Professional Documents
Culture Documents
Cabled/Non-Cabled TV=Television
Basic/Smartphone = Cellular Phone
Desktop/Laptop = Desktop/Laptop
Non-
cable TV
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 us
Cabled/Non-Cabled TV = Television
Basic/Smartphone - Cellular Phone
Desktop and/or Laptop = Desktop/Laptop
TABULATION
ER
r Learner 2
r Learner 4
MENTS OF MLESF
13
, just select one (1) applicable combination if more than 1 condition is appropriate.
equal with the number of respondents per grade level (validation apply).
vel must not exceed to 5000.
uracy/completeness
e multiple answers, select applicable combination as listed/grouped in this form
ollment Chair (GLEC) if any or to School Enrollment Focal Person (SEFP).
Person (SEFP)
mmary Matrix submitted by GLEC, check for accuracy/completeness
x with totality for all items/questions of all Grade Levels
Summary Matrix (School level) to School Head for review and approval and then to LIS System Administrator
ummary Matrix validate the correctness of enrollment count vis-a-vis the number of respondents
QC Folder available in the Dashboard
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)
cational Attainment )- Choose only the Highest Educational Attainment of Mother from MLESF and tag to the MLESF Summary
members (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)
t Column 3
he Automated MLESF
B9. Gender
Total (Must be
equalled vis-à-vis
Grade Level Male Female
Enrollment per
Class/Grade Level)
11
12
Total
C2. Parent/Guardian Highest Educational Attainment (select only parent/guardian per learner having the highest educational attainment)
D1. How many of your household members (including the enrollee) are studying in School Year 2021-2022? (No.of Learner/s in a Household)
11
12
Total
D2. Who among the household members can provide instructional support to the child’s distance learning?
Parent/
Parent/ Guardian, Total (Must be
Guardian,
Parent/ Parent/ Guardian, Siblings, Grand Siblings, Grand Parent, Grand Parent & Grand Parent, Other Other members of Learner able to do equalled vis-
Parent/ Guardian Siblings, Grand Grand Parent Other members of
Guardian Siblings & Grand Parent, Other Siblings Only Siblings & Grand Parent Other members of family Other members of members of family & family and Other Other (tutor/helper) only independent None à-vis
Grade Level and Siblings Parent & Other Only family only
Only Parent members of & Others family Others (tutor/helper) learning Enrollment per
members of
family & Others Class/Grade
family
Level)
HM1 HM2 HM 3 HM 4 HM5 HM6 HM7 HM8 HM9 HM10 HM 11 HM12 HM13 HM 14 HM15 HM 16
11
12
Total
D3. What devices are available at home that the learner can use for learning?
Television,
Television Television and Television, Cellphone Cellphone, Cellphone, Radio & Radio & Desktop/laptop Cellphone & Total (Must be equalled
Cellphone Only Cellphone & Radio Radio Only Tablet None
Grade Level Only Cellphone & Radio Radio & Desktop/laptop Desktop/laptop only Desktop/Laptop vis-à-vis Enrollment per
Desktop/laptop Class/Grade Level)
DA1 DA2 DA3 DA4 DA5 DA6 DA7 DA8 DA9 DA10 DA11 DA12 DA13
11
12
Total
Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
11
12
Total
Mobile data,
Mobile data, broadband, No internet Total (Must be
Mobile data Mobile data & broadband, Computer shop and
broadband & Broadband only computer shop & Computer shop only Other places only available in the equalled vis-à-vis
Grade Level only broadband computer shop other places
computer shop other places area Enrollment per
& other places
Class/Grade Level)
IC1 IC2 IC3 IC4 IC5 IC6 IC7 IC8 IC9 IC10
11
12
Total
D6. What distance learning modality/ies do you prefer for your child?
