Professional Documents
Culture Documents
Siblings
Cabled/Non-Cabled TV=Television
Basic/Smartphone = Cellular Phone
Desktop/Laptop = Desktop/Laptop
Non-
cable TV
ocessing Return to File Directory
Only 1 2 3
Grade Level Household Household Household
Member Members Members
Kinder 1
Sample
From MLESF, the respondent selected Kinder, Grade
Kinder
Grade 3
Grade 7
Total 3
From 1-7 (columns) Select Column 3
D3. What devices are available at home that the learner can u
Cabled/Non-Cabled TV = Television
Basic/Smartphone - Cellular Phone
Desktop and/or Laptop = Desktop/Laptop
Accuracy/completeness
sble multiple answers, select applicable combination as listed/grouped in this form
l Enrollment Chair (GLEC) if any or to School Enrollment Focal Person (SEFP).
vel Summary Matrix validate the correctness of enrollment count vis-a-vis the number of respondents
the QC Folder available in the Dashboard
ach table as appeared in the Summary Matrix. May use the assigned code as appopriate for easy reference.
onal Attainment (select only parent/guardian per learner having the highest educational attainment)
ational Attainment )- Choose only the Highest Educational Attainment of Mother from MLESF and tag to the MLESF Summary
embers (including the enrollee) are studying in School Year 2021-2022? (No.of Learner/s in a Household)
Total (Must
be equalled
4 5 6 7 vis-à-vis
Household Household Household Household Enrollment
Members Members Members Members per
Class/Grad
e Level)
Column 3
spondents
r easy reference.
B9. Gender
Total (Must be
equalled vis-à-vis
Grade Level Male Female
Enrollment per
Class/Grade Level)
7 0 0 0
8 0 0 0
9 25 25 50
10 0 0 0
Non-Graded 0 0 0
Total 25 25 50
C2. Parent/Guardian Highest Educational Attainment (select only parent/guardian per learner ha
No Formal Schooling
No Formal Elementary
but able to read and Elementary level
Grade Level Schooling write
Graduate
D1. How many of your household members (including the enrollee) are studying in School Year
Only 1
2 Household 3 Household 4 Household
Grade Level Household
Members Members Members
Member
7 0 0 0 0
8 0 0 0 0
9 0 0 0 0
10 0 0 0 0
Non-Graded 0 0 0 0
Total 0 0 0 0
D2. Who among the household members can provide instructional support to the child’s distan
Parent/
Guardian,
Parent/ Parent/ Guardian,
Parent/ Guardian Siblings, Grand
Guardian Siblings & Grand
Grade Level and Siblings Parent & Other
Only Parent
members of
family
HM1 HM2 HM3 HM4
7 0 0 0 0
8 0 0 0 0
9 0 0 0 0
10 0 0 0 0
Non-Graded 0 0 0 0
Total 0 0 0 0
D3. What devices are available at home that the learner can use for learning?
Television,
Television Television and Television, Cellphone Cellphone,
Grade Level Only Cellphone & Radio Radio &
Desktop/laptop
DA1 DA2 DA3 DA4
7 0 0 0 0
8 0 0 0 0
9 0 0 0 0
10 0 0 0 0
Non-Graded 0 0 0 0
Total 0 0 0 0
7 0 0 0
8 1 1 2
9 0 0 0
10 0 0 0
Non-Graded 0 0 0
Total 1 1 2
Mobile data,
Mobile data,
Mobile data Mobile data & broadband,
broadband &
Grade Level only broadband computer shop
computer shop
& other places
D6. What distance learning modality/ies do you prefer for your child?
online learning,
online
online learning & online learning, television, radio
learning
Grade Level television television & radio & modular
only
learning
DLM1 DLM2 DLM3 DLM4
7 0 0 0 0
8 0 0 0 0
9 0 0 0 0
10 0 0 0 0
Non-Graded 0 0 0 0
Total 0 0 0 0
D7. What are the challenges that may affect your child’s learning process through distance edu
lack of
available
gadgets/
lack of available equipment ,
lack of
lack of available gadgets/ equipment , insufficient
available
gadgets/ equipment insufficient load/ data load/ data
gadgets/
Grade Level equipment & insufficient load/ allowance & unstable allowance,
data allowance mobile/ internet unstable
only
connection mobile/ internet
connection &
existing health
condition/s
E.2 If the answer is no , please select only 1 major consideration or state specific reason
Fear of Limited or no
Getting available Helping in
Existing Illness or
Infected of transportation from household
Grade Level Corona health related concens
home to school and chores
Virus vice versa
MC1 MC2 MC3 MC4
7 0 0 0 0
8 0 0 0 0
9 0 0 0 0
10 0 0 0 0
Non-Graded 1 1 0 0
Total 1 1 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
e specific reason
helping in family
Presence of Arm Total (Must be equalled
business or Other Reason, if any
Conflict in the area with the no. of "No"
working
responses in E1)
MC5 MC6 MC7
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 2
0 0 0 2
ccuracy/completeness
of all sections
hool Enrollment Focal Person (SEFP)
Matrix. May use the assigned code as appopriate for easy reference.
Return to File Directory
DIVISION REGION
Grand Parent & Grand Parent, Other
Grand Parent Other members of
Other members of members of family &
Only family only
family Others
IC9 IC10
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0
0
0
0
0
0
insufficient load/ data
allowance, unstable
mobile/ internet
insufficient load/ data connection, existing unstable
allowance, unstable mobile/ health condition/s, mobile/
internet connection, existing difficulty in independent unstable mobile/ internet
health condition/s, difficulty in learning, conflict with internet connection connection &
independent learning & other activities (i.e., only existing
conflict with other activities house chores), high health
(i.e., house chores) electrical consumption & condition/s
distractions (i.e., social
media, noise from
community/neighbor)
CH33
0 0
0 0
0 0
0 0
0 0
0 0
SUMMARY MATRIX OF SELECTED DATA ELEMENTS OF MLESF
(This form can be used to tabulate survey result of Class/Section, Grade and School lev
NAME OF SCHOOL
Grade/School Level *Section
Last updated (date): For LIS Adm
Date Posted in LIS QC
B9. Gender
Total (Must be
equalled vis-à-vis
Grade Level Male Female
Enrollment per
Class/Grade Level)
7 0
C2. Parent/Guardian Highest Educational Attainment (select only parent/guardian per learner ha
No Formal Schooling
No Formal Elementary
but able to read and Elementary level
Grade Level Schooling write
Graduate
D1. How many of your household members (including the enrollee) are studying in School Year
Only 1
2 Household 3 Household 4 Household
Grade Level Household
Members Members Members
Member
D2. Who among the household members can provide instructional support to the child’s distan
Parent/ Guardian,
Parent/ Parent/ Guardian,
Parent/ Guardian Siblings, Grand
Guardian Siblings & Grand
Grade Level and Siblings Parent & Other
Only Parent
members of family
D3. What devices are available at home that the learner can use for learning?
Television,
Television Television and Television, Cellphone
Cellphone, Radio
Grade Level Only Cellphone & Radio
& Desktop/laptop
Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
7 0
Mobile data,
Mobile data,
Mobile data Mobile data & broadband,
broadband &
Grade Level only broadband computer shop &
computer shop
other places
D6. What distance learning modality/ies do you prefer for your child?
online online learning,
online learning & online learning,
learning television, radio &
Grade Level television television & radio
only modular learning
DLM1 DLM2 DLM3 DLM4
7
D7. What are the challenges that may affect your child’s learning process through distance edu
lack of available
gadgets/
lack of available
lack of equipment ,
lack of available gadgets/ equipment ,
available insufficient load/
gadgets/ equipment insufficient load/ data
gadgets/ data allowance,
Grade Level equipment & insufficient load/ allowance & unstable unstable mobile/
data allowance mobile/ internet
only internet connection
connection
& existing health
condition/s
E2. If the answer is no , please select only 1 major consideration or state specific reason
Fear of Limited or no
Getting available
Existing Illness or Helping in
Infected of transportation from
Grade Level Corona health related concens household chores
home to school and
Virus vice versa
MC1 MC2 MC3 MC4
7
broadband,
Computer shop and
Broadband only computer shop & Computer shop only
other places
other places
lack of available
lack of available lack of available gadgets/ equipment ,
gadgets/ gadgets/ lack of available gadgets/ insufficient load/ data
equipment , equipment , equipment , insufficient allowance, unstable
insufficient load/ insufficient load/ load/ data allowance, mobile/ internet
data allowance, data allowance, unstable mobile/ internet connection, existing
unstable mobile/ unstable mobile/ connection, existing health condition/s,
internet internet connection, health condition/s, difficulty in independent
connection, existing health difficulty in independent learning, conflict with
existing health condition/s, difficulty learning, conflict with other activities (i.e.,
condition/s & in independent other activities (i.e., house chores), high
difficulty in learning & conflict house chores) & high electrical consumption &
independent with other activities electrical consumption distractions (i.e., social
learning (i.e., house chores) media, noise from
community/neighbor)
pecific reason
helping in family
Presence of Arm Total (Must be equalled
business or Other Reason, if any
Conflict in the area with the no. of "No"
working
responses in E1)
MC5 MC6 MC7
0
racy/completeness
ll sections
ol Enrollment Focal Person (SEFP)
ck for accuracy/completeness
ll Grade Levels
ol Head for review and approval and then to LIS System Administrator
DIVISION REGION
Grand Parent & Grand Parent, Other
Grand Parent Other members of
Other members of members of family &
Only family only
family Others
IC9 IC10
0
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
0
insufficient load/ data
allowance, unstable
insufficient load/ data
mobile/ internet
allowance, unstable
connection, existing unstable
mobile/ internet
health condition/s, mobile/
connection, existing
difficulty in independent unstable mobile/ internet
health condition/s,
learning, conflict with internet connection connection &
difficulty in
other activities (i.e., only existing
independent learning
house chores), high health
& conflict with other
electrical consumption & condition/s
activities (i.e., house
distractions (i.e., social
chores)
media, noise from
community/neighbor)
CH33
0
SUMMARY MATRIX OF SELECTED DATA ELEMENTS OF MLESF
(This form can be used to tabulate survey result of Class/Section, Grade and School lev
NAME OF SCHOOL
Grade/School Level *Section
Last updated (date): For LIS Adm
Date Posted in LIS QC
B9. Gender
Total (Must be
equalled vis-à-vis
Grade Level Male Female
Enrollment per
Class/Grade Level)
7 0
C2. Parent/Guardian Highest Educational Attainment (select only parent/guardian per learner ha
No Formal Schooling
No Formal Elementary
but able to read and Elementary level
Grade Level Schooling write
Graduate
D1. How many of your household members (including the enrollee) are studying in School Year
Only 1
2 Household 3 Household 4 Household
Grade Level Household
Members Members Members
Member
D2. Who among the household members can provide instructional support to the child’s distan
Parent/ Guardian,
Parent/ Parent/ Guardian,
Parent/ Guardian Siblings, Grand
Guardian Siblings & Grand
Grade Level and Siblings Parent & Other
Only Parent
members of family
D3. What devices are available at home that the learner can use for learning?
