Data Gathering Tool for Trainee Characteristics

Date:
Name:
Qualification:

Instruction:
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
Average grade in: Average grade in:
English Math
Language, literacy, a. 95 and above a. 95 and above
and numeracy b. 90 to 94 b. 90 to 94
(LL&N) c. 85 to 89 c. 85 to 89
d. 80 to 84 d. 80 to 84
e. 75 to 79 e. 75 to 79
Ethnic group: Language Spoken:
a. Ilocano Please specify:
b. Kalinga
Cultural and c. Tagalog
language background d. Itawis
e. Ibanag
f. Ifugao
g. Igorot
h. Others: __________ Tribal group: if any
________________________
Highest Educational Attainment:
a. High School Level
b. High School Graduate
Education & general c. College Level
knowledge d. College Graduate
e. with units in Master’s degree
f. Masteral Graduate
g. With units in Doctoral Level
h. Doctoral Graduate
Sex a. Male
b. Female
Age Your age:
I. Disabilities (if any)
II. Existing Health Conditions (Existing
illness if any)
Physical ability a. None
b. Asthma
c. Heart disease
d. Anemia
e. Hypertension
f. Diabetes
g. Others(please specify) _______________
 Characteristics of Learners
Computer Systems Servicing NCII Certificates
Previous experience a. Computer technician
with the topic b. Computer laboratory assistant
c. Computer shop owner / assistant
Number of years in the job related to CSS
Previous learning List down trainings related to Computer
experience a.Others(please specify)
National Certificates acquired and NC level
a. Computer Hardware Servicing NC II
Training Level b. Electronics Product Assembly and Services NC
completed II
c. Mechatronics Servicing NC II
d. Others (Please specify)
Other courses related to Computer Systems
Servicing NC II
a. Basic Computer Troubleshooting
Special courses b. Software Training
c. Server Management/Configuration Training
d. Basic Networking Training
e. Others (Please specify)
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
Learning style 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.
a. Financially challenged
Other needs b. Working student
c. Solo parent
d. Others (please specify)

Prepared by:

Jeddy F. Caddawen
Performance Criteria Checklist 1.1-5

1. Yes
2. Yes
3. Yes
4. Yes
5. Yes
6. Yes