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  • Les Quick Count: Hea1 Hea2 Hea3 Hea4 Hea5 Hea6 Hea7

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    Christine Joy E. Sanchez-Castelo
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    This document appears to be a form for collecting information about students enrolled in distance learning programs. It includes sections to collect data on the student's gender, guardian's education level, household size, challenges to distance learning, available devices, internet access, preferred learning modality, and willingness to participate in limited in-person classes if available. The form instructs respondents to select only one answer for each question and provides a list of answer choices for each question. It also notes that section totals must equal the reported number of enrollees.

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    For g9quick Count

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    This document appears to be a form for collecting information about students enrolled in distance learning programs. It includes sections to collect data on the student's gender, guardian's education level, household size, challenges to distance learning, available devices, internet access, preferred learning modality, and willingness to participate in limited in-person classes if available. The form instructs respondents to select only one answer for each question and provides a list of answer choices for each question. It also notes that section totals must equal the reported number of enrollees.

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    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
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    7 views9 pages

    Les Quick Count: Hea1 Hea2 Hea3 Hea4 Hea5 Hea6 Hea7

    Uploaded by

    Christine Joy E. Sanchez-Castelo
    This document appears to be a form for collecting information about students enrolled in distance learning programs. It includes sections to collect data on the student's gender, guardian's education level, household size, challenges to distance learning, available devices, internet access, preferred learning modality, and willingness to participate in limited in-person classes if available. The form instructs respondents to select only one answer for each question and provides a list of answer choices for each question. It also notes that section totals must equal the reported number of enrollees.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 9

    LES QUICK COUNT

    NOTE: Only 1 answer is answer is required, just select ONE applicable


    combination if more than 1 condition is appropriate. THE TOTAL NUMBER
    PER SECTION MUST BE EQUAL TO THE TOTAL NUMBER OF ENROLLEES PER DAY.

    SECTION: AM
    DATE: PM
    NUMBER OF ENROLLEES:
    MALE: FEMALE: TOTAL:

    # FATHER/MOTHER/GUARDIAN HIGHEST EDUCATIONAL ATTAINMENT


    NOTE: 1 STUDENT WILL CHOOSE ONLY ONE CHOICE (HEA1-HEA7)

    HEA1 No formal schooling


    HEA2 No formal schooling but able to read/write
    HEA3 Elementary Level
    HEA4 Elementary Graduate
    HEA5 High School Level
    HEA6 High School Graduate
    HEA7 After High School Education or Vocational
    (Tech/Voc/College/Post Grad)

    # 4PS BENEFICIARY
    YES NO

    # NUMBER OF LEARNERS IN THE HOUSEHOLD S.Y.2020-2021


    NOTE: (INCLUDING THE ENROLLEES)
    GRADE 1 GRADE 5
    GRADE 2 GRADE 6
    GRADE 3 GRADE 7
    GRADE 4

    # HOUSEHOLD MEMBERS THAT CAN PROVIDE INSTRUCTIONAL


    SUPPORT TO THE CHILDS DISTANCE LEARNING
    NOTE: 1 STUDENT WILL CHOOSE ONLY ONE CHOICE (HM1-HM16)

    HM1 Parent/Guardian Only


    HM2 Parent/Guardian + Siblings
    HM3 Parent/Guardian + Siblings+Grand Parent
    HM4 Parent/Guardian + Siblings+Grand Parent& Other members of family
    HM5 Parent/Guardian + Siblings+Grand Parent& Other members of
    family & others
    HM6 Siblings only
    HM7 Siblings + Grand Parent
    HM8 Siblings + Grand Parent+Other members of family & Others
    HM9 Grand Parent Only
    HM10 Grand Parent+Other members of family
    HM11 Grand Parent+Other members of family & Others
    HM12 Other members of family only
    HM13 Other members of family & Others (tutor/helper)
    HM14 Others (tutor/helper) only
    HM15 Learner able to do independent learning
    HM16 None
    # CHALLENGES THAT MAY AFFECT YOUR CHILD'S LEARNING PROCESS THROUGH
    DISTANCE EDUCATION
    NOTE: 1 STUDENT WILL CHOOSE ONLY ONE CHOICE (CH1-CH33)

