Professional Documents
Culture Documents
Siblings
10
Grade Leve
1
Cabled/Non-Cabled TV=Television
Basic/Smartphone = Cellular Phone
Desktop/Laptop = Desktop/Laptop
Non-
cable TV
1
1
13
13
Choose Dialect English
Instruction:
1. Only 1 answer is required, just select one (1) applicable combination if more than 1 condition is appropriate.
2. The total column must be equal with the number of respondents per grade level (validation apply).
3. Total column per grade level must not exceed to 5000.
For LARGE SCHOOLS with MORE THAN 4 SECTIONS per grade level
1. Before using the Automated MLESF Summary Consolidator for Large School Excel File, the Grade Level Enrollment Chair will
automated MLESF Summary Consolidator for Small School. The Grade Level Enrollment Chair will just rename the following tabs
where the prospective adviser will encode his/her consolidated data.
2. The accomplished Summary Matrix MLESF tabsheet will be ready for forwarding to School Enrollment Focal person for encodin
Summary Consolidator for Large School File
C2. Parent/Gurdian Highest Educational Attainment (select only parent/guardian per learner having the highest educational attainment)
HEA (Highest Educational Attainment )- Choose only the Highest Educational Attainment of Mother from MLESF and tag to the MLESF
Sample:
Father - Elementary Level
Mother - High School Graduate
Guardian - Elementary Graduate Total (Must
be
D1. How many of your household members (including the enrollee) are6studying in equalled
Only 1 2 3 4 5 7 School Year 2021-2022? (No.of Learner/s in a Household)
vis-à-vis
Grade Level Household Household Household Household Household Household Household
Enrollment
Kinder Member Members Members1 Members Members Members Members
per
Class/Grad
Sample e Level)
From MLESF, the respondent selected Kinder, Grade 3 and Grade 7
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 use for learning?
Cabled/Non-Cabled TV = Television Cabled/Non-Cabled TV=Television
Basic/Smartphone - Cellular Phone Basic/Smartphone = Cellular Phone
Desktop and/or Laptop = Desktop/Laptop Desktop/Laptop = Desktop/Laptop
For Tablet: Select "Tablet" if this is the only available gadget/device available. If the tablet is available
together with other devices, for the purposes of tagging devices during Quickcount, tablet may be
considered/categorized under "Cellular Phone". But please be reminded that upon encoding MLESF
individual data in LIS BOSY Learner Profile, actual responces shall be posted.
to LIS System Administrator
r of respondents
al attainment)
and tag to the MLESF Summary
r/s in a Household)
SUMMARY MATRIX OF SELECTED DATA ELEMENTS OF MLESF
(This form can be used to tabulate survey result of Class/Section, Grade and School lev
NAME OF SCHOOL INGUD-RAMONA INTEGRATED SCHOOL
Grade/School Level *Section
Last updated (date): For LIS Admin Us
Date Posted in LIS QC
B9. Gender
Total (Must be
equalled vis-à-vis
Grade Level Male Female
Enrollment per
Class/Grade Level)
7 13 17 30
8 17 14 31
9 10 13 23
10 8 9 17
Non-Graded 0 0 0
Total 48 53 101
C2. Parent/Guardian Highest Educational Attainment (select only parent/guardian per learner ha
No Formal
No Formal Elementary
Schooling but able Elementary level
Grade Level Schooling to read and write Graduate
D1. How many of your household members (including the enrollee) are studying in School Year
Grade Level 1 2 3 4
7 15 12 2 1
8 8 15 7 1
9 6 9 7 1
10 11 4 2 0
Non-Graded 0 0 0 0
Total 40 40 18 3
D2. Who among the household members can provide instructional support to the child’s distanc
Parent/
Guardian,
Parent/ Parent/ Guardian, Siblings,
Parent/ Guardian
Guardian Siblings & Grand Grand Parent
Grade Level and Siblings
Only Parent & Other
members of
family
HM1 HM2 HM3 HM4
7 30 0 0 0
8 29 2 0 0
9 14 8 0 0
10 14 3 0 0
Non-Graded 0 0 0 0
Total 87 13 0 0
D3. What devices are available at home that the learner can use for learning?
Television,
Cellphone,
Television Television and Television, Cellphone
Radio &
Grade Level Only Cellphone & Radio
Desktop/lapto
p
DA1 DA2 DA3 DA4
7 0 14 7 0
8 1 15 3 5
9 0 1 0 4
10 0 0 15 0
Non-Graded 0 0 0 0
Total 1 30 25 9
7 30 0 30
8 31 0 31
9 21 2 23
10 17 0 17
Non-Graded 0 0 0
Total 99 2 101
Mobile data,
Mobile data,
Mobile data Mobile data & broadband,
broadband &
Grade Level only broadband computer shop
computer shop
& other places
D6. What distance learning modality/ies do you prefer for your child?online
learning,
online
online learning & online learning, television,
learning
Grade Level television television & radio radio &
only
modular
DLM1 DLM2 DLM3 learning
DLM4
7 0 0 0 0
8 0 0 0 0
9 0 0 0 0
10 3 0 2 7
Non-Graded 0 0 0 0
Total 3 0 2 7
D7. What are the challenges that may affect your child’s learning process through distance edu
lack of
available
gadgets/
equipment ,
lack of available
lack of insufficient
lack of available gadgets/ equipment ,
available load/ data
gadgets/ equipment insufficient load/ data
gadgets/ allowance,
Grade Level equipment & insufficient load/ allowance & unstable unstable
data allowance mobile/ internet
only mobile/
connection
internet
connection &
existing health
condition/s
E.2 If the answer is no , please select only 1 major consideration or state specific reason
Fear of Limited or no
Getting available Existing Illness or Helping in
Infected of transportation from health related household
Grade Level Corona home to school and concens chores
Virus vice versa
MC1 MC2 MC3 MC4
7 0 0 0 0
8 0 0 0 0
9 16 0 0 0
10 1 0 0 0
Non-Graded 0 0 0 0
Total 17 0 0 0
0 0 0 30
0 0 0 31
0 0 0 23
0 0 0 17
0 0 0 0
0 0 0 101
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 0 0 0
0 0 0 0
0 0 0 16
0 0 0 1
0 0 0 0
0 0 0 17
or accuracy/completeness
ns of all sections
School Enrollment Focal Person (SEFP)
y Matrix. May use the assigned code as appopriate for easy reference.
Return to File Directory
IC9 IC10
0 0 30
0 0 31
0 2 23
0 0 17
0 0 0
0 2 101
30
31
23
14
0
98
insufficient load/ data
allowance, unstable
mobile/ internet
connection, existing
insufficient load/ data unstable
health condition/s,
allowance, unstable mobile/ mobile/
difficulty in independent
internet connection, existing unstable mobile/ internet
learning, conflict with
health condition/s, difficulty internet connection connection
other activities (i.e.,
in independent learning & only & existing
house chores), high
conflict with other activities health
electrical consumption
(i.e., house chores) condition/s
& distractions (i.e.,
social media, noise
from
community/neighbor)
CH33
0 30
0 31
2 23
0 14
0 0
2 98
SUMMARY MATRIX OF SELECTED DATA ELEMENTS OF MLESF
(This form can be used to tabulate survey result of Class/Section, Grade and School lev
NAME OF SCHOOL INGUD-RAMONA INTEGRATED SCHOOL
Grade/School Level 7 *Section
Last updated (date): For LIS Admin U
Date Posted in LIS QC
B9. Gender
Total (Must be
equalled vis-à-vis
Grade Level Male Female
Enrollment per
Class/Grade Level)
7 13 17 30
C2. Parent/Guardian Highest Educational Attainment (select only parent/guardian per learner ha
No Formal
No Formal Elementary
Schooling but able Elementary level
Grade Level Schooling to read and write Graduate
D1. How many of your household members (including the enrollee) are studying in School Year
Only 1
2 Household 3 Household 4 Household
Grade Level Household
Members Members Members
Member
7 15 12 2 1
D2. Who among the household members can provide instructional support to the child’s distanc
Parent/ Guardian,
Parent/ Parent/ Guardian,
Parent/ Guardian Siblings, Grand
Guardian Siblings & Grand
Grade Level and Siblings Parent & Other
Only Parent
members of family
Grade Level
D3. What devices are available at home that the learner can use for learning?
Television,
Television Television and Television, Cellphone
Cellphone, Radio
Grade Level Only Cellphone & Radio
& Desktop/laptop
Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
7 30 30
Mobile data,
Mobile data,
Mobile data Mobile data & broadband,
broadband &
Grade Level only broadband computer shop &
computer shop
other places
D6. What distance learning modality/ies do you prefer for your child?
online online learning,
online learning & online learning,
learning television, radio &
Grade Level television television & radio
only modular learning
DLM1 DLM2 DLM3 DLM4
7
D7. What are the challenges that may affect your child’s learning process through distance edu
lack of available
gadgets/
lack of available equipment ,
lack of
lack of available gadgets/ equipment , insufficient load/
available
gadgets/ equipment insufficient load/ data data allowance,
gadgets/
Grade Level equipment & insufficient load/ allowance & unstable unstable mobile/
data allowance mobile/ internet internet
only
connection connection &
existing health
condition/s
E2. If the answer is no , please select only 1 major consideration or state specific reason
Fear of Limited or no
Getting available Existing Illness or
Helping in
Infected of transportation from health related
Grade Level Corona home to school and household chores
concens
Virus vice versa
MC1 MC2 MC3 MC4
7
30
broadband,
Computer shop and
Broadband only computer shop & Computer shop only
other places
other places
e specific 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
atrix. May use the assigned code as appopriate for easy reference.
