understandings in preparation for the world of work
and/or college education.

By now, start planning for it. Herewith are questions about your Senior HS plan. Answer each
question seriously and honestly.

Thank you.
The School Head
QUESTIONS:
1. Where do you intend to pursue Senior High School?
( ) Private School/College/University in our own town
( ) Private School / College/University in another town
( ) Public School in the DepEd in our own town
( ) Public School in the DepEd in another town

2. What Senior HS course/track would you like to pursue? Choose one only
( ) Academic Track go to question 3a
( ) Technical-Vocational-Livelihood go to question 3b
( ) Sports Track do not answer question 3
( ) Arts and Design Track do not answer question 3

3. What Senior HS strand/specialization would you like to pursue?

3a. Academic Track
( ) Humanities and Social Sciences (HUMSS)
( ) Accountancy, Business and Management (ABM)
( ) Science, Technology, Engineering and Mathematics (STEM)
( ) Liberal Arts or other course/track
3b. Technical-Vocational-Livelihood
( ) Home Economics
( ) Agriculture-Fishery
( ) Industrial Arts
( ) Information and Communications Technology (ICT)

4. Who will decide which track /course/strand/specialization you would pursue in SHS?
( ) Parents ( ) Friends ( ) Yourself ( ) Brothers/Sisters

5. What will you do after finishing Senior High School?

( ) enroll in college/a university
( ) get employed
( ) make my own business
( ) a combination (enroll in college, get employed and/or make own business)

Note: Use this same form in preparing frequency distribution but classified according to gender.
 SENIOR HIGH SCHOOL SURVEY FORM

FOR PARENTS

Name: Age:

School: Year:

Dear parents,
In SY 2016-2017, The Department of Education will implement Grade 11. This will give your
son/daughter better opportunities to acquire more knowledge, skills and understandings in preparation for
the world of work and/or college education.

By now, start planning for it with your child. Herewith are questions about your Senior HS plan for
your child. Answer each question seriously and honestly.

Thank you.
The School Head
QUESTIONS:
1. Where do you intend for your child to pursue Senior High School?
( ) Private School/College/University in our own town
( ) Private School / College/University in another town
( ) DepEd Public School in our own town
( ) DepEd Public School in another town

2. What Senior HS course/track would you like your child to pursue? Choose one only
( ) Academic Track go to question 3a
( ) Technical-Vocational-Livelihood go to question 3b
( ) Sports Track do not answer question 3
( ) Arts and Design Track do not answer question 3

3. What Senior HS strand/specialization would you like your child to pursue?

3a. Academic Track
( ) Humanities and Social Sciences (HUMSS)
( ) Accountancy, Business and Management (ABM)
( ) Science, Technology, Engineering and Mathematics (STEM)
( ) Liberal Arts or other course/track
3b. Technical-Vocational-Livelihood
( ) Home Economics
( ) Agriculture-Fishery
( ) Industrial Arts
( ) Information and Communications Technology (ICT)

4. Who will decide which track /course/strand/specialization your child would pursue in SHS?
( ) Parents ( ) Friends ( ) Himself/Herself ( ) Brothers/Sisters

5. What will your child do after finishing Senior High School?

( ) enroll in college/a university
( ) get employed
( ) make own business
( ) a combination (enroll in college, get employed and/or make own business)

Note: Use this same form in preparing frequency distribution but classified according to gender.
 SURVEY QUESTIONNAIRE ON SENIOR HIGH SCHOOL IMPLEMENTATION

Instructions: Fill in the necessary information on the space provided for each item or check on the appropriate
box that corresponds to your choice (Avoid leaving a space blank.)

Name of School Head: Present Position:

Name of School: School ID No.

Address: School Contact No.:

Age: _________ Sex:___________ Years of Service:________ Contact Number:________________

Type of School/Institution:

Public Sec. STEC TVET Science High

Regular Regular + ESEP Regular + APEX

Regular + ESEP + TVET Regular + Sports

Regular + Sports + Arts Regular + Arts

Regular + TVET + Sports + Arts School for the Arts

Educational Background of the School Head:

Level Degree Major Minor
Bachelor’s Degree
Units in Master’s Degree
Master’s Degree
Units in Doctoral Degree
Doctoral Degree

TOTAL ENROLMENT MALE FEMALE TOTAL

SY 2014-2015
Grade 7
Grade 8
Grade 9
Year IV
TOTAL

NUMBER OF TEACHERS MALE FEMALE TOTAL

Grades 7- Yr 4
Secondary
COURSES OF TEACHERS
Grades 7-Yr 4
BSE/BSEd
Others, Please specify