    CH1 Lack of available gadgets/equipment only


    CH2 Lack of available gadgets/equipment + issuficient load/data allowance
    CH3 Lack of available gadgets/equipment + issuficient load/data allowance
    & unstable mobile/internet connection
    CH4 Lack of available gadgets/equipment + issuficient load/data allowance
    & unstable mobile/internet connection + existing health condition/s
    CH5 Lack of available gadgets/equipment + issuficient load/data allowance
    & unstable mobile/internet connection + existing health condition/s
    & difficulty in independent learning
    CH6 Lack of available gadgets/equipment + issuficient load/data allowance
    & unstable mobile/internet connection + existing health condition/s
    & difficulty in independent learning & conflict with other activities (i.e., house chores)
    CH7 Lack of available gadgets/equipment + issuficient load/data allowance
    unstable mobile/internet connection + existing health condition/s
    & difficulty in independent learning & conflict with other activities (i.e., house chores)
    & high electrical consumption
    CH8 Lack of available gadgets/equipment + issuficient load/data allowance
    unstable mobile/internet connection + existing health condition/s
    & difficulty in independent learning & conflict with other activities (i.e., house chores)
    & high electrical consumption & distractions (i.e., social media, noise from community/neighbor)
    CH9 Issuficent load/data allowance only
    CH10 Issuficient load/data allowance + unsstable mobile/ internet connection
    CH11 Issuficient load/data allowance+ unstable mobile/internet connection + existing health condition/s
    CH12 Issuficient load/data allowance+ unstable mobile/internet connection + existing health condition/s
    & difficulty in independent learning
    CH13 Issuficient load/data allowance+ unstable mobile/internet connection + existing health condition/s
    & difficulty in independent learning & conflict with other activities (i.e., house chores)
    CH14 Issuficient load/data allowance+ unstable mobile/internet connection + existing health condition/s
    & difficulty in independent learning & conflict with other activities (i.e., house chores)
    & high electrical consumption & distractions (i.e., social media, noise from community/neighbor)
    CH15 Unstable mobile/internet connection only
    CH16 Unstable mobile/internet connection + existing health condition/s
    CH17 Unstable mobile/internet connection + existing health condition/s
    & difficulty in independent learning
    CH18 Unstable mobile/internet connection + existing health condition/s
    & difficulty in independent learning & conflict with other activities (i.e., house chores)
    CH19 Unstable mobile/internet connection + existing health condition/s
    & difficulty in independent learning & conflict with other activities (i.e., house chores)
    & high electrical consumption & distractions (i.e., social media, noise from community/neighbor)
    CH20 Existing health condition/s only
    CH21 Existing health condition/s +
    & difficulty in independent learning & conflict with other activities (i.e., house chores)
    CH22 Existing health condition/s +
    & difficulty in independent learning & conflict with other activities (i.e., house chores)
    & high electrical consumption
    CH23 Existing health condition/s
    & difficulty in independent learning & conflict with other activities (i.e., house chores)
    & high electrical consumption & distractions (i.e., social media, noise from community/neighbor)
    # DEVICES AVAILABLE AT HOME THAT THE LEARNER CAN USE FOR LEARNING
    NOTE: 1 STUDENT WILL CHOOSE ONLY ONE CHOICE (DA1-DA11)

    DA1 Television only


    DA2 Television+ Cellphone
    DA3 Television+ Cellphone+Radio
    DA4 Television+ Cellphone+Radio & Desktop/Laptop
    DA5 Cellphone only
    DA6 Cellphone + Radio
    DA7 Cellphone+Radio & Desktop/Laptop
    DA8 Radio only
    DA9 Radio + Desktop/Laptop
    DA10 Desktop/Laptop only
    DA11 None

    # WAY TO CONNECT TO INTERNET


    NOTE: 1 STUDENT WILL CHOOSE ONLY ONE CHOICE (IC1-IC10)