Return to File Directory
IC9 IC10
30
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
30
insufficient load/ data
allowance, unstable
insufficient load/ data mobile/ internet unstable
allowance, unstable connection, existing mobile/
unstable
mobile/ internet health condition/s, internet
mobile/
connection, existing difficulty in independent connection,
unstable mobile/ internet
health condition/s, learning, conflict with existing
internet connection connection
difficulty in other activities (i.e., health
only & existing
independent learning house chores), high condition/s &
health
& conflict with other electrical consumption difficulty in
condition/s
activities (i.e., house & distractions (i.e., independent
chores) social media, noise learning
from
community/neighbor)
30
SUMMARY MATRIX OF SELECTED DATA ELEMENTS OF MLESF
(This form can be used to tabulate survey result of Class/Section, Grade and School lev
NAME OF SCHOOL
Grade/School Level *Section
Last updated (date): For LIS Admin U
Date Posted in LIS QC
B9. Gender
Total (Must be
equalled vis-à-vis
Grade Level Male Female
Enrollment per
Class/Grade Level)
7 0
C2. Parent/Guardian Highest Educational Attainment (select only parent/guardian per learner ha
No Formal
No Formal Elementary
Schooling but able Elementary level
Grade Level Schooling to read and write Graduate
D1. How many of your household members (including the enrollee) are studying in School Year
Only 1
2 Household 3 Household 4 Household
Grade Level Household
Members Members Members
Member
7
D2. Who among the household members can provide instructional support to the child’s distanc
Parent/ Guardian,
Parent/ Parent/ Guardian,
Parent/ Guardian Siblings, Grand
Guardian Siblings & Grand
Grade Level and Siblings Parent & Other
Only Parent
members of family
Grade Level
D3. What devices are available at home that the learner can use for learning?
Television,
Television Television and Television, Cellphone
Cellphone, Radio
Grade Level Only Cellphone & Radio
& Desktop/laptop
Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
7 0
Mobile data,
Mobile data,
Mobile data Mobile data & broadband,
broadband &
Grade Level only broadband computer shop &
computer shop
other places
D6. What distance learning modality/ies do you prefer for your child?
online online learning,
online learning & online learning,
learning television, radio &
Grade Level television television & radio
only modular learning
DLM1 DLM2 DLM3 DLM4
7
D7. What are the challenges that may affect your child’s learning process through distance edu
lack of available
gadgets/
lack of available equipment ,
lack of
lack of available gadgets/ equipment , insufficient load/
available
gadgets/ equipment insufficient load/ data data allowance,
gadgets/
Grade Level equipment & insufficient load/ allowance & unstable unstable mobile/
data allowance mobile/ internet internet
only
connection connection &
existing health
condition/s
E2. If the answer is no , please select only 1 major consideration or state specific reason
Fear of Limited or no
Getting available Existing Illness or
Helping in
Infected of transportation from health related
Grade Level Corona home to school and household chores
concens
Virus vice versa
MC1 MC2 MC3 MC4
7
broadband,
Computer shop and
Broadband only computer shop & Computer shop only
other places
other places
e specific 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
atrix. May use the assigned code as appopriate for easy reference.
Return to File Directory
DIVISION REGION
IC9 IC10
0
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
0
insufficient load/ data
allowance, unstable
insufficient load/ data mobile/ internet unstable
allowance, unstable connection, existing mobile/
unstable
mobile/ internet health condition/s, internet
mobile/
connection, existing difficulty in independent connection,
unstable mobile/ internet
health condition/s, learning, conflict with existing
internet connection connection
difficulty in other activities (i.e., health
only & existing
independent learning house chores), high condition/s &
health
& conflict with other electrical consumption difficulty in
condition/s
activities (i.e., house & distractions (i.e., independent
chores) social media, noise learning
from
community/neighbor)
0
SUMMARY MATRIX OF SELECTED DATA ELEMENTS OF MLESF
(This form can be used to tabulate survey result of Class/Section, Grade and School lev
NAME OF SCHOOL
Grade/School Level *Section
Last updated (date): For LIS Admin U
Date Posted in LIS QC
B9. Gender
Total (Must be
equalled vis-à-vis
Grade Level Male Female
Enrollment per
Class/Grade Level)
7 0
C2. Parent/Gurdian Highest Educational Attainment (select only parent/guardian per learner hav
No Formal
No Formal Elementary
Schooling but able Elementary level
Grade Level Schooling to read and write Graduate
D1. How many of your household members (including the enrollee) are studying in School Year
Only 1
2 Household 3 Household 4 Household
Grade Level Household
Members Members Members
Member
7
D2. Who among the household members can provide instructional support to the child’s distanc
Parent/ Guardian,
Parent/ Parent/ Guardian,
Parent/ Guardian Siblings, Grand
Guardian Siblings & Grand
Grade Level and Siblings Parent & Other
Only Parent
members of family
Grade Level
D3. What devices are available at home that the learner can use for learning?
Television,
Television Television and Television, Cellphone
Cellphone, Radio
Grade Level Only Cellphone & Radio
& Desktop/laptop
Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
7 0
Mobile data,
Mobile data,
Mobile data Mobile data & broadband,
broadband &
Grade Level only broadband computer shop &
computer shop
other places
D6. What distance learning modality/ies do you prefer for your child?
online online learning,
online learning & online learning,
learning television, radio &
Grade Level television television & radio
only modular learning
DLM1 DLM2 DLM3 DLM4
7
D7. What are the challenges that may affect your child’s learning process through distance edu
lack of available
gadgets/
lack of available equipment ,
lack of
lack of available gadgets/ equipment , insufficient load/
available
gadgets/ equipment insufficient load/ data data allowance,
gadgets/
Grade Level equipment & insufficient load/ allowance & unstable unstable mobile/
data allowance mobile/ internet internet
only
connection connection &
existing health
condition/s
E2. If the answer is no , please select only 1 major consideration or state specific reason
Fear of Limited or no
Getting available Existing Illness or
Helping in
Infected of transportation from health related
Grade Level Corona home to school and household chores
concens
Virus vice versa
MC1 MC2 MC3 MC4
7
broadband,
Computer shop and
Broadband only computer shop & Computer shop only
other places
other places
e specific 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
atrix. May use the assigned code as appopriate for easy reference.
Return to File Directory
DIVISION REGION
IC9 IC10
0
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
0
insufficient load/ data
allowance, unstable
insufficient load/ data mobile/ internet unstable
allowance, unstable connection, existing mobile/
unstable
mobile/ internet health condition/s, internet
mobile/
connection, existing difficulty in independent connection,
unstable mobile/ internet
health condition/s, learning, conflict with existing
internet connection connection
difficulty in other activities (i.e., health
only & existing
independent learning house chores), high condition/s &
health
& conflict with other electrical consumption difficulty in
condition/s
activities (i.e., house & distractions (i.e., independent
chores) social media, noise learning
from
community/neighbor)
0
SUMMARY MATRIX OF SELECTED DATA ELEMENTS OF MLESF
(This form can be used to tabulate survey result of Class/Section, Grade and School lev
NAME OF SCHOOL
Grade/School Level *Section
Last updated (date): For LIS Admin U
Date Posted in LIS QC
B9. Gender
Total (Must be
equalled vis-à-vis
Grade Level Male Female
Enrollment per
Class/Grade Level)
7 0
C2. Parent/Guardian Highest Educational Attainment (select only parent/guardian per learner ha
No Formal
No Formal Elementary
Schooling but able Elementary level
Grade Level Schooling to read and write Graduate
D1. How many of your household members (including the enrollee) are studying in School Year
Only 1
2 Household 3 Household 4 Household
Grade Level Household
Members Members Members
Member
7
D2. Who among the household members can provide instructional support to the child’s distanc
Parent/ Guardian,
Parent/ Parent/ Guardian,
Parent/ Guardian Siblings, Grand
Guardian Siblings & Grand
Grade Level and Siblings Parent & Other
Only Parent
members of family
Grade Level
D3. What devices are available at home that the learner can use for learning?
