Republic of the Philippines

Department of Education
REGION V
SCHOOLS DIVISION OF SORSOGON CITY
QUIRINO ELEMENTARY SCHOOL
SORSOGON CITY

SUMMARY OF LESF DATA

S.Y. 2020-2021
____ Male
____ Female
____ Transferred In
____ Balik Aral
------- W/LRN
____ W/O LRN

C16. Is your family a beneficiary of 4Ps? _____________YES _________________ NO

D. HOUSEHOLD CAPACITY AND ACCESS TO DISTANCE LEARNING

D1. How does your child go to school? Choose all that applies.

walking public commute (land/ water) family-owned vehicle school service

D2. How many of your household members (including the D3. Who among the household members can provide
enrollee) are studying in School Year 2020-2021? Please specify instructional support to the child’s distance learning? Choose all
each. that applies.
Kinder Grade 4 Grade 8 Grade 12 ______parents/ guardians _______others (tutor, house
_______ ______ ______ ______ helper)
Grade 1 Grade 5 Grade 9 Others (ie ______elder siblings _______none
_______ ______ ______ college, vocational,
etc) _______ _______able to do
Grade 2 Grade 6 Grade 10 _______grandparents
independent learning
_______ ______ ______ _______extended members
Grade 3 Grade 7 Grade 11 of the family
_______ ______ ______

D4. What devices are available at home that D5. Do you have a way to D6. How do you connect to the internet? Choose
the learner can use for learning? Check all connect to the internet? all that applies.
that applies.
_______own mobile data
_____cable TV ______ radio _______own broadband internet (DSL, wireless
_____non- ______ desktop computer fiber, satellite)
_____cable TV _______computer shop
_____basic ______ laptop _______other places outside the home with
cellphone _______internet connection (library, barangay/
_____smartpho ______ none _______municipal hall, neighbor, relatives)
ne _______none
tablet others: __________

______ Yes
______ No
(If NO, proceed to D7)

D7. What distance learning modality/ies do you D8. What are the challenges that may affect your child’s learning process
prefer for your child? Choose all that applies. through distance education? Choose all that applies.

_______lack of available _______conflict with other activities (i.e., house chores)

______online ______modular learning gadgets/ equipment
______learni
ng _______insufficient load/ data _______No or lack of available space for studying
______combination of allowance
______televi _______unstable mobile/
______ face to face with _______distractions (i.e., social media, noise from
sion internet connection
other modalities community/neighbor)
______radio others: _______existing health
others: ______________________________
________________ condition/s
_______ difficulty in independent
learning

Prepared by:

ANTONIETTE P. DIO
LIS Coordinator
Noted:

JADE T. LEGASPI
School Head