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)
7 0

C2. Parent/Guardian Highest Educational Attainment (select only parent/guardian per learner ha

No Formal Schooling
No Formal Elementary
but able to read and Elementary level
Grade Level Schooling write
Graduate

HEA1 HEA2 HEA3 HEA4

7

C10. 4Ps Beneficiary/ies

Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
7 0

D1. How many of your household members (including the enrollee) are studying in School Year

Only 1
2 Household 3 Household 4 Household
Grade Level Household
Members Members Members
Member

D2. Who among the household members can provide instructional support to the child’s distan
 Parent/ Guardian,
Parent/ Parent/ Guardian,
Parent/ Guardian Siblings, Grand
Guardian Siblings & Grand
Grade Level and Siblings Parent & Other
Only Parent
members of family

HM1 HM2 HM3 HM4

7

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

DA1 DA2 DA3 DA4

7

D4. Is there an internet signal in your area?

Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)

7 0

D5. How do you connect to the internet?

Mobile data,
Mobile data,
Mobile data Mobile data & broadband,
broadband &
Grade Level only broadband computer shop &
computer shop
other places

IC1 IC2 IC3 IC4

7

D6. What distance learning modality/ies do you prefer for your child?
online online learning,
online learning & online learning,
learning television, radio &
Grade Level television television & radio
only modular learning
DLM1 DLM2 DLM3 DLM4
 7

D7. What are the challenges that may affect your child’s learning process through distance edu

lack of available
gadgets/
lack of available
lack of equipment ,
lack of available gadgets/ equipment ,
available insufficient load/
gadgets/ equipment insufficient load/ data
gadgets/ data allowance,
Grade Level equipment & insufficient load/ allowance & unstable unstable mobile/
data allowance mobile/ internet
only internet connection
connection
& existing health
condition/s

CH1 CH2 CH3 CH4

7

E. LIMITED FACE TO FACE

E1. In case limited face to face classes will be allowed, are you willing to allow your child/children to pa
Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
7 0

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
7

Choose Dialect English

#REF!
#REF!
#REF!
#REF!

#REF!
#REF!
#REF!
#REF!

#REF!
#REF!
#REF!
#REF!

#REF!
#REF!
#REF!
#REF!

#REF!
#REF!
#REF!
#REF!
 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)

ardian per learner having the highest educational attainment)

After High School

High School High School Education or Vocational Total (Must be equalled
Level Graduate (Tech/Voc/College/Post vis-à-vis Enrollment per
Grad) Class/Grade Level)
HEA5 HEA6 HEA7
0

dying in School Year 2021-2022? (No.of Learner/s in a Household)

Total (Must be equalled

5 Household 6 Household
7 Household Members vis-à-vis Enrollment per
Members Members
Class/Grade Level)

to the child’s distance learning?

Parent/ Guardian,
Siblings, Grand Siblings, Grand Parent,
Parent, Other Siblings Only Siblings & Grand Parent Other members of family
members of & Others
family & Others
HM5 HM6 HM7 HM8

Cellphone, Radio &

Cellphone Only Cellphone & Radio Radio Only
Desktop/laptop

DA5 DA6 DA7 DA8

broadband,
Computer shop and
Broadband only computer shop & Computer shop only
other places
other places

IC5 IC6 IC7 IC8

Television, radio &

Television Only Television & radio Radio only
modular learning

DLM5 DLM6 DLM7 DLM8

hrough distance education?

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)

CH5 CH6 CH7 CH8

our child/children to participate?

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
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

HM9 HM10 HM11 HM12

Radio & Desktop/laptop Cellphone &

Tablet
Desktop/laptop only Desktop/Laptop

DA9 DA10 DA11 DA12

No internet Total (Must be

Other places only equalled vis-à-vis
available in the area
Enrollment per
Class/Grade Level)

IC9 IC10
0

Radio & Modular Modular Learning Modular Learning

Blended
Learning Only (Printed) Only (Digital)

DLM9 DLM10 DLM11 DLM12

 insufficient load/ data
insufficient load/ data allowance, unstable
insufficient load/
insufficient load/ allowance, unstable mobile/ internet
data allowance &
data allowance mobile/ internet connection, existing
unstable mobile/
only connection & existing health condition/s &
internet connection
health condition/s difficulty in
independent learning

CH9 CH10 CH11 CH12

Other members of Learner able to do
family and Other Other (tutor/helper) only independent None
(tutor/helper) learning

HM13 HM14 HM15 HM16

None Total (Must be equalled

vis-à-vis Enrollment per
Class/Grade Level)
DA13
0

Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
 0

insufficient load/ data

allowance, unstable
insufficient load/ data
mobile/ internet
allowance, unstable
connection, existing unstable
mobile/ internet
health condition/s, mobile/
connection, existing
difficulty in independent unstable mobile/ internet
health condition/s,
learning, conflict with internet connection connection &
difficulty in
other activities (i.e., only existing
independent learning
house chores), high health
& conflict with other
electrical consumption & condition/s
activities (i.e., house
distractions (i.e., social
chores)
media, noise from
community/neighbor)

CH13 CH14 CH15 CH16

Total (Must be
equalled vis-à-
vis Enrollment
per
Class/Grade
Level)

0
 unstable mobile/
internet connection,
unstable unstable mobile/
existing health existing health
mobile/ internet connection,
condition/s, difficulty in condition/s,
internet existing health
independent learning, existing difficulty in
connection, condition/s,
conflict with other health independent
existing health difficulty in
activities (i.e., house condition/s learning &
condition/s & independent
chores), high electrical only conflict with other
difficulty in learning & conflict
consumption & activities (i.e.,
independent with other activities
distractions (i.e., social house chores)
learning (i.e., house chores)
media, noise from
community/neighbor)

CH17 CH18 CH19 CH20 CH21

 existing health
existing health difficulty in
condition/s, difficulty in
condition/s, difficulty in independent
independent learning,
difficulty in independent learning,
conflict with other
independent difficulty in learning & conflict with
activities (i.e., house
learning, conflict independent conflict with other activities
chores), high electrical
with other activities learning only other activities (i.e., house
consumption &
(i.e., house chores) (i.e., house chores) & high
distractions (i.e., social
& high electrical chores) electrical
media, noise from
consumption consumption
community/neighbor)

CH22 CH23 CH24 CH25 CH26

 difficulty in
independent
conflict with other
learning, conflict
activities (i.e., high electrical
with other activities
conflict with house chores), high consumption &
(i.e., house conflict with
other activities high electrical electrica distractions
chores), high other
(i.e., house consumption & l (i.e., social
electrical activities
chores), & high distractions (i.e., consum media, noise
consumption & (i.e., house
electrical social media, ption from
distractions (i.e., chores) only
consumption noise from only community/neig
social media, noise
community/neighb hbor)
from
or)
community/neighb
or)

CH27 CH28 CH29 CH30 CH31 CH32

only distractions
(i.e., social Total (Must be
media, noise equalled vis-à-
from vis Enrollment
community/neig per Class/Grade
hbor) only Level)

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)
7 0

C2. Parent/Guardian Highest Educational Attainment (select only parent/guardian per learner ha

No Formal Schooling
No Formal Elementary
but able to read and Elementary level
Grade Level Schooling write
Graduate

HEA1 HEA2 HEA3 HEA4

7

C10. 4Ps Beneficiary/ies

Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
7 0

D1. How many of your household members (including the enrollee) are studying in School Year

Only 1
2 Household 3 Household 4 Household
Grade Level Household
Members Members Members
Member

D2. Who among the household members can provide instructional support to the child’s distan
 Parent/ Guardian,
Parent/ Parent/ Guardian,
Parent/ Guardian Siblings, Grand
Guardian Siblings & Grand
Grade Level and Siblings Parent & Other
Only Parent
members of family

HM1 HM2 HM3 HM4

7

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

DA1 DA2 DA3 DA4

7

D4. Is there an internet signal in your area?

Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)

7 0

D5. How do you connect to the internet?

Mobile data,
Mobile data,
Mobile data Mobile data & broadband,
broadband &
Grade Level only broadband computer shop &
computer shop
other places

IC1 IC2 IC3 IC4

7

D6. What distance learning modality/ies do you prefer for your child?
online online learning,
online learning & online learning,
learning television, radio &
Grade Level television television & radio
only modular learning
DLM1 DLM2 DLM3 DLM4
 7

D7. What are the challenges that may affect your child’s learning process through distance edu

lack of available
gadgets/
lack of available
lack of equipment ,
lack of available gadgets/ equipment ,
available insufficient load/
gadgets/ equipment insufficient load/ data
gadgets/ data allowance,
Grade Level equipment & insufficient load/ allowance & unstable unstable mobile/
data allowance mobile/ internet
only internet connection
connection
& existing health
condition/s

CH1 CH2 CH3 CH4

7

E. LIMITED FACE TO FACE

E1. In case limited face to face classes will be allowed, are you willing to allow your child/children to pa
Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
7 0

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
7

Choose Dialect English

#REF!
#REF!
#REF!
#REF!

#REF!
#REF!
#REF!
#REF!

#REF!
#REF!
#REF!
#REF!

#REF!
#REF!
#REF!
#REF!

#REF!
#REF!
#REF!
#REF!
 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)

ardian per learner having the highest educational attainment)

After High School

High School High School Education or Vocational Total (Must be equalled
Level Graduate (Tech/Voc/College/Post vis-à-vis Enrollment per
Grad) Class/Grade Level)
HEA5 HEA6 HEA7
0

dying in School Year 2021-2022? (No.of Learner/s in a Household)

Total (Must be equalled

5 Household 6 Household
7 Household Members vis-à-vis Enrollment per
Members Members
Class/Grade Level)

to the child’s distance learning?

Parent/ Guardian,
Siblings, Grand Siblings, Grand Parent,
Parent, Other Siblings Only Siblings & Grand Parent Other members of family
members of & Others
family & Others
HM5 HM6 HM7 HM8

Cellphone, Radio &

Cellphone Only Cellphone & Radio Radio Only
Desktop/laptop

DA5 DA6 DA7 DA8

broadband,
Computer shop and
Broadband only computer shop & Computer shop only
other places
other places

IC5 IC6 IC7 IC8

Television, radio &

Television Only Television & radio Radio only
modular learning

DLM5 DLM6 DLM7 DLM8

hrough distance education?

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)

CH5 CH6 CH7 CH8

our child/children to participate?

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
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

HM9 HM10 HM11 HM12

Radio & Desktop/laptop Cellphone &

Tablet
Desktop/laptop only Desktop/Laptop

DA9 DA10 DA11 DA12

No internet Total (Must be

Other places only equalled vis-à-vis
available in the area
Enrollment per
Class/Grade Level)

IC9 IC10
0

Radio & Modular Modular Learning Modular Learning

Blended
Learning Only (Printed) Only (Digital)

DLM9 DLM10 DLM11 DLM12

 insufficient load/ data
insufficient load/ data allowance, unstable
insufficient load/
insufficient load/ allowance, unstable mobile/ internet
data allowance &
data allowance mobile/ internet connection, existing
unstable mobile/
only connection & existing health condition/s &
internet connection
health condition/s difficulty in
independent learning

CH9 CH10 CH11 CH12

Other members of Learner able to do
family and Other Other (tutor/helper) only independent None
(tutor/helper) learning

HM13 HM14 HM15 HM16

None Total (Must be equalled

vis-à-vis Enrollment per
Class/Grade Level)
DA13
0

Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
 0

insufficient load/ data

allowance, unstable
insufficient load/ data
mobile/ internet
allowance, unstable
connection, existing unstable
mobile/ internet
health condition/s, mobile/
connection, existing
difficulty in independent unstable mobile/ internet
health condition/s,
learning, conflict with internet connection connection &
difficulty in
other activities (i.e., only existing
independent learning
house chores), high health
& conflict with other
electrical consumption & condition/s
activities (i.e., house
distractions (i.e., social
chores)
media, noise from
community/neighbor)

CH13 CH14 CH15 CH16

Total (Must be
equalled vis-à-
vis Enrollment
per
Class/Grade
Level)

0
 unstable mobile/
internet connection,
unstable unstable mobile/
existing health existing health
mobile/ internet connection,
condition/s, difficulty in condition/s,
internet existing health
independent learning, existing difficulty in
connection, condition/s,
conflict with other health independent
existing health difficulty in
activities (i.e., house condition/s learning &
condition/s & independent
chores), high electrical only conflict with other
difficulty in learning & conflict
consumption & activities (i.e.,
independent with other activities
distractions (i.e., social house chores)
learning (i.e., house chores)
media, noise from
community/neighbor)

CH17 CH18 CH19 CH20 CH21

 existing health
existing health difficulty in
condition/s, difficulty in
condition/s, difficulty in independent
independent learning,
difficulty in independent learning,
conflict with other
independent difficulty in learning & conflict with
activities (i.e., house
learning, conflict independent conflict with other activities
chores), high electrical
with other activities learning only other activities (i.e., house
consumption &
(i.e., house chores) (i.e., house chores) & high
distractions (i.e., social
& high electrical chores) electrical
media, noise from
consumption consumption
community/neighbor)

CH22 CH23 CH24 CH25 CH26

 difficulty in
independent
conflict with other
learning, conflict
activities (i.e., high electrical
with other activities
conflict with house chores), high consumption &
(i.e., house conflict with
other activities high electrical electrica distractions
chores), high other
(i.e., house consumption & l (i.e., social
electrical activities
chores), & high distractions (i.e., consum media, noise
consumption & (i.e., house
electrical social media, ption from
distractions (i.e., chores) only
consumption noise from only community/neig
social media, noise
community/neighb hbor)
from
or)
community/neighb
or)

CH27 CH28 CH29 CH30 CH31 CH32

only distractions
(i.e., social Total (Must be
media, noise equalled vis-à-
from vis Enrollment
community/neig per Class/Grade
hbor) only Level)

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)
7 0

C2. Parent/Gurdian Highest Educational Attainment (select only parent/guardian per learner hav

No Formal Schooling
No Formal Elementary
but able to read and Elementary level
Grade Level Schooling write
Graduate

HEA1 HEA2 HEA3 HEA4

7

C10. 4Ps Beneficiary/ies

Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
7 0

D1. How many of your household members (including the enrollee) are studying in School Year

Only 1
2 Household 3 Household 4 Household
Grade Level Household
Members Members Members
Member

D2. Who among the household members can provide instructional support to the child’s distan
 Parent/ Guardian,
Parent/ Parent/ Guardian,
Parent/ Guardian Siblings, Grand
Guardian Siblings & Grand
Grade Level and Siblings Parent & Other
Only Parent
members of family

HM1 HM2 HM3 HM4

7

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

DA1 DA2 DA3 DA4

7

D4. Is there an internet signal in your area?

Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)

7 0

D5. How do you connect to the internet?

Mobile data,
Mobile data,
Mobile data Mobile data & broadband,
broadband &
Grade Level only broadband computer shop &
computer shop
other places

IC1 IC2 IC3 IC4

7

D6. What distance learning modality/ies do you prefer for your child?
online online learning,
online learning & online learning,
learning television, radio &
Grade Level television television & radio
only modular learning
DLM1 DLM2 DLM3 DLM4
 7

D7. What are the challenges that may affect your child’s learning process through distance edu

lack of available
gadgets/
lack of available
lack of equipment ,
lack of available gadgets/ equipment ,
available insufficient load/
gadgets/ equipment insufficient load/ data
gadgets/ data allowance,
Grade Level equipment & insufficient load/ allowance & unstable unstable mobile/
data allowance mobile/ internet
only internet connection
connection
& existing health
condition/s

CH1 CH2 CH3 CH4

7

E. LIMITED FACE TO FACE

E1. In case limited face to face classes will be allowed, are you willing to allow your child/children to pa
Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
7 0

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
7

Choose Dialect English

#REF!
#REF!
#REF!
#REF!

#REF!
#REF!
#REF!
#REF!

#REF!
#REF!
#REF!
#REF!

#REF!
#REF!
#REF!
#REF!

#REF!
#REF!
#REF!
#REF!
 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)

rdian per learner having the highest educational attainment)

After High School

High School High School Education or Vocational Total (Must be equalled
Level Graduate (Tech/Voc/College/Post vis-à-vis Enrollment per
Grad) Class/Grade Level)
HEA5 HEA6 HEA7
0

dying in School Year 2021-2022? (No.of Learner/s in a Household)

Total (Must be equalled

5 Household 6 Household
7 Household Members vis-à-vis Enrollment per
Members Members
Class/Grade Level)

to the child’s distance learning?

Parent/ Guardian,
Siblings, Grand Siblings, Grand Parent,
Parent, Other Siblings Only Siblings & Grand Parent Other members of family
members of & Others
family & Others
HM5 HM6 HM7 HM8

Cellphone, Radio &

Cellphone Only Cellphone & Radio Radio Only
Desktop/laptop

DA5 DA6 DA7 DA8

broadband,
Computer shop and
Broadband only computer shop & Computer shop only
other places
other places

IC5 IC6 IC7 IC8

Television, radio &

Television Only Television & radio Radio only
modular learning

DLM5 DLM6 DLM7 DLM8

hrough distance education?

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)

CH5 CH6 CH7 CH8

our child/children to participate?

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
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

HM9 HM10 HM11 HM12

Radio & Desktop/laptop Cellphone &

Tablet
Desktop/laptop only Desktop/Laptop

DA9 DA10 DA11 DA12

No internet Total (Must be

Other places only equalled vis-à-vis
available in the area
Enrollment per
Class/Grade Level)

IC9 IC10
0

Radio & Modular Modular Learning Modular Learning

Blended
Learning Only (Printed) Only (Digital)

DLM9 DLM10 DLM11 DLM12

 insufficient load/ data
insufficient load/ data allowance, unstable
insufficient load/
insufficient load/ allowance, unstable mobile/ internet
data allowance &
data allowance mobile/ internet connection, existing
unstable mobile/
only connection & existing health condition/s &
internet connection
health condition/s difficulty in
independent learning

CH9 CH10 CH11 CH12

Other members of Learner able to do
family and Other Other (tutor/helper) only independent None
(tutor/helper) learning

HM13 HM14 HM15 HM16

None Total (Must be equalled

vis-à-vis Enrollment per
Class/Grade Level)
DA13
0

Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
 0

insufficient load/ data

allowance, unstable
insufficient load/ data
mobile/ internet
allowance, unstable
connection, existing unstable
mobile/ internet
health condition/s, mobile/
connection, existing
difficulty in independent unstable mobile/ internet
health condition/s,
learning, conflict with internet connection connection &
difficulty in
other activities (i.e., only existing
independent learning
house chores), high health
& conflict with other
electrical consumption & condition/s
activities (i.e., house
distractions (i.e., social
chores)
media, noise from
community/neighbor)

CH13 CH14 CH15 CH16

Total (Must be
equalled vis-à-
vis Enrollment
per
Class/Grade
Level)

0
 unstable mobile/
internet connection,
unstable unstable mobile/
existing health existing health
mobile/ internet connection,
condition/s, difficulty in condition/s,
internet existing health
independent learning, existing difficulty in
connection, condition/s,
conflict with other health independent
existing health difficulty in
activities (i.e., house condition/s learning &
condition/s & independent
chores), high electrical only conflict with other
difficulty in learning & conflict
consumption & activities (i.e.,
independent with other activities
distractions (i.e., social house chores)
learning (i.e., house chores)
media, noise from
community/neighbor)

CH17 CH18 CH19 CH20 CH21

 existing health
existing health difficulty in
condition/s, difficulty in
condition/s, difficulty in independent
independent learning,
difficulty in independent learning,
conflict with other
independent difficulty in learning & conflict with
activities (i.e., house
learning, conflict independent conflict with other activities
chores), high electrical
with other activities learning only other activities (i.e., house
consumption &
(i.e., house chores) (i.e., house chores) & high
distractions (i.e., social
& high electrical chores) electrical
media, noise from
consumption consumption
community/neighbor)

CH22 CH23 CH24 CH25 CH26

 difficulty in
independent
conflict with other
learning, conflict
activities (i.e., high electrical
with other activities
conflict with house chores), high consumption &
(i.e., house conflict with
other activities high electrical electrica distractions
chores), high other
(i.e., house consumption & l (i.e., social
electrical activities
chores), & high distractions (i.e., consum media, noise
consumption & (i.e., house
electrical social media, ption from
distractions (i.e., chores) only
consumption noise from only community/neig
social media, noise
community/neighb hbor)
from
or)
community/neighb
or)

CH27 CH28 CH29 CH30 CH31 CH32

only distractions
(i.e., social Total (Must be
media, noise equalled vis-à-
from vis Enrollment
community/neig per Class/Grade
hbor) only Level)

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)
7 0

C2. Parent/Guardian Highest Educational Attainment (select only parent/guardian per learner ha

No Formal Schooling
No Formal Elementary
but able to read and Elementary level
Grade Level Schooling write
Graduate

HEA1 HEA2 HEA3 HEA4

7

C10. 4Ps Beneficiary/ies

Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
7 0

D1. How many of your household members (including the enrollee) are studying in School Year

Only 1
2 Household 3 Household 4 Household
Grade Level Household
Members Members Members
Member

D2. Who among the household members can provide instructional support to the child’s distan
 Parent/ Guardian,
Parent/ Parent/ Guardian,
Parent/ Guardian Siblings, Grand
Guardian Siblings & Grand
Grade Level and Siblings Parent & Other
Only Parent
members of family

HM1 HM2 HM3 HM4

7

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

DA1 DA2 DA3 DA4

7

D4. Is there an internet signal in your area?

Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)

7 0

D5. How do you connect to the internet?

Mobile data,
Mobile data,
Mobile data Mobile data & broadband,
broadband &
Grade Level only broadband computer shop &
computer shop
other places

IC1 IC2 IC3 IC4

7

D6. What distance learning modality/ies do you prefer for your child?
online online learning,
online learning & online learning,
learning television, radio &
Grade Level television television & radio
only modular learning
DLM1 DLM2 DLM3 DLM4
 7

D7. What are the challenges that may affect your child’s learning process through distance edu

lack of available
gadgets/
lack of available
lack of equipment ,
lack of available gadgets/ equipment ,
available insufficient load/
gadgets/ equipment insufficient load/ data
gadgets/ data allowance,
Grade Level equipment & insufficient load/ allowance & unstable unstable mobile/
data allowance mobile/ internet
only internet connection
connection
& existing health
condition/s

CH1 CH2 CH3 CH4

7

E. LIMITED FACE TO FACE

E1. In case limited face to face classes will be allowed, are you willing to allow your child/children to pa
Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
7 0

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
7

Choose Dialect English

#REF!
#REF!
#REF!
#REF!

#REF!
#REF!
#REF!
#REF!

#REF!
#REF!
#REF!
#REF!

#REF!
#REF!
#REF!
#REF!

#REF!
#REF!
#REF!
#REF!
 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)

ardian per learner having the highest educational attainment)

After High School

High School High School Education or Vocational Total (Must be equalled
Level Graduate (Tech/Voc/College/Post vis-à-vis Enrollment per
Grad) Class/Grade Level)
HEA5 HEA6 HEA7
0

dying in School Year 2021-2022? (No.of Learner/s in a Household)

Total (Must be equalled

5 Household 6 Household
7 Household Members vis-à-vis Enrollment per
Members Members
Class/Grade Level)

to the child’s distance learning?

Parent/ Guardian,
Siblings, Grand Siblings, Grand Parent,
Parent, Other Siblings Only Siblings & Grand Parent Other members of family
members of & Others
family & Others
HM5 HM6 HM7 HM8

Cellphone, Radio &

Cellphone Only Cellphone & Radio Radio Only
Desktop/laptop

DA5 DA6 DA7 DA8

broadband,
Computer shop and
Broadband only computer shop & Computer shop only
other places
other places

IC5 IC6 IC7 IC8

Television, radio &

Television Only Television & radio Radio only
modular learning

DLM5 DLM6 DLM7 DLM8

hrough distance education?

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)

CH5 CH6 CH7 CH8

our child/children to participate?

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
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

HM9 HM10 HM11 HM12

Radio & Desktop/laptop Cellphone &

Tablet
Desktop/laptop only Desktop/Laptop

DA9 DA10 DA11 DA12

No internet Total (Must be

Other places only equalled vis-à-vis
available in the area
Enrollment per
Class/Grade Level)

IC9 IC10
0

Radio & Modular Modular Learning Modular Learning

Blended
Learning Only (Printed) Only (Digital)

DLM9 DLM10 DLM11 DLM12

 insufficient load/ data
insufficient load/ data allowance, unstable
insufficient load/
insufficient load/ allowance, unstable mobile/ internet
data allowance &
data allowance mobile/ internet connection, existing
unstable mobile/
only connection & existing health condition/s &
internet connection
health condition/s difficulty in
independent learning

CH9 CH10 CH11 CH12

Other members of Learner able to do
family and Other Other (tutor/helper) only independent None
(tutor/helper) learning

HM13 HM14 HM15 HM16

None Total (Must be equalled

vis-à-vis Enrollment per
Class/Grade Level)
DA13
0

Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
 0

insufficient load/ data

allowance, unstable
insufficient load/ data
mobile/ internet
allowance, unstable
connection, existing unstable
mobile/ internet
health condition/s, mobile/
connection, existing
difficulty in independent unstable mobile/ internet
health condition/s,
learning, conflict with internet connection connection &
difficulty in
other activities (i.e., only existing
independent learning
house chores), high health
& conflict with other
electrical consumption & condition/s
activities (i.e., house
distractions (i.e., social
chores)
media, noise from
community/neighbor)

CH13 CH14 CH15 CH16

Total (Must be
equalled vis-à-
vis Enrollment
per
Class/Grade
Level)

0
 unstable mobile/
internet connection,
unstable unstable mobile/
existing health existing health
mobile/ internet connection,
condition/s, difficulty in condition/s,
internet existing health
independent learning, existing difficulty in
connection, condition/s,
conflict with other health independent
existing health difficulty in
activities (i.e., house condition/s learning &
condition/s & independent
chores), high electrical only conflict with other
difficulty in learning & conflict
consumption & activities (i.e.,
independent with other activities
distractions (i.e., social house chores)
learning (i.e., house chores)
media, noise from
community/neighbor)

CH17 CH18 CH19 CH20 CH21

 existing health
existing health difficulty in
condition/s, difficulty in
condition/s, difficulty in independent
independent learning,
difficulty in independent learning,
conflict with other
independent difficulty in learning & conflict with
activities (i.e., house
learning, conflict independent conflict with other activities
chores), high electrical
with other activities learning only other activities (i.e., house
consumption &
(i.e., house chores) (i.e., house chores) & high
distractions (i.e., social
& high electrical chores) electrical
media, noise from
consumption consumption
community/neighbor)

CH22 CH23 CH24 CH25 CH26

 difficulty in
independent
conflict with other
learning, conflict
activities (i.e., high electrical
with other activities
conflict with house chores), high consumption &
(i.e., house conflict with
other activities high electrical electrica distractions
chores), high other
(i.e., house consumption & l (i.e., social
electrical activities
chores), & high distractions (i.e., consum media, noise
consumption & (i.e., house
electrical social media, ption from
distractions (i.e., chores) only
consumption noise from only community/neig
social media, noise
community/neighb hbor)
from
or)
community/neighb
or)

CH27 CH28 CH29 CH30 CH31 CH32

only distractions
(i.e., social Total (Must be
media, noise equalled vis-à-
from vis Enrollment
community/neig per Class/Grade
hbor) only Level)

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)
8 0

C2. Parent/Guardian Highest Educational Attainment (select only parent/guardian per learner ha

No Formal Schooling
No Formal Elementary
but able to read and Elementary level
Grade Level Schooling write
Graduate

HEA1 HEA2 HEA3 HEA4

8

C10. 4Ps Beneficiary/ies

Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
8 0

D1. How many of your household members (including the enrollee) are studying in School Year

Only 1
2 Household 3 Household 4 Household
Grade Level Household
Members Members Members
Member

D2. Who among the household members can provide instructional support to the child’s distan
 Parent/ Guardian,
Parent/ Parent/ Guardian,
Parent/ Guardian Siblings, Grand
Guardian Siblings & Grand
Grade Level and Siblings Parent & Other
Only Parent
members of family

HM1 HM2 HM3 HM4

8

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

DA1 DA2 DA3 DA4

8

D4. Is there an internet signal in your area?

Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)

8 0

D5. How do you connect to the internet?

Mobile data,
Mobile data,
Mobile data Mobile data & broadband,
broadband &
Grade Level only broadband computer shop &
computer shop
other places

IC1 IC2 IC3 IC4

8

D6. What distance learning modality/ies do you prefer for your child?
online online learning,
online learning & online learning,
learning television, radio &
Grade Level television television & radio
only modular learning
DLM1 DLM2 DLM3 DLM4
 8

D7. What are the challenges that may affect your child’s learning process through distance edu

lack of available
gadgets/
lack of available
lack of equipment ,
lack of available gadgets/ equipment ,
available insufficient load/
gadgets/ equipment insufficient load/ data
gadgets/ data allowance,
Grade Level equipment & insufficient load/ allowance & unstable unstable mobile/
data allowance mobile/ internet
only internet connection
connection
& existing health
condition/s

CH1 CH2 CH3 CH4

8

E. LIMITED FACE TO FACE

E1. In case limited face to face classes will be allowed, are you willing to allow your child/children to pa
Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
8 0

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
8

Choose Dialect English

#REF!
#REF!
#REF!
#REF!

#REF!
#REF!
#REF!
#REF!

#REF!
#REF!
#REF!
#REF!

#REF!
#REF!
#REF!
#REF!

#REF!
#REF!
#REF!
#REF!
 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)

ardian per learner having the highest educational attainment)

After High School

High School High School Education or Vocational Total (Must be equalled
Level Graduate (Tech/Voc/College/Post vis-à-vis Enrollment per
Grad) Class/Grade Level)
HEA5 HEA6 HEA7
0

dying in School Year 2021-2022? (No.of Learner/s in a Household)

Total (Must be equalled

5 Household 6 Household
7 Household Members vis-à-vis Enrollment per
Members Members
Class/Grade Level)

to the child’s distance learning?

Parent/ Guardian,
Siblings, Grand Siblings, Grand Parent,
Parent, Other Siblings Only Siblings & Grand Parent Other members of family
members of & Others
family & Others
HM5 HM6 HM7 HM8

Cellphone, Radio &

Cellphone Only Cellphone & Radio Radio Only
Desktop/laptop

DA5 DA6 DA7 DA8

broadband,
Computer shop and
Broadband only computer shop & Computer shop only
other places
other places

IC5 IC6 IC7 IC8

Television, radio &

Television Only Television & radio Radio only
modular learning

DLM5 DLM6 DLM7 DLM8

hrough distance education?

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)

CH5 CH6 CH7 CH8

our child/children to participate?

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
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

HM9 HM10 HM11 HM12

Radio & Desktop/laptop Cellphone &

Tablet
Desktop/laptop only Desktop/Laptop

DA9 DA10 DA11 DA12

No internet Total (Must be

Other places only equalled vis-à-vis
available in the area
Enrollment per
Class/Grade Level)

IC9 IC10
0

Radio & Modular Modular Learning Modular Learning

Blended
Learning Only (Printed) Only (Digital)

DLM9 DLM10 DLM11 DLM12

 insufficient load/ data
insufficient load/ data allowance, unstable
insufficient load/
insufficient load/ allowance, unstable mobile/ internet
data allowance &
data allowance mobile/ internet connection, existing
unstable mobile/
only connection & existing health condition/s &
internet connection
health condition/s difficulty in
independent learning

CH9 CH10 CH11 CH12

Other members of Learner able to do
family and Other Other (tutor/helper) only independent None
(tutor/helper) learning

HM13 HM14 HM15 HM16

None Total (Must be equalled

vis-à-vis Enrollment per
Class/Grade Level)
DA13
0

Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
 0

insufficient load/ data

allowance, unstable
insufficient load/ data
mobile/ internet
allowance, unstable
connection, existing unstable
mobile/ internet
health condition/s, mobile/
connection, existing
difficulty in independent unstable mobile/ internet
health condition/s,
learning, conflict with internet connection connection &
difficulty in
other activities (i.e., only existing
independent learning
house chores), high health
& conflict with other
electrical consumption & condition/s
activities (i.e., house
distractions (i.e., social
chores)
media, noise from
community/neighbor)

CH13 CH14 CH15 CH16

Total (Must be
equalled vis-à-
vis Enrollment
per
Class/Grade
Level)

0
 unstable mobile/
internet connection,
unstable unstable mobile/
existing health existing health
mobile/ internet connection,
condition/s, difficulty in condition/s,
internet existing health
independent learning, existing difficulty in
connection, condition/s,
conflict with other health independent
existing health difficulty in
activities (i.e., house condition/s learning &
condition/s & independent
chores), high electrical only conflict with other
difficulty in learning & conflict
consumption & activities (i.e.,
independent with other activities
distractions (i.e., social house chores)
learning (i.e., house chores)
media, noise from
community/neighbor)

CH17 CH18 CH19 CH20 CH21

 existing health
existing health difficulty in
condition/s, difficulty in
condition/s, difficulty in independent
independent learning,
difficulty in independent learning,
conflict with other
independent difficulty in learning & conflict with
activities (i.e., house
learning, conflict independent conflict with other activities
chores), high electrical
with other activities learning only other activities (i.e., house
consumption &
(i.e., house chores) (i.e., house chores) & high
distractions (i.e., social
& high electrical chores) electrical
media, noise from
consumption consumption
community/neighbor)

CH22 CH23 CH24 CH25 CH26

 difficulty in
independent
conflict with other
learning, conflict
activities (i.e., high electrical
with other activities
conflict with house chores), high consumption &
(i.e., house conflict with
other activities high electrical electrica distractions
chores), high other
(i.e., house consumption & l (i.e., social
electrical activities
chores), & high distractions (i.e., consum media, noise
consumption & (i.e., house
electrical social media, ption from
distractions (i.e., chores) only
consumption noise from only community/neig
social media, noise
community/neighb hbor)
from
or)
community/neighb
or)

CH27 CH28 CH29 CH30 CH31 CH32

only distractions
(i.e., social Total (Must be
media, noise equalled vis-à-
from vis Enrollment
community/neig per Class/Grade
hbor) only Level)

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 Fermeldy National High School
Grade/School Level 8 *Section Granite
Last updated (date): For LIS Adm
Date Posted in LIS QC

B9. Gender
Total (Must be
equalled vis-à-vis
Grade Level Male Female
Enrollment per
Class/Grade Level)
8 14 13 27

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

HEA1 HEA2 HEA3 HEA4

8 2 4

C10. 4Ps Beneficiary/ies

Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
8 0

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 1 7 13 3

D2. Who among the household members can provide instructional support to the child’s distan
 Parent/ Guardian,
Parent/ Parent/ Guardian,
Parent/ Guardian Siblings, Grand
Guardian Siblings & Grand
Grade Level and Siblings Parent & Other
Only Parent
members of family

HM1 HM2 HM3 HM4

8 3

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

DA1 DA2 DA3 DA4

8 25

D4. Is there an internet signal in your area?

Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)

8 25 2 27

D5. How do you connect to the internet?

Mobile data,
Mobile data,
Mobile data Mobile data & broadband,
broadband &
Grade Level only broadband computer shop &
computer shop
other places

IC1 IC2 IC3 IC4

8 25

D6. What distance learning modality/ies do you prefer for your child?
online online learning,
online learning & online learning,
learning television, radio &
Grade Level television television & radio
only modular learning
DLM1 DLM2 DLM3 DLM4
 8

D7. What are the challenges that may affect your child’s learning process through distance edu

lack of available
gadgets/
lack of available
lack of equipment ,
lack of available gadgets/ equipment ,
available insufficient load/
gadgets/ equipment insufficient load/ data
gadgets/ data allowance,
Grade Level equipment & insufficient load/ allowance & unstable unstable mobile/
data allowance mobile/ internet
only internet connection
connection
& existing health
condition/s

CH1 CH2 CH3 CH4

8 2

E. LIMITED FACE TO FACE

E1. In case limited face to face classes will be allowed, are you willing to allow your child/children to pa
Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
8 24 3 27

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
8 3

Choose Dialect English

#REF!
#REF!
#REF!
#REF!

#REF!
#REF!
#REF!
#REF!

#REF!
#REF!
#REF!
#REF!

#REF!
#REF!
#REF!
#REF!

#REF!
#REF!
#REF!
#REF!
 Return to Summary Matrix MLESF
NTS OF MLESF (Class Adviser Report)
ade and School level)
SCHOOL ID 306109 DISTRICT/CLUSTER Tumauini North
Prospective Adviser/GLEC/SEFP Sherivie M. Bucag
For LIS Admin Use Only
Posted by: (LIS System Admin)

ardian per learner having the highest educational attainment)

After High School

High School High School Education or Vocational Total (Must be equalled
Level Graduate (Tech/Voc/College/Post vis-à-vis Enrollment per
Grad) Class/Grade Level)
HEA5 HEA6 HEA7
6 8 7 27

dying in School Year 2021-2022? (No.of Learner/s in a Household)

Total (Must be equalled

5 Household 6 Household
7 Household Members vis-à-vis Enrollment per
Members Members
Class/Grade Level)

2 1 27

to the child’s distance learning?

Parent/ Guardian,
Siblings, Grand Siblings, Grand Parent,
Parent, Other Siblings Only Siblings & Grand Parent Other members of family
members of & Others
family & Others
HM5 HM6 HM7 HM8
11

Cellphone, Radio &

Cellphone Only Cellphone & Radio Radio Only
Desktop/laptop

DA5 DA6 DA7 DA8

broadband,
Computer shop and
Broadband only computer shop & Computer shop only
other places
other places

IC5 IC6 IC7 IC8

Television, radio &

Television Only Television & radio Radio only
modular learning

DLM5 DLM6 DLM7 DLM8

hrough distance education?

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)

CH5 CH6 CH7 CH8

our child/children to participate?

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

3
Return to File Directory

DIVISION Isabela REGION 2

 Grand Parent & Grand Parent, Other
Grand Parent Other members of
Other members of members of family &
Only family only
family Others

HM9 HM10 HM11 HM12

1

Radio & Desktop/laptop Cellphone &

Tablet
Desktop/laptop only Desktop/Laptop

DA9 DA10 DA11 DA12

No internet Total (Must be

Other places only equalled vis-à-vis
available in the area
Enrollment per
Class/Grade Level)

IC9 IC10
2 27

Radio & Modular Modular Learning Modular Learning

Blended
Learning Only (Printed) Only (Digital)

DLM9 DLM10 DLM11 DLM12

 27

insufficient load/ data

insufficient load/ data allowance, unstable
insufficient load/
insufficient load/ allowance, unstable mobile/ internet
data allowance &
data allowance mobile/ internet connection, existing
unstable mobile/
only connection & existing health condition/s &
internet connection
health condition/s difficulty in
independent learning

CH9 CH10 CH11 CH12

20
Other members of Learner able to do
family and Other Other (tutor/helper) only independent None
(tutor/helper) learning

HM13 HM14 HM15 HM16

12

None Total (Must be equalled

vis-à-vis Enrollment per
Class/Grade Level)
DA13
2 27

Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
 27

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)

CH13 CH14 CH15 CH16

Total (Must be
equalled vis-à-
vis Enrollment
per
Class/Grade
Level)

27
 unstable mobile/
internet connection,
unstable unstable mobile/
existing health existing health
mobile/ internet connection,
condition/s, difficulty in condition/s,
internet existing health
independent learning, existing difficulty in
connection, condition/s,
conflict with other health independent
existing health difficulty in
activities (i.e., house condition/s learning &
condition/s & independent
chores), high electrical only conflict with other
difficulty in learning & conflict
consumption & activities (i.e.,
independent with other activities
distractions (i.e., social house chores)
learning (i.e., house chores)
media, noise from
community/neighbor)

CH17 CH18 CH19 CH20 CH21

2
 existing health
existing health difficulty in
condition/s, difficulty in
condition/s, difficulty in independent
independent learning,
difficulty in independent learning,
conflict with other
independent difficulty in learning & conflict with
activities (i.e., house
learning, conflict independent conflict with other activities
chores), high electrical
with other activities learning only other activities (i.e., house
consumption &
(i.e., house chores) (i.e., house chores) & high
distractions (i.e., social
& high electrical chores) electrical
media, noise from
consumption consumption
community/neighbor)

CH22 CH23 CH24 CH25 CH26

 difficulty in
independent
conflict with other
learning, conflict
activities (i.e., high electrical
with other activities
conflict with house chores), high consumption &
(i.e., house conflict with
other activities high electrical electrica distractions
chores), high other
(i.e., house consumption & l (i.e., social
electrical activities
chores), & high distractions (i.e., consum media, noise
consumption & (i.e., house
electrical social media, ption from
distractions (i.e., chores) only
consumption noise from only community/neig
social media, noise
community/neighb hbor)
from
or)
community/neighb
or)

CH27 CH28 CH29 CH30 CH31 CH32

only distractions
(i.e., social Total (Must be
media, noise equalled vis-à-
from vis Enrollment
community/neig per Class/Grade
hbor) only Level)

CH33
3 27
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)
8 0

C2. Parent/Guardian Highest Educational Attainment (select only parent/guardian per learner ha

No Formal Schooling
No Formal Elementary
but able to read and Elementary level
Grade Level Schooling write
Graduate

HEA1 HEA2 HEA3 HEA4

8

C10. 4Ps Beneficiary/ies

Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
8 0

D1. How many of your household members (including the enrollee) are studying in School Year

Only 1
2 Household 3 Household 4 Household
Grade Level Household
Members Members Members
Member

D2. Who among the household members can provide instructional support to the child’s distan
 Parent/ Guardian,
Parent/ Parent/ Guardian,
Parent/ Guardian Siblings, Grand
Guardian Siblings & Grand
Grade Level and Siblings Parent & Other
Only Parent
members of family

HM1 HM2 HM3 HM4

8

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

DA1 DA2 DA3 DA4

8

D4. Is there an internet signal in your area?

Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)

8 0

D5. How do you connect to the internet?

Mobile data,
Mobile data,
Mobile data Mobile data & broadband,
broadband &
Grade Level only broadband computer shop &
computer shop
other places

IC1 IC2 IC3 IC4

8

D6. What distance learning modality/ies do you prefer for your child?
online online learning,
online learning & online learning,
learning television, radio &
Grade Level television television & radio
only modular learning
DLM1 DLM2 DLM3 DLM4
 8

D7. What are the challenges that may affect your child’s learning process through distance edu

lack of available
gadgets/
lack of available
lack of equipment ,
lack of available gadgets/ equipment ,
available insufficient load/
gadgets/ equipment insufficient load/ data
gadgets/ data allowance,
Grade Level equipment & insufficient load/ allowance & unstable unstable mobile/
data allowance mobile/ internet
only internet connection
connection
& existing health
condition/s

CH1 CH2 CH3 CH4

8

E. LIMITED FACE TO FACE

E1. In case limited face to face classes will be allowed, are you willing to allow your child/children to pa
Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
8 0

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
8

Choose Dialect English

#REF!
#REF!
#REF!
#REF!

#REF!
#REF!
#REF!
#REF!

#REF!
#REF!
#REF!
#REF!

#REF!
#REF!
#REF!
#REF!

#REF!
#REF!
#REF!
#REF!
 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)

ardian per learner having the highest educational attainment)

After High School

High School High School Education or Vocational Total (Must be equalled
Level Graduate (Tech/Voc/College/Post vis-à-vis Enrollment per
Grad) Class/Grade Level)
HEA5 HEA6 HEA7
0

dying in School Year 2021-2022? (No.of Learner/s in a Household)

Total (Must be equalled

5 Household 6 Household
7 Household Members vis-à-vis Enrollment per
Members Members
Class/Grade Level)

to the child’s distance learning?

Parent/ Guardian,
Siblings, Grand Siblings, Grand Parent,
Parent, Other Siblings Only Siblings & Grand Parent Other members of family
members of & Others
family & Others
HM5 HM6 HM7 HM8

Cellphone, Radio &

Cellphone Only Cellphone & Radio Radio Only
Desktop/laptop

DA5 DA6 DA7 DA8

broadband,
Computer shop and
Broadband only computer shop & Computer shop only
other places
other places

IC5 IC6 IC7 IC8

Television, radio &

Television Only Television & radio Radio only
modular learning

DLM5 DLM6 DLM7 DLM8

hrough distance education?

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)

CH5 CH6 CH7 CH8

our child/children to participate?

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
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

HM9 HM10 HM11 HM12

Radio & Desktop/laptop Cellphone &

Tablet
Desktop/laptop only Desktop/Laptop

DA9 DA10 DA11 DA12

No internet Total (Must be

Other places only equalled vis-à-vis
available in the area
Enrollment per
Class/Grade Level)

IC9 IC10
0

Radio & Modular Modular Learning Modular Learning

Blended
Learning Only (Printed) Only (Digital)

DLM9 DLM10 DLM11 DLM12

 insufficient load/ data
insufficient load/ data allowance, unstable
insufficient load/
insufficient load/ allowance, unstable mobile/ internet
data allowance &
data allowance mobile/ internet connection, existing
unstable mobile/
only connection & existing health condition/s &
internet connection
health condition/s difficulty in
independent learning

CH9 CH10 CH11 CH12

Other members of Learner able to do
family and Other Other (tutor/helper) only independent None
(tutor/helper) learning

HM13 HM14 HM15 HM16

None Total (Must be equalled

vis-à-vis Enrollment per
Class/Grade Level)
DA13
0

Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
 0

insufficient load/ data

allowance, unstable
insufficient load/ data
mobile/ internet
allowance, unstable
connection, existing unstable
mobile/ internet
health condition/s, mobile/
connection, existing
difficulty in independent unstable mobile/ internet
health condition/s,
learning, conflict with internet connection connection &
difficulty in
other activities (i.e., only existing
independent learning
house chores), high health
& conflict with other
electrical consumption & condition/s
activities (i.e., house
distractions (i.e., social
chores)
media, noise from
community/neighbor)

CH13 CH14 CH15 CH16

Total (Must be
equalled vis-à-
vis Enrollment
per
Class/Grade
Level)

0
 unstable mobile/
internet connection,
unstable unstable mobile/
existing health existing health
mobile/ internet connection,
condition/s, difficulty in condition/s,
internet existing health
independent learning, existing difficulty in
connection, condition/s,
conflict with other health independent
existing health difficulty in
activities (i.e., house condition/s learning &
condition/s & independent
chores), high electrical only conflict with other
difficulty in learning & conflict
consumption & activities (i.e.,
independent with other activities
distractions (i.e., social house chores)
learning (i.e., house chores)
media, noise from
community/neighbor)

CH17 CH18 CH19 CH20 CH21

 existing health
existing health difficulty in
condition/s, difficulty in
condition/s, difficulty in independent
independent learning,
difficulty in independent learning,
conflict with other
independent difficulty in learning & conflict with
activities (i.e., house
learning, conflict independent conflict with other activities
chores), high electrical
with other activities learning only other activities (i.e., house
consumption &
(i.e., house chores) (i.e., house chores) & high
distractions (i.e., social
& high electrical chores) electrical
media, noise from
consumption consumption
community/neighbor)

CH22 CH23 CH24 CH25 CH26

 difficulty in
independent
conflict with other
learning, conflict
activities (i.e., high electrical
with other activities
conflict with house chores), high consumption &
(i.e., house conflict with
other activities high electrical electrica distractions
chores), high other
(i.e., house consumption & l (i.e., social
electrical activities
chores), & high distractions (i.e., consum media, noise
consumption & (i.e., house
electrical social media, ption from
distractions (i.e., chores) only
consumption noise from only community/neig
social media, noise
community/neighb hbor)
from
or)
community/neighb
or)

CH27 CH28 CH29 CH30 CH31 CH32

only distractions
(i.e., social Total (Must be
media, noise equalled vis-à-
from vis Enrollment
community/neig per Class/Grade
hbor) only Level)

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)
8 0

C2. Parent/Guardian Highest Educational Attainment (select only parent/guardian per learner ha

No Formal Schooling
No Formal Elementary
but able to read and Elementary level
Grade Level Schooling write
Graduate

HEA1 HEA2 HEA3 HEA4

8

C10. 4Ps Beneficiary/ies

Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
8 0

D1. How many of your household members (including the enrollee) are studying in School Year

Only 1
2 Household 3 Household 4 Household
Grade Level Household
Members Members Members
Member

D2. Who among the household members can provide instructional support to the child’s distan
 Parent/ Guardian,
Parent/ Parent/ Guardian,
Parent/ Guardian Siblings, Grand
Guardian Siblings & Grand
Grade Level and Siblings Parent & Other
Only Parent
members of family

HM1 HM2 HM3 HM4

8

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

DA1 DA2 DA3 DA4

8

D4. Is there an internet signal in your area?

Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)

8 0

D5. How do you connect to the internet?

Mobile data,
Mobile data,
Mobile data Mobile data & broadband,
broadband &
Grade Level only broadband computer shop &
computer shop
other places

IC1 IC2 IC3 IC4

8

D6. What distance learning modality/ies do you prefer for your child?
online online learning,
online learning & online learning,
learning television, radio &
Grade Level television television & radio
only modular learning
DLM1 DLM2 DLM3 DLM4
 8

D7. What are the challenges that may affect your child’s learning process through distance edu

lack of available
gadgets/
lack of available
lack of equipment ,
lack of available gadgets/ equipment ,
available insufficient load/
gadgets/ equipment insufficient load/ data
gadgets/ data allowance,
Grade Level equipment & insufficient load/ allowance & unstable unstable mobile/
data allowance mobile/ internet
only internet connection
connection
& existing health
condition/s

CH1 CH2 CH3 CH4

8

E. LIMITED FACE TO FACE

E1. In case limited face to face classes will be allowed, are you willing to allow your child/children to pa
Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
8 0

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
8

Choose Dialect English

#REF!
#REF!
#REF!
#REF!

#REF!
#REF!
#REF!
#REF!

#REF!
#REF!
#REF!
#REF!

#REF!
#REF!
#REF!
#REF!

#REF!
#REF!
#REF!
#REF!
 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)

ardian per learner having the highest educational attainment)

After High School

High School High School Education or Vocational Total (Must be equalled
Level Graduate (Tech/Voc/College/Post vis-à-vis Enrollment per
Grad) Class/Grade Level)
HEA5 HEA6 HEA7
0

dying in School Year 2021-2022? (No.of Learner/s in a Household)

Total (Must be equalled

5 Household 6 Household
7 Household Members vis-à-vis Enrollment per
Members Members
Class/Grade Level)

to the child’s distance learning?

Parent/ Guardian,
Siblings, Grand Siblings, Grand Parent,
Parent, Other Siblings Only Siblings & Grand Parent Other members of family
members of & Others
family & Others
HM5 HM6 HM7 HM8

Cellphone, Radio &

Cellphone Only Cellphone & Radio Radio Only
Desktop/laptop

DA5 DA6 DA7 DA8

broadband,
Computer shop and
Broadband only computer shop & Computer shop only
other places
other places

IC5 IC6 IC7 IC8

Television, radio &

Television Only Television & radio Radio only
modular learning

DLM5 DLM6 DLM7 DLM8

hrough distance education?

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)

CH5 CH6 CH7 CH8

our child/children to participate?

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
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

HM9 HM10 HM11 HM12

Radio & Desktop/laptop Cellphone &

Tablet
Desktop/laptop only Desktop/Laptop

DA9 DA10 DA11 DA12

No internet Total (Must be

Other places only equalled vis-à-vis
available in the area
Enrollment per
Class/Grade Level)

IC9 IC10
0

Radio & Modular Modular Learning Modular Learning

Blended
Learning Only (Printed) Only (Digital)

DLM9 DLM10 DLM11 DLM12

 insufficient load/ data
insufficient load/ data allowance, unstable
insufficient load/
insufficient load/ allowance, unstable mobile/ internet
data allowance &
data allowance mobile/ internet connection, existing
unstable mobile/
only connection & existing health condition/s &
internet connection
health condition/s difficulty in
independent learning

CH9 CH10 CH11 CH12

Other members of Learner able to do
family and Other Other (tutor/helper) only independent None
(tutor/helper) learning

HM13 HM14 HM15 HM16

None Total (Must be equalled

vis-à-vis Enrollment per
Class/Grade Level)
DA13
0

Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
 0

insufficient load/ data

allowance, unstable
insufficient load/ data
mobile/ internet
allowance, unstable
connection, existing unstable
mobile/ internet
health condition/s, mobile/
connection, existing
difficulty in independent unstable mobile/ internet
health condition/s,
learning, conflict with internet connection connection &
difficulty in
other activities (i.e., only existing
independent learning
house chores), high health
& conflict with other
electrical consumption & condition/s
activities (i.e., house
distractions (i.e., social
chores)
media, noise from
community/neighbor)

CH13 CH14 CH15 CH16

Total (Must be
equalled vis-à-
vis Enrollment
per
Class/Grade
Level)

0
 unstable mobile/
internet connection,
unstable unstable mobile/
existing health existing health
mobile/ internet connection,
condition/s, difficulty in condition/s,
internet existing health
independent learning, existing difficulty in
connection, condition/s,
conflict with other health independent
existing health difficulty in
activities (i.e., house condition/s learning &
condition/s & independent
chores), high electrical only conflict with other
difficulty in learning & conflict
consumption & activities (i.e.,
independent with other activities
distractions (i.e., social house chores)
learning (i.e., house chores)
media, noise from
community/neighbor)

CH17 CH18 CH19 CH20 CH21

 existing health
existing health difficulty in
condition/s, difficulty in
condition/s, difficulty in independent
independent learning,
difficulty in independent learning,
conflict with other
independent difficulty in learning & conflict with
activities (i.e., house
learning, conflict independent conflict with other activities
chores), high electrical
with other activities learning only other activities (i.e., house
consumption &
(i.e., house chores) (i.e., house chores) & high
distractions (i.e., social
& high electrical chores) electrical
media, noise from
consumption consumption
community/neighbor)

CH22 CH23 CH24 CH25 CH26

 difficulty in
independent
conflict with other
learning, conflict
activities (i.e., high electrical
with other activities
conflict with house chores), high consumption &
(i.e., house conflict with
other activities high electrical electrica distractions
chores), high other
(i.e., house consumption & l (i.e., social
electrical activities
chores), & high distractions (i.e., consum media, noise
consumption & (i.e., house
electrical social media, ption from
distractions (i.e., chores) only
consumption noise from only community/neig
social media, noise
community/neighb hbor)
from
or)
community/neighb
or)

CH27 CH28 CH29 CH30 CH31 CH32

only distractions
(i.e., social Total (Must be
media, noise equalled vis-à-
from vis Enrollment
community/neig per Class/Grade
hbor) only Level)

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)
9 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

HEA1 HEA2 HEA3 HEA4

9

C10. 4Ps Beneficiary/ies

Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
9 0

D1. How many of your household members (including the enrollee) are studying in School Year

Only 1
2 Household 3 Household 4 Household
Grade Level Household
Members Members Members
Member

D2. Who among the household members can provide instructional support to the child’s distan
 Parent/ Guardian,
Parent/ Parent/ Guardian,
Parent/ Guardian Siblings, Grand
Guardian Siblings & Grand
Grade Level and Siblings Parent & Other
Only Parent
members of family

HM1 HM2 HM3 HM4

9

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

DA1 DA2 DA3 DA4

9

D4. Is there an internet signal in your area?

Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)

9 0

D5. How do you connect to the internet?

Mobile data,
Mobile data,
Mobile data Mobile data & broadband,
broadband &
Grade Level only broadband computer shop &
computer shop
other places

IC1 IC2 IC3 IC4

9

D6. What distance learning modality/ies do you prefer for your child?
online online learning,
online learning & online learning,
learning television, radio &
Grade Level television television & radio
only modular learning
DLM1 DLM2 DLM3 DLM4
 9

D7. What are the challenges that may affect your child’s learning process through distance edu

lack of available
gadgets/
lack of available
lack of equipment ,
lack of available gadgets/ equipment ,
available insufficient load/
gadgets/ equipment insufficient load/ data
gadgets/ data allowance,
Grade Level equipment & insufficient load/ allowance & unstable unstable mobile/
data allowance mobile/ internet
only internet connection
connection
& existing health
condition/s

CH1 CH2 CH3 CH4

9

E. LIMITED FACE TO FACE

E1. In case limited face to face classes will be allowed, are you willing to allow your child/children to pa
Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
9 0

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
9

Choose Dialect English

#REF!
#REF!
#REF!
#REF!

#REF!
#REF!
#REF!
#REF!

#REF!
#REF!
#REF!
#REF!

#REF!
#REF!
#REF!
#REF!

#REF!
#REF!
#REF!
#REF!
 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)

ardian per learner having the highest educational attainment)

After High School

High School High School Education or Vocational Total (Must be equalled
Level Graduate (Tech/Voc/College/Post vis-à-vis Enrollment per
Grad) Class/Grade Level)
HEA5 HEA6 HEA7
0

dying in School Year 2021-2022? (No.of Learner/s in a Household)

Total (Must be equalled

5 Household 6 Household
7 Household Members vis-à-vis Enrollment per
Members Members
Class/Grade Level)

to the child’s distance learning?

Parent/ Guardian,
Siblings, Grand Siblings, Grand Parent,
Parent, Other Siblings Only Siblings & Grand Parent Other members of family
members of & Others
family & Others
HM5 HM6 HM7 HM8

Cellphone, Radio &

Cellphone Only Cellphone & Radio Radio Only
Desktop/laptop

DA5 DA6 DA7 DA8

broadband,
Computer shop and
Broadband only computer shop & Computer shop only
other places
other places

IC5 IC6 IC7 IC8

Television, radio &

Television Only Television & radio Radio only
modular learning

DLM5 DLM6 DLM7 DLM8

hrough distance education?

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)

CH5 CH6 CH7 CH8

our child/children to participate?

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
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

HM9 HM10 HM11 HM12

Radio & Desktop/laptop Cellphone &

Tablet
Desktop/laptop only Desktop/Laptop

DA9 DA10 DA11 DA12

No internet Total (Must be

Other places only equalled vis-à-vis
available in the area
Enrollment per
Class/Grade Level)

IC9 IC10
0

Radio & Modular Modular Learning Modular Learning

Blended
Learning Only (Printed) Only (Digital)

DLM9 DLM10 DLM11 DLM12

 insufficient load/ data
insufficient load/ data allowance, unstable
insufficient load/
insufficient load/ allowance, unstable mobile/ internet
data allowance &
data allowance mobile/ internet connection, existing
unstable mobile/
only connection & existing health condition/s &
internet connection
health condition/s difficulty in
independent learning

CH9 CH10 CH11 CH12

Other members of Learner able to do
family and Other Other (tutor/helper) only independent None
(tutor/helper) learning

HM13 HM14 HM15 HM16

None Total (Must be equalled

vis-à-vis Enrollment per
Class/Grade Level)
DA13
0

Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
 0

insufficient load/ data

allowance, unstable
insufficient load/ data
mobile/ internet
allowance, unstable
connection, existing unstable
mobile/ internet
health condition/s, mobile/
connection, existing
difficulty in independent unstable mobile/ internet
health condition/s,
learning, conflict with internet connection connection &
difficulty in
other activities (i.e., only existing
independent learning
house chores), high health
& conflict with other
electrical consumption & condition/s
activities (i.e., house
distractions (i.e., social
chores)
media, noise from
community/neighbor)

CH13 CH14 CH15 CH16

Total (Must be
equalled vis-à-
vis Enrollment
per
Class/Grade
Level)

0
 unstable mobile/
internet connection,
unstable unstable mobile/
existing health existing health
mobile/ internet connection,
condition/s, difficulty in condition/s,
internet existing health
independent learning, existing difficulty in
connection, condition/s,
conflict with other health independent
existing health difficulty in
activities (i.e., house condition/s learning &
condition/s & independent
chores), high electrical only conflict with other
difficulty in learning & conflict
consumption & activities (i.e.,
independent with other activities
distractions (i.e., social house chores)
learning (i.e., house chores)
media, noise from
community/neighbor)

CH17 CH18 CH19 CH20 CH21

 existing health
existing health difficulty in
condition/s, difficulty in
condition/s, difficulty in independent
independent learning,
difficulty in independent learning,
conflict with other
independent difficulty in learning & conflict with
activities (i.e., house
learning, conflict independent conflict with other activities
chores), high electrical
with other activities learning only other activities (i.e., house
consumption &
(i.e., house chores) (i.e., house chores) & high
distractions (i.e., social
& high electrical chores) electrical
media, noise from
consumption consumption
community/neighbor)

CH22 CH23 CH24 CH25 CH26

 difficulty in
independent
conflict with other
learning, conflict
activities (i.e., high electrical
with other activities
conflict with house chores), high consumption &
(i.e., house conflict with
other activities high electrical electrica distractions
chores), high other
(i.e., house consumption & l (i.e., social
electrical activities
chores), & high distractions (i.e., consum media, noise
consumption & (i.e., house
electrical social media, ption from
distractions (i.e., chores) only
consumption noise from only community/neig
social media, noise
community/neighb hbor)
from
or)
community/neighb
or)

CH27 CH28 CH29 CH30 CH31 CH32

only distractions
(i.e., social Total (Must be
media, noise equalled vis-à-
from vis Enrollment
community/neig per Class/Grade
hbor) only Level)

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)
9 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

HEA1 HEA2 HEA3 HEA4

9

C10. 4Ps Beneficiary/ies

Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
9 0

D1. How many of your household members (including the enrollee) are studying in School Year

Only 1
2 Household 3 Household 4 Household
Grade Level Household
Members Members Members
Member

D2. Who among the household members can provide instructional support to the child’s distan
 Parent/ Guardian,
Parent/ Parent/ Guardian,
Parent/ Guardian Siblings, Grand
Guardian Siblings & Grand
Grade Level and Siblings Parent & Other
Only Parent
members of family

HM1 HM2 HM3 HM4

9

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

DA1 DA2 DA3 DA4

9

D4. Is there an internet signal in your area?

Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)

9 0

D5. How do you connect to the internet?

Mobile data,
Mobile data,
Mobile data Mobile data & broadband,
broadband &
Grade Level only broadband computer shop &
computer shop
other places

IC1 IC2 IC3 IC4

9

D6. What distance learning modality/ies do you prefer for your child?
online online learning,
online learning & online learning,
learning television, radio &
Grade Level television television & radio
only modular learning
DLM1 DLM2 DLM3 DLM4
 9

D7. What are the challenges that may affect your child’s learning process through distance edu

lack of available
gadgets/
lack of available
lack of equipment ,
lack of available gadgets/ equipment ,
available insufficient load/
gadgets/ equipment insufficient load/ data
gadgets/ data allowance,
Grade Level equipment & insufficient load/ allowance & unstable unstable mobile/
data allowance mobile/ internet
only internet connection
connection
& existing health
condition/s

CH1 CH2 CH3 CH4

9

E. LIMITED FACE TO FACE

E1. In case limited face to face classes will be allowed, are you willing to allow your child/children to pa
Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
9 0

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
9

Choose Dialect English

#REF!
#REF!
#REF!
#REF!

#REF!
#REF!
#REF!
#REF!

#REF!
#REF!
#REF!
#REF!

#REF!
#REF!
#REF!
#REF!

#REF!
#REF!
#REF!
#REF!
 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)

ardian per learner having the highest educational attainment)

After High School

High School High School Education or Vocational Total (Must be equalled
Level Graduate (Tech/Voc/College/Post vis-à-vis Enrollment per
Grad) Class/Grade Level)
HEA5 HEA6 HEA7
0

dying in School Year 2021-2022? (No.of Learner/s in a Household)

Total (Must be equalled

5 Household 6 Household
7 Household Members vis-à-vis Enrollment per
Members Members
Class/Grade Level)

to the child’s distance learning?

Parent/ Guardian,
Siblings, Grand Siblings, Grand Parent,
Parent, Other Siblings Only Siblings & Grand Parent Other members of family
members of & Others
family & Others
HM5 HM6 HM7 HM8

Cellphone, Radio &

Cellphone Only Cellphone & Radio Radio Only
Desktop/laptop

DA5 DA6 DA7 DA8

broadband,
Computer shop and
Broadband only computer shop & Computer shop only
other places
other places

IC5 IC6 IC7 IC8

Television, radio &

Television Only Television & radio Radio only
modular learning

DLM5 DLM6 DLM7 DLM8

hrough distance education?

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)

CH5 CH6 CH7 CH8

our child/children to participate?

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
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

HM9 HM10 HM11 HM12

Radio & Desktop/laptop Cellphone &

Tablet
Desktop/laptop only Desktop/Laptop

DA9 DA10 DA11 DA12

No internet Total (Must be

Other places only equalled vis-à-vis
available in the area
Enrollment per
Class/Grade Level)

IC9 IC10
0

Radio & Modular Modular Learning Modular Learning

Blended
Learning Only (Printed) Only (Digital)

DLM9 DLM10 DLM11 DLM12

 insufficient load/ data
insufficient load/ data allowance, unstable
insufficient load/
insufficient load/ allowance, unstable mobile/ internet
data allowance &
data allowance mobile/ internet connection, existing
unstable mobile/
only connection & existing health condition/s &
internet connection
health condition/s difficulty in
independent learning

CH9 CH10 CH11 CH12

Other members of Learner able to do
family and Other Other (tutor/helper) only independent None
(tutor/helper) learning

HM13 HM14 HM15 HM16

None Total (Must be equalled

vis-à-vis Enrollment per
Class/Grade Level)
DA13
0

Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
 0

insufficient load/ data

allowance, unstable
insufficient load/ data
mobile/ internet
allowance, unstable
connection, existing unstable
mobile/ internet
health condition/s, mobile/
connection, existing
difficulty in independent unstable mobile/ internet
health condition/s,
learning, conflict with internet connection connection &
difficulty in
other activities (i.e., only existing
independent learning
house chores), high health
& conflict with other
electrical consumption & condition/s
activities (i.e., house
distractions (i.e., social
chores)
media, noise from
community/neighbor)

CH13 CH14 CH15 CH16

Total (Must be
equalled vis-à-
vis Enrollment
per
Class/Grade
Level)

0
 unstable mobile/
internet connection,
unstable unstable mobile/
existing health existing health
mobile/ internet connection,
condition/s, difficulty in condition/s,
internet existing health
independent learning, existing difficulty in
connection, condition/s,
conflict with other health independent
existing health difficulty in
activities (i.e., house condition/s learning &
condition/s & independent
chores), high electrical only conflict with other
difficulty in learning & conflict
consumption & activities (i.e.,
independent with other activities
distractions (i.e., social house chores)
learning (i.e., house chores)
media, noise from
community/neighbor)

CH17 CH18 CH19 CH20 CH21

 existing health
existing health difficulty in
condition/s, difficulty in
condition/s, difficulty in independent
independent learning,
difficulty in independent learning,
conflict with other
independent difficulty in learning & conflict with
activities (i.e., house
learning, conflict independent conflict with other activities
chores), high electrical
with other activities learning only other activities (i.e., house
consumption &
(i.e., house chores) (i.e., house chores) & high
distractions (i.e., social
& high electrical chores) electrical
media, noise from
consumption consumption
community/neighbor)

CH22 CH23 CH24 CH25 CH26

 difficulty in
independent
conflict with other
learning, conflict
activities (i.e., high electrical
with other activities
conflict with house chores), high consumption &
(i.e., house conflict with
other activities high electrical electrica distractions
chores), high other
(i.e., house consumption & l (i.e., social
electrical activities
chores), & high distractions (i.e., consum media, noise
consumption & (i.e., house
electrical social media, ption from
distractions (i.e., chores) only
consumption noise from only community/neig
social media, noise
community/neighb hbor)
from
or)
community/neighb
or)

CH27 CH28 CH29 CH30 CH31 CH32

only distractions
(i.e., social Total (Must be
media, noise equalled vis-à-
from vis Enrollment
community/neig per Class/Grade
hbor) only Level)

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)
9 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

HEA1 HEA2 HEA3 HEA4

9

C10. 4Ps Beneficiary/ies

Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
9 0

D1. How many of your household members (including the enrollee) are studying in School Year

Only 1
2 Household 3 Household 4 Household
Grade Level Household
Members Members Members
Member

D2. Who among the household members can provide instructional support to the child’s distan
 Parent/ Guardian,
Parent/ Parent/ Guardian,
Parent/ Guardian Siblings, Grand
Guardian Siblings & Grand
Grade Level and Siblings Parent & Other
Only Parent
members of family

HM1 HM2 HM3 HM4

9

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

DA1 DA2 DA3 DA4

9

D4. Is there an internet signal in your area?

Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)

9 0

D5. How do you connect to the internet?

Mobile data,
Mobile data,
Mobile data Mobile data & broadband,
broadband &
Grade Level only broadband computer shop &
computer shop
other places

IC1 IC2 IC3 IC4

9

D6. What distance learning modality/ies do you prefer for your child?
online online learning,
online learning & online learning,
learning television, radio &
Grade Level television television & radio
only modular learning
DLM1 DLM2 DLM3 DLM4
 9

D7. What are the challenges that may affect your child’s learning process through distance edu

lack of available
gadgets/
lack of available
lack of equipment ,
lack of available gadgets/ equipment ,
available insufficient load/
gadgets/ equipment insufficient load/ data
gadgets/ data allowance,
Grade Level equipment & insufficient load/ allowance & unstable unstable mobile/
data allowance mobile/ internet
only internet connection
connection
& existing health
condition/s

CH1 CH2 CH3 CH4

9

E. LIMITED FACE TO FACE

E1. In case limited face to face classes will be allowed, are you willing to allow your child/children to pa
Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
9 0

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
9

Choose Dialect English

#REF!
#REF!
#REF!
#REF!

#REF!
#REF!
#REF!
#REF!

#REF!
#REF!
#REF!
#REF!

#REF!
#REF!
#REF!
#REF!

#REF!
#REF!
#REF!
#REF!
 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)

ardian per learner having the highest educational attainment)

After High School

High School High School Education or Vocational Total (Must be equalled
Level Graduate (Tech/Voc/College/Post vis-à-vis Enrollment per
Grad) Class/Grade Level)
HEA5 HEA6 HEA7
0

dying in School Year 2021-2022? (No.of Learner/s in a Household)

Total (Must be equalled

5 Household 6 Household
7 Household Members vis-à-vis Enrollment per
Members Members
Class/Grade Level)

to the child’s distance learning?

Parent/ Guardian,
Siblings, Grand Siblings, Grand Parent,
Parent, Other Siblings Only Siblings & Grand Parent Other members of family
members of & Others
family & Others
HM5 HM6 HM7 HM8

Cellphone, Radio &

Cellphone Only Cellphone & Radio Radio Only
Desktop/laptop

DA5 DA6 DA7 DA8

broadband,
Computer shop and
Broadband only computer shop & Computer shop only
other places
other places

IC5 IC6 IC7 IC8

Television, radio &

Television Only Television & radio Radio only
modular learning

DLM5 DLM6 DLM7 DLM8

hrough distance education?

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)

CH5 CH6 CH7 CH8

our child/children to participate?

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
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

HM9 HM10 HM11 HM12

Radio & Desktop/laptop Cellphone &

Tablet
Desktop/laptop only Desktop/Laptop

DA9 DA10 DA11 DA12

No internet Total (Must be

Other places only equalled vis-à-vis
available in the area
Enrollment per
Class/Grade Level)

IC9 IC10
0

Radio & Modular Modular Learning Modular Learning

Blended
Learning Only (Printed) Only (Digital)

DLM9 DLM10 DLM11 DLM12

 insufficient load/ data
insufficient load/ data allowance, unstable
insufficient load/
insufficient load/ allowance, unstable mobile/ internet
data allowance &
data allowance mobile/ internet connection, existing
unstable mobile/
only connection & existing health condition/s &
internet connection
health condition/s difficulty in
independent learning

CH9 CH10 CH11 CH12

Other members of Learner able to do
family and Other Other (tutor/helper) only independent None
(tutor/helper) learning

HM13 HM14 HM15 HM16

None Total (Must be equalled

vis-à-vis Enrollment per
Class/Grade Level)
DA13
0

Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
 0

insufficient load/ data

allowance, unstable
insufficient load/ data
mobile/ internet
allowance, unstable
connection, existing unstable
mobile/ internet
health condition/s, mobile/
connection, existing
difficulty in independent unstable mobile/ internet
health condition/s,
learning, conflict with internet connection connection &
difficulty in
other activities (i.e., only existing
independent learning
house chores), high health
& conflict with other
electrical consumption & condition/s
activities (i.e., house
distractions (i.e., social
chores)
media, noise from
community/neighbor)

CH13 CH14 CH15 CH16

Total (Must be
equalled vis-à-
vis Enrollment
per
Class/Grade
Level)

0
 unstable mobile/
internet connection,
unstable unstable mobile/
existing health existing health
mobile/ internet connection,
condition/s, difficulty in condition/s,
internet existing health
independent learning, existing difficulty in
connection, condition/s,
conflict with other health independent
existing health difficulty in
activities (i.e., house condition/s learning &
condition/s & independent
chores), high electrical only conflict with other
difficulty in learning & conflict
consumption & activities (i.e.,
independent with other activities
distractions (i.e., social house chores)
learning (i.e., house chores)
media, noise from
community/neighbor)

CH17 CH18 CH19 CH20 CH21

 existing health
existing health difficulty in
condition/s, difficulty in
condition/s, difficulty in independent
independent learning,
difficulty in independent learning,
conflict with other
independent difficulty in learning & conflict with
activities (i.e., house
learning, conflict independent conflict with other activities
chores), high electrical
with other activities learning only other activities (i.e., house
consumption &
(i.e., house chores) (i.e., house chores) & high
distractions (i.e., social
& high electrical chores) electrical
media, noise from
consumption consumption
community/neighbor)

CH22 CH23 CH24 CH25 CH26

 difficulty in
independent
conflict with other
learning, conflict
activities (i.e., high electrical
with other activities
conflict with house chores), high consumption &
(i.e., house conflict with
other activities high electrical electrica distractions
chores), high other
(i.e., house consumption & l (i.e., social
electrical activities
chores), & high distractions (i.e., consum media, noise
consumption & (i.e., house
electrical social media, ption from
distractions (i.e., chores) only
consumption noise from only community/neig
social media, noise
community/neighb hbor)
from
or)
community/neighb
or)

CH27 CH28 CH29 CH30 CH31 CH32

only distractions
(i.e., social Total (Must be
media, noise equalled vis-à-
from vis Enrollment
community/neig per Class/Grade
hbor) only Level)

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)
9 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

HEA1 HEA2 HEA3 HEA4

9

C10. 4Ps Beneficiary/ies

Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
9 0

D1. How many of your household members (including the enrollee) are studying in School Year

Only 1
2 Household 3 Household 4 Household
Grade Level Household
Members Members Members
Member

D2. Who among the household members can provide instructional support to the child’s distan
 Parent/ Guardian,
Parent/ Parent/ Guardian,
Parent/ Guardian Siblings, Grand
Guardian Siblings & Grand
Grade Level and Siblings Parent & Other
Only Parent
members of family

HM1 HM2 HM3 HM4

9

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

DA1 DA2 DA3 DA4

9

D4. Is there an internet signal in your area?

Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)

9 0

D5. How do you connect to the internet?

Mobile data,
Mobile data,
Mobile data Mobile data & broadband,
broadband &
Grade Level only broadband computer shop &
computer shop
other places

IC1 IC2 IC3 IC4

9

D6. What distance learning modality/ies do you prefer for your child?
online online learning,
online learning & online learning,
learning television, radio &
Grade Level television television & radio
only modular learning
DLM1 DLM2 DLM3 DLM4
 9

D7. What are the challenges that may affect your child’s learning process through distance edu

lack of available
gadgets/
lack of available
lack of equipment ,
lack of available gadgets/ equipment ,
available insufficient load/
gadgets/ equipment insufficient load/ data
gadgets/ data allowance,
Grade Level equipment & insufficient load/ allowance & unstable unstable mobile/
data allowance mobile/ internet
only internet connection
connection
& existing health
condition/s

CH1 CH2 CH3 CH4

9

E. LIMITED FACE TO FACE

E1. In case limited face to face classes will be allowed, are you willing to allow your child/children to pa
Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
9 0

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
9

Choose Dialect English

#REF!
#REF!
#REF!
#REF!

#REF!
#REF!
#REF!
#REF!

#REF!
#REF!
#REF!
#REF!

#REF!
#REF!
#REF!
#REF!

#REF!
#REF!
#REF!
#REF!
 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)

ardian per learner having the highest educational attainment)

After High School

High School High School Education or Vocational Total (Must be equalled
Level Graduate (Tech/Voc/College/Post vis-à-vis Enrollment per
Grad) Class/Grade Level)
HEA5 HEA6 HEA7
0

dying in School Year 2021-2022? (No.of Learner/s in a Household)

Total (Must be equalled

5 Household 6 Household
7 Household Members vis-à-vis Enrollment per
Members Members
Class/Grade Level)

to the child’s distance learning?

Parent/ Guardian,
Siblings, Grand Siblings, Grand Parent,
Parent, Other Siblings Only Siblings & Grand Parent Other members of family
members of & Others
family & Others
HM5 HM6 HM7 HM8

Cellphone, Radio &

Cellphone Only Cellphone & Radio Radio Only
Desktop/laptop

DA5 DA6 DA7 DA8

broadband,
Computer shop and
Broadband only computer shop & Computer shop only
other places
other places

IC5 IC6 IC7 IC8

Television, radio &

Television Only Television & radio Radio only
modular learning

DLM5 DLM6 DLM7 DLM8

hrough distance education?

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)

CH5 CH6 CH7 CH8

our child/children to participate?

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
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

HM9 HM10 HM11 HM12

Radio & Desktop/laptop Cellphone &

Tablet
Desktop/laptop only Desktop/Laptop

DA9 DA10 DA11 DA12

No internet Total (Must be

Other places only equalled vis-à-vis
available in the area
Enrollment per
Class/Grade Level)

IC9 IC10
0

Radio & Modular Modular Learning Modular Learning

Blended
Learning Only (Printed) Only (Digital)

DLM9 DLM10 DLM11 DLM12

 insufficient load/ data
insufficient load/ data allowance, unstable
insufficient load/
insufficient load/ allowance, unstable mobile/ internet
data allowance &
data allowance mobile/ internet connection, existing
unstable mobile/
only connection & existing health condition/s &
internet connection
health condition/s difficulty in
independent learning

CH9 CH10 CH11 CH12

Other members of Learner able to do
family and Other Other (tutor/helper) only independent None
(tutor/helper) learning

HM13 HM14 HM15 HM16

None Total (Must be equalled

vis-à-vis Enrollment per
Class/Grade Level)
DA13
0

Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
 0

insufficient load/ data

allowance, unstable
insufficient load/ data
mobile/ internet
allowance, unstable
connection, existing unstable
mobile/ internet
health condition/s, mobile/
connection, existing
difficulty in independent unstable mobile/ internet
health condition/s,
learning, conflict with internet connection connection &
difficulty in
other activities (i.e., only existing
independent learning
house chores), high health
& conflict with other
electrical consumption & condition/s
activities (i.e., house
distractions (i.e., social
chores)
media, noise from
community/neighbor)

CH13 CH14 CH15 CH16

Total (Must be
equalled vis-à-
vis Enrollment
per
Class/Grade
Level)

0
 unstable mobile/
internet connection,
unstable unstable mobile/
existing health existing health
mobile/ internet connection,
condition/s, difficulty in condition/s,
internet existing health
independent learning, existing difficulty in
connection, condition/s,
conflict with other health independent
existing health difficulty in
activities (i.e., house condition/s learning &
condition/s & independent
chores), high electrical only conflict with other
difficulty in learning & conflict
consumption & activities (i.e.,
independent with other activities
distractions (i.e., social house chores)
learning (i.e., house chores)
media, noise from
community/neighbor)

CH17 CH18 CH19 CH20 CH21

 existing health
existing health difficulty in
condition/s, difficulty in
condition/s, difficulty in independent
independent learning,
difficulty in independent learning,
conflict with other
independent difficulty in learning & conflict with
activities (i.e., house
learning, conflict independent conflict with other activities
chores), high electrical
with other activities learning only other activities (i.e., house
consumption &
(i.e., house chores) (i.e., house chores) & high
distractions (i.e., social
& high electrical chores) electrical
media, noise from
consumption consumption
community/neighbor)

CH22 CH23 CH24 CH25 CH26

 difficulty in
independent
conflict with other
learning, conflict
activities (i.e., high electrical
with other activities
conflict with house chores), high consumption &
(i.e., house conflict with
other activities high electrical electrica distractions
chores), high other
(i.e., house consumption & l (i.e., social
electrical activities
chores), & high distractions (i.e., consum media, noise
consumption & (i.e., house
electrical social media, ption from
distractions (i.e., chores) only
consumption noise from only community/neig
social media, noise
community/neighb hbor)
from
or)
community/neighb
or)

CH27 CH28 CH29 CH30 CH31 CH32

only distractions
(i.e., social Total (Must be
media, noise equalled vis-à-
from vis Enrollment
community/neig per Class/Grade
hbor) only Level)

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)
10 0

C2. Parent/Guardian Highest Educational Attainment (select only parent/guardian per learner ha

No Formal Schooling
No Formal Elementary
but able to read and Elementary level
Grade Level Schooling write
Graduate

HEA1 HEA2 HEA3 HEA4

10

C10. 4Ps Beneficiary/ies

Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
10 0

D1. How many of your household members (including the enrollee) are studying in School Year

Only 1
2 Household 3 Household 4 Household
Grade Level Household
Members Members Members
Member

10

D2. Who among the household members can provide instructional support to the child’s distan
 Parent/ Guardian,
Parent/ Parent/ Guardian,
Parent/ Guardian Siblings, Grand
Guardian Siblings & Grand
Grade Level and Siblings Parent & Other
Only Parent
members of family

HM1 HM2 HM3 HM4

10

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

DA1 DA2 DA3 DA4

10

D4. Is there an internet signal in your area?