Television,
Television Television and Television, Cellphone
Cellphone, Radio
Grade Level Only Cellphone & Radio
& Desktop/laptop
Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
7 0
Mobile data,
Mobile data,
Mobile data Mobile data & broadband,
broadband &
Grade Level only broadband computer shop &
computer shop
other places
D6. What distance learning modality/ies do you prefer for your child?
online online learning,
online learning & online learning,
learning television, radio &
Grade Level television television & radio
only modular learning
DLM1 DLM2 DLM3 DLM4
7
D7. What are the challenges that may affect your child’s learning process through distance edu
lack of available
gadgets/
lack of available equipment ,
lack of
lack of available gadgets/ equipment , insufficient load/
available
gadgets/ equipment insufficient load/ data data allowance,
gadgets/
Grade Level equipment & insufficient load/ allowance & unstable unstable mobile/
data allowance mobile/ internet internet
only
connection connection &
existing health
condition/s
E2. If the answer is no , please select only 1 major consideration or state specific reason
Fear of Limited or no
Getting available Existing Illness or
Helping in
Infected of transportation from health related
Grade Level Corona home to school and household chores
concens
Virus vice versa
MC1 MC2 MC3 MC4
7
broadband,
Computer shop and
Broadband only computer shop & Computer shop only
other places
other places
e specific 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
atrix. May use the assigned code as appopriate for easy reference.
Return to File Directory
DIVISION REGION
IC9 IC10
0
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
0
insufficient load/ data
allowance, unstable
insufficient load/ data mobile/ internet unstable
allowance, unstable connection, existing mobile/
unstable
mobile/ internet health condition/s, internet
mobile/
connection, existing difficulty in independent connection,
unstable mobile/ internet
health condition/s, learning, conflict with existing
internet connection connection
difficulty in other activities (i.e., health
only & existing
independent learning house chores), high condition/s &
health
& conflict with other electrical consumption difficulty in
condition/s
activities (i.e., house & distractions (i.e., independent
chores) social media, noise learning
from
community/neighbor)
0
SUMMARY MATRIX OF SELECTED DATA ELEMENTS OF MLESF
(This form can be used to tabulate survey result of Class/Section, Grade and School lev
NAME OF SCHOOL
Grade/School Level *Section
Last updated (date): For LIS Admin U
Date Posted in LIS QC
B9. Gender
Total (Must be
equalled vis-à-vis
Grade Level Male Female
Enrollment per
Class/Grade Level)
7 0
C2. Parent/Guardian Highest Educational Attainment (select only parent/guardian per learner ha
No Formal
No Formal Elementary
Schooling but able Elementary level
Grade Level Schooling to read and write Graduate
D1. How many of your household members (including the enrollee) are studying in School Year
Only 1
2 Household 3 Household 4 Household
Grade Level Household
Members Members Members
Member
7
D2. Who among the household members can provide instructional support to the child’s distanc
Parent/ Guardian,
Parent/ Parent/ Guardian,
Parent/ Guardian Siblings, Grand
Guardian Siblings & Grand
Grade Level and Siblings Parent & Other
Only Parent
members of family
Grade Level
D3. What devices are available at home that the learner can use for learning?
Television,
Television Television and Television, Cellphone
Cellphone, Radio
Grade Level Only Cellphone & Radio
& Desktop/laptop
Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
7 0
Mobile data,
Mobile data,
Mobile data Mobile data & broadband,
broadband &
Grade Level only broadband computer shop &
computer shop
other places
D6. What distance learning modality/ies do you prefer for your child?
online online learning,
online learning & online learning,
learning television, radio &
Grade Level television television & radio
only modular learning
DLM1 DLM2 DLM3 DLM4
7
D7. What are the challenges that may affect your child’s learning process through distance edu
lack of available
gadgets/
lack of available equipment ,
lack of
lack of available gadgets/ equipment , insufficient load/
available
gadgets/ equipment insufficient load/ data data allowance,
gadgets/
Grade Level equipment & insufficient load/ allowance & unstable unstable mobile/
data allowance mobile/ internet internet
only
connection connection &
existing health
condition/s
E2. If the answer is no , please select only 1 major consideration or state specific reason
Fear of Limited or no
Getting available Existing Illness or
Helping in
Infected of transportation from health related
Grade Level Corona home to school and household chores
concens
Virus vice versa
MC1 MC2 MC3 MC4
7
broadband,
Computer shop and
Broadband only computer shop & Computer shop only
other places
other places
e specific 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
atrix. May use the assigned code as appopriate for easy reference.
Return to File Directory
DIVISION REGION
IC9 IC10
0
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
0
insufficient load/ data
allowance, unstable
insufficient load/ data mobile/ internet unstable
allowance, unstable connection, existing mobile/
unstable
mobile/ internet health condition/s, internet
mobile/
connection, existing difficulty in independent connection,
unstable mobile/ internet
health condition/s, learning, conflict with existing
internet connection connection
difficulty in other activities (i.e., health
only & existing
independent learning house chores), high condition/s &
health
& conflict with other electrical consumption difficulty in
condition/s
activities (i.e., house & distractions (i.e., independent
chores) social media, noise learning
from
community/neighbor)
0
SUMMARY MATRIX OF SELECTED DATA ELEMENTS OF MLESF
(This form can be used to tabulate survey result of Class/Section, Grade and School lev
NAME OF SCHOOL INGUD-RAMONA INTEGRATED SCHOOL
Grade/School Level GRADE 8 *Section 1
Last updated (date): For LIS Admin U
Date Posted in LIS QC
B9. Gender
Total (Must be
equalled vis-à-vis
Grade Level Male Female
Enrollment per
Class/Grade Level)
8 17 14 31
C2. Parent/Guardian Highest Educational Attainment (select only parent/guardian per learner ha
No Formal
No Formal Elementary
Schooling but able Elementary level
Grade Level Schooling to read and 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
8 8 15 7 1
D2. Who among the household members can provide instructional support to the child’s distanc
Parent/ Guardian,
Parent/ Parent/ Guardian,
Parent/ Guardian Siblings, Grand
Guardian Siblings & Grand
Grade Level and Siblings Parent & Other
Only Parent
members of family
Grade Level
D3. What devices are available at home that the learner can use for learning?
Television,
Television Television and Television, Cellphone
Cellphone, Radio
Grade Level Only Cellphone & Radio
& Desktop/laptop
Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
8 31 0 31
Mobile data,
Mobile data,
Mobile data Mobile data & broadband,
broadband &
Grade Level only broadband computer shop &
computer shop
other places
D6. What distance learning modality/ies do you prefer for your child?
online online learning,
online learning & online learning,
learning television, radio &
Grade Level television television & radio
only modular learning
DLM1 DLM2 DLM3 DLM4
8
D7. What are the challenges that may affect your child’s learning process through distance edu
lack of available
gadgets/
lack of available equipment ,
lack of
lack of available gadgets/ equipment , insufficient load/
available
gadgets/ equipment insufficient load/ data data allowance,
gadgets/
Grade Level equipment & insufficient load/ allowance & unstable unstable mobile/
data allowance mobile/ internet internet
only
connection connection &
existing health
condition/s
E2. If the answer is no , please select only 1 major consideration or state specific reason
Fear of Limited or no
Getting available Existing Illness or
Helping in
Infected of transportation from health related
Grade Level Corona home to school and household chores
concens
Virus vice versa
MC1 MC2 MC3 MC4
8
broadband,
Computer shop and
Broadband only computer shop & Computer shop only
other places
other places
e specific 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
atrix. May use the assigned code as appopriate for easy reference.
Return to File Directory
IC9 IC10
31
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
31
insufficient load/ data
allowance, unstable
insufficient load/ data mobile/ internet unstable
allowance, unstable connection, existing mobile/
unstable
mobile/ internet health condition/s, internet
mobile/
connection, existing difficulty in independent connection,
unstable mobile/ internet
health condition/s, learning, conflict with existing
internet connection connection
difficulty in other activities (i.e., health
only & existing
independent learning house chores), high condition/s &
health
& conflict with other electrical consumption difficulty in
condition/s
activities (i.e., house & distractions (i.e., independent
chores) social media, noise learning
from
community/neighbor)
31
SUMMARY MATRIX OF SELECTED DATA ELEMENTS OF MLESF
(This form can be used to tabulate survey result of Class/Section, Grade and School lev
NAME OF SCHOOL
Grade/School Level *Section
Last updated (date): For LIS Admin U
Date Posted in LIS QC
B9. Gender
Total (Must be
equalled vis-à-vis
Grade Level Male Female
Enrollment per
Class/Grade Level)
8 0
C2. Parent/Guardian Highest Educational Attainment (select only parent/guardian per learner ha
No Formal
No Formal Elementary
Schooling but able Elementary level
Grade Level Schooling to read and 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
8
D2. Who among the household members can provide instructional support to the child’s distanc
Parent/ Guardian,
Parent/ Parent/ Guardian,
Parent/ Guardian Siblings, Grand
Guardian Siblings & Grand
Grade Level and Siblings Parent & Other
Only Parent
members of family
Grade Level
D3. What devices are available at home that the learner can use for learning?