Television,
Television Television and Television, Cellphone
Cellphone, Radio
Grade Level Only Cellphone & Radio
& Desktop/laptop
Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
7 0
Mobile data,
Mobile data,
Mobile data Mobile data & broadband,
broadband &
Grade Level only broadband computer shop &
computer shop
other places
D6. What distance learning modality/ies do you prefer for your child?
online online learning,
online learning & online learning,
learning television, radio &
Grade Level television television & radio
only modular learning
DLM1 DLM2 DLM3 DLM4
7
D7. What are the challenges that may affect your child’s learning process through distance edu
lack of available
gadgets/
lack of available
lack of equipment ,
lack of available gadgets/ equipment ,
available insufficient load/
gadgets/ equipment insufficient load/ data
gadgets/ data allowance,
Grade Level equipment & insufficient load/ allowance & unstable unstable mobile/
data allowance mobile/ internet
only internet connection
connection
& existing health
condition/s
E2. If the answer is no , please select only 1 major consideration or state specific reason
Fear of Limited or no
Getting available
Existing Illness or Helping in
Infected of transportation from
Grade Level Corona health related concens household chores
home to school and
Virus vice versa
MC1 MC2 MC3 MC4
7
broadband,
Computer shop and
Broadband only computer shop & Computer shop only
other places
other places
lack of available
lack of available lack of available gadgets/ equipment ,
gadgets/ gadgets/ lack of available gadgets/ insufficient load/ data
equipment , equipment , equipment , insufficient allowance, unstable
insufficient load/ insufficient load/ load/ data allowance, mobile/ internet
data allowance, data allowance, unstable mobile/ internet connection, existing
unstable mobile/ unstable mobile/ connection, existing health condition/s,
internet internet connection, health condition/s, difficulty in independent
connection, existing health difficulty in independent learning, conflict with
existing health condition/s, difficulty learning, conflict with other activities (i.e.,
condition/s & in independent other activities (i.e., house chores), high
difficulty in learning & conflict house chores) & high electrical consumption &
independent with other activities electrical consumption distractions (i.e., social
learning (i.e., house chores) media, noise from
community/neighbor)
pecific reason
helping in family
Presence of Arm Total (Must be equalled
business or Other Reason, if any
Conflict in the area with the no. of "No"
working
responses in E1)
MC5 MC6 MC7
0
racy/completeness
ll sections
ol Enrollment Focal Person (SEFP)
ck for accuracy/completeness
ll Grade Levels
ol Head for review and approval and then to LIS System Administrator
DIVISION REGION
Grand Parent & Grand Parent, Other
Grand Parent Other members of
Other members of members of family &
Only family only
family Others
IC9 IC10
0
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
0
insufficient load/ data
allowance, unstable
insufficient load/ data
mobile/ internet
allowance, unstable
connection, existing unstable
mobile/ internet
health condition/s, mobile/
connection, existing
difficulty in independent unstable mobile/ internet
health condition/s,
learning, conflict with internet connection connection &
difficulty in
other activities (i.e., only existing
independent learning
house chores), high health
& conflict with other
electrical consumption & condition/s
activities (i.e., house
distractions (i.e., social
chores)
media, noise from
community/neighbor)
CH33
0
SUMMARY MATRIX OF SELECTED DATA ELEMENTS OF MLESF
(This form can be used to tabulate survey result of Class/Section, Grade and School lev
NAME OF SCHOOL
Grade/School Level *Section
Last updated (date): For LIS Adm
Date Posted in LIS QC
B9. Gender
Total (Must be
equalled vis-à-vis
Grade Level Male Female
Enrollment per
Class/Grade Level)
7 0
C2. Parent/Guardian Highest Educational Attainment (select only parent/guardian per learner ha
No Formal Schooling
No Formal Elementary
but able to read and Elementary level
Grade Level Schooling write
Graduate
D1. How many of your household members (including the enrollee) are studying in School Year
Only 1
2 Household 3 Household 4 Household
Grade Level Household
Members Members Members
Member
D2. Who among the household members can provide instructional support to the child’s distan
Parent/ Guardian,
Parent/ Parent/ Guardian,
Parent/ Guardian Siblings, Grand
Guardian Siblings & Grand
Grade Level and Siblings Parent & Other
Only Parent
members of family
D3. What devices are available at home that the learner can use for learning?
Television,
Television Television and Television, Cellphone
Cellphone, Radio
Grade Level Only Cellphone & Radio
& Desktop/laptop
Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
7 0
Mobile data,
Mobile data,
Mobile data Mobile data & broadband,
broadband &
Grade Level only broadband computer shop &
computer shop
other places
D6. What distance learning modality/ies do you prefer for your child?
online online learning,
online learning & online learning,
learning television, radio &
Grade Level television television & radio
only modular learning
DLM1 DLM2 DLM3 DLM4
7
D7. What are the challenges that may affect your child’s learning process through distance edu
lack of available
gadgets/
lack of available
lack of equipment ,
lack of available gadgets/ equipment ,
available insufficient load/
gadgets/ equipment insufficient load/ data
gadgets/ data allowance,
Grade Level equipment & insufficient load/ allowance & unstable unstable mobile/
data allowance mobile/ internet
only internet connection
connection
& existing health
condition/s
E2. If the answer is no , please select only 1 major consideration or state specific reason
Fear of Limited or no
Getting available
Existing Illness or Helping in
Infected of transportation from
Grade Level Corona health related concens household chores
home to school and
Virus vice versa
MC1 MC2 MC3 MC4
7
broadband,
Computer shop and
Broadband only computer shop & Computer shop only
other places
other places
lack of available
lack of available lack of available gadgets/ equipment ,
gadgets/ gadgets/ lack of available gadgets/ insufficient load/ data
equipment , equipment , equipment , insufficient allowance, unstable
insufficient load/ insufficient load/ load/ data allowance, mobile/ internet
data allowance, data allowance, unstable mobile/ internet connection, existing
unstable mobile/ unstable mobile/ connection, existing health condition/s,
internet internet connection, health condition/s, difficulty in independent
connection, existing health difficulty in independent learning, conflict with
existing health condition/s, difficulty learning, conflict with other activities (i.e.,
condition/s & in independent other activities (i.e., house chores), high
difficulty in learning & conflict house chores) & high electrical consumption &
independent with other activities electrical consumption distractions (i.e., social
learning (i.e., house chores) media, noise from
community/neighbor)
pecific reason
helping in family
Presence of Arm Total (Must be equalled
business or Other Reason, if any
Conflict in the area with the no. of "No"
working
responses in E1)
MC5 MC6 MC7
0
racy/completeness
ll sections
ol Enrollment Focal Person (SEFP)
ck for accuracy/completeness
ll Grade Levels
ol Head for review and approval and then to LIS System Administrator
DIVISION REGION
Grand Parent & Grand Parent, Other
Grand Parent Other members of
Other members of members of family &
Only family only
family Others
IC9 IC10
0
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
0
insufficient load/ data
allowance, unstable
insufficient load/ data
mobile/ internet
allowance, unstable
connection, existing unstable
mobile/ internet
health condition/s, mobile/
connection, existing
difficulty in independent unstable mobile/ internet
health condition/s,
learning, conflict with internet connection connection &
difficulty in
other activities (i.e., only existing
independent learning
house chores), high health
& conflict with other
electrical consumption & condition/s
activities (i.e., house
distractions (i.e., social
chores)
media, noise from
community/neighbor)
CH33
0
SUMMARY MATRIX OF SELECTED DATA ELEMENTS OF MLESF
(This form can be used to tabulate survey result of Class/Section, Grade and School lev
NAME OF SCHOOL
Grade/School Level *Section
Last updated (date): For LIS Adm
Date Posted in LIS QC
B9. Gender
Total (Must be
equalled vis-à-vis
Grade Level Male Female
Enrollment per
Class/Grade Level)
7 0
C2. Parent/Guardian Highest Educational Attainment (select only parent/guardian per learner ha
No Formal Schooling
No Formal Elementary
but able to read and Elementary level
Grade Level Schooling write
Graduate
D1. How many of your household members (including the enrollee) are studying in School Year
Only 1
2 Household 3 Household 4 Household
Grade Level Household
Members Members Members
Member
D2. Who among the household members can provide instructional support to the child’s distan
Parent/ Guardian,
Parent/ Parent/ Guardian,
Parent/ Guardian Siblings, Grand
Guardian Siblings & Grand
Grade Level and Siblings Parent & Other
Only Parent
members of family
D3. What devices are available at home that the learner can use for learning?
Television,
Television Television and Television, Cellphone
Cellphone, Radio
Grade Level Only Cellphone & Radio
& Desktop/laptop
Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
7 0
Mobile data,
Mobile data,
Mobile data Mobile data & broadband,
broadband &
Grade Level only broadband computer shop &
computer shop
other places
D6. What distance learning modality/ies do you prefer for your child?
online online learning,
online learning & online learning,
learning television, radio &
Grade Level television television & radio
only modular learning
DLM1 DLM2 DLM3 DLM4
7
D7. What are the challenges that may affect your child’s learning process through distance edu
lack of available
gadgets/
lack of available
lack of equipment ,
lack of available gadgets/ equipment ,
available insufficient load/
gadgets/ equipment insufficient load/ data
gadgets/ data allowance,
Grade Level equipment & insufficient load/ allowance & unstable unstable mobile/
data allowance mobile/ internet
only internet connection
connection
& existing health
condition/s
E2. If the answer is no , please select only 1 major consideration or state specific reason
Fear of Limited or no
Getting available
Existing Illness or Helping in
Infected of transportation from
Grade Level Corona health related concens household chores
home to school and
Virus vice versa
MC1 MC2 MC3 MC4
7
broadband,
Computer shop and
Broadband only computer shop & Computer shop only
other places
other places
lack of available
lack of available lack of available gadgets/ equipment ,
gadgets/ gadgets/ lack of available gadgets/ insufficient load/ data
equipment , equipment , equipment , insufficient allowance, unstable
insufficient load/ insufficient load/ load/ data allowance, mobile/ internet
data allowance, data allowance, unstable mobile/ internet connection, existing
unstable mobile/ unstable mobile/ connection, existing health condition/s,
internet internet connection, health condition/s, difficulty in independent
connection, existing health difficulty in independent learning, conflict with
existing health condition/s, difficulty learning, conflict with other activities (i.e.,
condition/s & in independent other activities (i.e., house chores), high
difficulty in learning & conflict house chores) & high electrical consumption &
independent with other activities electrical consumption distractions (i.e., social
learning (i.e., house chores) media, noise from
community/neighbor)
pecific reason
helping in family
Presence of Arm Total (Must be equalled
business or Other Reason, if any
Conflict in the area with the no. of "No"
working
responses in E1)
MC5 MC6 MC7
0
racy/completeness
ll sections
ol Enrollment Focal Person (SEFP)
ck for accuracy/completeness
ll Grade Levels
ol Head for review and approval and then to LIS System Administrator
DIVISION REGION
Grand Parent & Grand Parent, Other
Grand Parent Other members of
Other members of members of family &
Only family only
family Others
IC9 IC10
0
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
0
insufficient load/ data
allowance, unstable
insufficient load/ data
mobile/ internet
allowance, unstable
connection, existing unstable
mobile/ internet
health condition/s, mobile/
connection, existing
difficulty in independent unstable mobile/ internet
health condition/s,
learning, conflict with internet connection connection &
difficulty in
other activities (i.e., only existing
independent learning
house chores), high health
& conflict with other
electrical consumption & condition/s
activities (i.e., house
distractions (i.e., social
chores)
media, noise from
community/neighbor)
CH33
0
SUMMARY MATRIX OF SELECTED DATA ELEMENTS OF MLESF
(This form can be used to tabulate survey result of Class/Section, Grade and School lev
NAME OF SCHOOL
Grade/School Level *Section
Last updated (date): For LIS Adm
Date Posted in LIS QC
B9. Gender
Total (Must be
equalled vis-à-vis
Grade Level Male Female
Enrollment per
Class/Grade Level)
7 0
C2. Parent/Guardian Highest Educational Attainment (select only parent/guardian per learner ha
No Formal Schooling
No Formal Elementary
but able to read and Elementary level
Grade Level Schooling write
Graduate
D1. How many of your household members (including the enrollee) are studying in School Year
Only 1
2 Household 3 Household 4 Household
Grade Level Household
Members Members Members
Member
D2. Who among the household members can provide instructional support to the child’s distan
Parent/ Guardian,
Parent/ Parent/ Guardian,
Parent/ Guardian Siblings, Grand
Guardian Siblings & Grand
Grade Level and Siblings Parent & Other
Only Parent
members of family
D3. What devices are available at home that the learner can use for learning?