online learning,
online Total (Must be
online learning & online learning, television, radio Television, radio & Radio & Modular Modular Learning Modular Learning
learning Television Only Television & radio Radio only Blended equalled vis-à-vis
Grade Level television television & radio & modular modular learning Learning Only (Printed) Only (Digital)
only Enrollment per
learning
Class/Grade Level)
DLM1 DLM2 DLM3 DLM4 DLM5 DLM6 DLM7 DLM8 DLM9 DLM10 DLM11 DLM12
11
12
Total
D7. What are the challenges that may affect your child’s learning process through distance education?
lack of available
lack of available lack of available gadgets/ equipment , insufficient load/ data
lack of unstable mobile/
gadgets/ gadgets/ lack of available gadgets/ insufficient load/ data allowance, unstable
available insufficient load/ data internet connection,
equipment , equipment , equipment , insufficient allowance, unstable mobile/ internet unstable unstable mobile/
gadgets/ allowance, unstable existing health existing health
insufficient load/ insufficient load/ load/ data allowance, mobile/ internet insufficient load/ data connection, existing unstable mobile/ internet connection,
lack of available equipment , mobile/ internet condition/s, difficulty in condition/s,
lack of data allowance, data allowance, unstable mobile/ internet connection, existing insufficient load/ data allowance, unstable health condition/s, mobile/ internet existing health
lack of available gadgets/ equipment , insufficient insufficient load/ connection, existing independent learning, existing difficulty in
available unstable mobile/ unstable mobile/ connection, existing health condition/s, insufficient load/ allowance, unstable mobile/ internet difficulty in independent unstable mobile/ internet connection, condition/s,
gadgets/ equipment insufficient load/ data load/ data data allowance & health condition/s, conflict with other health independent
gadgets/ internet internet connection, health condition/s, difficulty in independent data allowance mobile/ internet connection, existing learning, conflict with internet connection connection & existing health difficulty in
Grade Level equipment & insufficient load/ allowance & unstable allowance,
connection, existing health difficulty in independent learning, conflict with only
unstable mobile/
connection & existing health condition/s &
difficulty in
other activities (i.e., only existing condition/s & independent
activities (i.e., house condition/s learning &
data allowance mobile/ internet unstable internet connection independent learning & chores), high electrical only conflict with other
only existing health condition/s, difficulty learning, conflict with other activities (i.e., health condition/s difficulty in house chores), high health difficulty in learning & conflict
connection mobile/ internet conflict with other consumption & activities (i.e.,
condition/s & in independent other activities (i.e., house chores), high independent learning electrical consumption & condition/s independent with other activities
connection & activities (i.e., house distractions (i.e., social house chores)
difficulty in learning & conflict house chores) & high electrical consumption & distractions (i.e., social learning (i.e., house chores)
existing health chores) media, noise from
independent with other activities electrical consumption distractions (i.e., social media, noise from
condition/s community/neighbor)
learning (i.e., house chores) media, noise from community/neighbor)
community/neighbor)
CH1 CH2 CH3 CH4 CH5 CH6 CH7 CH8 CH9 CH10 CH11 CH12 CH13 CH14 CH15 CH16 CH17 CH18 CH19 CH20 CH21
11
12
Total
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 helping in family
Existing Illness or Presence of Arm Total (Must be equalled
household business or Other Reason, if any
Grade Level Infected of transportation from health related concens chores working
Conflict in the area vis-à-vis Enrollment per
Corona home to school and Class/Grade Level)
Virus vice versa
MC1 MC2 MC3 MC4 MC5 MC6 MC7
11
12
Total
difficulty in
independent
existing health conflict with other
existing health difficulty in learning, conflict
condition/s, difficulty in activities (i.e., high electrical
condition/s, difficulty in independent with other activities
independent learning, conflict with house chores), high consumption & only distractions
difficulty in independent learning, (i.e., house conflict with
conflict with other other activities high electrical electrica distractions (i.e., social Total (Must be
independent difficulty in learning & conflict with chores), high other
activities (i.e., house (i.e., house consumption & l (i.e., social media, noise equalled vis-à-
learning, conflict independent conflict with other activities electrical activities
chores), high electrical chores), & high distractions (i.e., consum media, noise from vis Enrollment
with other activities learning only other activities (i.e., house consumption & (i.e., house
consumption & electrical social media, ption from community/neig per Class/Grade
(i.e., house chores) (i.e., house chores) & high distractions (i.e., chores) only
distractions (i.e., social consumption noise from only community/neig hbor) only Level)
& high electrical chores) electrical social media,
media, noise from community/neighb hbor)
consumption consumption noise from
community/neighbor) or)
community/neighb
or)
