sAINT CLARE POLYTECHNIC SCHOOL OF BURAUEN INC.

Brgy. Maghubas Burauen, Leyte

HOUSEKEEPING NC II

Name: __________________________________ Date: ____________________

Data Gathering Instrument for Trainee’s Characteristics

Please answer the following instrument according to the characteristics

described below. Encircle the letter of your choice that best describes you as a
learner. Blank spaces are provided for some data that need your response.
Characteristics of learners

Language, Average grade in: Are you a computer Average grade in:
literacy and literate?
English Math
numeracy
a. 95 and above a.) Yes a. 95 and above
(LL&N)
b. 90 to 94 b.) No b. 90 to 94
c. 85 to 89 c. 85 to 89
d. 80 to 84 d. 80 to 84
e. 75 to 79 e. 75 to 79

Cultural and language background Ethnicity/culture:

a. Bisaya
b. Mamanwa
c. Badjao
d. Muslim
e. Lumad
f. Others (please specify)
_____________
Education & general knowledge Highest Educational Attainment:

a. High School Level

b. High School Graduate
c. College Level
d. College Graduate
e. College graduate with units in
Master’s degree
f. Masters Graduate
g. Masters graduate with units in
Doctoral Level

Page 1/3. Signature of Trainee: _________________________________

 sAINT CLARE POLYTECHNIC SCHOOL OF BURAUEN INC.
Brgy. Maghubas Burauen, Leyte

h. Doctoral Graduate
Gender a. Male
b. Female
Age Age: ______________
Date of Birth: ________________
Physical ability 1. Disabilities (if any)
_____________________

2. Existing health conditions (Existing

illness if any)
a. None
b. Asthma
c. Heart disease
d. Anemia
e. Hypertension
f. Diabetes
g. Others (please specify)
___________________

Previous training with the topic related to Topics

housekeeping.
a._______________________
b._______________________
c._______________________

Previous experience List down related experience

a.______________________
b.______________________
c.______________________

Other needs a. Financially challenged

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

Page 2/3. Signature of Trainee: _________________________________

 sAINT CLARE POLYTECHNIC SCHOOL OF BURAUEN INC.
Brgy. Maghubas Burauen, Leyte

What Are Your Learning Styles?

Take a few minutes to complete the following questionnaire to assess your preferred learning style.
Begin by reading the statements in all the three columns. Of the three statements, put a tick ‘ ✓’ in the
circle beside the statement that best characterizes you, answering as honestly as possible. Count the
number of ‘✓’ and write your total at the bottom of each column.
1 I enjoy art galleries I love to listen to the I feel complicated to
and window- music dance when the
shopping music is good
2 I am good at spelling I prefer an oral written I tend to answer using
test ‘gut’ feel
3 My confidence is I’m told I have a good I enjoy being touched
boosted when I speaking voice
look good
4 I enjoy photography I find myself humming I like to make things
or singing to the radio with my hands
5 I enjoy watching People tell me I’m easy I tend to touch people
people to talk to when I talk to them
6 I evaluate others I can determine The way a person shakes
based on their sincerity in a hands with me means a
appearance person from the voice lot to me
7 I find myself I am a good listener I feel positive or negative
evaluating others towards people
based on appearance
8 I make a list of things I like to imitate the way I’m usually well co-
I need to do people talk ordinated
each day
9 I am good at finding I can resolve problems I exercise because of the
my way using a map when I talk out loud way I feel afterward
10 My house must be I like a house with I like a house that feels
clean and tidy rooms that allow comfortable
quiet moments
Total Visual: Auditory: Kinesthetic:
The column with the highest total represents your primary learning style. The column with
the second-most choices is your secondary leaning style.
Your primary learning style: _____________________________
Your secondary leaning style: ___________________________

Page 3/3. Signature of Trainee: _________________________________