Television,
Television Television and Television, Cellphone
Cellphone, Radio
Grade Level Only Cellphone & Radio
& Desktop/laptop
Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
7 0
Mobile data,
Mobile data,
Mobile data Mobile data & broadband,
broadband &
Grade Level only broadband computer shop &
computer shop
other places
D6. What distance learning modality/ies do you prefer for your child?
online online learning,
online learning & online learning,
learning television, radio &
Grade Level television television & radio
only modular learning
DLM1 DLM2 DLM3 DLM4
7
D7. What are the challenges that may affect your child’s learning process through distance edu
lack of available
gadgets/
lack of available
lack of equipment ,
lack of available gadgets/ equipment ,
available insufficient load/
gadgets/ equipment insufficient load/ data
gadgets/ data allowance,
Grade Level equipment & insufficient load/ allowance & unstable unstable mobile/
data allowance mobile/ internet
only internet connection
connection
& existing health
condition/s
E2. If the answer is no , please select only 1 major consideration or state specific reason
Fear of Limited or no
Getting available
Existing Illness or Helping in
Infected of transportation from
Grade Level Corona health related concens household chores
home to school and
Virus vice versa
MC1 MC2 MC3 MC4
7
broadband,
Computer shop and
Broadband only computer shop & Computer shop only
other places
other places
lack of available
lack of available lack of available gadgets/ equipment ,
gadgets/ gadgets/ lack of available gadgets/ insufficient load/ data
equipment , equipment , equipment , insufficient allowance, unstable
insufficient load/ insufficient load/ load/ data allowance, mobile/ internet
data allowance, data allowance, unstable mobile/ internet connection, existing
unstable mobile/ unstable mobile/ connection, existing health condition/s,
internet internet connection, health condition/s, difficulty in independent
connection, existing health difficulty in independent learning, conflict with
existing health condition/s, difficulty learning, conflict with other activities (i.e.,
condition/s & in independent other activities (i.e., house chores), high
difficulty in learning & conflict house chores) & high electrical consumption &
independent with other activities electrical consumption distractions (i.e., social
learning (i.e., house chores) media, noise from
community/neighbor)
pecific reason
helping in family
Presence of Arm Total (Must be equalled
business or Other Reason, if any
Conflict in the area with the no. of "No"
working
responses in E1)
MC5 MC6 MC7
0
racy/completeness
ll sections
ol Enrollment Focal Person (SEFP)
ck for accuracy/completeness
ll Grade Levels
ol Head for review and approval and then to LIS System Administrator
DIVISION REGION
Grand Parent & Grand Parent, Other
Grand Parent Other members of
Other members of members of family &
Only family only
family Others
IC9 IC10
0
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
0
insufficient load/ data
allowance, unstable
insufficient load/ data
mobile/ internet
allowance, unstable
connection, existing unstable
mobile/ internet
health condition/s, mobile/
connection, existing
difficulty in independent unstable mobile/ internet
health condition/s,
learning, conflict with internet connection connection &
difficulty in
other activities (i.e., only existing
independent learning
house chores), high health
& conflict with other
electrical consumption & condition/s
activities (i.e., house
distractions (i.e., social
chores)
media, noise from
community/neighbor)
CH33
0
SUMMARY MATRIX OF SELECTED DATA ELEMENTS OF MLESF
(This form can be used to tabulate survey result of Class/Section, Grade and School lev
NAME OF SCHOOL
Grade/School Level *Section
Last updated (date): For LIS Adm
Date Posted in LIS QC
B9. Gender
Total (Must be
equalled vis-à-vis
Grade Level Male Female
Enrollment per
Class/Grade Level)
8 0
C2. Parent/Guardian Highest Educational Attainment (select only parent/guardian per learner ha
No Formal Schooling
No Formal Elementary
but able to read and Elementary level
Grade Level Schooling write
Graduate
D1. How many of your household members (including the enrollee) are studying in School Year
Only 1
2 Household 3 Household 4 Household
Grade Level Household
Members Members Members
Member
D2. Who among the household members can provide instructional support to the child’s distan
Parent/ Guardian,
Parent/ Parent/ Guardian,
Parent/ Guardian Siblings, Grand
Guardian Siblings & Grand
Grade Level and Siblings Parent & Other
Only Parent
members of family
D3. What devices are available at home that the learner can use for learning?
Television,
Television Television and Television, Cellphone
Cellphone, Radio
Grade Level Only Cellphone & Radio
& Desktop/laptop
Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
8 1 1 2
Mobile data,
Mobile data,
Mobile data Mobile data & broadband,
broadband &
Grade Level only broadband computer shop &
computer shop
other places
D6. What distance learning modality/ies do you prefer for your child?
online online learning,
online learning & online learning,
learning television, radio &
Grade Level television television & radio
only modular learning
DLM1 DLM2 DLM3 DLM4
8
D7. What are the challenges that may affect your child’s learning process through distance edu
lack of available
gadgets/
lack of available
lack of equipment ,
lack of available gadgets/ equipment ,
available insufficient load/
gadgets/ equipment insufficient load/ data
gadgets/ data allowance,
Grade Level equipment & insufficient load/ allowance & unstable unstable mobile/
data allowance mobile/ internet
only internet connection
connection
& existing health
condition/s
E2. If the answer is no , please select only 1 major consideration or state specific reason
Fear of Limited or no
Getting available
Existing Illness or Helping in
Infected of transportation from
Grade Level Corona health related concens household chores
home to school and
Virus vice versa
MC1 MC2 MC3 MC4
8
broadband,
Computer shop and
Broadband only computer shop & Computer shop only
other places
other places
lack of available
lack of available lack of available gadgets/ equipment ,
gadgets/ gadgets/ lack of available gadgets/ insufficient load/ data
equipment , equipment , equipment , insufficient allowance, unstable
insufficient load/ insufficient load/ load/ data allowance, mobile/ internet
data allowance, data allowance, unstable mobile/ internet connection, existing
unstable mobile/ unstable mobile/ connection, existing health condition/s,
internet internet connection, health condition/s, difficulty in independent
connection, existing health difficulty in independent learning, conflict with
existing health condition/s, difficulty learning, conflict with other activities (i.e.,
condition/s & in independent other activities (i.e., house chores), high
difficulty in learning & conflict house chores) & high electrical consumption &
independent with other activities electrical consumption distractions (i.e., social
learning (i.e., house chores) media, noise from
community/neighbor)
pecific reason
helping in family
Presence of Arm Total (Must be equalled
business or Other Reason, if any
Conflict in the area vis-à-vis Enrollment per
working
Class/Grade Level)
MC5 MC6 MC7
0
racy/completeness
ll sections
ol Enrollment Focal Person (SEFP)
ck for accuracy/completeness
ll Grade Levels
ol Head for review and approval and then to LIS System Administrator
DIVISION REGION
Grand Parent & Grand Parent, Other
Grand Parent Other members of
Other members of members of family &
Only family only
family Others
IC9 IC10
0
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
0
insufficient load/ data
allowance, unstable
insufficient load/ data
mobile/ internet
allowance, unstable
connection, existing unstable
mobile/ internet
health condition/s, mobile/
connection, existing
difficulty in independent unstable mobile/ internet
health condition/s,
learning, conflict with internet connection connection &
difficulty in
other activities (i.e., only existing
independent learning
house chores), high health
& conflict with other
electrical consumption & condition/s
activities (i.e., house
distractions (i.e., social
chores)
media, noise from
community/neighbor)
0
unstable mobile/
internet connection,
unstable unstable mobile/
existing health existing health
mobile/ internet connection,
condition/s, difficulty in condition/s,
internet existing health
independent learning, existing difficulty in
connection, condition/s,
conflict with other health independent
existing health difficulty in
activities (i.e., house condition/s learning &
condition/s & independent
chores), high electrical only conflict with other
difficulty in learning & conflict
consumption & activities (i.e.,
independent with other activities
distractions (i.e., social house chores)
learning (i.e., house chores)
media, noise from
community/neighbor)
CH33
0
SUMMARY MATRIX OF SELECTED DATA ELEMENTS OF MLESF
(This form can be used to tabulate survey result of Class/Section, Grade and School lev
NAME OF SCHOOL
Grade/School Level *Section
Last updated (date): For LIS Adm
Date Posted in LIS QC
B9. Gender
Total (Must be
equalled vis-à-vis
Grade Level Male Female
Enrollment per
Class/Grade Level)
8 0
C2. Parent/Guardian Highest Educational Attainment (select only parent/guardian per learner ha
No Formal Schooling
No Formal Elementary
but able to read and Elementary level
Grade Level Schooling write
Graduate
D1. How many of your household members (including the enrollee) are studying in School Year
Only 1
2 Household 3 Household 4 Household
Grade Level Household
Members Members Members
Member
D2. Who among the household members can provide instructional support to the child’s distan
Parent/ Guardian,
Parent/ Parent/ Guardian,
Parent/ Guardian Siblings, Grand
Guardian Siblings & Grand
Grade Level and Siblings Parent & Other
Only Parent
members of family
D3. What devices are available at home that the learner can use for learning?
Television,
Television Television and Television, Cellphone
Cellphone, Radio
Grade Level Only Cellphone & Radio
& Desktop/laptop
Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
8 0
Mobile data,
Mobile data,
Mobile data Mobile data & broadband,
broadband &
Grade Level only broadband computer shop &
computer shop
other places
D6. What distance learning modality/ies do you prefer for your child?
online online learning,
online learning & online learning,
learning television, radio &
Grade Level television television & radio
only modular learning
DLM1 DLM2 DLM3 DLM4
8
D7. What are the challenges that may affect your child’s learning process through distance edu
lack of available
gadgets/
lack of available
lack of equipment ,
lack of available gadgets/ equipment ,
available insufficient load/
gadgets/ equipment insufficient load/ data
gadgets/ data allowance,
Grade Level equipment & insufficient load/ allowance & unstable unstable mobile/
data allowance mobile/ internet
only internet connection
connection
& existing health
condition/s
E2. If the answer is no , please select only 1 major consideration or state specific reason
Fear of Limited or no
Getting available
Existing Illness or Helping in
Infected of transportation from
Grade Level Corona health related concens household chores
home to school and
Virus vice versa
MC1 MC2 MC3 MC4
8
broadband,
Computer shop and
Broadband only computer shop & Computer shop only
other places
other places
lack of available
lack of available lack of available gadgets/ equipment ,
gadgets/ gadgets/ lack of available gadgets/ insufficient load/ data
equipment , equipment , equipment , insufficient allowance, unstable
insufficient load/ insufficient load/ load/ data allowance, mobile/ internet
data allowance, data allowance, unstable mobile/ internet connection, existing
unstable mobile/ unstable mobile/ connection, existing health condition/s,
internet internet connection, health condition/s, difficulty in independent
connection, existing health difficulty in independent learning, conflict with
existing health condition/s, difficulty learning, conflict with other activities (i.e.,
condition/s & in independent other activities (i.e., house chores), high
difficulty in learning & conflict house chores) & high electrical consumption &
independent with other activities electrical consumption distractions (i.e., social
learning (i.e., house chores) media, noise from
community/neighbor)
pecific reason
helping in family
Presence of Arm Total (Must be equalled
business or Other Reason, if any
Conflict in the area vis-à-vis Enrollment per
working
Class/Grade Level)
MC5 MC6 MC7
0
racy/completeness
ll sections
ol Enrollment Focal Person (SEFP)
ck for accuracy/completeness
ll Grade Levels
ol Head for review and approval and then to LIS System Administrator
DIVISION REGION
Grand Parent & Grand Parent, Other
Grand Parent Other members of
Other members of members of family &
Only family only
family Others
IC9 IC10
0
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
0
insufficient load/ data
allowance, unstable
insufficient load/ data
mobile/ internet
allowance, unstable
connection, existing unstable
mobile/ internet
health condition/s, mobile/
connection, existing
difficulty in independent unstable mobile/ internet
health condition/s,
learning, conflict with internet connection connection &
difficulty in
other activities (i.e., only existing
independent learning
house chores), high health
& conflict with other
electrical consumption & condition/s
activities (i.e., house
distractions (i.e., social
chores)
media, noise from
community/neighbor)
0
unstable mobile/
internet connection,
unstable unstable mobile/
existing health existing health
mobile/ internet connection,
condition/s, difficulty in condition/s,
internet existing health
independent learning, existing difficulty in
connection, condition/s,
conflict with other health independent
existing health difficulty in
activities (i.e., house condition/s learning &
condition/s & independent
chores), high electrical only conflict with other
difficulty in learning & conflict
consumption & activities (i.e.,
independent with other activities
distractions (i.e., social house chores)
learning (i.e., house chores)
media, noise from
community/neighbor)
CH33
0
SUMMARY MATRIX OF SELECTED DATA ELEMENTS OF MLESF
(This form can be used to tabulate survey result of Class/Section, Grade and School lev
NAME OF SCHOOL
Grade/School Level *Section
Last updated (date): For LIS Adm
Date Posted in LIS QC
B9. Gender
Total (Must be
equalled vis-à-vis
Grade Level Male Female
Enrollment per
Class/Grade Level)
8 0
C2. Parent/Guardian Highest Educational Attainment (select only parent/guardian per learner ha
No Formal Schooling
No Formal Elementary
but able to read and Elementary level
Grade Level Schooling write
Graduate
D1. How many of your household members (including the enrollee) are studying in School Year
Only 1
2 Household 3 Household 4 Household
Grade Level Household
Members Members Members
Member
D2. Who among the household members can provide instructional support to the child’s distan
Parent/ Guardian,
Parent/ Parent/ Guardian,
Parent/ Guardian Siblings, Grand
Guardian Siblings & Grand
Grade Level and Siblings Parent & Other
Only Parent
members of family
D3. What devices are available at home that the learner can use for learning?