CH22 CH23 CH 24 CH25 CH26 CH27 CH28 CH29 CH30 CH31 CH32 CH33
SUMMARY MATRIX OF SELECTED DATA ELEMENTS OF MLES
(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)
11 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
11
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)
11 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
11
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
Grade Level Infected of transportation from health related concens household chores
Corona home to school and
Virus vice versa
MC1 MC2 MC3 MC4
11
For LARGE SCHOOLS with MORE THAN 4 SECTIONS per grade level
1. Before using the Automated MLESF Summary Consolidator for Large School Excel File
automated MLESF Summary Consolidator for Small School. The Grade Level Enrollment
where the prospective adviser will encode his/her consolidated data.
2. The accomplished Summary Matrix MLESF tabsheet will be ready for forwarding to Sch
Summary Consolidator for Large School File
Return to Summary Matrix MLESF
NTS OF MLESF (Class Adviser Report)
ade and School level)
SCHOOL ID DISTRICT/CLUSTER
Prospective Adviser/GLEC/SEFP
For LIS Admin Use Only
Posted by: (LIS System Admin)
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
uracy/completeness
all sections
ol Enrollment Focal Person (SEFP)
ix. May use the assigned code as appopriate for easy reference.
arge School Excel File, the Grade Level Enrollment Chair will use the
ade Level Enrollment Chair will just rename the following tabsheets into the names of each section
y for forwarding to School Enrollment Focal person for encoding in the Automated MLESF
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
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
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 mobile/
existing health
internet connection,
condition/s, difficulty in
unstable mobile/ existing health
independent learning, existing
internet connection, condition/s,
conflict with other health
existing health difficulty in
activities (i.e., house condition/s
condition/s & difficulty independent
chores), high electrical only
in independent learning learning & conflict
consumption &
with other activities
distractions (i.e., social
(i.e., house chores)
media, noise from
community/neighbor)
CH32 CH33
0
SUMMARY MATRIX OF SELECTED DATA ELEMENTS OF MLES
(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)
11 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
11
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)
11 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
11
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
Grade Level Infected of transportation from health related concens household chores
Corona home to school and
Virus vice versa
MC1 MC2 MC3 MC4
11
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
uracy/completeness
all sections
ol Enrollment Focal Person (SEFP)
ix. 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
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
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 mobile/
existing health
internet connection,
condition/s, difficulty in
unstable mobile/ existing health
independent learning, existing
internet connection, condition/s,
conflict with other health
existing health difficulty in
activities (i.e., house condition/s
condition/s & difficulty independent
chores), high electrical only
in independent learning learning & conflict
consumption &
with other activities
distractions (i.e., social
(i.e., house chores)
media, noise from
community/neighbor)
CH32 CH33
0
SUMMARY MATRIX OF SELECTED DATA ELEMENTS OF MLES
(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)
11 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
11
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)
11 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
11
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
Grade Level Infected of transportation from health related concens household chores
Corona home to school and
Virus vice versa
MC1 MC2 MC3 MC4
11
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
uracy/completeness
all sections
ol Enrollment Focal Person (SEFP)
ix. 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
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
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 mobile/
existing health
internet connection,
condition/s, difficulty in
unstable mobile/ existing health
independent learning, existing
internet connection, condition/s,
conflict with other health
existing health difficulty in
activities (i.e., house condition/s
condition/s & difficulty independent
chores), high electrical only
in independent learning learning & conflict
consumption &
with other activities
distractions (i.e., social
(i.e., house chores)
media, noise from
community/neighbor)
CH32 CH33
0
SUMMARY MATRIX OF SELECTED DATA ELEMENTS OF MLES
(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)
11 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
11
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)
11 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
11
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
Grade Level Infected of transportation from health related concens household chores
Corona home to school and
Virus vice versa
MC1 MC2 MC3 MC4
11
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
uracy/completeness
all sections
ol Enrollment Focal Person (SEFP)