Television,
Television Television and Television, Cellphone
Cellphone, Radio
Grade Level Only Cellphone & Radio
& Desktop/laptop
Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
8 0
Mobile data,
Mobile data,
Mobile data Mobile data & broadband,
broadband &
Grade Level only broadband computer shop &
computer shop
other places
D6. What distance learning modality/ies do you prefer for your child?
online online learning,
online learning & online learning,
learning television, radio &
Grade Level television television & radio
only modular learning
DLM1 DLM2 DLM3 DLM4
8
D7. What are the challenges that may affect your child’s learning process through distance edu
lack of available
gadgets/
lack of available equipment ,
lack of
lack of available gadgets/ equipment , insufficient load/
available
gadgets/ equipment insufficient load/ data data allowance,
gadgets/
Grade Level equipment & insufficient load/ allowance & unstable unstable mobile/
data allowance mobile/ internet internet
only
connection connection &
existing health
condition/s
E2. If the answer is no , please select only 1 major consideration or state specific reason
Fear of Limited or no
Getting available Existing Illness or
Helping in
Infected of transportation from health related
Grade Level Corona home to school and household chores
concens
Virus vice versa
MC1 MC2 MC3 MC4
8
broadband,
Computer shop and
Broadband only computer shop & Computer shop only
other places
other places
e specific 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
atrix. May use the assigned code as appopriate for easy reference.
Return to File Directory
DIVISION REGION
IC9 IC10
0
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
0
insufficient load/ data
allowance, unstable
insufficient load/ data mobile/ internet unstable
allowance, unstable connection, existing mobile/
unstable
mobile/ internet health condition/s, internet
mobile/
connection, existing difficulty in independent connection,
unstable mobile/ internet
health condition/s, learning, conflict with existing
internet connection connection
difficulty in other activities (i.e., health
only & existing
independent learning house chores), high condition/s &
health
& conflict with other electrical consumption difficulty in
condition/s
activities (i.e., house & distractions (i.e., independent
chores) social media, noise learning
from
community/neighbor)
0
SUMMARY MATRIX OF SELECTED DATA ELEMENTS OF MLESF
(This form can be used to tabulate survey result of Class/Section, Grade and School lev
NAME OF SCHOOL
Grade/School Level *Section
Last updated (date): For LIS Admin U
Date Posted in LIS QC
B9. Gender
Total (Must be
equalled vis-à-vis
Grade Level Male Female
Enrollment per
Class/Grade Level)
8 0
C2. Parent/Guardian Highest Educational Attainment (select only parent/guardian per learner ha
No Formal
No Formal Elementary
Schooling but able Elementary level
Grade Level Schooling to read and 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
8
D2. Who among the household members can provide instructional support to the child’s distanc
Parent/ Guardian,
Parent/ Parent/ Guardian,
Parent/ Guardian Siblings, Grand
Guardian Siblings & Grand
Grade Level and Siblings Parent & Other
Only Parent
members of family
Grade Level
D3. What devices are available at home that the learner can use for learning?
Television,
Television Television and Television, Cellphone
Cellphone, Radio
Grade Level Only Cellphone & Radio
& Desktop/laptop
Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
8 0
Mobile data,
Mobile data,
Mobile data Mobile data & broadband,
broadband &
Grade Level only broadband computer shop &
computer shop
other places
D6. What distance learning modality/ies do you prefer for your child?
online online learning,
online learning & online learning,
learning television, radio &
Grade Level television television & radio
only modular learning
DLM1 DLM2 DLM3 DLM4
8
D7. What are the challenges that may affect your child’s learning process through distance edu
lack of available
gadgets/
lack of available equipment ,
lack of
lack of available gadgets/ equipment , insufficient load/
available
gadgets/ equipment insufficient load/ data data allowance,
gadgets/
Grade Level equipment & insufficient load/ allowance & unstable unstable mobile/
data allowance mobile/ internet internet
only
connection connection &
existing health
condition/s
E2. If the answer is no , please select only 1 major consideration or state specific reason
Fear of Limited or no
Getting available Existing Illness or
Helping in
Infected of transportation from health related
Grade Level Corona home to school and household chores
concens
Virus vice versa
MC1 MC2 MC3 MC4
8
broadband,
Computer shop and
Broadband only computer shop & Computer shop only
other places
other places
e specific 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
atrix. May use the assigned code as appopriate for easy reference.
Return to File Directory
DIVISION REGION
IC9 IC10
0
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
0
insufficient load/ data
allowance, unstable
insufficient load/ data mobile/ internet unstable
allowance, unstable connection, existing mobile/
unstable
mobile/ internet health condition/s, internet
mobile/
connection, existing difficulty in independent connection,
unstable mobile/ internet
health condition/s, learning, conflict with existing
internet connection connection
difficulty in other activities (i.e., health
only & existing
independent learning house chores), high condition/s &
health
& conflict with other electrical consumption difficulty in
condition/s
activities (i.e., house & distractions (i.e., independent
chores) social media, noise learning
from
community/neighbor)
0
SUMMARY MATRIX OF SELECTED DATA ELEMENTS OF MLESF
(This form can be used to tabulate survey result of Class/Section, Grade and School lev
NAME OF SCHOOL
Grade/School Level *Section
Last updated (date): For LIS Admin U
Date Posted in LIS QC
B9. Gender
Total (Must be
equalled vis-à-vis
Grade Level Male Female
Enrollment per
Class/Grade Level)
8 0
C2. Parent/Guardian Highest Educational Attainment (select only parent/guardian per learner ha
No Formal
No Formal Elementary
Schooling but able Elementary level
Grade Level Schooling to read and 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
8
D2. Who among the household members can provide instructional support to the child’s distanc
Parent/ Guardian,
Parent/ Parent/ Guardian,
Parent/ Guardian Siblings, Grand
Guardian Siblings & Grand
Grade Level and Siblings Parent & Other
Only Parent
members of family
Grade Level
D3. What devices are available at home that the learner can use for learning?
Television,
Television Television and Television, Cellphone
Cellphone, Radio
Grade Level Only Cellphone & Radio
& Desktop/laptop
Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
8 0
Mobile data,
Mobile data,
Mobile data Mobile data & broadband,
broadband &
Grade Level only broadband computer shop &
computer shop
other places
D6. What distance learning modality/ies do you prefer for your child?
online online learning,
online learning & online learning,
learning television, radio &
Grade Level television television & radio
only modular learning
DLM1 DLM2 DLM3 DLM4
8
D7. What are the challenges that may affect your child’s learning process through distance edu
lack of available
gadgets/
lack of available equipment ,
lack of
lack of available gadgets/ equipment , insufficient load/
available
gadgets/ equipment insufficient load/ data data allowance,
gadgets/
Grade Level equipment & insufficient load/ allowance & unstable unstable mobile/
data allowance mobile/ internet internet
only
connection connection &
existing health
condition/s
E2. If the answer is no , please select only 1 major consideration or state specific reason
Fear of Limited or no
Getting available Existing Illness or
Helping in
Infected of transportation from health related
Grade Level Corona home to school and household chores
concens
Virus vice versa
MC1 MC2 MC3 MC4
8
broadband,
Computer shop and
Broadband only computer shop & Computer shop only
other places
other places
e specific 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
atrix. May use the assigned code as appopriate for easy reference.
Return to File Directory
DIVISION REGION
IC9 IC10
0
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
0
insufficient load/ data
allowance, unstable
insufficient load/ data mobile/ internet unstable
allowance, unstable connection, existing mobile/
unstable
mobile/ internet health condition/s, internet
mobile/
connection, existing difficulty in independent connection,
unstable mobile/ internet
health condition/s, learning, conflict with existing
internet connection connection
difficulty in other activities (i.e., health
only & existing
independent learning house chores), high condition/s &
health
& conflict with other electrical consumption difficulty in
condition/s
activities (i.e., house & distractions (i.e., independent
chores) social media, noise learning
from
community/neighbor)
0
SUMMARY MATRIX OF SELECTED DATA ELEMENTS OF MLESF
(This form can be used to tabulate survey result of Class/Section, Grade and School lev
NAME OF SCHOOL
Grade/School Level *Section
Last updated (date): For LIS Admin U
Date Posted in LIS QC
B9. Gender
Total (Must be
equalled vis-à-vis
Grade Level Male Female
Enrollment per
Class/Grade Level)
8 0
C2. Parent/Guardian Highest Educational Attainment (select only parent/guardian per learner ha
No Formal
No Formal Elementary
Schooling but able Elementary level
Grade Level Schooling to read and 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
8
D2. Who among the household members can provide instructional support to the child’s distanc
Parent/ Guardian,
Parent/ Parent/ Guardian,
Parent/ Guardian Siblings, Grand
Guardian Siblings & Grand
Grade Level and Siblings Parent & Other
Only Parent
members of family
Grade Level
D3. What devices are available at home that the learner can use for learning?