    IC1 Mobile data only


    IC2 Mobile data + broadband
    IC3 Mobile data + broadband+computershop
    IC4 Mobile data + broadband+computershop & other places
    IC5 broadband only
    IC6 broadband+computershop & other places
    IC7 computershop only
    IC8 computershop & other places
    IC9 other places only
    IC10 no internet available in the area

    # TYPES OF DISTANCE LEARNING MODALITY/IES PREFER FOR THE LEARNER


    NOTE: 1 STUDENT WILL CHOOSE ONLY ONE CHOICE (DLM1-DLM11)

    DLM1 Online learning only


    DLM2 Online learning + Television
    DLM3 Online learning + Television+Radio
    DLM4 Online learning + Television+Radio+ Modular learning
    DLM5 Television only
    DLM6 Television+ Radio
    DLM7 Television+Radio+ Modular learning
    DLM8 Radio only
    DLM9 Radio+ Modular learning
    DLM10 Modular learning only
    DLM11 Blended
    CH24 Difficulty in independent learning only
    CH25 Difficulty in independent learning & conflict with other activities (i.e., house chores)
    CH26 Difficulty in independent learning & conflict with other activities (i.e., house chores)
    & high electrical consumption
    CH27 Difficulty in independent learning & conflict with other activities (i.e., house chores)
    & high electrical consumption & distractions (i.e., social media, noise from community/neighbor)
    CH28 Conflict with other activities (i.e., house chores) only
    CH29 Conflict with other activities (i.e., house chores)
    & high electrical consumption
    CH30 Conflict with other activities (i.e., house chores)
    & high electrical consumption & distractions (i.e., social media, noise from community/neighbor)
    CH31 High electrical consumption only
    CH32 High electrical consumption & distractions (i.e., social media, noise from community/neighbor)
    CH33 Only distractions (i.e., social media, noise from community/neighbor)

    # ARE YOU WILLING TO ALLOW YOUR CHILD TO PARTICIPATE IN LIMITED FACETO FACE CLASSES?
    IF NOT PLEASE SELECT THE MAJOR CONSIDERATION

    YES

    IF NO WRITE THE TOTAL NUMBER OF RESPONSES FOR EACH OPTION.

    MC1 FEAR OF GETTING INFECTED OF CORONA VIRUS

    MC2 LIMITED OR NO AVAILABLE TRANSPORTATION FROM HOME TO SCHOOL


    AND VICE VERSA

    MC3 EXISTING ILLNESS OR HEALTH RELATED CONCERNS

    MC4 HELPING IN HOUSEHOLD CHORES

    MC5 HELPING IN FAMILY BUSINESS OR WORKING

    MC6 PRESENCE OF ARM CONFLICT IN THE AREA

    MC7 OTHER REASONS IF ANY


    LES QUICK COUNT
    NOTE: Only 1 answer is answer is required, just select ONE applicable
    combination if more than 1 condition is appropriate. THE TOTAL NUMBER
    PER SECTION MUST BE EQUAL TO THE TOTAL NUMBER OF ENROLLEES PER DAY.

    SECTION: AQUARIUS AM 10
    DATE: 16-Aug-21 PM 6
    NUMBER OF ENROLLEES:
    MALE: 10 FEMALE: 6 TOTAL: 16

    # FATHER/MOTHER/GUARDIAN HIGHEST EDUCATIONAL ATTAINMENT


    NOTE: 1 STUDENT WILL CHOOSE ONLY ONE CHOICE (HEA1-HEA7)

    HEA1 No formal schooling


    HEA2 No formal schooling but able to read/write
    HEA3 Elementary Level
    2 HEA4 Elementary Graduate
    HEA5 High School Level
    12 HEA6 High School Graduate
    2 HEA7 After High School Education or Vocational
    (Tech/Voc/College/Post Grad)

    # 4PS BENEFICIARY
    YES NO

    # NUMBER OF LEARNERS IN THE HOUSEHOLD S.Y.2020-2021


    NOTE: (INCLUDING THE ENROLLEES)
    GRADE 1 GRADE 5
    GRADE 2 GRADE 6
    GRADE 3 GRADE 7
    GRADE 4

    # HOUSEHOLD MEMBERS THAT CAN PROVIDE INSTRUCTIONAL


    SUPPORT TO THE CHILDS DISTANCE LEARNING
    NOTE: 1 STUDENT WILL CHOOSE ONLY ONE CHOICE (HM1-HM16)