ix. 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
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
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 mobile/
existing health
internet connection,
condition/s, difficulty in
unstable mobile/ existing health
independent learning, existing
internet connection, condition/s,
conflict with other health
existing health difficulty in
activities (i.e., house condition/s
condition/s & difficulty independent
chores), high electrical only
in independent learning learning & conflict
consumption &
with other activities
distractions (i.e., social
(i.e., house chores)
media, noise from
community/neighbor)
CH32 CH33
0
SUMMARY MATRIX OF SELECTED DATA ELEMENTS OF MLES
(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)
11 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
11
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)
11 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
11
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
Grade Level Infected of transportation from health related concens household chores
Corona home to school and
Virus vice versa
MC1 MC2 MC3 MC4
11
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
uracy/completeness
all sections
ol Enrollment Focal Person (SEFP)
ix. 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
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
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 mobile/
existing health
internet connection,
condition/s, difficulty in
unstable mobile/ existing health
independent learning, existing
internet connection, condition/s,
conflict with other health
existing health difficulty in
activities (i.e., house condition/s
condition/s & difficulty independent
chores), high electrical only
in independent learning learning & conflict
consumption &
with other activities
distractions (i.e., social
(i.e., house chores)
media, noise from
community/neighbor)
CH32 CH33
0
SUMMARY MATRIX OF SELECTED DATA ELEMENTS OF MLES
(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)
11 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
11
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)
11 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
11
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
Grade Level Infected of transportation from health related concens household chores
Corona home to school and
Virus vice versa
MC1 MC2 MC3 MC4
11
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
uracy/completeness
all sections
ol Enrollment Focal Person (SEFP)
ix. 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
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
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 mobile/
existing health
internet connection,
condition/s, difficulty in
unstable mobile/ existing health
independent learning, existing
internet connection, condition/s,
conflict with other health
existing health difficulty in
activities (i.e., house condition/s
condition/s & difficulty independent
chores), high electrical only
in independent learning learning & conflict
consumption &
with other activities
distractions (i.e., social
(i.e., house chores)
media, noise from
community/neighbor)
CH32 CH33
0
SUMMARY MATRIX OF SELECTED DATA ELEMENTS OF MLES
(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)
11 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
11
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)
11 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
11
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
Grade Level Infected of transportation from health related concens household chores
Corona home to school and
Virus vice versa
MC1 MC2 MC3 MC4
11
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
uracy/completeness
all sections
ol Enrollment Focal Person (SEFP)
ix. 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
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
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 mobile/
existing health
internet connection,
condition/s, difficulty in
unstable mobile/ existing health
independent learning, existing
internet connection, condition/s,
conflict with other health
existing health difficulty in
activities (i.e., house condition/s
condition/s & difficulty independent
chores), high electrical only
in independent learning learning & conflict
consumption &
with other activities
distractions (i.e., social
(i.e., house chores)
media, noise from
community/neighbor)
CH32 CH33
0
SUMMARY MATRIX OF SELECTED DATA ELEMENTS OF MLES
(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)
11 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
11
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)
11 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
11
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
Grade Level Infected of transportation from health related concens household chores
Corona home to school and
Virus vice versa
MC1 MC2 MC3 MC4
11
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
uracy/completeness
all sections
ol Enrollment Focal Person (SEFP)
ix. 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
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
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 mobile/
existing health
internet connection,
condition/s, difficulty in
unstable mobile/ existing health
independent learning, existing
internet connection, condition/s,
conflict with other health
