DATA GATHERING INSTRUMENT FOR TRAINEES

(Identify Learner’s Training Characteristics)

Name:
Course:

Language, literacy and Average grade in English: Average grade in Math:

numeracy (LL&N)
a. 95 and above a. 95 and above
b. 90 to 94 b. 90 to 94
c. 85 to 89 c. 85 to 89
d. 80 to 84 d. 80 to 84
e. 75 to 79 e. 75 to 79
Cultural and language Ethnicity
background
a. Ifugao
b. Igorot
c. Ibanag
d. Gaddang
e. Muslim
f. Ibaloy
g. Others (Please specify) ___________________
Education and general Highest Educational Attainment:
knowledge
a. High School Level
b. High School Graduate
c. College Level
d. College Graduate
e. With units in Master’s Degree
f. Masteral Graduate
g. With units in Doctoral Level
h. Doctoral Graduate
Sex a. Male
b. Female

Age Your age ___________

Physical ability 1. Disabilities (if any) ____________________________
2. Existing Health Conditions (Existing illness if any)
a. None
b. Asthma
c. Heart disease
d. Anemia
e. Hypertension
f. Diabites. Others (please specify)_________________
Previous experience with Housekeeping Certificates
the topic a. Butler Service
b. Laundry Service
c. Roomskeeping Service
d. Public Area Maintenance
e. HRM
Number of years as a competency trainer______________
Previous learning List down trainings related to Housekeeping
experience ____________________________________
_____________________________________
_____________________________________
Training Level completed National Certificates acquired and NC level

Special courses
Learning styles
_____________________________________
_____________________________________
Other courses related to Housekeeping
a. Units in HRM
b. Master’s degree units in HRM
c. Others(Please specify)_________________________
a. Visual- The visual learner takes mental pictures of information
given, so in order for 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
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.

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.
Other needs a. Financially challenged
b. Working student
c. Solo parent
d. Others (Please specify)_________________________

Juan Dela Cruz

Trainees signature over printed name

Checked by: Juvilyn Lequigan

Date: 4-20-20