Television,
Television Television and Television, Cellphone
Cellphone, Radio
Grade Level Only Cellphone & Radio
& Desktop/laptop
Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
8 0
Mobile data,
Mobile data,
Mobile data Mobile data & broadband,
broadband &
Grade Level only broadband computer shop &
computer shop
other places
D6. What distance learning modality/ies do you prefer for your child?
online online learning,
online learning & online learning,
learning television, radio &
Grade Level television television & radio
only modular learning
DLM1 DLM2 DLM3 DLM4
8
D7. What are the challenges that may affect your child’s learning process through distance edu
lack of available
gadgets/
lack of available equipment ,
lack of
lack of available gadgets/ equipment , insufficient load/
available
gadgets/ equipment insufficient load/ data data allowance,
gadgets/
Grade Level equipment & insufficient load/ allowance & unstable unstable mobile/
data allowance mobile/ internet internet
only
connection connection &
existing health
condition/s
E2. If the answer is no , please select only 1 major consideration or state specific reason
Fear of Limited or no
Getting available Existing Illness or
Helping in
Infected of transportation from health related
Grade Level Corona home to school and household chores
concens
Virus vice versa
MC1 MC2 MC3 MC4
8
broadband,
Computer shop and
Broadband only computer shop & Computer shop only
other places
other places
e specific 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
atrix. May use the assigned code as appopriate for easy reference.
Return to File Directory
DIVISION REGION
IC9 IC10
0
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
0
insufficient load/ data
allowance, unstable
insufficient load/ data mobile/ internet unstable
allowance, unstable connection, existing mobile/
unstable
mobile/ internet health condition/s, internet
mobile/
connection, existing difficulty in independent connection,
unstable mobile/ internet
health condition/s, learning, conflict with existing
internet connection connection
difficulty in other activities (i.e., health
only & existing
independent learning house chores), high condition/s &
health
& conflict with other electrical consumption difficulty in
condition/s
activities (i.e., house & distractions (i.e., independent
chores) social media, noise learning
from
community/neighbor)
0
SUMMARY MATRIX OF SELECTED DATA ELEMENTS OF MLESF
(This form can be used to tabulate survey result of Class/Section, Grade and School lev
NAME OF SCHOOL INGUD-RAMONA INTEGRATED SCHOOL
Grade/School Level GRADE 9 *Section 1
Last updated (date): For LIS Admin U
Date Posted in LIS QC
B9. Gender
Total (Must be
equalled vis-à-vis
Grade Level Male Female
Enrollment per
Class/Grade Level)
9 10 13 23
C2. Parent/Guardian Highest Educational Attainment (select only parent/guardian per learner ha
No Formal
No Formal Elementary
Schooling but able Elementary level
Grade Level Schooling to read and 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
9 6 9 7 1
D2. Who among the household members can provide instructional support to the child’s distanc
Parent/ Guardian,
Parent/ Parent/ Guardian,
Parent/ Guardian Siblings, Grand
Guardian Siblings & Grand
Grade Level and Siblings Parent & Other
Only Parent
members of family
Grade Level
D3. What devices are available at home that the learner can use for learning?
Television,
Television Television and Television, Cellphone
Cellphone, Radio
Grade Level Only Cellphone & Radio
& Desktop/laptop
Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
9 21 2 23
Mobile data,
Mobile data,
Mobile data Mobile data & broadband,
broadband &
Grade Level only broadband computer shop &
computer shop
other places
D6. What distance learning modality/ies do you prefer for your child?
online online learning,
online learning & online learning,
learning television, radio &
Grade Level television television & radio
only modular learning
DLM1 DLM2 DLM3 DLM4
9
D7. What are the challenges that may affect your child’s learning process through distance edu
lack of available
gadgets/
lack of available equipment ,
lack of
lack of available gadgets/ equipment , insufficient load/
available
gadgets/ equipment insufficient load/ data data allowance,
gadgets/
Grade Level equipment & insufficient load/ allowance & unstable unstable mobile/
data allowance mobile/ internet internet
only
connection connection &
existing health
condition/s
E2. If the answer is no , please select only 1 major consideration or state specific reason
Fear of Limited or no
Getting available Existing Illness or
Helping in
Infected of transportation from health related
Grade Level Corona home to school and household chores
concens
Virus vice versa
MC1 MC2 MC3 MC4
9 16
broadband,
Computer shop and
Broadband only computer shop & Computer shop only
other places
other places
e specific 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
16
atrix. May use the assigned code as appopriate for easy reference.
Return to File Directory
IC9 IC10
2 23
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
23
insufficient load/ data
allowance, unstable
insufficient load/ data mobile/ internet unstable
allowance, unstable connection, existing mobile/
unstable
mobile/ internet health condition/s, internet
mobile/
connection, existing difficulty in independent connection,
unstable mobile/ internet
health condition/s, learning, conflict with existing
internet connection connection
difficulty in other activities (i.e., health
only & existing
independent learning house chores), high condition/s &
health
& conflict with other electrical consumption difficulty in
condition/s
activities (i.e., house & distractions (i.e., independent
chores) social media, noise learning
from
community/neighbor)
23
SUMMARY MATRIX OF SELECTED DATA ELEMENTS OF MLESF
(This form can be used to tabulate survey result of Class/Section, Grade and School lev
NAME OF SCHOOL
Grade/School Level *Section
Last updated (date): For LIS Admin U
Date Posted in LIS QC
B9. Gender
Total (Must be
equalled vis-à-vis
Grade Level Male Female
Enrollment per
Class/Grade Level)
9 0
C2. Parent/Guardian Highest Educational Attainment (select only parent/guardian per learner ha
No Formal
No Formal Elementary
Schooling but able Elementary level
Grade Level Schooling to read and 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
9
D2. Who among the household members can provide instructional support to the child’s distanc
Parent/ Guardian,
Parent/ Parent/ Guardian,
Parent/ Guardian Siblings, Grand
Guardian Siblings & Grand
Grade Level and Siblings Parent & Other
Only Parent
members of family
Grade Level
D3. What devices are available at home that the learner can use for learning?
Television,
Television Television and Television, Cellphone
Cellphone, Radio
Grade Level Only Cellphone & Radio
& Desktop/laptop
Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
9 0
Mobile data,
Mobile data,
Mobile data Mobile data & broadband,
broadband &
Grade Level only broadband computer shop &
computer shop
other places
D6. What distance learning modality/ies do you prefer for your child?
online online learning,
online learning & online learning,
learning television, radio &
Grade Level television television & radio
only modular learning
DLM1 DLM2 DLM3 DLM4
9
D7. What are the challenges that may affect your child’s learning process through distance edu
lack of available
gadgets/
lack of available equipment ,
lack of
lack of available gadgets/ equipment , insufficient load/
available
gadgets/ equipment insufficient load/ data data allowance,
gadgets/
Grade Level equipment & insufficient load/ allowance & unstable unstable mobile/
data allowance mobile/ internet internet
only
connection connection &
existing health
condition/s
E2. If the answer is no , please select only 1 major consideration or state specific reason
Fear of Limited or no
Getting available Existing Illness or
Helping in
Infected of transportation from health related
Grade Level Corona home to school and household chores
concens
Virus vice versa
MC1 MC2 MC3 MC4
9
broadband,
Computer shop and
Broadband only computer shop & Computer shop only
other places
other places
e specific 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
atrix. May use the assigned code as appopriate for easy reference.
Return to File Directory
DIVISION REGION
IC9 IC10
0
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
0
insufficient load/ data
allowance, unstable
insufficient load/ data mobile/ internet unstable
allowance, unstable connection, existing mobile/
unstable
mobile/ internet health condition/s, internet
mobile/
connection, existing difficulty in independent connection,
unstable mobile/ internet
health condition/s, learning, conflict with existing
internet connection connection
difficulty in other activities (i.e., health
only & existing
independent learning house chores), high condition/s &
health
& conflict with other electrical consumption difficulty in
condition/s
activities (i.e., house & distractions (i.e., independent
chores) social media, noise learning
from
community/neighbor)
0
SUMMARY MATRIX OF SELECTED DATA ELEMENTS OF MLESF
(This form can be used to tabulate survey result of Class/Section, Grade and School lev
NAME OF SCHOOL
Grade/School Level *Section
Last updated (date): For LIS Admin U
Date Posted in LIS QC
B9. Gender
Total (Must be
equalled vis-à-vis
Grade Level Male Female
Enrollment per
Class/Grade Level)
9 0
C2. Parent/Guardian Highest Educational Attainment (select only parent/guardian per learner ha
No Formal
No Formal Elementary
Schooling but able Elementary level
Grade Level Schooling to read and 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
9
D2. Who among the household members can provide instructional support to the child’s distanc
Parent/ Guardian,
Parent/ Parent/ Guardian,
Parent/ Guardian Siblings, Grand
Guardian Siblings & Grand
Grade Level and Siblings Parent & Other
Only Parent
members of family
Grade Level
D3. What devices are available at home that the learner can use for learning?