existing health difficulty in
activities (i.e., house condition/s
condition/s & difficulty independent
chores), high electrical only
in independent learning learning & conflict
consumption &
with other activities
distractions (i.e., social
(i.e., house chores)
media, noise from
community/neighbor)
CH32 CH33
0
SUMMARY MATRIX OF SELECTED DATA ELEMENTS OF MLES
(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)
11 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
11
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)
11 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
11
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
Grade Level Infected of transportation from health related concens household chores
Corona home to school and
Virus vice versa
MC1 MC2 MC3 MC4
11
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
uracy/completeness
all sections
ol Enrollment Focal Person (SEFP)
ix. 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
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
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 mobile/
existing health
internet connection,
condition/s, difficulty in
unstable mobile/ existing health
independent learning, existing
internet connection, condition/s,
conflict with other health
existing health difficulty in
activities (i.e., house condition/s
condition/s & difficulty independent
chores), high electrical only
in independent learning learning & conflict
consumption &
with other activities
distractions (i.e., social
(i.e., house chores)
media, noise from
community/neighbor)
CH32 CH33
0
SUMMARY MATRIX OF SELECTED DATA ELEMENTS OF MLES
(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)
11 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
11
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)
11 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
11
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
Grade Level Infected of transportation from health related concens household chores
Corona home to school and
Virus vice versa
MC1 MC2 MC3 MC4
11
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
uracy/completeness
all sections
ol Enrollment Focal Person (SEFP)
ix. 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
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
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 mobile/
existing health
internet connection,
condition/s, difficulty in
unstable mobile/ existing health
independent learning, existing
internet connection, condition/s,
conflict with other health
existing health difficulty in
activities (i.e., house condition/s
condition/s & difficulty independent
chores), high electrical only
in independent learning learning & conflict
consumption &
with other activities
distractions (i.e., social
(i.e., house chores)
media, noise from
community/neighbor)
CH32 CH33
0
SUMMARY MATRIX OF SELECTED DATA ELEMENTS OF MLES
(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)
12 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
12
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)
12 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
12
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
Grade Level Infected of transportation from health related concens household chores
Corona home to school and
Virus vice versa
MC1 MC2 MC3 MC4
12
Choose Dialect English
Instruction:
1. Only 1 answer is required, just select one (1) applicable combination if more than 1 con
2. The total column must be equal with the number of respondents per grade level (valida
3. Total column per grade level must not exceed to 5000.
0 0 0 0
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
ation if more than 1 condition is appropriate.
per grade level (validation apply).
uracy/completeness
all sections
ol Enrollment Focal Person (SEFP)
ix. 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
0 0 0 0
IC9 IC10
0
Radio & Modular Modular Learning Modular Learning
Blended
Learning Only (Printed) Only (Digital)
0 0 0 0
0
0
0
unstable mobile/
internet connection,
unstable mobile/
existing health
internet connection,
condition/s, difficulty in
existing health
unstable mobile/ internet independent learning, existing
condition/s,
connection, existing health conflict with other health
difficulty in
condition/s & difficulty in activities (i.e., house condition/s
independent
independent learning chores), high electrical only
learning & conflict
consumption &
with other activities
distractions (i.e., social
(i.e., house chores)
media, noise from
community/neighbor)
CH32 CH33
0
SUMMARY MATRIX OF SELECTED DATA ELEMENTS OF MLES
(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)
12 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
12
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)
12 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
12
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
Grade Level Infected of transportation from health related concens household chores
Corona home to school and
Virus vice versa
MC1 MC2 MC3 MC4
12
Choose Dialect English
Instruction:
1. Only 1 answer is required, just select one (1) applicable combination if more than 1 con
2. The total column must be equal with the number of respondents per grade level (valida
3. Total column per grade level must not exceed to 5000.
0 0 0 0
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
ation if more than 1 condition is appropriate.