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,
Mobile data Mobile data & broadband,
broadband &
Grade Level only broadband computer shop &
computer shop
other places

IC1 IC2 IC3 IC4

10

D6. What distance learning modality/ies do you prefer for your child?
online online learning,
online learning & online learning,
learning television, radio &
Grade Level television television & radio
only modular learning
DLM1 DLM2 DLM3 DLM4
 10

D7. What are the challenges that may affect your child’s learning process through distance edu

lack of available
gadgets/
lack of available
lack of equipment ,
lack of available gadgets/ equipment ,
available insufficient load/
gadgets/ equipment insufficient load/ data
gadgets/ data allowance,
Grade Level equipment & insufficient load/ allowance & unstable unstable mobile/
data allowance mobile/ internet
only internet connection
connection
& existing health
condition/s

CH1 CH2 CH3 CH4

10

E. LIMITED FACE TO FACE

E1. In case limited face to face classes will be allowed, are you willing to allow your child/children to pa
Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
10 0

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
10

Choose Dialect English

#REF!
#REF!
#REF!
#REF!

#REF!
#REF!
#REF!
#REF!

#REF!
#REF!
#REF!
#REF!

#REF!
#REF!
#REF!
#REF!

#REF!
#REF!
#REF!
#REF!
 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)

ardian per learner having the highest educational attainment)

After High School

High School High School Education or Vocational Total (Must be equalled
Level Graduate (Tech/Voc/College/Post vis-à-vis Enrollment per
Grad) Class/Grade Level)
HEA5 HEA6 HEA7
0

dying in School Year 2021-2022? (No.of Learner/s in a Household)

Total (Must be equalled

5 Household 6 Household
7 Household Members vis-à-vis Enrollment per
Members Members
Class/Grade Level)

to the child’s distance learning?

Parent/ Guardian,
Siblings, Grand Siblings, Grand Parent,
Parent, Other Siblings Only Siblings & Grand Parent Other members of family
members of & Others
family & Others
HM5 HM6 HM7 HM8

Cellphone, Radio &

Cellphone Only Cellphone & Radio Radio Only
Desktop/laptop

DA5 DA6 DA7 DA8

broadband,
Computer shop and
Broadband only computer shop & Computer shop only
other places
other places

IC5 IC6 IC7 IC8

Television, radio &

Television Only Television & radio Radio only
modular learning

DLM5 DLM6 DLM7 DLM8

hrough distance education?

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)

CH5 CH6 CH7 CH8

our child/children to participate?

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
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

HM9 HM10 HM11 HM12

Radio & Desktop/laptop Cellphone &

Tablet
Desktop/laptop only Desktop/Laptop

DA9 DA10 DA11 DA12

No internet Total (Must be

Other places only equalled vis-à-vis
available in the area
Enrollment per
Class/Grade Level)

IC9 IC10
0

Radio & Modular Modular Learning Modular Learning

Blended
Learning Only (Printed) Only (Digital)

DLM9 DLM10 DLM11 DLM12

 insufficient load/ data
insufficient load/ data allowance, unstable
insufficient load/
insufficient load/ allowance, unstable mobile/ internet
data allowance &
data allowance mobile/ internet connection, existing
unstable mobile/
only connection & existing health condition/s &
internet connection
health condition/s difficulty in
independent learning

CH9 CH10 CH11 CH12

Other members of Learner able to do
family and Other Other (tutor/helper) only independent None
(tutor/helper) learning

HM13 HM14 HM15 HM16

None Total (Must be equalled

vis-à-vis Enrollment per
Class/Grade Level)
DA13
0

Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
 0

insufficient load/ data

allowance, unstable
insufficient load/ data
mobile/ internet
allowance, unstable
connection, existing unstable
mobile/ internet
health condition/s, mobile/
connection, existing
difficulty in independent unstable mobile/ internet
health condition/s,
learning, conflict with internet connection connection &
difficulty in
other activities (i.e., only existing
independent learning
house chores), high health
& conflict with other
electrical consumption & condition/s
activities (i.e., house
distractions (i.e., social
chores)
media, noise from
community/neighbor)

CH13 CH14 CH15 CH16

Total (Must be
equalled vis-à-
vis Enrollment
per
Class/Grade
Level)

0
 unstable mobile/
internet connection,
unstable unstable mobile/
existing health existing health
mobile/ internet connection,
condition/s, difficulty in condition/s,
internet existing health
independent learning, existing difficulty in
connection, condition/s,
conflict with other health independent
existing health difficulty in
activities (i.e., house condition/s learning &
condition/s & independent
chores), high electrical only conflict with other
difficulty in learning & conflict
consumption & activities (i.e.,
independent with other activities
distractions (i.e., social house chores)
learning (i.e., house chores)
media, noise from
community/neighbor)

CH17 CH18 CH19 CH20 CH21

 existing health
existing health difficulty in
condition/s, difficulty in
condition/s, difficulty in independent
independent learning,
difficulty in independent learning,
conflict with other
independent difficulty in learning & conflict with
activities (i.e., house
learning, conflict independent conflict with other activities
chores), high electrical
with other activities learning only other activities (i.e., house
consumption &
(i.e., house chores) (i.e., house chores) & high
distractions (i.e., social
& high electrical chores) electrical
media, noise from
consumption consumption
community/neighbor)

CH22 CH23 CH24 CH25 CH26

 difficulty in
independent
conflict with other
learning, conflict
activities (i.e., high electrical
with other activities
conflict with house chores), high consumption &
(i.e., house conflict with
other activities high electrical electrica distractions
chores), high other
(i.e., house consumption & l (i.e., social
electrical activities
chores), & high distractions (i.e., consum media, noise
consumption & (i.e., house
electrical social media, ption from
distractions (i.e., chores) only
consumption noise from only community/neig
social media, noise
community/neighb hbor)
from
or)
community/neighb
or)

CH27 CH28 CH29 CH30 CH31 CH32

only distractions
(i.e., social Total (Must be
media, noise equalled vis-à-
from vis Enrollment
community/neig per Class/Grade
hbor) only Level)

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)
10 0

C2. Parent/Guardian Highest Educational Attainment (select only parent/guardian per learner ha

No Formal Schooling
No Formal Elementary
but able to read and Elementary level
Grade Level Schooling write
Graduate

HEA1 HEA2 HEA3 HEA4

10

C10. 4Ps Beneficiary/ies

Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
10 0

D1. How many of your household members (including the enrollee) are studying in School Year

Only 1
2 Household 3 Household 4 Household
Grade Level Household
Members Members Members
Member

10

D2. Who among the household members can provide instructional support to the child’s distan
 Parent/ Guardian,
Parent/ Parent/ Guardian,
Parent/ Guardian Siblings, Grand
Guardian Siblings & Grand
Grade Level and Siblings Parent & Other
Only Parent
members of family

HM1 HM2 HM3 HM4

10

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

DA1 DA2 DA3 DA4

10

D4. Is there an internet signal in your area?

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,
Mobile data Mobile data & broadband,
broadband &
Grade Level only broadband computer shop &
computer shop
other places

IC1 IC2 IC3 IC4

10

D6. What distance learning modality/ies do you prefer for your child?
online online learning,
online learning & online learning,
learning television, radio &
Grade Level television television & radio
only modular learning
DLM1 DLM2 DLM3 DLM4
 10

D7. What are the challenges that may affect your child’s learning process through distance edu

lack of available
gadgets/
lack of available
lack of equipment ,
lack of available gadgets/ equipment ,
available insufficient load/
gadgets/ equipment insufficient load/ data
gadgets/ data allowance,
Grade Level equipment & insufficient load/ allowance & unstable unstable mobile/
data allowance mobile/ internet
only internet connection
connection
& existing health
condition/s

CH1 CH2 CH3 CH4

10

E. LIMITED FACE TO FACE

E1. In case limited face to face classes will be allowed, are you willing to allow your child/children to pa
Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
10 0

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
10

Choose Dialect English

#REF!
#REF!
#REF!
#REF!

#REF!
#REF!
#REF!
#REF!

#REF!
#REF!
#REF!
#REF!

#REF!
#REF!
#REF!
#REF!

#REF!
#REF!
#REF!
#REF!
 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)

ardian per learner having the highest educational attainment)

After High School

High School High School Education or Vocational Total (Must be equalled
Level Graduate (Tech/Voc/College/Post vis-à-vis Enrollment per
Grad) Class/Grade Level)
HEA5 HEA6 HEA7
0

dying in School Year 2021-2022? (No.of Learner/s in a Household)

Total (Must be equalled

5 Household 6 Household
7 Household Members vis-à-vis Enrollment per
Members Members
Class/Grade Level)

to the child’s distance learning?

Parent/ Guardian,
Siblings, Grand Siblings, Grand Parent,
Parent, Other Siblings Only Siblings & Grand Parent Other members of family
members of & Others
family & Others
HM5 HM6 HM7 HM8

Cellphone, Radio &

Cellphone Only Cellphone & Radio Radio Only
Desktop/laptop

DA5 DA6 DA7 DA8

broadband,
Computer shop and
Broadband only computer shop & Computer shop only
other places
other places

IC5 IC6 IC7 IC8

Television, radio &

Television Only Television & radio Radio only
modular learning

DLM5 DLM6 DLM7 DLM8

hrough distance education?

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)

CH5 CH6 CH7 CH8

our child/children to participate?

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
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

HM9 HM10 HM11 HM12

Radio & Desktop/laptop Cellphone &

Tablet
Desktop/laptop only Desktop/Laptop

DA9 DA10 DA11 DA12

No internet Total (Must be

Other places only equalled vis-à-vis
available in the area
Enrollment per
Class/Grade Level)

IC9 IC10
0

Radio & Modular Modular Learning Modular Learning

Blended
Learning Only (Printed) Only (Digital)

DLM9 DLM10 DLM11 DLM12

 insufficient load/ data
insufficient load/ data allowance, unstable
insufficient load/
insufficient load/ allowance, unstable mobile/ internet
data allowance &
data allowance mobile/ internet connection, existing
unstable mobile/
only connection & existing health condition/s &
internet connection
health condition/s difficulty in
independent learning

CH9 CH10 CH11 CH12

Other members of Learner able to do
family and Other Other (tutor/helper) only independent None
(tutor/helper) learning

HM13 HM14 HM15 HM16

None Total (Must be equalled

vis-à-vis Enrollment per
Class/Grade Level)
DA13
0

Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
 0

insufficient load/ data

allowance, unstable
insufficient load/ data
mobile/ internet
allowance, unstable
connection, existing unstable
mobile/ internet
health condition/s, mobile/
connection, existing
difficulty in independent unstable mobile/ internet
health condition/s,
learning, conflict with internet connection connection &
difficulty in
other activities (i.e., only existing
independent learning
house chores), high health
& conflict with other
electrical consumption & condition/s
activities (i.e., house
distractions (i.e., social
chores)
media, noise from
community/neighbor)

CH13 CH14 CH15 CH16

Total (Must be
equalled vis-à-
vis Enrollment
per
Class/Grade
Level)

0
 unstable mobile/
internet connection,
unstable unstable mobile/
existing health existing health
mobile/ internet connection,
condition/s, difficulty in condition/s,
internet existing health
independent learning, existing difficulty in
connection, condition/s,
conflict with other health independent
existing health difficulty in
activities (i.e., house condition/s learning &
condition/s & independent
chores), high electrical only conflict with other
difficulty in learning & conflict
consumption & activities (i.e.,
independent with other activities
distractions (i.e., social house chores)
learning (i.e., house chores)
media, noise from
community/neighbor)

CH17 CH18 CH19 CH20 CH21

 existing health
existing health difficulty in
condition/s, difficulty in
condition/s, difficulty in independent
independent learning,
difficulty in independent learning,
conflict with other
independent difficulty in learning & conflict with
activities (i.e., house
learning, conflict independent conflict with other activities
chores), high electrical
with other activities learning only other activities (i.e., house
consumption &
(i.e., house chores) (i.e., house chores) & high
distractions (i.e., social
& high electrical chores) electrical
media, noise from
consumption consumption
community/neighbor)

CH22 CH23 CH24 CH25 CH26

 difficulty in
independent
conflict with other
learning, conflict
activities (i.e., high electrical
with other activities
conflict with house chores), high consumption &
(i.e., house conflict with
other activities high electrical electrica distractions
chores), high other
(i.e., house consumption & l (i.e., social
electrical activities
chores), & high distractions (i.e., consum media, noise
consumption & (i.e., house
electrical social media, ption from
distractions (i.e., chores) only
consumption noise from only community/neig
social media, noise
community/neighb hbor)
from
or)
community/neighb
or)

CH27 CH28 CH29 CH30 CH31 CH32

only distractions
(i.e., social Total (Must be
media, noise equalled vis-à-
from vis Enrollment
community/neig per Class/Grade
hbor) only Level)

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)
10 0

C2. Parent/Guardian Highest Educational Attainment (select only parent/guardian per learner ha

No Formal Schooling
No Formal Elementary
but able to read and Elementary level
Grade Level Schooling write
Graduate

HEA1 HEA2 HEA3 HEA4

10

C10. 4Ps Beneficiary/ies

Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
10 0

D1. How many of your household members (including the enrollee) are studying in School Year

Only 1
2 Household 3 Household 4 Household
Grade Level Household
Members Members Members
Member

10

D2. Who among the household members can provide instructional support to the child’s distan
 Parent/ Guardian,
Parent/ Parent/ Guardian,
Parent/ Guardian Siblings, Grand
Guardian Siblings & Grand
Grade Level and Siblings Parent & Other
Only Parent
members of family

HM1 HM2 HM3 HM4

10

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

DA1 DA2 DA3 DA4

10

D4. Is there an internet signal in your area?

