Professional Documents
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Where do you live?
Does your child
has a physical
Does your
impairment?
child has Does your child Does your child
(e.g.
Teacher Sex Age a vision has a hearing has a speech
impairment of
BRGY CITY / TOWN impairme impairment? impairment?
the foot, toe,
nt?
leg, hand,
finger, arm)
If yes, is it If yes, is it If yes, is it
If shared, Does your
your childs If shared, your child's your child's If shared, how
Do you how many child has
Do you Do you personal how Does your personal Does your personal many of you
Do you have have a of you are a
have a have a desktop or is many of child has laptop or is it child has tablet or is it are using the
electricity at desktop using the smartpho
radio at television it shared you are a laptop shared a tablet shared tablet?
home? computer laptop? ne (either
home? at home? among your using the at home? among your at home? among your (Enter no. of
at home? (Enter no. of Android
family desktop? family family users)
users) or iOS)?
members? members? members?
If using pocket wifi or mobile
If shared, how
If yes, is it your child data, where do you usually
many are Do you have
personal smartphone stay to access the internet?
using the internet If yes, how do you What is your Internet Service Provider?
or is it a shared (ANSWER THIS ONLY IF THE
smartphone? connection connect to the internet? (If others, please specify on the next column)
phone among your ANSWER IN THE PREVIOUS
(Enter no. of at home?
family members? COLUMN IS POCKET WIFI OR
users)
MOBILE DATA)
How many
What is the Does your Does your On the average, how
persons are Does your
your Internet Service Provider? How frequent does your speed of your How much is your child has child has a much time does your
using your child has
please specify on the next column) child use the internet? internet data allocation? an FB Twitter child spend on social
internet an email?
connection? account? account? media daily?
connection?
If education will be delivered via distance learning during
this pandemic, who will most probably help your child
with his/her school works? (IF OTHERS, PLEASE SPECIFY
ON THE NEXT COLUMN)
READINESS REPORT OF TEACHERS AND LEARNERS IN PUBLIC AND PRIVATE SCHOOLS AND SUCs/LUCs IN KINDERGARTEN, ELEMENTARY,JUNIOR AND S
Total No of
Sector School Grade Section
Respondents
0 Public 0 0 KINDER 0 0
Private 0 GRADE 1 0
LUC 0 GRADE 2 0
SUC 0 GRADE 3 0
GRADE 4 0
GRADE 5 0
GRADE 6 0
GRADE 7 0
GRADE 8 0
GRADE 9 0
GRADE 10 0
GRADE 11 0
GRADE 12 0
SPED NG 0
0 MALE 0 #DIV/0! 0 0 0
FEMALE 0
NOTED: APPROVED:
Mobile data
Pocket Wifi
If using pocket wifi or mobile
es, how do you data, where do you usually What is your How frequent do you use the Speed of your internet
Internet Service Data allocation
t to the internet? stay to access the internet? internet? connection
Provider?