per grade level (validation apply).
uracy/completeness
all sections
ol Enrollment Focal Person (SEFP)
ix. 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
0 0 0 0
IC9 IC10
0
Radio & Modular Modular Learning Modular Learning
Blended
Learning Only (Printed) Only (Digital)
0 0 0 0
0
0
0
unstable mobile/
internet connection,
unstable mobile/
existing health
internet connection,
condition/s, difficulty in
existing health
unstable mobile/ internet independent learning, existing
condition/s,
connection, existing health conflict with other health
difficulty in
condition/s & difficulty in activities (i.e., house condition/s
independent
independent learning chores), high electrical only
learning & conflict
consumption &
with other activities
distractions (i.e., social
(i.e., house chores)
media, noise from
community/neighbor)
CH32 CH33
0
SUMMARY MATRIX OF SELECTED DATA ELEMENTS OF MLES
(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)
12 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
12
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)
12 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
12
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
Grade Level Infected of transportation from health related concens household chores
Corona home to school and
Virus vice versa
MC1 MC2 MC3 MC4
12
Choose Dialect English
Instruction:
1. Only 1 answer is required, just select one (1) applicable combination if more than 1 con
2. The total column must be equal with the number of respondents per grade level (valida
3. Total column per grade level must not exceed to 5000.
0 0 0 0
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
ation if more than 1 condition is appropriate.
per grade level (validation apply).
uracy/completeness
all sections
ol Enrollment Focal Person (SEFP)
ix. 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
0 0 0 0
IC9 IC10
0
Radio & Modular Modular Learning Modular Learning
Blended
Learning Only (Printed) Only (Digital)
0 0 0 0
0
0
0
unstable mobile/
internet connection,
unstable mobile/
existing health
internet connection,
condition/s, difficulty in
existing health
unstable mobile/ internet independent learning, existing
condition/s,
connection, existing health conflict with other health
difficulty in
condition/s & difficulty in activities (i.e., house condition/s
independent
independent learning chores), high electrical only
learning & conflict
consumption &
with other activities
distractions (i.e., social
(i.e., house chores)
media, noise from
community/neighbor)
CH32 CH33
0
SUMMARY MATRIX OF SELECTED DATA ELEMENTS OF MLES
(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)
12 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
12
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)
12 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
12
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
Grade Level Infected of transportation from health related concens household chores
Corona home to school and
Virus vice versa
MC1 MC2 MC3 MC4
12
Choose Dialect English
Instruction:
1. Only 1 answer is required, just select one (1) applicable combination if more than 1 con
2. The total column must be equal with the number of respondents per grade level (valida
3. Total column per grade level must not exceed to 5000.
0 0 0 0
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
ation if more than 1 condition is appropriate.
per grade level (validation apply).
uracy/completeness
all sections
ol Enrollment Focal Person (SEFP)
ix. 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
0 0 0 0
IC9 IC10
0
Radio & Modular Modular Learning Modular Learning
Blended
Learning Only (Printed) Only (Digital)
0 0 0 0
0
0
0
unstable mobile/
internet connection,
unstable mobile/
existing health
internet connection,
condition/s, difficulty in
existing health
unstable mobile/ internet independent learning, existing
condition/s,
connection, existing health conflict with other health
difficulty in
condition/s & difficulty in activities (i.e., house condition/s
independent
independent learning chores), high electrical only
learning & conflict
consumption &
with other activities
distractions (i.e., social
(i.e., house chores)
media, noise from
community/neighbor)
CH32 CH33
0
SUMMARY MATRIX OF SELECTED DATA ELEMENTS OF MLES
(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)
12 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
12
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)
12 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
12
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
Grade Level Infected of transportation from health related concens household chores
Corona home to school and
Virus vice versa
MC1 MC2 MC3 MC4
12
Choose Dialect English
Instruction:
1. Only 1 answer is required, just select one (1) applicable combination if more than 1 con
2. The total column must be equal with the number of respondents per grade level (valida
3. Total column per grade level must not exceed to 5000.
0 0 0 0
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
ation if more than 1 condition is appropriate.