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,
Mobile data Mobile data & broadband,
broadband &
Grade Level only broadband computer shop &
computer shop
other places

IC1 IC2 IC3 IC4

10

D6. What distance learning modality/ies do you prefer for your child?
online online learning,
online learning & online learning,
learning television, radio &
Grade Level television television & radio
only modular learning
DLM1 DLM2 DLM3 DLM4
 10

D7. What are the challenges that may affect your child’s learning process through distance edu

lack of available
gadgets/
lack of available
lack of equipment ,
lack of available gadgets/ equipment ,
available insufficient load/
gadgets/ equipment insufficient load/ data
gadgets/ data allowance,
Grade Level equipment & insufficient load/ allowance & unstable unstable mobile/
data allowance mobile/ internet
only internet connection
connection
& existing health
condition/s

CH1 CH2 CH3 CH4

10

E. LIMITED FACE TO FACE

E1. In case limited face to face classes will be allowed, are you willing to allow your child/children to pa
Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
10 0

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
10

Choose Dialect English

#REF!
#REF!
#REF!
#REF!

#REF!
#REF!
#REF!
#REF!

#REF!
#REF!
#REF!
#REF!

#REF!
#REF!
#REF!
#REF!

#REF!
#REF!
#REF!
#REF!
 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)

ardian per learner having the highest educational attainment)

After High School

High School High School Education or Vocational Total (Must be equalled
Level Graduate (Tech/Voc/College/Post vis-à-vis Enrollment per
Grad) Class/Grade Level)
HEA5 HEA6 HEA7
0

dying in School Year 2021-2022? (No.of Learner/s in a Household)

Total (Must be equalled

5 Household 6 Household
7 Household Members vis-à-vis Enrollment per
Members Members
Class/Grade Level)

to the child’s distance learning?

Parent/ Guardian,
Siblings, Grand Siblings, Grand Parent,
Parent, Other Siblings Only Siblings & Grand Parent Other members of family
members of & Others
family & Others
HM5 HM6 HM7 HM8

Cellphone, Radio &

Cellphone Only Cellphone & Radio Radio Only
Desktop/laptop

DA5 DA6 DA7 DA8

broadband,
Computer shop and
Broadband only computer shop & Computer shop only
other places
other places

IC5 IC6 IC7 IC8

Television, radio &

Television Only Television & radio Radio only
modular learning

DLM5 DLM6 DLM7 DLM8

hrough distance education?

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)

CH5 CH6 CH7 CH8

our child/children to participate?

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
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

HM9 HM10 HM11 HM12

Radio & Desktop/laptop Cellphone &

Tablet
Desktop/laptop only Desktop/Laptop

DA9 DA10 DA11 DA12

No internet Total (Must be

Other places only equalled vis-à-vis
available in the area
Enrollment per
Class/Grade Level)

IC9 IC10
0

Radio & Modular Modular Learning Modular Learning

Blended
Learning Only (Printed) Only (Digital)

DLM9 DLM10 DLM11 DLM12

 insufficient load/ data
insufficient load/ data allowance, unstable
insufficient load/
insufficient load/ allowance, unstable mobile/ internet
data allowance &
data allowance mobile/ internet connection, existing
unstable mobile/
only connection & existing health condition/s &
internet connection
health condition/s difficulty in
independent learning

CH9 CH10 CH11 CH12

Other members of Learner able to do
family and Other Other (tutor/helper) only independent None
(tutor/helper) learning

HM13 HM14 HM15 HM16

None Total (Must be equalled

vis-à-vis Enrollment per
Class/Grade Level)
DA13
0

Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
 0

insufficient load/ data

allowance, unstable
insufficient load/ data
mobile/ internet
allowance, unstable
connection, existing unstable
mobile/ internet
health condition/s, mobile/
connection, existing
difficulty in independent unstable mobile/ internet
health condition/s,
learning, conflict with internet connection connection &
difficulty in
other activities (i.e., only existing
independent learning
house chores), high health
& conflict with other
electrical consumption & condition/s
activities (i.e., house
distractions (i.e., social
chores)
media, noise from
community/neighbor)

CH13 CH14 CH15 CH16

Total (Must be
equalled vis-à-
vis Enrollment
per
Class/Grade
Level)

0
 unstable mobile/
internet connection,
unstable unstable mobile/
existing health existing health
mobile/ internet connection,
condition/s, difficulty in condition/s,
internet existing health
independent learning, existing difficulty in
connection, condition/s,
conflict with other health independent
existing health difficulty in
activities (i.e., house condition/s learning &
condition/s & independent
chores), high electrical only conflict with other
difficulty in learning & conflict
consumption & activities (i.e.,
independent with other activities
distractions (i.e., social house chores)
learning (i.e., house chores)
media, noise from
community/neighbor)

CH17 CH18 CH19 CH20 CH21

 existing health
existing health difficulty in
condition/s, difficulty in
condition/s, difficulty in independent
independent learning,
difficulty in independent learning,
conflict with other
independent difficulty in learning & conflict with
activities (i.e., house
learning, conflict independent conflict with other activities
chores), high electrical
with other activities learning only other activities (i.e., house
consumption &
(i.e., house chores) (i.e., house chores) & high
distractions (i.e., social
& high electrical chores) electrical
media, noise from
consumption consumption
community/neighbor)

CH22 CH23 CH24 CH25 CH26

 difficulty in
independent
conflict with other
learning, conflict
activities (i.e., high electrical
with other activities
conflict with house chores), high consumption &
(i.e., house conflict with
other activities high electrical electrica distractions
chores), high other
(i.e., house consumption & l (i.e., social
electrical activities
chores), & high distractions (i.e., consum media, noise
consumption & (i.e., house
electrical social media, ption from
distractions (i.e., chores) only
consumption noise from only community/neig
social media, noise
community/neighb hbor)
from
or)
community/neighb
or)

CH27 CH28 CH29 CH30 CH31 CH32

only distractions
(i.e., social Total (Must be
media, noise equalled vis-à-
from vis Enrollment
community/neig per Class/Grade
hbor) only Level)

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)
10 0

C2. Parent/Guardian Highest Educational Attainment (select only parent/guardian per learner ha

No Formal Schooling
No Formal Elementary
but able to read and Elementary level
Grade Level Schooling write
Graduate

HEA1 HEA2 HEA3 HEA4

10

C10. 4Ps Beneficiary/ies

Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
10 0

D1. How many of your household members (including the enrollee) are studying in School Year

Only 1
2 Household 3 Household 4 Household
Grade Level Household
Members Members Members
Member

10

D2. Who among the household members can provide instructional support to the child’s distan
 Parent/ Guardian,
Parent/ Parent/ Guardian,
Parent/ Guardian Siblings, Grand
Guardian Siblings & Grand
Grade Level and Siblings Parent & Other
Only Parent
members of family

HM1 HM2 HM3 HM4

10

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

DA1 DA2 DA3 DA4

10

D4. Is there an internet signal in your area?

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,
Mobile data Mobile data & broadband,
broadband &
Grade Level only broadband computer shop &
computer shop
other places

IC1 IC2 IC3 IC4

10

D6. What distance learning modality/ies do you prefer for your child?
online online learning,
online learning & online learning,
learning television, radio &
Grade Level television television & radio
only modular learning
DLM1 DLM2 DLM3 DLM4
 10

D7. What are the challenges that may affect your child’s learning process through distance edu

lack of available
gadgets/
lack of available
lack of equipment ,
lack of available gadgets/ equipment ,
available insufficient load/
gadgets/ equipment insufficient load/ data
gadgets/ data allowance,
Grade Level equipment & insufficient load/ allowance & unstable unstable mobile/
data allowance mobile/ internet
only internet connection
connection
& existing health
condition/s

CH1 CH2 CH3 CH4

10

E. LIMITED FACE TO FACE

E1. In case limited face to face classes will be allowed, are you willing to allow your child/children to pa
Total (Must be
equalled vis-à-vis
Grade Level Yes No
Enrollment per
Class/Grade Level)
10 0

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
10

Choose Dialect English

#REF!
#REF!
#REF!
#REF!

#REF!
#REF!
#REF!
#REF!

#REF!
#REF!
#REF!
#REF!

#REF!
#REF!
#REF!
#REF!

#REF!
#REF!
#REF!
#REF!
 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)

ardian per learner having the highest educational attainment)

After High School

High School High School Education or Vocational Total (Must be equalled
Level Graduate (Tech/Voc/College/Post vis-à-vis Enrollment per
Grad) Class/Grade Level)
HEA5 HEA6 HEA7
0

dying in School Year 2021-2022? (No.of Learner/s in a Household)

Total (Must be equalled

5 Household 6 Household
7 Household Members vis-à-vis Enrollment per
Members Members
Class/Grade Level)

to the child’s distance learning?

Parent/ Guardian,
Siblings, Grand Siblings, Grand Parent,
Parent, Other Siblings Only Siblings & Grand Parent Other members of family
members of & Others
family & Others
HM5 HM6 HM7 HM8

Cellphone, Radio &

Cellphone Only Cellphone & Radio Radio Only
Desktop/laptop

DA5 DA6 DA7 DA8

broadband,
Computer shop and
Broadband only computer shop & Computer shop only
other places
other places

IC5 IC6 IC7 IC8

Television, radio &

Television Only Television & radio Radio only
modular learning

DLM5 DLM6 DLM7 DLM8

hrough distance education?

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)

CH5 CH6 CH7 CH8

our child/children to participate?

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
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

HM9 HM10 HM11 HM12

Radio & Desktop/laptop Cellphone &

Tablet
Desktop/laptop only Desktop/Laptop

DA9 DA10 DA11 DA12

No internet Total (Must be

Other places only equalled vis-à-vis
available in the area
Enrollment per
Class/Grade Level)

IC9 IC10
0

Radio & Modular Modular Learning Modular Learning

Blended
Learning Only (Printed) Only (Digital)

DLM9 DLM10 DLM11 DLM12

 insufficient load/ data
insufficient load/ data allowance, unstable
insufficient load/
insufficient load/ allowance, unstable mobile/ internet
data allowance &
data allowance mobile/ internet connection, existing
unstable mobile/
only connection & existing health condition/s &
internet connection
health condition/s difficulty in
independent learning

CH9 CH10 CH11 CH12

Other members of Learner able to do
family and Other Other (tutor/helper) only independent None
(tutor/helper) learning

HM13 HM14 HM15 HM16

None Total (Must be equalled

vis-à-vis Enrollment per
Class/Grade Level)
DA13
0

Total (Must be
equalled vis-à-vis
Enrollment per
Class/Grade Level)
 0

insufficient load/ data

allowance, unstable
insufficient load/ data
mobile/ internet
allowance, unstable
connection, existing unstable
mobile/ internet
health condition/s, mobile/
connection, existing
difficulty in independent unstable mobile/ internet
health condition/s,
learning, conflict with internet connection connection &
difficulty in
other activities (i.e., only existing
independent learning
house chores), high health
& conflict with other
electrical consumption & condition/s
activities (i.e., house
distractions (i.e., social
chores)
media, noise from
community/neighbor)

CH13 CH14 CH15 CH16

Total (Must be
equalled vis-à-
vis Enrollment
per
Class/Grade
Level)

0
 unstable mobile/
internet connection,
unstable unstable mobile/
existing health existing health
mobile/ internet connection,
condition/s, difficulty in condition/s,
internet existing health
independent learning, existing difficulty in
connection, condition/s,
conflict with other health independent
existing health difficulty in
activities (i.e., house condition/s learning &
condition/s & independent
chores), high electrical only conflict with other
difficulty in learning & conflict
consumption & activities (i.e.,
independent with other activities
distractions (i.e., social house chores)
learning (i.e., house chores)
media, noise from
community/neighbor)

CH17 CH18 CH19 CH20 CH21

 existing health
existing health difficulty in
condition/s, difficulty in
condition/s, difficulty in independent
independent learning,
difficulty in independent learning,
conflict with other
independent difficulty in learning & conflict with
activities (i.e., house
learning, conflict independent conflict with other activities
chores), high electrical
with other activities learning only other activities (i.e., house
consumption &
(i.e., house chores) (i.e., house chores) & high
distractions (i.e., social
& high electrical chores) electrical
media, noise from
consumption consumption
community/neighbor)

CH22 CH23 CH24 CH25 CH26

 difficulty in
independent
conflict with other
learning, conflict
activities (i.e., high electrical
with other activities
conflict with house chores), high consumption &
(i.e., house conflict with
other activities high electrical electrica distractions
chores), high other
(i.e., house consumption & l (i.e., social
electrical activities
chores), & high distractions (i.e., consum media, noise
consumption & (i.e., house
electrical social media, ption from
distractions (i.e., chores) only
consumption noise from only community/neig
social media, noise
community/neighb hbor)
from
or)
community/neighb
or)

CH27 CH28 CH29 CH30 CH31 CH32

only distractions
(i.e., social Total (Must be
media, noise equalled vis-à-
from vis Enrollment
community/neig per Class/Grade
hbor) only Level)

CH33
0