Television,
Television Television and Television, Cellphone
Cellphone, Radio
Grade Level Only Cellphone & Radio
& Desktop/laptop
Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
9 0
Mobile data,
Mobile data,
Mobile data Mobile data & broadband,
broadband &
Grade Level only broadband computer shop &
computer shop
other places
D6. What distance learning modality/ies do you prefer for your child?
online online learning,
online learning & online learning,
learning television, radio &
Grade Level television television & radio
only modular learning
DLM1 DLM2 DLM3 DLM4
9
D7. What are the challenges that may affect your child’s learning process through distance edu
lack of available
gadgets/
lack of available equipment ,
lack of
lack of available gadgets/ equipment , insufficient load/
available
gadgets/ equipment insufficient load/ data data allowance,
gadgets/
Grade Level equipment & insufficient load/ allowance & unstable unstable mobile/
data allowance mobile/ internet internet
only
connection connection &
existing health
condition/s
E2. If the answer is no , please select only 1 major consideration or state specific reason
Fear of Limited or no
Getting available Existing Illness or
Helping in
Infected of transportation from health related
Grade Level Corona home to school and household chores
concens
Virus vice versa
MC1 MC2 MC3 MC4
9
broadband,
Computer shop and
Broadband only computer shop & Computer shop only
other places
other places
e specific 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
atrix. May use the assigned code as appopriate for easy reference.
Return to File Directory
DIVISION REGION
IC9 IC10
0
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
0
insufficient load/ data
allowance, unstable
insufficient load/ data mobile/ internet unstable
allowance, unstable connection, existing mobile/
unstable
mobile/ internet health condition/s, internet
mobile/
connection, existing difficulty in independent connection,
unstable mobile/ internet
health condition/s, learning, conflict with existing
internet connection connection
difficulty in other activities (i.e., health
only & existing
independent learning house chores), high condition/s &
health
& conflict with other electrical consumption difficulty in
condition/s
activities (i.e., house & distractions (i.e., independent
chores) social media, noise learning
from
community/neighbor)
0
SUMMARY MATRIX OF SELECTED DATA ELEMENTS OF MLESF
(This form can be used to tabulate survey result of Class/Section, Grade and School lev
NAME OF SCHOOL
Grade/School Level *Section
Last updated (date): For LIS Admin U
Date Posted in LIS QC
B9. Gender
Total (Must be
equalled vis-à-vis
Grade Level Male Female
Enrollment per
Class/Grade Level)
9 0
C2. Parent/Guardian Highest Educational Attainment (select only parent/guardian per learner ha
No Formal
No Formal Elementary
Schooling but able Elementary level
Grade Level Schooling to read and 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
9
D2. Who among the household members can provide instructional support to the child’s distanc
Parent/ Guardian,
Parent/ Parent/ Guardian,
Parent/ Guardian Siblings, Grand
Guardian Siblings & Grand
Grade Level and Siblings Parent & Other
Only Parent
members of family
Grade Level
D3. What devices are available at home that the learner can use for learning?
Television,
Television Television and Television, Cellphone
Cellphone, Radio
Grade Level Only Cellphone & Radio
& Desktop/laptop
Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
9 0
Mobile data,
Mobile data,
Mobile data Mobile data & broadband,
broadband &
Grade Level only broadband computer shop &
computer shop
other places
D6. What distance learning modality/ies do you prefer for your child?
online online learning,
online learning & online learning,
learning television, radio &
Grade Level television television & radio
only modular learning
DLM1 DLM2 DLM3 DLM4
9
D7. What are the challenges that may affect your child’s learning process through distance edu
lack of available
gadgets/
lack of available equipment ,
lack of
lack of available gadgets/ equipment , insufficient load/
available
gadgets/ equipment insufficient load/ data data allowance,
gadgets/
Grade Level equipment & insufficient load/ allowance & unstable unstable mobile/
data allowance mobile/ internet internet
only
connection connection &
existing health
condition/s
E2. If the answer is no , please select only 1 major consideration or state specific reason
Fear of Limited or no
Getting available Existing Illness or
Helping in
Infected of transportation from health related
Grade Level Corona home to school and household chores
concens
Virus vice versa
MC1 MC2 MC3 MC4
9
broadband,
Computer shop and
Broadband only computer shop & Computer shop only
other places
other places
e specific 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
atrix. May use the assigned code as appopriate for easy reference.
Return to File Directory
DIVISION REGION
IC9 IC10
0
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
0
insufficient load/ data
allowance, unstable
insufficient load/ data mobile/ internet unstable
allowance, unstable connection, existing mobile/
unstable
mobile/ internet health condition/s, internet
mobile/
connection, existing difficulty in independent connection,
unstable mobile/ internet
health condition/s, learning, conflict with existing
internet connection connection
difficulty in other activities (i.e., health
only & existing
independent learning house chores), high condition/s &
health
& conflict with other electrical consumption difficulty in
condition/s
activities (i.e., house & distractions (i.e., independent
chores) social media, noise learning
from
community/neighbor)
0
SUMMARY MATRIX OF SELECTED DATA ELEMENTS OF MLESF
(This form can be used to tabulate survey result of Class/Section, Grade and School lev
NAME OF SCHOOL
Grade/School Level *Section
Last updated (date): For LIS Admin U
Date Posted in LIS QC
B9. Gender
Total (Must be
equalled vis-à-vis
Grade Level Male Female
Enrollment per
Class/Grade Level)
9 0
C2. Parent/Guardian Highest Educational Attainment (select only parent/guardian per learner ha
No Formal
No Formal Elementary
Schooling but able Elementary level
Grade Level Schooling to read and 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
9
D2. Who among the household members can provide instructional support to the child’s distanc
Parent/ Guardian,
Parent/ Parent/ Guardian,
Parent/ Guardian Siblings, Grand
Guardian Siblings & Grand
Grade Level and Siblings Parent & Other
Only Parent
members of family
Grade Level
D3. What devices are available at home that the learner can use for learning?
Television,
Television Television and Television, Cellphone
Cellphone, Radio
Grade Level Only Cellphone & Radio
& Desktop/laptop
Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
9 0
Mobile data,
Mobile data,
Mobile data Mobile data & broadband,
broadband &
Grade Level only broadband computer shop &
computer shop
other places
D6. What distance learning modality/ies do you prefer for your child?
online online learning,
online learning & online learning,
learning television, radio &
Grade Level television television & radio
only modular learning
DLM1 DLM2 DLM3 DLM4
9
D7. What are the challenges that may affect your child’s learning process through distance edu
lack of available
gadgets/
lack of available equipment ,
lack of
lack of available gadgets/ equipment , insufficient load/
available
gadgets/ equipment insufficient load/ data data allowance,
gadgets/
Grade Level equipment & insufficient load/ allowance & unstable unstable mobile/
data allowance mobile/ internet internet
only
connection connection &
existing health
condition/s
E2. If the answer is no , please select only 1 major consideration or state specific reason
Fear of Limited or no
Getting available Existing Illness or
Helping in
Infected of transportation from health related
Grade Level Corona home to school and household chores
concens
Virus vice versa
MC1 MC2 MC3 MC4
9
broadband,
Computer shop and
Broadband only computer shop & Computer shop only
other places
other places
e specific 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
atrix. May use the assigned code as appopriate for easy reference.
Return to File Directory
DIVISION REGION
IC9 IC10
0
Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
0
insufficient load/ data
allowance, unstable
insufficient load/ data mobile/ internet unstable
allowance, unstable connection, existing mobile/
unstable
mobile/ internet health condition/s, internet
mobile/
connection, existing difficulty in independent connection,
unstable mobile/ internet
health condition/s, learning, conflict with existing
internet connection connection
difficulty in other activities (i.e., health
only & existing
independent learning house chores), high condition/s &
health
& conflict with other electrical consumption difficulty in
condition/s
activities (i.e., house & distractions (i.e., independent
chores) social media, noise learning
from
community/neighbor)
0
SUMMARY MATRIX OF SELECTED DATA ELEMENTS OF MLESF (Class Adviser Repo
(This form can be used to tabulate survey result of Class/Section, Grade and School level)
NAME OF SCHOOL INGUD-RAMONA INTEGRATED SCHOOL SCHOOL ID 500089
Grade/School Level GRADE 10 *Section 1 Prospective Adviser/GLEC/SEFP
Last updated (date): For LIS Admin Use Only
Date Posted in LIS QC Posted by: (LIS System Admin)
B9. Gender
Total (Must be
equalled vis-à-vis
Grade Level Male Female
Enrollment per
Class/Grade Level)
10 8 9 17
C2. Parent/Guardian Highest Educational Attainment (select only parent/guardian per learner having the highest educational at
No Formal
No Formal Elementary High School High School
Schooling but able Elementary level
Grade Level Schooling to read and write Graduate Level Graduate
D1. How many of your household members (including the enrollee) are studying in School Year 2021-2022? (No.of Learner/s in
Only 1
2 Household 3 Household 4 Household 5 Household 6 Household
Grade Level Household
Members Members Members Members Members
Member
10 11 4 2
D2. Who among the household members can provide instructional support to the child’s distance learning?
Parent/
Parent/ Guardian, Guardian,
Parent/ Parent/ Guardian,
Parent/ Guardian Siblings, Grand Siblings, Grand
Guardian Siblings & Grand Siblings Only
Grade Level and Siblings Parent & Other Parent, Other
Only Parent
members of family members of
family & Others
HM1 HM2 HM3 HM4 HM5 HM6
10 14 3
D3. What devices are available at home that the learner can use for learning?
Television,
Television Television and Television, Cellphone
Cellphone, Radio Cellphone Only Cellphone & Radio
Grade Level Only Cellphone & Radio
& Desktop/laptop
Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
10 17 17
D5. How do you connect to the internet?