per grade level (validation apply).
uracy/completeness
all sections
ol Enrollment Focal Person (SEFP)
ix. 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
0 0 0 0
IC9 IC10
0
Radio & Modular Modular Learning Modular Learning
Blended
Learning Only (Printed) Only (Digital)
0 0 0 0
0
0
0
unstable mobile/
internet connection,
unstable mobile/
existing health
internet connection,
condition/s, difficulty in
existing health
unstable mobile/ internet independent learning, existing
condition/s,
connection, existing health conflict with other health
difficulty in
condition/s & difficulty in activities (i.e., house condition/s
independent
independent learning chores), high electrical only
learning & conflict
consumption &
with other activities
distractions (i.e., social
(i.e., house chores)
media, noise from
community/neighbor)
CH32 CH33
0
SUMMARY MATRIX OF SELECTED DATA ELEMENTS OF MLES
(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)
12 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
12
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)
12 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
12
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
Grade Level Infected of transportation from health related concens household chores
Corona home to school and
Virus vice versa
MC1 MC2 MC3 MC4
12
Choose Dialect English
Instruction:
1. Only 1 answer is required, just select one (1) applicable combination if more than 1 con
2. The total column must be equal with the number of respondents per grade level (valida
3. Total column per grade level must not exceed to 5000.
0 0 0 0
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
ation if more than 1 condition is appropriate.
per grade level (validation apply).
uracy/completeness
all sections
ol Enrollment Focal Person (SEFP)
ix. 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
0 0 0 0
IC9 IC10
0
Radio & Modular Modular Learning Modular Learning
Blended
Learning Only (Printed) Only (Digital)
0 0 0 0
0
0
0
unstable mobile/
internet connection,
unstable mobile/
existing health
internet connection,
condition/s, difficulty in
existing health
unstable mobile/ internet independent learning, existing
condition/s,
connection, existing health conflict with other health
difficulty in
condition/s & difficulty in activities (i.e., house condition/s
independent
independent learning chores), high electrical only
learning & conflict
consumption &
with other activities
distractions (i.e., social
(i.e., house chores)
media, noise from
community/neighbor)
CH32 CH33
0
SUMMARY MATRIX OF SELECTED DATA ELEMENTS OF MLES
(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)
12 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
12
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)
12 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
12
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
Grade Level Infected of transportation from health related concens household chores
Corona home to school and
Virus vice versa
MC1 MC2 MC3 MC4
12
Choose Dialect English
Instruction:
1. Only 1 answer is required, just select one (1) applicable combination if more than 1 con
2. The total column must be equal with the number of respondents per grade level (valida
3. Total column per grade level must not exceed to 5000.
0 0 0 0
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
ation if more than 1 condition is appropriate.
per grade level (validation apply).
uracy/completeness
all sections
ol Enrollment Focal Person (SEFP)
ix. 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
0 0 0 0
IC9 IC10
0
Radio & Modular Modular Learning Modular Learning
Blended
Learning Only (Printed) Only (Digital)
0 0 0 0
0
0
0
unstable mobile/
internet connection,
unstable mobile/
existing health
internet connection,
condition/s, difficulty in
existing health
unstable mobile/ internet independent learning, existing
condition/s,
connection, existing health conflict with other health
difficulty in
condition/s & difficulty in activities (i.e., house condition/s
independent
independent learning chores), high electrical only
learning & conflict
consumption &
with other activities
distractions (i.e., social
(i.e., house chores)
media, noise from
community/neighbor)
CH32 CH33
0
SUMMARY MATRIX OF SELECTED DATA ELEMENTS OF MLES
(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)
12 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
12
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)
12 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
12
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
Grade Level Infected of transportation from health related concens household chores
Corona home to school and
Virus vice versa
MC1 MC2 MC3 MC4
12
Choose Dialect English
Instruction:
1. Only 1 answer is required, just select one (1) applicable combination if more than 1 con
2. The total column must be equal with the number of respondents per grade level (valida
3. Total column per grade level must not exceed to 5000.
0 0 0 0
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
ation if more than 1 condition is appropriate.