    HM1 Parent/Guardian Only


    HM2 Parent/Guardian + Siblings
    HM3 Parent/Guardian + Siblings+Grand Parent
    HM4 Parent/Guardian + Siblings+Grand Parent& Other members of family
    HM5 Parent/Guardian + Siblings+Grand Parent& Other members of
    family & others
    HM6 Siblings only
    HM7 Siblings + Grand Parent
    HM8 Siblings + Grand Parent+Other members of family & Others
    HM9 Grand Parent Only
    HM10 Grand Parent+Other members of family
    HM11 Grand Parent+Other members of family & Others
    HM12 Other members of family only
    HM13 Other members of family & Others (tutor/helper)
    HM14 Others (tutor/helper) only
    HM15 Learner able to do independent learning
    HM16 None
    # DEVICES AVAILABLE AT HOME THAT THE LEARNER CAN USE FOR LEARNING
    NOTE: 1 STUDENT WILL CHOOSE ONLY ONE CHOICE (DA1-DA11)

    DA1 Television only


    DA2 Television+ Cellphone
    DA3 Television+ Cellphone+Radio
    DA4 Television+ Cellphone+Radio & Desktop/Laptop
    DA5 Cellphone only
    DA6 Cellphone + Radio
    DA7 Cellphone+Radio & Desktop/Laptop
    DA8 Radio only
    DA9 Radio + Desktop/Laptop
    DA10 Desktop/Laptop only
    DA11 None

    # WAY TO CONNECT TO INTERNET


    NOTE: 1 STUDENT WILL CHOOSE ONLY ONE CHOICE (IC1-IC10)

    IC1 Mobile data only


    IC2 Mobile data + broadband
    IC3 Mobile data + broadband+computershop
    IC4 Mobile data + broadband+computershop & other places
    IC5 broadband only
    IC6 broadband+computershop & other places
    IC7 computershop only
    IC8 computershop & other places
    IC9 other places only
    IC10 no internet available in the area

    # TYPES OF DISTANCE LEARNING MODALITY/IES PREFER FOR THE LEARNER


    NOTE: 1 STUDENT WILL CHOOSE ONLY ONE CHOICE (DLM1-DLM11)

    DLM1 Online learning only


    DLM2 Online learning + Television
    DLM3 Online learning + Television+Radio
    DLM4 Online learning + Television+Radio+ Modular learning
    DLM5 Television only
    DLM6 Television+ Radio
    DLM7 Television+Radio+ Modular learning
    DLM8 Radio only
    DLM9 Radio+ Modular learning
    DLM10 Modular learning only
    DLM11 Blended
    # CHALLENGES THAT MAY AFFECT YOUR CHILD'S LEARNING PROCESS THROUGH
    DISTANCE EDUCATION
    NOTE: 1 STUDENT WILL CHOOSE ONLY ONE CHOICE (CH1-CH33)