MAJOR OF TEACHERS
Grade 7-Yr4
Science
Mathematics
English
Filipino
Araling Panlipunan
MAPEH
Values Education
TLE, specify the skills

NUMBER OF TEACHERS
WITH NC II (SPECIFY THE
SKILLS)

Do you have teachers who are potential to teach the following Senior HS subjects in SY 2015-2016? Yes or
No?
Y or N
Oral Communication
Language Reading & Writing
Komunikasyon at Pananaliksik sa Wika at Kulturang Pilipino
Pagbasa at Pagsusuri ng Iba’t Ibang Teksto Tungo sa Pananaliksik
st
21 Century Literature from the Philippines and the World
Humanities
Contemporary Philippine Arts from the Regions
Communication Media & Information Literacy
General Mathematics
Mathematics
Statistics & Probability
Earth Science
Science
Disaster Readiness and Risk Reduction
Personal Development / Pansariling Kaunlaran
Social Science
Understanding Culture, Society and Politics
Philosophy Introduction to Philosophy of the Human Person / Pambungad sa Pilosopiya ng Tao
PE and Health Physical Education and Health
Research Research 1 and 2
PART II: BASIC INFORMATION FOR SENIOR HIGH SCHOOL
If your school will offer SHS in SY 2016-2017, which track in Senior High School
(SHS) will you focus on?

Academic Technical-Vocational-Livelihood Sports Arts and Design

What Strand, if academic/technical-vocational-livelihood?

Academic Track
( ) Humanities and Social Sciences (HUMSS)
( ) Accountancy, Business and Management (ABM)
( ) Science, Technology, Engineering and Mathematics (STEM)
( ) Liberal Arts or other course/track
Technical-Vocational-Livelihood
( ) Home Economics
( ) Agriculture-Fishery
( ) Industrial Arts
( ) Information and Communications Technology (ICT)

What could be your reason/s for choosing the track/s?

How many learners can you accommodate in your chosen tracks/strands?

Academic Track
Humanities and Social Sciences (HUMSS) ______
Accountancy, Business and Management (ABM) ______
Science, Technology, Engineering and Mathematics (STEM) ______
Liberal Arts or other course/track ______
Sports _______
Arts and Design _______

Technical-Vocational-Livelihood
HOME ECONOMICS ARTS AND TRADES

Garment Technology Mechanical Technology

Food Technology Civil Technology

Beauty Care Drafting Technology

Hotel, Restaurant, and Tourism Services Electrical Technology

Handicraft Electronics Technology

Care giving Refrigeration and Air-conditioning Servicing

AGRICULTURAL TECHNOLOGY INFORMATION AND COMMUNICATION TECHNOLOGY

Plant Production Desktop Publishing

Animal Production Network Administration

Horticulture Web Programming

FISHERY TECHNOLOGY Video Animation

Fish Culture PC Hardware Servicing

Fish Capture Visual Graphics Designing

Fish Processing
Instructions: Check the appropriate column. Use the scale provided opposite each statement to indicate your response:
1 - Inadequate 2 - Adequate 3 - Highly Adequate
Should you offer your chosen track for the SHS, to what extent are your preparation on the following: (consider the
Resources Human and Physical)
Resource Requirement 1 2 3
Trained / Competent / Certified:
Teachers/Facilitators
Trainers
Assessors
Inventory of Learners’ Interest
Availability and accessibility of Instructional Materials
Availability of standard laboratory / shop rooms
Availability of Laboratory / Shop:
materials
tools
equipment

Rate the extent of availability of the following resources needed to offer your chosen track/s for SHS.
Criteria 1 2 3
Availability of competent/skilled teachers to handle the track/strand chosen
Availability of buildable space for instructional rooms and stock rooms
Absorptive capability for increment of enrolment
Availability of potential new school sites/extension sites
Availability of transportation and access roads
Availability of industry partners/private sector/NGO’s /civil society organization for On-the-
Job Training.
Degree of engagement of other government agencies
Availability of TESDA Training Centre
Number of consultative workshops/Focus Group Discussion (FGD) to validate, match and
alignment of parents preference and students career choices with demands of the world of
work business and industry.
Local
National
Global
Degree of cross-referencing of open source data and local researches for Jobs-Fit

Please list the names of shops/industries/businesses/economic institutions that DepEd can link with in the
implementation of the SHS. Use a separate sheet of paper, if necessary.

ECONOMIC
SHOPS INDUSTRIES BUSINESSES
INSTITUTIONS

Part III Early Implementation of Senior HS in SY 2015-2016

Is your school ready for the early implementation of SHS in SY 2015-2016? ( ) Yes ( ) No
If yes, how many class/es? _____________
What track/strand? ____________________
How many students per class? ___________
Who are the potential enrollees? ____________________________________________________________________