Name:

Date:

Data Gathering Instrument for Trainee’s Characteristics

The structured questionnaire below was prepared as a data gathering tool to help the trainer collect
data on trainee’s characteristics. This questionnaire maybe filled up by each trainee and validated by
the trainer from possible sources like the Trainee’s Profile and through personal interview of each
trainee.

Data Gathering Instrument for Trainee’s Characteristics

Please answer the following instrument according to the characteristics

described below. Encircle the letter of your choice that best describes you as a learner.
Blank spaces are provided for some data that need your response.
Characteristics of
learners
Language, literacy Average grade in: Average grade in:
and numeracy
English Math
(LL&N)
a. 95 and above a. 95 and above
b. 90 to 94 b. 90 to 94
c. 85 to 89 c. 85 to 89
d. 80 to 84 d. 80 to 84
e. 75 to 79 e. 75 to 79

Cultural Ethnicity/culture:
and a. Ifugao
language
b. Igorot
background
c. Ibanag
d. Gaddang
e. Muslim
f. Ibaloy
g. Others (please specify)

Education Highest Educational Attainment:

& general a. High School Level
knowledge
b. High School Graduate
c. College Level
d. College Graduate
e. with units in Master’s degree
f. Master’s degree Graduate
 Characteristics of
learners
g. With units in Doctoral Level
h. Doctoral Graduate
Sex a. Male
b. Female
Age Your age:
Physical ability 1. Disabilities (if any)
2. Existing Health Conditions (Existing illness if
any)
a. None
b. Asthma
c. Heart disease
d. Anemia
e. Hypertension
f. Diabetes
g. Others (please specify)

Previous Bread and Pastry NC II

experience with a. Producing Bakery Product Certificate
the topic b. Baking Certificate
c. Cake Making Certificate
d. Dessert Making Certificate
Number of years as a competency trainer ______

Previous List down trainings related to BREAD AND PASTRY

learning PRODUCTION NC II
experience ________________________________
________________________________
________________________________
Training
National Certificates II
Level
completed

Special courses Other courses related to TM

a. Units in education
 Characteristics of
learners
b. Master’s degree units in education
c. Others (please specify)
______________________

Learning styles a. Visual - The visual learner takes mental pictures

of information given, so in order for this kind of
learner to retain information, oral or written,
presentations of new information must contain
diagrams and drawings, preferably in color. The
visual learner can't concentrate with a lot of
activity around him and will focus better and
learn faster in a quiet study environment.
b. Kinesthetic - described as the students in the
classroom, who have problems sitting still and
who often bounce their legs while tapping their
fingers on the desks. They are often referred to as
hyperactive students with concentration issues.
c. Auditory- a learner who has the ability to
remember speeches and lectures in detail but has
a hard time with written text. Having to read long
texts is pointless and will not be retained by the
auditory learner unless it is read aloud.
d. Activist - Learns by having a go
e. Reflector - Learns most from activities where
they can watch, listen and then review what has
happened.
f. Theorist - Learns most when ideas are linked to
existing theories and concepts.
g. Pragmatist - Learns most from learning activities
that are directly relevant to their situation.

Other needs a. Financially challenged

b. Working student
c. Solo parent
d. Others (please specify)