    CH1 Lack of available gadgets/equipment only


    CH2 Lack of available gadgets/equipment + issuficient load/data allowance
    CH3 Lack of available gadgets/equipment + issuficient load/data allowance
    & unstable mobile/internet connection
    CH4 Lack of available gadgets/equipment + issuficient load/data allowance
    & unstable mobile/internet connection + existing health condition/s
    CH5 Lack of available gadgets/equipment + issuficient load/data allowance
    & unstable mobile/internet connection + existing health condition/s
    & difficulty in independent learning
    CH6 Lack of available gadgets/equipment + issuficient load/data allowance
    & unstable mobile/internet connection + existing health condition/s
    & difficulty in independent learning & conflict with other activities (i.e., house chores)
    CH7 Lack of available gadgets/equipment + issuficient load/data allowance
    unstable mobile/internet connection + existing health condition/s
    & difficulty in independent learning & conflict with other activities (i.e., house chores)
    & high electrical consumption
    CH8 Lack of available gadgets/equipment + issuficient load/data allowance
    unstable mobile/internet connection + existing health condition/s
    & difficulty in independent learning & conflict with other activities (i.e., house chores)
    & high electrical consumption & distractions (i.e., social media, noise from community/neighbor)
    CH9 Issuficent load/data allowance only
    CH10 Issuficient load/data allowance + unsstable mobile/ internet connection
    CH11 Issuficient load/data allowance+ unstable mobile/internet connection + existing health condition/s
    CH12 Issuficient load/data allowance+ unstable mobile/internet connection + existing health condition/s
    & difficulty in independent learning
    CH13 Issuficient load/data allowance+ unstable mobile/internet connection + existing health condition/s
    & difficulty in independent learning & conflict with other activities (i.e., house chores)
    CH14 Issuficient load/data allowance+ unstable mobile/internet connection + existing health condition/s
    & difficulty in independent learning & conflict with other activities (i.e., house chores)
    & high electrical consumption & distractions (i.e., social media, noise from community/neighbor)
    CH15 Unstable mobile/internet connection only
    CH16 Unstable mobile/internet connection + existing health condition/s
    CH17 Unstable mobile/internet connection + existing health condition/s
    & difficulty in independent learning
    CH18 Unstable mobile/internet connection + existing health condition/s
    & difficulty in independent learning & conflict with other activities (i.e., house chores)
    CH19 Unstable mobile/internet connection + existing health condition/s
    & difficulty in independent learning & conflict with other activities (i.e., house chores)
    & high electrical consumption & distractions (i.e., social media, noise from community/neighbor)
    CH20 Existing health condition/s only
    CH21 Existing health condition/s +
    & difficulty in independent learning & conflict with other activities (i.e., house chores)
    CH22 Existing health condition/s +
    & difficulty in independent learning & conflict with other activities (i.e., house chores)
    & high electrical consumption
    CH23 Existing health condition/s
    & difficulty in independent learning & conflict with other activities (i.e., house chores)
    & high electrical consumption & distractions (i.e., social media, noise from community/neighbor)
    CH24 Difficulty in independent learning only
    CH25 Difficulty in independent learning & conflict with other activities (i.e., house chores)
    CH26 Difficulty in independent learning & conflict with other activities (i.e., house chores)
    & high electrical consumption
    CH27 Difficulty in independent learning & conflict with other activities (i.e., house chores)
    & high electrical consumption & distractions (i.e., social media, noise from community/neighbor)
    CH28 Conflict with other activities (i.e., house chores) only
    CH29 Conflict with other activities (i.e., house chores)
    & high electrical consumption
    CH30 Conflict with other activities (i.e., house chores)
    & high electrical consumption & distractions (i.e., social media, noise from community/neighbor)
    CH31 High electrical consumption only
    CH32 High electrical consumption & distractions (i.e., social media, noise from community/neighbor)
    CH33 Only distractions (i.e., social media, noise from community/neighbor)

    # ARE YOU WILLING TO ALLOW YOUR CHILD TO PARTICIPATE IN LIMITED FACETO FACE CLASSES?
    IF NOT PLEASE SELECT THE MAJOR CONSIDERATION

    YES

    IF NO WRITE THE TOTAL NUMBER OF RESPONSES FOR EACH OPTION.

    MC1 FEAR OF GETTING INFECTED OF CORONA VIRUS

    MC2 LIMITED OR NO AVAILABLE TRANSPORTATION FROM HOME TO SCHOOL


    AND VICE VERSA

    MC3 EXISTING ILLNESS OR HEALTH RELATED CONCERNS

    MC4 HELPING IN HOUSEHOLD CHORES

    MC5 HELPING IN FAMILY BUSINESS OR WORKING

    MC6 PRESENCE OF ARM CONFLICT IN THE AREA

    MC7 OTHER REASONS IF ANY


    health condition/s
    alth condition/s

    health condition/s

    alth condition/s

    unity/neighbor)

    unity/neighbor)

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