Television,
Television Television and Television, Cellphone
Cellphone, Radio
Grade Level Only Cellphone & Radio
& Desktop/laptop
Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
8 0
Mobile data,
Mobile data,
Mobile data Mobile data & broadband,
broadband &
Grade Level only broadband computer shop &
computer shop
other places
D6. What distance learning modality/ies do you prefer for your child?
online online learning,
online learning & online learning,
learning television, radio &
Grade Level television television & radio
only modular learning
DLM1 DLM2 DLM3 DLM4
8
D7. What are the challenges that may affect your child’s learning process through distance edu
lack of available
gadgets/
lack of available
lack of equipment ,
lack of available gadgets/ equipment ,
available insufficient load/
gadgets/ equipment insufficient load/ data
gadgets/ data allowance,
Grade Level equipment & insufficient load/ allowance & unstable unstable mobile/
data allowance mobile/ internet
only internet connection
connection
& existing health
condition/s
E2. If the answer is no , please select only 1 major consideration or state specific reason
Fear of Limited or no
Getting available
Existing Illness or Helping in
Infected of transportation from
Grade Level Corona health related concens household chores
home to school and
Virus vice versa
MC1 MC2 MC3 MC4
8
broadband,
Computer shop and
Broadband only computer shop & Computer shop only
other places
other places
lack of available
lack of available lack of available gadgets/ equipment ,
gadgets/ gadgets/ lack of available gadgets/ insufficient load/ data
equipment , equipment , equipment , insufficient allowance, unstable
insufficient load/ insufficient load/ load/ data allowance, mobile/ internet
data allowance, data allowance, unstable mobile/ internet connection, existing
unstable mobile/ unstable mobile/ connection, existing health condition/s,
internet internet connection, health condition/s, difficulty in independent
connection, existing health difficulty in independent learning, conflict with
existing health condition/s, difficulty learning, conflict with other activities (i.e.,
condition/s & in independent other activities (i.e., house chores), high
difficulty in learning & conflict house chores) & high electrical consumption &
independent with other activities electrical consumption distractions (i.e., social
learning (i.e., house chores) media, noise from
community/neighbor)
pecific reason
helping in family
Presence of Arm Total (Must be equalled
business or Other Reason, if any
Conflict in the area vis-à-vis Enrollment per
working
Class/Grade Level)
MC5 MC6 MC7
0
racy/completeness
ll sections
ol Enrollment Focal Person (SEFP)
ck for accuracy/completeness
ll Grade Levels
ol Head for review and approval and then to LIS System Administrator
DIVISION REGION
Grand Parent & Grand Parent, Other
Grand Parent Other members of
Other members of members of family &
Only family only
family Others
IC9 IC10
0
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
0
insufficient load/ data
allowance, unstable
insufficient load/ data
mobile/ internet
allowance, unstable
connection, existing unstable
mobile/ internet
health condition/s, mobile/
connection, existing
difficulty in independent unstable mobile/ internet
health condition/s,
learning, conflict with internet connection connection &
difficulty in
other activities (i.e., only existing
independent learning
house chores), high health
& conflict with other
electrical consumption & condition/s
activities (i.e., house
distractions (i.e., social
chores)
media, noise from
community/neighbor)
0
unstable mobile/
internet connection,
unstable unstable mobile/
existing health existing health
mobile/ internet connection,
condition/s, difficulty in condition/s,
internet existing health
independent learning, existing difficulty in
connection, condition/s,
conflict with other health independent
existing health difficulty in
activities (i.e., house condition/s learning &
condition/s & independent
chores), high electrical only conflict with other
difficulty in learning & conflict
consumption & activities (i.e.,
independent with other activities
distractions (i.e., social house chores)
learning (i.e., house chores)
media, noise from
community/neighbor)
CH33
0
SUMMARY MATRIX OF SELECTED DATA ELEMENTS OF MLESF
(This form can be used to tabulate survey result of Class/Section, Grade and School lev
NAME OF SCHOOL
Grade/School Level *Section
Last updated (date): For LIS Adm
Date Posted in LIS QC
B9. Gender
Total (Must be
equalled vis-à-vis
Grade Level Male Female
Enrollment per
Class/Grade Level)
8 0
C2. Parent/Guardian Highest Educational Attainment (select only parent/guardian per learner ha
No Formal Schooling
No Formal Elementary
but able to read and Elementary level
Grade Level Schooling write
Graduate
D1. How many of your household members (including the enrollee) are studying in School Year
Only 1
2 Household 3 Household 4 Household
Grade Level Household
Members Members Members
Member
D2. Who among the household members can provide instructional support to the child’s distan
Parent/ Guardian,
Parent/ Parent/ Guardian,
Parent/ Guardian Siblings, Grand
Guardian Siblings & Grand
Grade Level and Siblings Parent & Other
Only Parent
members of family
D3. What devices are available at home that the learner can use for learning?
Television,
Television Television and Television, Cellphone
Cellphone, Radio
Grade Level Only Cellphone & Radio
& Desktop/laptop
Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
8 0
Mobile data,
Mobile data,
Mobile data Mobile data & broadband,
broadband &
Grade Level only broadband computer shop &
computer shop
other places
D6. What distance learning modality/ies do you prefer for your child?
online online learning,
online learning & online learning,
learning television, radio &
Grade Level television television & radio
only modular learning
DLM1 DLM2 DLM3 DLM4
8
D7. What are the challenges that may affect your child’s learning process through distance edu
lack of available
gadgets/
lack of available
lack of equipment ,
lack of available gadgets/ equipment ,
available insufficient load/
gadgets/ equipment insufficient load/ data
gadgets/ data allowance,
Grade Level equipment & insufficient load/ allowance & unstable unstable mobile/
data allowance mobile/ internet
only internet connection
connection
& existing health
condition/s
E2. If the answer is no , please select only 1 major consideration or state specific reason
Fear of Limited or no
Getting available
Existing Illness or Helping in
Infected of transportation from
Grade Level Corona health related concens household chores
home to school and
Virus vice versa
MC1 MC2 MC3 MC4
8
broadband,
Computer shop and
Broadband only computer shop & Computer shop only
other places
other places
lack of available
lack of available lack of available gadgets/ equipment ,
gadgets/ gadgets/ lack of available gadgets/ insufficient load/ data
equipment , equipment , equipment , insufficient allowance, unstable
insufficient load/ insufficient load/ load/ data allowance, mobile/ internet
data allowance, data allowance, unstable mobile/ internet connection, existing
unstable mobile/ unstable mobile/ connection, existing health condition/s,
internet internet connection, health condition/s, difficulty in independent
connection, existing health difficulty in independent learning, conflict with
existing health condition/s, difficulty learning, conflict with other activities (i.e.,
condition/s & in independent other activities (i.e., house chores), high
difficulty in learning & conflict house chores) & high electrical consumption &
independent with other activities electrical consumption distractions (i.e., social
learning (i.e., house chores) media, noise from
community/neighbor)
pecific reason
helping in family
Presence of Arm Total (Must be equalled
business or Other Reason, if any
Conflict in the area vis-à-vis Enrollment per
working
Class/Grade Level)
MC5 MC6 MC7
0
racy/completeness
ll sections
ol Enrollment Focal Person (SEFP)
ck for accuracy/completeness
ll Grade Levels
ol Head for review and approval and then to LIS System Administrator
DIVISION REGION
Grand Parent & Grand Parent, Other
Grand Parent Other members of
Other members of members of family &
Only family only
family Others
IC9 IC10
0
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
0
insufficient load/ data
allowance, unstable
insufficient load/ data
mobile/ internet
allowance, unstable
connection, existing unstable
mobile/ internet
health condition/s, mobile/
connection, existing
difficulty in independent unstable mobile/ internet
health condition/s,
learning, conflict with internet connection connection &
difficulty in
other activities (i.e., only existing
independent learning
house chores), high health
& conflict with other
electrical consumption & condition/s
activities (i.e., house
distractions (i.e., social
chores)
media, noise from
community/neighbor)
0
unstable mobile/
internet connection,
unstable unstable mobile/
existing health existing health
mobile/ internet connection,
condition/s, difficulty in condition/s,
internet existing health
independent learning, existing difficulty in
connection, condition/s,
conflict with other health independent
existing health difficulty in
activities (i.e., house condition/s learning &
condition/s & independent
chores), high electrical only conflict with other
difficulty in learning & conflict
consumption & activities (i.e.,
independent with other activities
distractions (i.e., social house chores)
learning (i.e., house chores)
media, noise from
community/neighbor)
CH33
0
SUMMARY MATRIX OF SELECTED DATA ELEMENTS OF MLESF
(This form can be used to tabulate survey result of Class/Section, Grade and School lev
NAME OF SCHOOL
Grade/School Level *Section
Last updated (date): For LIS Adm
Date Posted in LIS QC
B9. Gender
Total (Must be
equalled vis-à-vis
Grade Level Male Female
Enrollment per
Class/Grade Level)
8 0
C2. Parent/Guardian Highest Educational Attainment (select only parent/guardian per learner ha
No Formal Schooling
No Formal Elementary
but able to read and Elementary level
Grade Level Schooling write
Graduate
D1. How many of your household members (including the enrollee) are studying in School Year
Only 1
2 Household 3 Household 4 Household
Grade Level Household
Members Members Members
Member
D2. Who among the household members can provide instructional support to the child’s distan
Parent/ Guardian,
Parent/ Parent/ Guardian,
Parent/ Guardian Siblings, Grand
Guardian Siblings & Grand
Grade Level and Siblings Parent & Other
Only Parent
members of family
D3. What devices are available at home that the learner can use for learning?