Mobile data,
Mobile data, broadband,
Mobile data Mobile data & broadband,
broadband & Broadband only computer shop &
Grade Level only broadband computer shop &
computer shop other places
other places
D6. What distance learning modality/ies do you prefer for your child?
online online learning,
online learning & online learning,
learning television, radio & Television Only Television & radio
Grade Level television television & radio
only modular learning
DLM1 DLM2 DLM3 DLM4 DLM5 DLM6
10 3 2 7 3
D7. What are the challenges that may affect your child’s learning process through distance education?
lack of available
lack of available
gadgets/
gadgets/
lack of available equipment ,
equipment ,
gadgets/ insufficient load/
insufficient load/
lack of available equipment , data allowance,
lack of data allowance,
lack of available gadgets/ equipment , insufficient load/ unstable mobile/
available unstable mobile/
gadgets/ equipment insufficient load/ data data allowance, internet connection,
gadgets/ internet
Grade Level equipment & insufficient load/ allowance & unstable unstable mobile/ connection,
existing health
data allowance mobile/ internet internet condition/s,
only existing health
connection connection & difficulty in
condition/s &
existing health independent
difficulty in
condition/s learning & conflict
independent
with other activities
learning
(i.e., house chores)
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 family
Helping in Presence of Arm
Infected of transportation from health related business or
Grade Level Corona home to school and household chores Conflict in the area
concens working
Virus vice versa
Grade Level
Television, radio & Radio & Modular Modular Learning Modular Learning
Radio only
modular learning Learning Only (Printed) Only (Digital)
number of respondents
CH32 CH33
14
SUMMARY MATRIX OF SELECTED DATA ELEMENTS OF MLESF (Class Adviser Repo
(This form can be used to tabulate survey result of Class/Section, Grade and School level)
NAME OF SCHOOL SCHOOL ID
Grade/School Level *Section Prospective Adviser/GLEC/SEFP
Last updated (date): For LIS Admin Use Only
Date Posted in LIS QC Posted by: (LIS System Admin)
B9. Gender
Total (Must be
equalled vis-à-vis
Grade Level Male Female
Enrollment per
Class/Grade Level)
10 0
C2. Parent/Guardian Highest Educational Attainment (select only parent/guardian per learner having the highest educational at
No Formal
No Formal Elementary High School High School
Schooling but able Elementary level
Grade Level Schooling to read and write Graduate Level Graduate
D1. How many of your household members (including the enrollee) are studying in School Year 2021-2022? (No.of Learner/s in
Only 1
2 Household 3 Household 4 Household 5 Household 6 Household
Grade Level Household
Members Members Members Members Members
Member
10
D2. Who among the household members can provide instructional support to the child’s distance learning?
Parent/
Parent/ Guardian, Guardian,
Parent/ Parent/ Guardian,
Parent/ Guardian Siblings, Grand Siblings, Grand
Guardian Siblings & Grand Siblings Only
Grade Level and Siblings Parent & Other Parent, Other
Only Parent
members of family members of
family & Others
HM1 HM2 HM3 HM4 HM5 HM6
10
D3. What devices are available at home that the learner can use for learning?
Television,
Television Television and Television, Cellphone
Cellphone, Radio Cellphone Only Cellphone & Radio
Grade Level Only Cellphone & Radio
& Desktop/laptop
Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
10 0
D5. How do you connect to the internet?
Mobile data,
Mobile data, broadband,
Mobile data Mobile data & broadband,
broadband & Broadband only computer shop &
Grade Level only broadband computer shop &
computer shop other places
other places
D6. What distance learning modality/ies do you prefer for your child?
online online learning,
online learning & online learning,
learning television, radio & Television Only Television & radio
Grade Level television television & radio
only modular learning
DLM1 DLM2 DLM3 DLM4 DLM5 DLM6
10
D7. What are the challenges that may affect your child’s learning process through distance education?
lack of available
lack of available
gadgets/
gadgets/
lack of available equipment ,
equipment ,
gadgets/ insufficient load/
insufficient load/
lack of available equipment , data allowance,
lack of data allowance,
lack of available gadgets/ equipment , insufficient load/ unstable mobile/
available unstable mobile/
gadgets/ equipment insufficient load/ data data allowance, internet connection,
gadgets/ internet
Grade Level equipment & insufficient load/ allowance & unstable unstable mobile/ connection,
existing health
data allowance mobile/ internet internet condition/s,
only existing health
connection connection & difficulty in
condition/s &
existing health independent
difficulty in
condition/s learning & conflict
independent
with other activities
learning
(i.e., house chores)
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 family
Helping in Presence of Arm
Infected of transportation from health related business or
Grade Level Corona home to school and household chores Conflict in the area
concens working
Virus vice versa
Grade Level
Television, radio & Radio & Modular Modular Learning Modular Learning
Radio only
modular learning Learning Only (Printed) Only (Digital)
number of respondents
CH32 CH33
0
SUMMARY MATRIX OF SELECTED DATA ELEMENTS OF MLESF (Class Adviser Repo
(This form can be used to tabulate survey result of Class/Section, Grade and School level)
NAME OF SCHOOL SCHOOL ID
Grade/School Level *Section Prospective Adviser/GLEC/SEFP
Last updated (date): For LIS Admin Use Only
Date Posted in LIS QC Posted by: (LIS System Admin)
B9. Gender
Total (Must be
equalled vis-à-vis
Grade Level Male Female
Enrollment per
Class/Grade Level)
10 0
C2. Parent/Guardian Highest Educational Attainment (select only parent/guardian per learner having the highest educational at
No Formal
No Formal Elementary High School High School
Schooling but able Elementary level
Grade Level Schooling to read and write Graduate Level Graduate
D1. How many of your household members (including the enrollee) are studying in School Year 2021-2022? (No.of Learner/s in
Only 1
2 Household 3 Household 4 Household 5 Household 6 Household
Grade Level Household
Members Members Members Members Members
Member
10
D2. Who among the household members can provide instructional support to the child’s distance learning?
Parent/
Parent/ Guardian, Guardian,
Parent/ Parent/ Guardian,
Parent/ Guardian Siblings, Grand Siblings, Grand
Guardian Siblings & Grand Siblings Only
Grade Level and Siblings Parent & Other Parent, Other
Only Parent
members of family members of
family & Others
HM1 HM2 HM3 HM4 HM5 HM6
10
D3. What devices are available at home that the learner can use for learning?
Television,
Television Television and Television, Cellphone
Cellphone, Radio Cellphone Only Cellphone & Radio
Grade Level Only Cellphone & Radio
& Desktop/laptop
Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
10 0
D5. How do you connect to the internet?
Mobile data,
Mobile data, broadband,
Mobile data Mobile data & broadband,
broadband & Broadband only computer shop &
Grade Level only broadband computer shop &
computer shop other places
other places
D6. What distance learning modality/ies do you prefer for your child?
online online learning,
online learning & online learning,
learning television, radio & Television Only Television & radio
Grade Level television television & radio
only modular learning
DLM1 DLM2 DLM3 DLM4 DLM5 DLM6
10
D7. What are the challenges that may affect your child’s learning process through distance education?
lack of available
lack of available
gadgets/
gadgets/
lack of available equipment ,
equipment ,
gadgets/ insufficient load/
insufficient load/
lack of available equipment , data allowance,
lack of data allowance,
lack of available gadgets/ equipment , insufficient load/ unstable mobile/
available unstable mobile/
gadgets/ equipment insufficient load/ data data allowance, internet connection,
gadgets/ internet
Grade Level equipment & insufficient load/ allowance & unstable unstable mobile/ connection,
existing health
data allowance mobile/ internet internet condition/s,
only existing health
connection connection & difficulty in
condition/s &
existing health independent
difficulty in
condition/s learning & conflict
independent
with other activities
learning
(i.e., house chores)
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 family
Helping in Presence of Arm
Infected of transportation from health related business or
Grade Level Corona home to school and household chores Conflict in the area
concens working
Virus vice versa
Grade Level
Television, radio & Radio & Modular Modular Learning Modular Learning
Radio only
modular learning Learning Only (Printed) Only (Digital)
number of respondents
CH32 CH33
0
SUMMARY MATRIX OF SELECTED DATA ELEMENTS OF MLESF (Class Adviser Repo
(This form can be used to tabulate survey result of Class/Section, Grade and School level)
NAME OF SCHOOL SCHOOL ID
Grade/School Level *Section Prospective Adviser/GLEC/SEFP
Last updated (date): For LIS Admin Use Only
Date Posted in LIS QC Posted by: (LIS System Admin)
B9. Gender
Total (Must be
equalled vis-à-vis
Grade Level Male Female
Enrollment per
Class/Grade Level)
10 0
C2. Parent/Guardian Highest Educational Attainment (select only parent/guardian per learner having the highest educational at
No Formal
No Formal Elementary High School High School
Schooling but able Elementary level
Grade Level Schooling to read and write Graduate Level Graduate
D1. How many of your household members (including the enrollee) are studying in School Year 2021-2022? (No.of Learner/s in
Only 1
2 Household 3 Household 4 Household 5 Household 6 Household
Grade Level Household
Members Members Members Members Members
Member
10
D2. Who among the household members can provide instructional support to the child’s distance learning?
