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, literacy and Average grade in: Average grade in:
numeracy (LL&N)
English Math

A. 95 and above A. 95 and above

B. 90 to 94 B. 90 to 94
C. 85 to 89 C. 85 to 89
D. 80 to 84 D. 80 to 84
E. 75 to 79 E. 75 to 79

Cultural and language Ethnicity/culture:

background a. Ifugao
b. Igorot
c. Ibanag
d. Tagalog
e. Gaddang
f. Muslim
g. Ibaloy
h. Others( please specify)_____________

Education & general Highest Educational Attainment:

knowledge
A. High School level
B. High School Graduate
C. College level
D. College Graduate
E. With units in Master’s Degree
F. Masteral Graduate
G. With units in Doctoral level
H. Doctoral Graduate
I. Others( please specify)_____________
Sex A. Male
B. Female
Characteristics of Learners
Age A. 18-28
B. 29-38
C. 39-48
D. 49-58
 E. 59-68
F. 68 and above
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 Experience with the Select previous experience with Hilot (Wellness Massage) NC II
topic
A. Hilot(Wellness) Massage Therapist
B. Spa Helper
C. Thai Foot Massage Therapist
D. Others(please specify) ___________________

Previous Learning Experience Lists down trainings related to Hilot (Wellness Massage) NC II
A. Domestic Work
B. Caregiver
C. Beauty Care
D. Others(please specify) ___________________

Training level completed National Certificates acquired and NC level

A. DOH Licensed Massage Therapist
B. TESDA NC (National Certificate) II in Massage Therapy
C. Beauty Care (Nail Care) NC II
D. Others(please specify) ___________________

Special Courses Other courses related to Hilot (Wellness Massage) NC II

A. Authentic Namikoshi Shiatsu Course / Swedish Massage
Course
B. Authentic Philippine Massage: HILOT (Handspring Institute
of Massage & Shiatsu Spa School
C. Prevention  of  Injury  for  Massage Practitioners
D. Others(please specify) ___________________

Learning style A. Visual - The visual learner takes mental pictures of

information given, so in order for this kind of learner to
retain information, oral or written, presentations of new
information must contain diagrams and drawings,
preferably in color. The visual learner can't concentrate
with a lot of activity around him and will focus better and
learn faster in a quiet study environment.
B. Kinesthetic - described as the students in the classroom,
 who have problems sitting still and who often bounce
their legs while tapping their fingers on the desks. They
are often referred to as hyperactive students with
concentration issues.
C. Auditory- a learner who has the ability to remember
speeches and lectures in detail but has a hard time with
written text. Having to read long texts is pointless and will
not be retained by the auditory learner unless it is read
aloud.
D. Activist-Learns by having a go They perceive information
concretely and process it actively. They integrate
experience and application. They learn by trial and
error.They believe in self discovery. They are enthusiastic
about new things.They are adaptable, even relish change.
They excel when flexibility is needed. They often reach
accurate conclusions in the absence of logical reason.
They are risk takers. They are at ease with people. They
enrich reality by taking what is and adding to it.
Sometimes they are seen as manipulative and pushy. Their
philosophy is: “I’ll try anything once
E. Reflector-Learns most from activities where they can
watch, listen and then review what has happened.They
perceive information concretely and process it
reflectively.They integrate experience with the Self. They
learn by listening and sharing ideas. They are imaginative
thinkers who believe in their own experience. They excel
in viewing direct experience from many perspectives. They
value insightful thinking. They work for harmony.They
need to be personally involved, seek commitment. Are
interested in people and culture. They are thoughtful
people who enjoy observing others. They absorb reality.
They seem to take in the atmosphere almost like osmosis.
Their philosophy is to be cautious, to consider all possible
angles and implications before making a move. “I need
more information.”
F. Theorist- Learns most when ideas are linked to existing
theories and concepts.They perceive information
abstractly and process it reflectively.They form theories
and concepts by integrating their observations intowhat is
known. They seek continuity. They need to know what
theexperts think. They learn by thinking through ideas.
They value sequential thinking. Need details. They critique
information and collect data. They are thorough and
industrious. They will re-examine the facts if situations
perplex them. They enjoy traditional classrooms. Schools
are made for them. They are more interested in ideas then
people. They prefer to maximise certainty and are
uncomfortable with subjective judgements.
G. Pragmatist- Learns most from learning activities that are
directly relevant to their situation. They perceive
information abstractly and process it actively. They
 integrate theory and practice. They learn by testing
theories and applying common sense. They are
pragmatists, they believe if something works, use it. They
are down-to-earth problem solvers who resent being
given answers. They do not stand on ceremony but get
right to the point. They have a limited tolerance for fuzzy
ideas. They value strategic thinking. They are skills-
oriented. They experiment and tinker with things. They
need to know how things work. They edit reality, cut right
to the heart of things. Sometimes they seem bossy and
impersonal.Their philosophy is: “There is always a better
way.” “If it works, it’s good.”
Other needs a. Financially challenged
b. Working student
c. Solo parent
d. Others(please specify) ___________________________