Television,
Television Television and Television, Cellphone
Cellphone, Radio
Grade Level Only Cellphone & Radio
& Desktop/laptop
Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
8 0
Mobile data,
Mobile data,
Mobile data Mobile data & broadband,
broadband &
Grade Level only broadband computer shop &
computer shop
other places
D6. What distance learning modality/ies do you prefer for your child?
online online learning,
online learning & online learning,
learning television, radio &
Grade Level television television & radio
only modular learning
DLM1 DLM2 DLM3 DLM4
8
D7. What are the challenges that may affect your child’s learning process through distance edu
lack of available
gadgets/
lack of available
lack of equipment ,
lack of available gadgets/ equipment ,
available insufficient load/
gadgets/ equipment insufficient load/ data
gadgets/ data allowance,
Grade Level equipment & insufficient load/ allowance & unstable unstable mobile/
data allowance mobile/ internet
only internet connection
connection
& existing health
condition/s
E2. If the answer is no , please select only 1 major consideration or state specific reason
Fear of Limited or no
Getting available
Existing Illness or Helping in
Infected of transportation from
Grade Level Corona health related concens household chores
home to school and
Virus vice versa
MC1 MC2 MC3 MC4
8
broadband,
Computer shop and
Broadband only computer shop & Computer shop only
other places
other places
lack of available
lack of available lack of available gadgets/ equipment ,
gadgets/ gadgets/ lack of available gadgets/ insufficient load/ data
equipment , equipment , equipment , insufficient allowance, unstable
insufficient load/ insufficient load/ load/ data allowance, mobile/ internet
data allowance, data allowance, unstable mobile/ internet connection, existing
unstable mobile/ unstable mobile/ connection, existing health condition/s,
internet internet connection, health condition/s, difficulty in independent
connection, existing health difficulty in independent learning, conflict with
existing health condition/s, difficulty learning, conflict with other activities (i.e.,
condition/s & in independent other activities (i.e., house chores), high
difficulty in learning & conflict house chores) & high electrical consumption &
independent with other activities electrical consumption distractions (i.e., social
learning (i.e., house chores) media, noise from
community/neighbor)
pecific reason
helping in family
Presence of Arm Total (Must be equalled
business or Other Reason, if any
Conflict in the area vis-à-vis Enrollment per
working
Class/Grade Level)
MC5 MC6 MC7
0
racy/completeness
ll sections
ol Enrollment Focal Person (SEFP)
ck for accuracy/completeness
ll Grade Levels
ol Head for review and approval and then to LIS System Administrator
DIVISION REGION
Grand Parent & Grand Parent, Other
Grand Parent Other members of
Other members of members of family &
Only family only
family Others
IC9 IC10
0
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
0
insufficient load/ data
allowance, unstable
insufficient load/ data
mobile/ internet
allowance, unstable
connection, existing unstable
mobile/ internet
health condition/s, mobile/
connection, existing
difficulty in independent unstable mobile/ internet
health condition/s,
learning, conflict with internet connection connection &
difficulty in
other activities (i.e., only existing
independent learning
house chores), high health
& conflict with other
electrical consumption & condition/s
activities (i.e., house
distractions (i.e., social
chores)
media, noise from
community/neighbor)
0
unstable mobile/
internet connection,
unstable unstable mobile/
existing health existing health
mobile/ internet connection,
condition/s, difficulty in condition/s,
internet existing health
independent learning, existing difficulty in
connection, condition/s,
conflict with other health independent
existing health difficulty in
activities (i.e., house condition/s learning &
condition/s & independent
chores), high electrical only conflict with other
difficulty in learning & conflict
consumption & activities (i.e.,
independent with other activities
distractions (i.e., social house chores)
learning (i.e., house chores)
media, noise from
community/neighbor)
CH33
0
SUMMARY MATRIX OF SELECTED DATA ELEMENTS OF MLESF
(This form can be used to tabulate survey result of Class/Section, Grade and School lev
NAME OF SCHOOL
Grade/School Level *Section
Last updated (date): For LIS Adm
Date Posted in LIS QC
B9. Gender
Total (Must be
equalled vis-à-vis
Grade Level Male Female
Enrollment per
Class/Grade Level)
9 5 5 10
C2. Parent/Guardian Highest Educational Attainment (select only parent/guardian per learner ha
No Formal Schooling
No Formal Elementary
but able to read and Elementary level
Grade Level Schooling write
Graduate
D1. How many of your household members (including the enrollee) are studying in School Year
Only 1
2 Household 3 Household 4 Household
Grade Level Household
Members Members Members
Member
D2. Who among the household members can provide instructional support to the child’s distan
Parent/ Guardian,
Parent/ Parent/ Guardian,
Parent/ Guardian Siblings, Grand
Guardian Siblings & Grand
Grade Level and Siblings Parent & Other
Only Parent
members of family
D3. What devices are available at home that the learner can use for learning?
Television,
Television Television and Television, Cellphone
Cellphone, Radio
Grade Level Only Cellphone & Radio
& Desktop/laptop
Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
9 0
Mobile data,
Mobile data,
Mobile data Mobile data & broadband,
broadband &
Grade Level only broadband computer shop &
computer shop
other places
D6. What distance learning modality/ies do you prefer for your child?
online online learning,
online learning & online learning,
learning television, radio &
Grade Level television television & radio
only modular learning
DLM1 DLM2 DLM3 DLM4
9
D7. What are the challenges that may affect your child’s learning process through distance edu
lack of available
gadgets/
lack of available
lack of equipment ,
lack of available gadgets/ equipment ,
available insufficient load/
gadgets/ equipment insufficient load/ data
gadgets/ data allowance,
Grade Level equipment & insufficient load/ allowance & unstable unstable mobile/
data allowance mobile/ internet
only internet connection
connection
& existing health
condition/s
E2. If the answer is no , please select only 1 major consideration or state specific reason
Fear of Limited or no
Getting available
Existing Illness or Helping in
Infected of transportation from
Grade Level Corona health related concens household chores
home to school and
Virus vice versa
MC1 MC2 MC3 MC4
9
broadband,
Computer shop and
Broadband only computer shop & Computer shop only
other places
other places
lack of available
lack of available lack of available gadgets/ equipment ,
gadgets/ gadgets/ lack of available gadgets/ insufficient load/ data
equipment , equipment , equipment , insufficient allowance, unstable
insufficient load/ insufficient load/ load/ data allowance, mobile/ internet
data allowance, data allowance, unstable mobile/ internet connection, existing
unstable mobile/ unstable mobile/ connection, existing health condition/s,
internet internet connection, health condition/s, difficulty in independent
connection, existing health difficulty in independent learning, conflict with
existing health condition/s, difficulty learning, conflict with other activities (i.e.,
condition/s & in independent other activities (i.e., house chores), high
difficulty in learning & conflict house chores) & high electrical consumption &
independent with other activities electrical consumption distractions (i.e., social
learning (i.e., house chores) media, noise from
community/neighbor)
pecific reason
helping in family
Presence of Arm Total (Must be equalled
business or Other Reason, if any
Conflict in the area vis-à-vis Enrollment per
working
Class/Grade Level)
MC5 MC6 MC7
0
racy/completeness
ll sections
ol Enrollment Focal Person (SEFP)
ck for accuracy/completeness
ll Grade Levels
ol Head for review and approval and then to LIS System Administrator
DIVISION REGION
Grand Parent & Grand Parent, Other
Grand Parent Other members of
Other members of members of family &
Only family only
family Others
IC9 IC10
0
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
0
insufficient load/ data
allowance, unstable
insufficient load/ data
mobile/ internet
allowance, unstable
connection, existing unstable
mobile/ internet
health condition/s, mobile/
connection, existing
difficulty in independent unstable mobile/ internet
health condition/s,
learning, conflict with internet connection connection &
difficulty in
other activities (i.e., only existing
independent learning
house chores), high health
& conflict with other
electrical consumption & condition/s
activities (i.e., house
distractions (i.e., social
chores)
media, noise from
community/neighbor)
CH33
0
SUMMARY MATRIX OF SELECTED DATA ELEMENTS OF MLESF
(This form can be used to tabulate survey result of Class/Section, Grade and School lev
NAME OF SCHOOL
Grade/School Level *Section
Last updated (date): For LIS Adm
Date Posted in LIS QC
B9. Gender
Total (Must be
equalled vis-à-vis
Grade Level Male Female
Enrollment per
Class/Grade Level)
9 5 5 10
C2. Parent/Guardian Highest Educational Attainment (select only parent/guardian per learner ha
No Formal Schooling
No Formal Elementary
but able to read and Elementary level
Grade Level Schooling write
Graduate
D1. How many of your household members (including the enrollee) are studying in School Year
Only 1
2 Household 3 Household 4 Household
Grade Level Household
Members Members Members
Member
D2. Who among the household members can provide instructional support to the child’s distan
Parent/ Guardian,
Parent/ Parent/ Guardian,
Parent/ Guardian Siblings, Grand
Guardian Siblings & Grand
Grade Level and Siblings Parent & Other
Only Parent
members of family
D3. What devices are available at home that the learner can use for learning?
Television,
Television Television and Television, Cellphone
Cellphone, Radio
Grade Level Only Cellphone & Radio
& Desktop/laptop
Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
9 0
Mobile data,
Mobile data,
Mobile data Mobile data & broadband,
broadband &
Grade Level only broadband computer shop &
computer shop
other places
D6. What distance learning modality/ies do you prefer for your child?
online online learning,
online learning & online learning,
learning television, radio &
Grade Level television television & radio
only modular learning
DLM1 DLM2 DLM3 DLM4
9
D7. What are the challenges that may affect your child’s learning process through distance edu
lack of available
gadgets/
lack of available
lack of equipment ,
lack of available gadgets/ equipment ,
available insufficient load/
gadgets/ equipment insufficient load/ data
gadgets/ data allowance,
Grade Level equipment & insufficient load/ allowance & unstable unstable mobile/
data allowance mobile/ internet
only internet connection
connection
& existing health
condition/s
E2. If the answer is no , please select only 1 major consideration or state specific reason
Fear of Limited or no
Getting available
Existing Illness or Helping in
Infected of transportation from
Grade Level Corona health related concens household chores
home to school and
Virus vice versa
MC1 MC2 MC3 MC4
9
broadband,
Computer shop and
Broadband only computer shop & Computer shop only
other places
other places
lack of available
lack of available lack of available gadgets/ equipment ,
gadgets/ gadgets/ lack of available gadgets/ insufficient load/ data
equipment , equipment , equipment , insufficient allowance, unstable
insufficient load/ insufficient load/ load/ data allowance, mobile/ internet
data allowance, data allowance, unstable mobile/ internet connection, existing
unstable mobile/ unstable mobile/ connection, existing health condition/s,
internet internet connection, health condition/s, difficulty in independent
connection, existing health difficulty in independent learning, conflict with
existing health condition/s, difficulty learning, conflict with other activities (i.e.,
condition/s & in independent other activities (i.e., house chores), high
difficulty in learning & conflict house chores) & high electrical consumption &
independent with other activities electrical consumption distractions (i.e., social
learning (i.e., house chores) media, noise from
community/neighbor)
pecific reason
helping in family
Presence of Arm Total (Must be equalled
business or Other Reason, if any
Conflict in the area vis-à-vis Enrollment per
working
Class/Grade Level)
MC5 MC6 MC7
0
racy/completeness
ll sections
ol Enrollment Focal Person (SEFP)
ck for accuracy/completeness
ll Grade Levels
ol Head for review and approval and then to LIS System Administrator
DIVISION REGION
Grand Parent & Grand Parent, Other
Grand Parent Other members of
Other members of members of family &
Only family only
family Others
IC9 IC10
0
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
0
insufficient load/ data
allowance, unstable
insufficient load/ data
mobile/ internet
allowance, unstable
connection, existing unstable
mobile/ internet
health condition/s, mobile/
connection, existing
difficulty in independent unstable mobile/ internet
health condition/s,
learning, conflict with internet connection connection &
difficulty in
other activities (i.e., only existing
independent learning
house chores), high health
& conflict with other
electrical consumption & condition/s
activities (i.e., house
distractions (i.e., social
chores)
media, noise from
community/neighbor)
CH33
0
SUMMARY MATRIX OF SELECTED DATA ELEMENTS OF MLESF
(This form can be used to tabulate survey result of Class/Section, Grade and School lev
NAME OF SCHOOL
Grade/School Level *Section
Last updated (date): For LIS Adm
Date Posted in LIS QC
B9. Gender
Total (Must be
equalled vis-à-vis
Grade Level Male Female
Enrollment per
Class/Grade Level)
9 5 5 10
C2. Parent/Guardian Highest Educational Attainment (select only parent/guardian per learner ha
No Formal Schooling
No Formal Elementary
but able to read and Elementary level
Grade Level Schooling write
Graduate
D1. How many of your household members (including the enrollee) are studying in School Year
Only 1
2 Household 3 Household 4 Household
Grade Level Household
Members Members Members
Member
D2. Who among the household members can provide instructional support to the child’s distan
Parent/ Guardian,
Parent/ Parent/ Guardian,
Parent/ Guardian Siblings, Grand
Guardian Siblings & Grand
Grade Level and Siblings Parent & Other
Only Parent
members of family
D3. What devices are available at home that the learner can use for learning?
