Learner Enrollment and Survey Information Summary

SY 2020-2021
School:
District:

LESF Public Gender

LRN Learners Name Grade/Year Level Section Male Female Total

1 0
2 0
3 0
4 0
5 0
6 0
7 0
8 0
9 0
10 0
11 0
12 0
13 0
14 0
15 0
16 0
17 0
18 0
19 0
20 0
21 0
22 0
23 0
24 0
25 0
26 0
27 0
28 0
29 0
30 0
31 0
32 0
33 0
34 0
35 0
36 0
37 0
38 0
39 0
40 0
41 0
42 0
43 0
44 0
45 0
46 0
47 0
48 0
49 0
50 0
Total 0
 Father's Information Mother's Information

C4. Working from

C3. Employment Status home due to ECQ C9. Employment Status

C.1 C.7
Father Mother
Full Part Self- Unemployed Not Full Part Self- Unemployed
YES No
Time Time Employed due to ECQ Working Time Time Employed due to ECQ
rmation Guardian's Information
C18. a
C10. Working C16. Working beneficiary of D1. HOW DOES YOUR CHILD GO T
Status from home due C15. Employment Status from home due to 4Ps
to ECQ ECQ
C.13
Guardian
Not Full Part Self- Unemployed Not
YES NO YES NO YES NO Walking
Working Time Time Employed due to ECQ Working
D1. HOW DOES YOUR CHILD GO TO SCHOOL? D2. How many of your household members (including the enrollee) are studying in School

Public Family-
School Grade Grade Grade Grade Grade Grade Grade Grade
Commute owned Kinder 1 2 Grade 3 Grade 4 5 6 Grade 7 Grade 8 9 10 11 12 Others
Service
(Land/Water) vehicle
 D4. What devices are available at home that the learner can use f
D3. Who among the household members can provide instructional support to the child’s
distance learning? With Television With Cellphone
With With
Internet
Connection Tablet/
Extended Others Able to do Ipad
Parents/ Elder Grand
Members of the
(Tutor,
None independent
at Home
Cable
Non-
Basic
Smart
Guardians Siblings parents House Cable phone
Family learning
helper)
 D7. What distance learning m
t home that the learner can use for learning? D6. How do you connect to the internet?
D5. Do you have a
way to connect to
the internet
Other Places
Own Own Broadband Outside the
With Dekstop Others:_ Internet Computer
Radio Computer Laptop None __ Mobile (DSL, Wireless Shop Home with None Online
Data Internet
Fiber, Satellite) Connection
YES NO
D7. What distance learning modality/ies do you prefer for your
child
D8. What are the challenges that may affect your child’s process through distance educa

Combination
of Face to
Television Radio Modular Face with Other
Lack of Unstable Conflict with
other Insufficient Existing Difficulty in
Modalities available mobile/ other activities
load/ data health independent
gadgets/ internet (i.e., house
allowance condition/s learning
equipment connection chores)
 FOR SPED
Number of Learners
process through distance education? Available Assisted move in from Private, SUC/LUC, and ALS to Public schools
Device at Home

Distractions (i.e.,
No or lack of Elementary Junior Senior Learner With
social media, noise
available space Others With Without (Kindergarten to High High Disabilities Total
for studying from
Grade 6) School School (Non-Graded)
community/neighbor)