per grade level (validation apply).
uracy/completeness
all sections
ol Enrollment Focal Person (SEFP)
ix. 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
0 0 0 0
IC9 IC10
0
Radio & Modular Modular Learning Modular Learning
Blended
Learning Only (Printed) Only (Digital)
0 0 0 0
0
0
0
unstable mobile/
internet connection,
unstable mobile/
existing health
internet connection,
condition/s, difficulty in
existing health
unstable mobile/ internet independent learning, existing
condition/s,
connection, existing health conflict with other health
difficulty in
condition/s & difficulty in activities (i.e., house condition/s
independent
independent learning chores), high electrical only
learning & conflict
consumption &
with other activities
distractions (i.e., social
(i.e., house chores)
media, noise from
community/neighbor)
CH32 CH33
0
SUMMARY MATRIX OF SELECTED DATA ELEMENTS OF MLES
(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)
12 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
12
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)
12 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
12
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
Grade Level Infected of transportation from health related concens household chores
Corona home to school and
Virus vice versa
MC1 MC2 MC3 MC4
12
Choose Dialect English
Instruction:
1. Only 1 answer is required, just select one (1) applicable combination if more than 1 con
2. The total column must be equal with the number of respondents per grade level (valida
3. Total column per grade level must not exceed to 5000.
0 0 0 0
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
ation if more than 1 condition is appropriate.
per grade level (validation apply).
uracy/completeness
all sections
ol Enrollment Focal Person (SEFP)
ix. 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
0 0 0 0
IC9 IC10
0
Radio & Modular Modular Learning Modular Learning
Blended
Learning Only (Printed) Only (Digital)
0 0 0 0
0
0
0
unstable mobile/
internet connection,
unstable mobile/
existing health
internet connection,
condition/s, difficulty in
existing health
unstable mobile/ internet independent learning, existing
condition/s,
connection, existing health conflict with other health
difficulty in
condition/s & difficulty in activities (i.e., house condition/s
independent
independent learning chores), high electrical only
learning & conflict
consumption &
with other activities
distractions (i.e., social
(i.e., house chores)
media, noise from
community/neighbor)
CH32 CH33
0
SUMMARY MATRIX OF SELECTED DATA ELEMENTS OF MLES
(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)
12 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
12
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)
12 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
12
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
Grade Level Infected of transportation from health related concens household chores
Corona home to school and
Virus vice versa
MC1 MC2 MC3 MC4
12
Choose Dialect English
Instruction:
1. Only 1 answer is required, just select one (1) applicable combination if more than 1 con
2. The total column must be equal with the number of respondents per grade level (valida
3. Total column per grade level must not exceed to 5000.
0 0 0 0
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
ation if more than 1 condition is appropriate.
per grade level (validation apply).
uracy/completeness
all sections
ol Enrollment Focal Person (SEFP)
ix. 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
0 0 0 0
IC9 IC10
0
Radio & Modular Modular Learning Modular Learning
Blended
Learning Only (Printed) Only (Digital)
0 0 0 0
0
0
0
unstable mobile/
internet connection,
unstable mobile/
existing health
internet connection,
condition/s, difficulty in
existing health
unstable mobile/ internet independent learning, existing
condition/s,
connection, existing health conflict with other health
difficulty in
condition/s & difficulty in activities (i.e., house condition/s
independent
independent learning chores), high electrical only
learning & conflict
consumption &
with other activities
distractions (i.e., social
(i.e., house chores)
media, noise from
community/neighbor)
CH32 CH33
0