Television,
Television Television and Television, Cellphone
Cellphone, Radio
Grade Level Only Cellphone & Radio
& Desktop/laptop
Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
9 0
Mobile data,
Mobile data,
Mobile data Mobile data & broadband,
broadband &
Grade Level only broadband computer shop &
computer shop
other places
D6. What distance learning modality/ies do you prefer for your child?
online online learning,
online learning & online learning,
learning television, radio &
Grade Level television television & radio
only modular learning
DLM1 DLM2 DLM3 DLM4
9
D7. What are the challenges that may affect your child’s learning process through distance edu
lack of available
gadgets/
lack of available
lack of equipment ,
lack of available gadgets/ equipment ,
available insufficient load/
gadgets/ equipment insufficient load/ data
gadgets/ data allowance,
Grade Level equipment & insufficient load/ allowance & unstable unstable mobile/
data allowance mobile/ internet
only internet connection
connection
& existing health
condition/s
E2. If the answer is no , please select only 1 major consideration or state specific reason
Fear of Limited or no
Getting available
Existing Illness or Helping in
Infected of transportation from
Grade Level Corona health related concens household chores
home to school and
Virus vice versa
MC1 MC2 MC3 MC4
9
broadband,
Computer shop and
Broadband only computer shop & Computer shop only
other places
other places
lack of available
lack of available lack of available gadgets/ equipment ,
gadgets/ gadgets/ lack of available gadgets/ insufficient load/ data
equipment , equipment , equipment , insufficient allowance, unstable
insufficient load/ insufficient load/ load/ data allowance, mobile/ internet
data allowance, data allowance, unstable mobile/ internet connection, existing
unstable mobile/ unstable mobile/ connection, existing health condition/s,
internet internet connection, health condition/s, difficulty in independent
connection, existing health difficulty in independent learning, conflict with
existing health condition/s, difficulty learning, conflict with other activities (i.e.,
condition/s & in independent other activities (i.e., house chores), high
difficulty in learning & conflict house chores) & high electrical consumption &
independent with other activities electrical consumption distractions (i.e., social
learning (i.e., house chores) media, noise from
community/neighbor)
pecific reason
helping in family
Presence of Arm Total (Must be equalled
business or Other Reason, if any
Conflict in the area vis-à-vis Enrollment per
working
Class/Grade Level)
MC5 MC6 MC7
0
racy/completeness
ll sections
ol Enrollment Focal Person (SEFP)
ck for accuracy/completeness
ll Grade Levels
ol Head for review and approval and then to LIS System Administrator
DIVISION REGION
Grand Parent & Grand Parent, Other
Grand Parent Other members of
Other members of members of family &
Only family only
family Others
IC9 IC10
0
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
0
insufficient load/ data
allowance, unstable
insufficient load/ data
mobile/ internet
allowance, unstable
connection, existing unstable
mobile/ internet
health condition/s, mobile/
connection, existing
difficulty in independent unstable mobile/ internet
health condition/s,
learning, conflict with internet connection connection &
difficulty in
other activities (i.e., only existing
independent learning
house chores), high health
& conflict with other
electrical consumption & condition/s
activities (i.e., house
distractions (i.e., social
chores)
media, noise from
community/neighbor)
CH33
0
SUMMARY MATRIX OF SELECTED DATA ELEMENTS OF MLESF
(This form can be used to tabulate survey result of Class/Section, Grade and School lev
NAME OF SCHOOL
Grade/School Level *Section
Last updated (date): For LIS Adm
Date Posted in LIS QC
B9. Gender
Total (Must be
equalled vis-à-vis
Grade Level Male Female
Enrollment per
Class/Grade Level)
9 5 5 10
C2. Parent/Guardian Highest Educational Attainment (select only parent/guardian per learner ha
No Formal Schooling
No Formal Elementary
but able to read and Elementary level
Grade Level Schooling write
Graduate
D1. How many of your household members (including the enrollee) are studying in School Year
Only 1
2 Household 3 Household 4 Household
Grade Level Household
Members Members Members
Member
D2. Who among the household members can provide instructional support to the child’s distan
Parent/ Guardian,
Parent/ Parent/ Guardian,
Parent/ Guardian Siblings, Grand
Guardian Siblings & Grand
Grade Level and Siblings Parent & Other
Only Parent
members of family
D3. What devices are available at home that the learner can use for learning?
Television,
Television Television and Television, Cellphone
Cellphone, Radio
Grade Level Only Cellphone & Radio
& Desktop/laptop
Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
9 0
Mobile data,
Mobile data,
Mobile data Mobile data & broadband,
broadband &
Grade Level only broadband computer shop &
computer shop
other places
D6. What distance learning modality/ies do you prefer for your child?
online online learning,
online learning & online learning,
learning television, radio &
Grade Level television television & radio
only modular learning
DLM1 DLM2 DLM3 DLM4
9
D7. What are the challenges that may affect your child’s learning process through distance edu
lack of available
gadgets/
lack of available
lack of equipment ,
lack of available gadgets/ equipment ,
available insufficient load/
gadgets/ equipment insufficient load/ data
gadgets/ data allowance,
Grade Level equipment & insufficient load/ allowance & unstable unstable mobile/
data allowance mobile/ internet
only internet connection
connection
& existing health
condition/s
E2. If the answer is no , please select only 1 major consideration or state specific reason
Fear of Limited or no
Getting available
Existing Illness or Helping in
Infected of transportation from
Grade Level Corona health related concens household chores
home to school and
Virus vice versa
MC1 MC2 MC3 MC4
9
broadband,
Computer shop and
Broadband only computer shop & Computer shop only
other places
other places
lack of available
lack of available lack of available gadgets/ equipment ,
gadgets/ gadgets/ lack of available gadgets/ insufficient load/ data
equipment , equipment , equipment , insufficient allowance, unstable
insufficient load/ insufficient load/ load/ data allowance, mobile/ internet
data allowance, data allowance, unstable mobile/ internet connection, existing
unstable mobile/ unstable mobile/ connection, existing health condition/s,
internet internet connection, health condition/s, difficulty in independent
connection, existing health difficulty in independent learning, conflict with
existing health condition/s, difficulty learning, conflict with other activities (i.e.,
condition/s & in independent other activities (i.e., house chores), high
difficulty in learning & conflict house chores) & high electrical consumption &
independent with other activities electrical consumption distractions (i.e., social
learning (i.e., house chores) media, noise from
community/neighbor)
pecific reason
helping in family
Presence of Arm Total (Must be equalled
business or Other Reason, if any
Conflict in the area vis-à-vis Enrollment per
working
Class/Grade Level)
MC5 MC6 MC7
0
racy/completeness
ll sections
ol Enrollment Focal Person (SEFP)
ck for accuracy/completeness
ll Grade Levels
ol Head for review and approval and then to LIS System Administrator
DIVISION REGION
Grand Parent & Grand Parent, Other
Grand Parent Other members of
Other members of members of family &
Only family only
family Others
IC9 IC10
0
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
0
insufficient load/ data
allowance, unstable
insufficient load/ data
mobile/ internet
allowance, unstable
connection, existing unstable
mobile/ internet
health condition/s, mobile/
connection, existing
difficulty in independent unstable mobile/ internet
health condition/s,
learning, conflict with internet connection connection &
difficulty in
other activities (i.e., only existing
independent learning
house chores), high health
& conflict with other
electrical consumption & condition/s
activities (i.e., house
distractions (i.e., social
chores)
media, noise from
community/neighbor)
CH33
0
SUMMARY MATRIX OF SELECTED DATA ELEMENTS OF MLESF
(This form can be used to tabulate survey result of Class/Section, Grade and School lev
NAME OF SCHOOL
Grade/School Level *Section
Last updated (date): For LIS Adm
Date Posted in LIS QC
B9. Gender
Total (Must be
equalled vis-à-vis
Grade Level Male Female
Enrollment per
Class/Grade Level)
9 5 5 10
C2. Parent/Guardian Highest Educational Attainment (select only parent/guardian per learner ha
No Formal Schooling
No Formal Elementary
but able to read and Elementary level
Grade Level Schooling write
Graduate
D1. How many of your household members (including the enrollee) are studying in School Year
Only 1
2 Household 3 Household 4 Household
Grade Level Household
Members Members Members
Member
D2. Who among the household members can provide instructional support to the child’s distan
Parent/ Guardian,
Parent/ Parent/ Guardian,
Parent/ Guardian Siblings, Grand
Guardian Siblings & Grand
Grade Level and Siblings Parent & Other
Only Parent
members of family
D3. What devices are available at home that the learner can use for learning?
Television,
Television Television and Television, Cellphone
Cellphone, Radio
Grade Level Only Cellphone & Radio
& Desktop/laptop
Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
9 0
Mobile data,
Mobile data,
Mobile data Mobile data & broadband,
broadband &
Grade Level only broadband computer shop &
computer shop
other places
D6. What distance learning modality/ies do you prefer for your child?
online online learning,
online learning & online learning,
learning television, radio &
Grade Level television television & radio
only modular learning
DLM1 DLM2 DLM3 DLM4
9
D7. What are the challenges that may affect your child’s learning process through distance edu
lack of available
gadgets/
lack of available
lack of equipment ,
lack of available gadgets/ equipment ,
available insufficient load/
gadgets/ equipment insufficient load/ data
gadgets/ data allowance,
Grade Level equipment & insufficient load/ allowance & unstable unstable mobile/
data allowance mobile/ internet
only internet connection
connection
& existing health
condition/s
E2. If the answer is no , please select only 1 major consideration or state specific reason
Fear of Limited or no
Getting available
Existing Illness or Helping in
Infected of transportation from
Grade Level Corona health related concens household chores
home to school and
Virus vice versa
MC1 MC2 MC3 MC4
9
broadband,
Computer shop and
Broadband only computer shop & Computer shop only
other places
other places
lack of available
lack of available lack of available gadgets/ equipment ,
gadgets/ gadgets/ lack of available gadgets/ insufficient load/ data
equipment , equipment , equipment , insufficient allowance, unstable
insufficient load/ insufficient load/ load/ data allowance, mobile/ internet
data allowance, data allowance, unstable mobile/ internet connection, existing
unstable mobile/ unstable mobile/ connection, existing health condition/s,
internet internet connection, health condition/s, difficulty in independent
connection, existing health difficulty in independent learning, conflict with
existing health condition/s, difficulty learning, conflict with other activities (i.e.,
condition/s & in independent other activities (i.e., house chores), high
difficulty in learning & conflict house chores) & high electrical consumption &
independent with other activities electrical consumption distractions (i.e., social
learning (i.e., house chores) media, noise from
community/neighbor)
pecific reason
helping in family
Presence of Arm Total (Must be equalled
business or Other Reason, if any
Conflict in the area vis-à-vis Enrollment per
working
Class/Grade Level)
MC5 MC6 MC7
0
racy/completeness
ll sections
ol Enrollment Focal Person (SEFP)
ck for accuracy/completeness
ll Grade Levels
ol Head for review and approval and then to LIS System Administrator
DIVISION REGION
Grand Parent & Grand Parent, Other
Grand Parent Other members of
Other members of members of family &
Only family only
family Others
IC9 IC10
0
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
0
insufficient load/ data
allowance, unstable
insufficient load/ data
mobile/ internet
allowance, unstable
connection, existing unstable
mobile/ internet
health condition/s, mobile/
connection, existing
difficulty in independent unstable mobile/ internet
health condition/s,
learning, conflict with internet connection connection &
difficulty in
other activities (i.e., only existing
independent learning
house chores), high health
& conflict with other
electrical consumption & condition/s
activities (i.e., house
distractions (i.e., social
chores)
media, noise from
community/neighbor)
CH33
0
SUMMARY MATRIX OF SELECTED DATA ELEMENTS OF MLESF
(This form can be used to tabulate survey result of Class/Section, Grade and School lev
NAME OF SCHOOL
Grade/School Level *Section
Last updated (date): For LIS Adm
Date Posted in LIS QC
B9. Gender
Total (Must be
equalled vis-à-vis
Grade Level Male Female
Enrollment per
Class/Grade Level)
10 0
C2. Parent/Guardian Highest Educational Attainment (select only parent/guardian per learner ha
No Formal Schooling
No Formal Elementary
but able to read and Elementary level
Grade Level Schooling write
Graduate
D1. How many of your household members (including the enrollee) are studying in School Year
Only 1
2 Household 3 Household 4 Household
Grade Level Household
Members Members Members
Member
10
D2. Who among the household members can provide instructional support to the child’s distan
Parent/ Guardian,
Parent/ Parent/ Guardian,
Parent/ Guardian Siblings, Grand
Guardian Siblings & Grand
Grade Level and Siblings Parent & Other
Only Parent
members of family
D3. What devices are available at home that the learner can use for learning?