Parent/
Parent/ Guardian, Guardian,
Parent/ Parent/ Guardian,
Parent/ Guardian Siblings, Grand Siblings, Grand
Guardian Siblings & Grand Siblings Only
Grade Level and Siblings Parent & Other Parent, Other
Only Parent
members of family members of
family & Others
HM1 HM2 HM3 HM4 HM5 HM6
10
D3. What devices are available at home that the learner can use for learning?
Television,
Television Television and Television, Cellphone
Cellphone, Radio Cellphone Only Cellphone & Radio
Grade Level Only Cellphone & Radio
& Desktop/laptop
Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
10 0
D5. How do you connect to the internet?
Mobile data,
Mobile data, broadband,
Mobile data Mobile data & broadband,
broadband & Broadband only computer shop &
Grade Level only broadband computer shop &
computer shop other places
other places
D6. What distance learning modality/ies do you prefer for your child?
online online learning,
online learning & online learning,
learning television, radio & Television Only Television & radio
Grade Level television television & radio
only modular learning
DLM1 DLM2 DLM3 DLM4 DLM5 DLM6
10
D7. What are the challenges that may affect your child’s learning process through distance education?
lack of available
lack of available
gadgets/
gadgets/
lack of available equipment ,
equipment ,
gadgets/ insufficient load/
insufficient load/
lack of available equipment , data allowance,
lack of data allowance,
lack of available gadgets/ equipment , insufficient load/ unstable mobile/
available unstable mobile/
gadgets/ equipment insufficient load/ data data allowance, internet connection,
gadgets/ internet
Grade Level equipment & insufficient load/ allowance & unstable unstable mobile/ connection,
existing health
data allowance mobile/ internet internet condition/s,
only existing health
connection connection & difficulty in
condition/s &
existing health independent
difficulty in
condition/s learning & conflict
independent
with other activities
learning
(i.e., house chores)
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 family
Helping in Presence of Arm
Infected of transportation from health related business or
Grade Level Corona home to school and household chores Conflict in the area
concens working
Virus vice versa
Grade Level
Television, radio & Radio & Modular Modular Learning Modular Learning
Radio only
modular learning Learning Only (Printed) Only (Digital)
number of respondents
CH32 CH33
0
SUMMARY MATRIX OF SELECTED DATA ELEMENTS OF MLESF (Class Adviser Repo
(This form can be used to tabulate survey result of Class/Section, Grade and School level)
NAME OF SCHOOL SCHOOL ID
Grade/School Level *Section Prospective Adviser/GLEC/SEFP
Last updated (date): For LIS Admin Use Only
Date Posted in LIS QC Posted by: (LIS System Admin)
B9. Gender
Total (Must be
equalled vis-à-vis
Grade Level Male Female
Enrollment per
Class/Grade Level)
10 0
C2. Parent/Guardian Highest Educational Attainment (select only parent/guardian per learner having the highest educational at
No Formal
No Formal Elementary High School High School
Schooling but able Elementary level
Grade Level Schooling to read and write Graduate Level Graduate
D1. How many of your household members (including the enrollee) are studying in School Year 2021-2022? (No.of Learner/s in
Only 1
2 Household 3 Household 4 Household 5 Household 6 Household
Grade Level Household
Members Members Members Members Members
Member
10
D2. Who among the household members can provide instructional support to the child’s distance learning?
Parent/
Parent/ Guardian, Guardian,
Parent/ Parent/ Guardian,
Parent/ Guardian Siblings, Grand Siblings, Grand
Guardian Siblings & Grand Siblings Only
Grade Level and Siblings Parent & Other Parent, Other
Only Parent
members of family members of
family & Others
HM1 HM2 HM3 HM4 HM5 HM6
10
D3. What devices are available at home that the learner can use for learning?
Television,
Television Television and Television, Cellphone
Cellphone, Radio Cellphone Only Cellphone & Radio
Grade Level Only Cellphone & Radio
& Desktop/laptop
Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
10 0
D5. How do you connect to the internet?
Mobile data,
Mobile data, broadband,
Mobile data Mobile data & broadband,
broadband & Broadband only computer shop &
Grade Level only broadband computer shop &
computer shop other places
other places
D6. What distance learning modality/ies do you prefer for your child?
online online learning,
online learning & online learning,
learning television, radio & Television Only Television & radio
Grade Level television television & radio
only modular learning
DLM1 DLM2 DLM3 DLM4 DLM5 DLM6
10
D7. What are the challenges that may affect your child’s learning process through distance education?
lack of available
lack of available
gadgets/
gadgets/
lack of available equipment ,
equipment ,
gadgets/ insufficient load/
insufficient load/
lack of available equipment , data allowance,
lack of data allowance,
lack of available gadgets/ equipment , insufficient load/ unstable mobile/
available unstable mobile/
gadgets/ equipment insufficient load/ data data allowance, internet connection,
gadgets/ internet
Grade Level equipment & insufficient load/ allowance & unstable unstable mobile/ connection,
existing health
data allowance mobile/ internet internet condition/s,
only existing health
connection connection & difficulty in
condition/s &
existing health independent
difficulty in
condition/s learning & conflict
independent
with other activities
learning
(i.e., house chores)
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 family
Helping in Presence of Arm
Infected of transportation from health related business or
Grade Level Corona home to school and household chores Conflict in the area
concens working
Virus vice versa
Grade Level
Television, radio & Radio & Modular Modular Learning Modular Learning
Radio only
modular learning Learning Only (Printed) Only (Digital)
number of respondents
CH32 CH33
0
SUMMARY MATRIX OF SELECTED DATA ELEMENTS OF MLESF (Class Adviser Repo
(This form can be used to tabulate survey result of Class/Section, Grade and School level)
NAME OF SCHOOL SCHOOL ID
Grade/School Level *Section Prospective Adviser/GLEC/SEFP
Last updated (date): For LIS Admin Use Only
Date Posted in LIS QC Posted by: (LIS System Admin)
B9. Gender
Total (Must be
equalled vis-à-vis
Grade Level Male Female
Enrollment per
Class/Grade Level)
Non-Graded 0
C2. Parent/Guardian Highest Educational Attainment (select only parent/guardian per learner having the highest educational at
No Formal
No Formal Elementary High School High School
Schooling but able Elementary level
Grade Level Schooling to read and write Graduate Level Graduate
D1. How many of your household members (including the enrollee) are studying in School Year 2021-2022? (No.of Learner/s in
Only 1
2 Household 3 Household 4 Household 5 Household 6 Household
Grade Level Household
Members Members Members Members Members
Member
Non-Graded
D2. Who among the household members can provide instructional support to the child’s distance learning?
Parent/
Parent/ Guardian, Guardian,
Parent/ Parent/ Guardian,
Parent/ Guardian Siblings, Grand Siblings, Grand
Guardian Siblings & Grand Siblings Only
Grade Level and Siblings Parent & Other Parent, Other
Only Parent
members of family members of
family & Others
HM1 HM2 HM3 HM4 HM5 HM6
Non-Graded
D3. What devices are available at home that the learner can use for learning?
Television,
Television Television and Television, Cellphone
Cellphone, Radio Cellphone Only Cellphone & Radio
Grade Level Only Cellphone & Radio
& Desktop/laptop
Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
Non-Graded 0
D5. How do you connect to the internet?
Mobile data,
Mobile data, broadband,
Mobile data Mobile data & broadband,
broadband & Broadband only computer shop &
Grade Level only broadband computer shop &
computer shop other places
other places
D6. What distance learning modality/ies do you prefer for your child?
online online learning,
online learning & online learning,
learning television, radio & Television Only Television & radio
Grade Level television television & radio
only modular learning
DLM1 DLM2 DLM3 DLM4 DLM5 DLM6
Non-Graded
D7. What are the challenges that may affect your child’s learning process through distance education?
lack of available
lack of available
gadgets/
gadgets/
lack of available equipment ,
equipment ,
gadgets/ insufficient load/
insufficient load/
lack of available equipment , data allowance,
lack of data allowance,
lack of available gadgets/ equipment , insufficient load/ unstable mobile/
available unstable mobile/
gadgets/ equipment insufficient load/ data data allowance, internet connection,
gadgets/ internet
Grade Level equipment & insufficient load/ allowance & unstable unstable mobile/ connection,
existing health
data allowance mobile/ internet internet condition/s,
only existing health
connection connection & difficulty in
condition/s &
existing health independent
difficulty in
condition/s learning & conflict
independent
with other activities
learning
(i.e., house chores)
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 family
Helping in Presence of Arm
Infected of transportation from health related business or
Grade Level Corona home to school and household chores Conflict in the area
concens working
Virus vice versa
Grade Level
Television, radio & Radio & Modular Modular Learning Modular Learning
Radio only
modular learning Learning Only (Printed) Only (Digital)
number of respondents
CH32 CH33
0