TALLY SHEET

GRADE LEVEL:

FATHER
Full Time
Part Time
Self-Employed
Not Working
Unemployed due to ECQ
Working from home due to
ECQ
YES
No

MOTHER
Full Time
Part Time
Not Working
Self- Employed
Unemployed due to ECQ
Working from home due to
ECQ
YES
NO

GUARDIAN
Full Time
Part Time
Not Working
Self- Employed
Unemployed due to ECQ
Working from home due to
ECQ
YES

. a beneficiary of 4Ps

YES
NO

HOW DOES YOUR CHILD

GO TO SCHOOL?
Walking
Public Commute
(Land/Water)
Family- owned vehicle
School Service (tagahatid)
Walking
Public Commute
(Land/Water)
How many of your
household members
(including the enrollee) are
studying in School
Kinder
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
Others

Who among the household

members can provide
instructional support to
the child’s distance
learning?
Parents/ Guardians
Elded Siblings
Grand parents
Extended Members of the
Family
Others (Tutor, House
helper)
None
Able to do independent
learning

What devices are available

at home that the learner
can use for learning?
With Television
cable
Non Cable
Cellphone
basic
Smart Phone
With Tablet/ Ipad
With Radio
Dekstop Computer
Laptop
None
others

Do you have a way to

connect to the internet
Yes
No
How do you connect to the
internet?
Own Mobile Data
"Own Broadband Internet
(DSL, Wireless Fiber,
Satellite)"
Computer Shop
Other Places outside the
Home with Internet
Connection
None

What distance learning

modality/ies do you prefer
for your child?
Online
Radio
Modular
Combination of Face to Face
with other Modalities
Other

What are the challenges

that may affect your child’s
process through distance
education?
Lack of available gadgets/
equipment
Insufficient load/ data
allowance
Unstable mobile/ internet
connection
Existing health condition/s
Difficulty in independent
learning
Conflict with other activities
(i.e., house chores)
No or lack of available space
for studying
Distractions (i.e., social
media, noise from
community/neighbor)

"Number of Learners move

in from Private, SUC/LUC,
and ALS to Public schools"
Elementary (Kindergarten to
Grade 6)
Junior High School
Senior High School
Learner With Disabilities
(Non-Graded)