Television,
Television Television and Television, Cellphone
Cellphone, Radio
Grade Level Only Cellphone & Radio
& Desktop/laptop
Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
10 0
Mobile data,
Mobile data,
Mobile data Mobile data & broadband,
broadband &
Grade Level only broadband computer shop &
computer shop
other places
D6. What distance learning modality/ies do you prefer for your child?
online online learning,
online learning & online learning,
learning television, radio &
Grade Level television television & radio
only modular learning
DLM1 DLM2 DLM3 DLM4
10
D7. What are the challenges that may affect your child’s learning process through distance edu
lack of available
gadgets/
lack of available
lack of equipment ,
lack of available gadgets/ equipment ,
available insufficient load/
gadgets/ equipment insufficient load/ data
gadgets/ data allowance,
Grade Level equipment & insufficient load/ allowance & unstable unstable mobile/
data allowance mobile/ internet
only internet connection
connection
& existing health
condition/s
E2. If the answer is no , please select only 1 major consideration or state specific reason
Fear of Limited or no
Getting available
Existing Illness or Helping in
Infected of transportation from
Grade Level Corona health related concens household chores
home to school and
Virus vice versa
MC1 MC2 MC3 MC4
10
broadband,
Computer shop and
Broadband only computer shop & Computer shop only
other places
other places
lack of available
lack of available lack of available gadgets/ equipment ,
gadgets/ gadgets/ lack of available gadgets/ insufficient load/ data
equipment , equipment , equipment , insufficient allowance, unstable
insufficient load/ insufficient load/ load/ data allowance, mobile/ internet
data allowance, data allowance, unstable mobile/ internet connection, existing
unstable mobile/ unstable mobile/ connection, existing health condition/s,
internet internet connection, health condition/s, difficulty in independent
connection, existing health difficulty in independent learning, conflict with
existing health condition/s, difficulty learning, conflict with other activities (i.e.,
condition/s & in independent other activities (i.e., house chores), high
difficulty in learning & conflict house chores) & high electrical consumption &
independent with other activities electrical consumption distractions (i.e., social
learning (i.e., house chores) media, noise from
community/neighbor)
pecific reason
helping in family
Presence of Arm Total (Must be equalled
business or Other Reason, if any
Conflict in the area vis-à-vis Enrollment per
working
Class/Grade Level)
MC5 MC6 MC7
0
racy/completeness
ll sections
ol Enrollment Focal Person (SEFP)
ck for accuracy/completeness
ll Grade Levels
ol Head for review and approval and then to LIS System Administrator
DIVISION REGION
Grand Parent & Grand Parent, Other
Grand Parent Other members of
Other members of members of family &
Only family only
family Others
IC9 IC10
0
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
0
insufficient load/ data
allowance, unstable
insufficient load/ data
mobile/ internet
allowance, unstable
connection, existing unstable
mobile/ internet
health condition/s, mobile/
connection, existing
difficulty in independent unstable mobile/ internet
health condition/s,
learning, conflict with internet connection connection &
difficulty in
other activities (i.e., only existing
independent learning
house chores), high health
& conflict with other
electrical consumption & condition/s
activities (i.e., house
distractions (i.e., social
chores)
media, noise from
community/neighbor)
CH33
0
SUMMARY MATRIX OF SELECTED DATA ELEMENTS OF MLESF
(This form can be used to tabulate survey result of Class/Section, Grade and School lev
NAME OF SCHOOL
Grade/School Level *Section
Last updated (date): For LIS Adm
Date Posted in LIS QC
B9. Gender
Total (Must be
equalled vis-à-vis
Grade Level Male Female
Enrollment per
Class/Grade Level)
10 0
C2. Parent/Guardian Highest Educational Attainment (select only parent/guardian per learner ha
No Formal Schooling
No Formal Elementary
but able to read and Elementary level
Grade Level Schooling write
Graduate
D1. How many of your household members (including the enrollee) are studying in School Year
Only 1
2 Household 3 Household 4 Household
Grade Level Household
Members Members Members
Member
10
D2. Who among the household members can provide instructional support to the child’s distan
Parent/ Guardian,
Parent/ Parent/ Guardian,
Parent/ Guardian Siblings, Grand
Guardian Siblings & Grand
Grade Level and Siblings Parent & Other
Only Parent
members of family
D3. What devices are available at home that the learner can use for learning?
Television,
Television Television and Television, Cellphone
Cellphone, Radio
Grade Level Only Cellphone & Radio
& Desktop/laptop
Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
10 0
Mobile data,
Mobile data,
Mobile data Mobile data & broadband,
broadband &
Grade Level only broadband computer shop &
computer shop
other places
D6. What distance learning modality/ies do you prefer for your child?
online online learning,
online learning & online learning,
learning television, radio &
Grade Level television television & radio
only modular learning
DLM1 DLM2 DLM3 DLM4
10
D7. What are the challenges that may affect your child’s learning process through distance edu
lack of available
gadgets/
lack of available
lack of equipment ,
lack of available gadgets/ equipment ,
available insufficient load/
gadgets/ equipment insufficient load/ data
gadgets/ data allowance,
Grade Level equipment & insufficient load/ allowance & unstable unstable mobile/
data allowance mobile/ internet
only internet connection
connection
& existing health
condition/s
E2. If the answer is no , please select only 1 major consideration or state specific reason
Fear of Limited or no
Getting available
Existing Illness or Helping in
Infected of transportation from
Grade Level Corona health related concens household chores
home to school and
Virus vice versa
MC1 MC2 MC3 MC4
10
broadband,
Computer shop and
Broadband only computer shop & Computer shop only
other places
other places
lack of available
lack of available lack of available gadgets/ equipment ,
gadgets/ gadgets/ lack of available gadgets/ insufficient load/ data
equipment , equipment , equipment , insufficient allowance, unstable
insufficient load/ insufficient load/ load/ data allowance, mobile/ internet
data allowance, data allowance, unstable mobile/ internet connection, existing
unstable mobile/ unstable mobile/ connection, existing health condition/s,
internet internet connection, health condition/s, difficulty in independent
connection, existing health difficulty in independent learning, conflict with
existing health condition/s, difficulty learning, conflict with other activities (i.e.,
condition/s & in independent other activities (i.e., house chores), high
difficulty in learning & conflict house chores) & high electrical consumption &
independent with other activities electrical consumption distractions (i.e., social
learning (i.e., house chores) media, noise from
community/neighbor)
pecific reason
helping in family
Presence of Arm Total (Must be equalled
business or Other Reason, if any
Conflict in the area vis-à-vis Enrollment per
working
Class/Grade Level)
MC5 MC6 MC7
0
racy/completeness
ll sections
ol Enrollment Focal Person (SEFP)
ck for accuracy/completeness
ll Grade Levels
ol Head for review and approval and then to LIS System Administrator
DIVISION REGION
Grand Parent & Grand Parent, Other
Grand Parent Other members of
Other members of members of family &
Only family only
family Others
IC9 IC10
0
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
0
insufficient load/ data
allowance, unstable
insufficient load/ data
mobile/ internet
allowance, unstable
connection, existing unstable
mobile/ internet
health condition/s, mobile/
connection, existing
difficulty in independent unstable mobile/ internet
health condition/s,
learning, conflict with internet connection connection &
difficulty in
other activities (i.e., only existing
independent learning
house chores), high health
& conflict with other
electrical consumption & condition/s
activities (i.e., house
distractions (i.e., social
chores)
media, noise from
community/neighbor)
CH33
0
SUMMARY MATRIX OF SELECTED DATA ELEMENTS OF MLESF
(This form can be used to tabulate survey result of Class/Section, Grade and School lev
NAME OF SCHOOL
Grade/School Level *Section
Last updated (date): For LIS Adm
Date Posted in LIS QC
B9. Gender
Total (Must be
equalled vis-à-vis
Grade Level Male Female
Enrollment per
Class/Grade Level)
10 0
C2. Parent/Guardian Highest Educational Attainment (select only parent/guardian per learner ha
No Formal Schooling
No Formal Elementary
but able to read and Elementary level
Grade Level Schooling write
Graduate
D1. How many of your household members (including the enrollee) are studying in School Year
Only 1
2 Household 3 Household 4 Household
Grade Level Household
Members Members Members
Member
10
D2. Who among the household members can provide instructional support to the child’s distan
Parent/ Guardian,
Parent/ Parent/ Guardian,
Parent/ Guardian Siblings, Grand
Guardian Siblings & Grand
Grade Level and Siblings Parent & Other
Only Parent
members of family
D3. What devices are available at home that the learner can use for learning?
Television,
Television Television and Television, Cellphone
Cellphone, Radio
Grade Level Only Cellphone & Radio
& Desktop/laptop
Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
10 0
Mobile data,
Mobile data,
Mobile data Mobile data & broadband,
broadband &
Grade Level only broadband computer shop &
computer shop
other places
D6. What distance learning modality/ies do you prefer for your child?
online online learning,
online learning & online learning,
learning television, radio &
Grade Level television television & radio
only modular learning
DLM1 DLM2 DLM3 DLM4
10
D7. What are the challenges that may affect your child’s learning process through distance edu
lack of available
gadgets/
lack of available
lack of equipment ,
lack of available gadgets/ equipment ,
available insufficient load/
gadgets/ equipment insufficient load/ data
gadgets/ data allowance,
Grade Level equipment & insufficient load/ allowance & unstable unstable mobile/
data allowance mobile/ internet
only internet connection
connection
& existing health
condition/s
E2. If the answer is no , please select only 1 major consideration or state specific reason
Fear of Limited or no
Getting available
Existing Illness or Helping in
Infected of transportation from
Grade Level Corona health related concens household chores
home to school and
Virus vice versa
MC1 MC2 MC3 MC4
10
broadband,
Computer shop and
Broadband only computer shop & Computer shop only
other places
other places
lack of available
lack of available lack of available gadgets/ equipment ,
gadgets/ gadgets/ lack of available gadgets/ insufficient load/ data
equipment , equipment , equipment , insufficient allowance, unstable
insufficient load/ insufficient load/ load/ data allowance, mobile/ internet
data allowance, data allowance, unstable mobile/ internet connection, existing
unstable mobile/ unstable mobile/ connection, existing health condition/s,
internet internet connection, health condition/s, difficulty in independent
connection, existing health difficulty in independent learning, conflict with
existing health condition/s, difficulty learning, conflict with other activities (i.e.,
condition/s & in independent other activities (i.e., house chores), high
difficulty in learning & conflict house chores) & high electrical consumption &
independent with other activities electrical consumption distractions (i.e., social
learning (i.e., house chores) media, noise from
community/neighbor)
pecific reason
helping in family
Presence of Arm Total (Must be equalled
business or Other Reason, if any
Conflict in the area vis-à-vis Enrollment per
working
Class/Grade Level)
MC5 MC6 MC7
0
racy/completeness
ll sections
ol Enrollment Focal Person (SEFP)
ck for accuracy/completeness
ll Grade Levels
ol Head for review and approval and then to LIS System Administrator
DIVISION REGION
Grand Parent & Grand Parent, Other
Grand Parent Other members of
Other members of members of family &
Only family only
family Others
IC9 IC10
0
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
0
insufficient load/ data
allowance, unstable
insufficient load/ data
mobile/ internet
allowance, unstable
connection, existing unstable
mobile/ internet
health condition/s, mobile/
connection, existing
difficulty in independent unstable mobile/ internet
health condition/s,
learning, conflict with internet connection connection &
difficulty in
other activities (i.e., only existing
independent learning
house chores), high health
& conflict with other
electrical consumption & condition/s
activities (i.e., house
distractions (i.e., social
chores)
media, noise from
community/neighbor)
CH33
0
SUMMARY MATRIX OF SELECTED DATA ELEMENTS OF MLESF
(This form can be used to tabulate survey result of Class/Section, Grade and School lev
NAME OF SCHOOL
Grade/School Level *Section
Last updated (date): For LIS Adm
Date Posted in LIS QC
B9. Gender
Total (Must be
equalled vis-à-vis
Grade Level Male Female
Enrollment per
Class/Grade Level)
10 0
C2. Parent/Guardian Highest Educational Attainment (select only parent/guardian per learner ha
No Formal Schooling
No Formal Elementary
but able to read and Elementary level
Grade Level Schooling write
Graduate
D1. How many of your household members (including the enrollee) are studying in School Year
Only 1
2 Household 3 Household 4 Household
Grade Level Household
Members Members Members
Member
10
D2. Who among the household members can provide instructional support to the child’s distan
Parent/ Guardian,
Parent/ Parent/ Guardian,
Parent/ Guardian Siblings, Grand
Guardian Siblings & Grand
Grade Level and Siblings Parent & Other
Only Parent
members of family
D3. What devices are available at home that the learner can use for learning?
Television,
Television Television and Television, Cellphone
Cellphone, Radio
Grade Level Only Cellphone & Radio
& Desktop/laptop
Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
10 0
Mobile data,
Mobile data,
Mobile data Mobile data & broadband,
broadband &
Grade Level only broadband computer shop &
computer shop
other places
D6. What distance learning modality/ies do you prefer for your child?
online online learning,
online learning & online learning,
learning television, radio &
Grade Level television television & radio
only modular learning
DLM1 DLM2 DLM3 DLM4
10
D7. What are the challenges that may affect your child’s learning process through distance edu
lack of available
gadgets/
lack of available
lack of equipment ,
lack of available gadgets/ equipment ,
available insufficient load/
gadgets/ equipment insufficient load/ data
gadgets/ data allowance,
Grade Level equipment & insufficient load/ allowance & unstable unstable mobile/
data allowance mobile/ internet
only internet connection
connection
& existing health
condition/s
E2. If the answer is no , please select only 1 major consideration or state specific reason
Fear of Limited or no
Getting available
Existing Illness or Helping in
Infected of transportation from
Grade Level Corona health related concens household chores
home to school and
Virus vice versa
MC1 MC2 MC3 MC4
10
broadband,
Computer shop and
Broadband only computer shop & Computer shop only
other places
other places
lack of available
lack of available lack of available gadgets/ equipment ,
gadgets/ gadgets/ lack of available gadgets/ insufficient load/ data
equipment , equipment , equipment , insufficient allowance, unstable
insufficient load/ insufficient load/ load/ data allowance, mobile/ internet
data allowance, data allowance, unstable mobile/ internet connection, existing
unstable mobile/ unstable mobile/ connection, existing health condition/s,
internet internet connection, health condition/s, difficulty in independent
connection, existing health difficulty in independent learning, conflict with
existing health condition/s, difficulty learning, conflict with other activities (i.e.,
condition/s & in independent other activities (i.e., house chores), high
difficulty in learning & conflict house chores) & high electrical consumption &
independent with other activities electrical consumption distractions (i.e., social
learning (i.e., house chores) media, noise from
community/neighbor)
pecific reason
helping in family
Presence of Arm Total (Must be equalled
business or Other Reason, if any
Conflict in the area vis-à-vis Enrollment per
working
Class/Grade Level)
MC5 MC6 MC7
0
racy/completeness
ll sections
ol Enrollment Focal Person (SEFP)
ck for accuracy/completeness
ll Grade Levels
ol Head for review and approval and then to LIS System Administrator
DIVISION REGION
Grand Parent & Grand Parent, Other
Grand Parent Other members of
Other members of members of family &
Only family only
family Others
IC9 IC10
0
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
0
insufficient load/ data
allowance, unstable
insufficient load/ data
mobile/ internet
allowance, unstable
connection, existing unstable
mobile/ internet
health condition/s, mobile/
connection, existing
difficulty in independent unstable mobile/ internet
health condition/s,
learning, conflict with internet connection connection &
difficulty in
other activities (i.e., only existing
independent learning
house chores), high health
& conflict with other
electrical consumption & condition/s
activities (i.e., house
distractions (i.e., social
chores)
media, noise from
community/neighbor)
CH33
0
SUMMARY MATRIX OF SELECTED DATA ELEMENTS OF MLESF
(This form can be used to tabulate survey result of Class/Section, Grade and School lev
NAME OF SCHOOL
Grade/School Level *Section
Last updated (date): For LIS Adm
Date Posted in LIS QC
B9. Gender
Total (Must be
equalled vis-à-vis
Grade Level Male Female
Enrollment per
Class/Grade Level)
10 0
C2. Parent/Guardian Highest Educational Attainment (select only parent/guardian per learner ha
No Formal Schooling
No Formal Elementary
but able to read and Elementary level
Grade Level Schooling write
Graduate
D1. How many of your household members (including the enrollee) are studying in School Year
Only 1
2 Household 3 Household 4 Household
Grade Level Household
Members Members Members
Member
10
D2. Who among the household members can provide instructional support to the child’s distan
Parent/ Guardian,
Parent/ Parent/ Guardian,
Parent/ Guardian Siblings, Grand
Guardian Siblings & Grand
Grade Level and Siblings Parent & Other
Only Parent
members of family
D3. What devices are available at home that the learner can use for learning?
Television,
Television Television and Television, Cellphone
Cellphone, Radio
Grade Level Only Cellphone & Radio
& Desktop/laptop
Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
10 0
Mobile data,
Mobile data,
Mobile data Mobile data & broadband,
broadband &
Grade Level only broadband computer shop &
computer shop
other places
D6. What distance learning modality/ies do you prefer for your child?
online online learning,
online learning & online learning,
learning television, radio &
Grade Level television television & radio
only modular learning
DLM1 DLM2 DLM3 DLM4
10
D7. What are the challenges that may affect your child’s learning process through distance edu
lack of available
gadgets/
lack of available
lack of equipment ,
lack of available gadgets/ equipment ,
available insufficient load/
gadgets/ equipment insufficient load/ data
gadgets/ data allowance,
Grade Level equipment & insufficient load/ allowance & unstable unstable mobile/
data allowance mobile/ internet
only internet connection
connection
& existing health
condition/s
E2. If the answer is no , please select only 1 major consideration or state specific reason
Fear of Limited or no
Getting available
Existing Illness or Helping in
Infected of transportation from
Grade Level Corona health related concens household chores
home to school and
Virus vice versa
MC1 MC2 MC3 MC4
10
broadband,
Computer shop and
Broadband only computer shop & Computer shop only
other places
other places
lack of available
lack of available lack of available gadgets/ equipment ,
gadgets/ gadgets/ lack of available gadgets/ insufficient load/ data
equipment , equipment , equipment , insufficient allowance, unstable
insufficient load/ insufficient load/ load/ data allowance, mobile/ internet
data allowance, data allowance, unstable mobile/ internet connection, existing
unstable mobile/ unstable mobile/ connection, existing health condition/s,
internet internet connection, health condition/s, difficulty in independent
connection, existing health difficulty in independent learning, conflict with
existing health condition/s, difficulty learning, conflict with other activities (i.e.,
condition/s & in independent other activities (i.e., house chores), high
difficulty in learning & conflict house chores) & high electrical consumption &
independent with other activities electrical consumption distractions (i.e., social
learning (i.e., house chores) media, noise from
community/neighbor)
pecific reason
helping in family
Presence of Arm Total (Must be equalled
business or Other Reason, if any
Conflict in the area vis-à-vis Enrollment per
working
Class/Grade Level)
MC5 MC6 MC7
0
racy/completeness
ll sections
ol Enrollment Focal Person (SEFP)
ck for accuracy/completeness
ll Grade Levels
ol Head for review and approval and then to LIS System Administrator
DIVISION REGION
Grand Parent & Grand Parent, Other
Grand Parent Other members of
Other members of members of family &
Only family only
family Others
IC9 IC10
0
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
0
insufficient load/ data
allowance, unstable
insufficient load/ data
mobile/ internet
allowance, unstable
connection, existing unstable
mobile/ internet
health condition/s, mobile/
connection, existing
difficulty in independent unstable mobile/ internet
health condition/s,
learning, conflict with internet connection connection &
difficulty in
other activities (i.e., only existing
independent learning
house chores), high health
& conflict with other
electrical consumption & condition/s
activities (i.e., house
distractions (i.e., social
chores)
media, noise from
community/neighbor)
CH33
0
SUMMARY MATRIX OF SELECTED DATA ELEMENTS OF MLESF
(This form can be used to tabulate survey result of Class/Section, Grade and School lev
NAME OF SCHOOL
Grade/School Level *Section
Last updated (date): For LIS Adm
Date Posted in LIS QC
B9. Gender
Total (Must be
equalled vis-à-vis
Grade Level Male Female
Enrollment per
Class/Grade Level)
Non-Graded 0
C2. Parent/Guardian Highest Educational Attainment (select only parent/guardian per learner ha
No Formal Schooling
No Formal Elementary
but able to read and Elementary level
Grade Level Schooling write
Graduate
D1. How many of your household members (including the enrollee) are studying in School Year
Only 1
2 Household 3 Household 4 Household
Grade Level Household
Members Members Members
Member
Non-Graded
D2. Who among the household members can provide instructional support to the child’s distan
Parent/ Guardian,
Parent/ Parent/ Guardian,
Parent/ Guardian Siblings, Grand
Guardian Siblings & Grand
Grade Level and Siblings Parent & Other
Only Parent
members of family
D3. What devices are available at home that the learner can use for learning?
Television,
Television Television and Television, Cellphone
Cellphone, Radio
Grade Level Only Cellphone & Radio
& Desktop/laptop
Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
Non-Graded 0
Mobile data,
Mobile data,
Mobile data Mobile data & broadband,
broadband &
Grade Level only broadband computer shop &
computer shop
other places
D6. What distance learning modality/ies do you prefer for your child?
online online learning,
online learning & online learning,
learning television, radio &
Grade Level television television & radio
only modular learning
DLM1 DLM2 DLM3 DLM4
Non-Graded
D7. What are the challenges that may affect your child’s learning process through distance edu
lack of available
gadgets/
lack of available
lack of equipment ,
lack of available gadgets/ equipment ,
available insufficient load/
gadgets/ equipment insufficient load/ data
gadgets/ data allowance,
Grade Level equipment & insufficient load/ allowance & unstable unstable mobile/
data allowance mobile/ internet
only internet connection
connection
& existing health
condition/s
E2. If the answer is no , please select only 1 major consideration or state specific reason
Fear of Limited or no
Getting available
Existing Illness or Helping in
Infected of transportation from
Grade Level Corona health related concens household chores
home to school and
Virus vice versa
MC1 MC2 MC3 MC4
Non-Graded 1 1
broadband,
Computer shop and
Broadband only computer shop & Computer shop only
other places
other places
lack of available
lack of available lack of available gadgets/ equipment ,
gadgets/ gadgets/ lack of available gadgets/ insufficient load/ data
equipment , equipment , equipment , insufficient allowance, unstable
insufficient load/ insufficient load/ load/ data allowance, mobile/ internet
data allowance, data allowance, unstable mobile/ internet connection, existing
unstable mobile/ unstable mobile/ connection, existing health condition/s,
internet internet connection, health condition/s, difficulty in independent
connection, existing health difficulty in independent learning, conflict with
existing health condition/s, difficulty learning, conflict with other activities (i.e.,
condition/s & in independent other activities (i.e., house chores), high
difficulty in learning & conflict house chores) & high electrical consumption &
independent with other activities electrical consumption distractions (i.e., social
learning (i.e., house chores) media, noise from
community/neighbor)
pecific reason
helping in family
Presence of Arm Total (Must be equalled
business or Other Reason, if any
Conflict in the area vis-à-vis Enrollment per
working
Class/Grade Level)
MC5 MC6 MC7
2
racy/completeness
ll sections
ol Enrollment Focal Person (SEFP)
ck for accuracy/completeness
ll Grade Levels
ol Head for review and approval and then to LIS System Administrator
DIVISION REGION
Grand Parent & Grand Parent, Other
Grand Parent Other members of
Other members of members of family &
Only family only
family Others
IC9 IC10
0
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
0
insufficient load/ data
allowance, unstable
insufficient load/ data
mobile/ internet
allowance, unstable
connection, existing unstable
mobile/ internet
health condition/s, mobile/
connection, existing
difficulty in independent unstable mobile/ internet
health condition/s,
learning, conflict with internet connection connection &
difficulty in
other activities (i.e., only existing
independent learning
house chores), high health
& conflict with other
electrical consumption & condition/s
activities (i.e., house
distractions (i.e., social
chores)
media, noise from
community/neighbor)
CH33
0