Dayag Computer Learning School

Dayag Complex 1, Bgy. Jardin Culion, Palawan

Data Gathering Instrument for Trainee’s Characteristics

Name:_________________________________ Date:______________
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
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 89 e. 75 to 89
Cultural and language Ethnicity / Culture:
background a. Tagalog
b. Cebuano
c. Ilocano
d. Hiligaynon
e. Bicolano
f. Waray
g. Muslim
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. Others (please specify) ____________________
Sex a. Male
b. Female
Age Your age:____
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 Computer System Servicing NCII Certificates
CSS a. NC certified
b. NC graduate
c. NC trainer
Number of years in the job related to CSS _______

Date Developed: Document No.

COMPUTER April 25 2022 Validated
SYSTEM by:
SERVICES NCII Developed by: Page 1 of 3

Set Up Computer MARIE CARMELIE P. DAYAG

Network
 Characteristics of learners
Previous learning experience List down trainings related to CSS
________________________________
________________________________
________________________________
Training Level Completed National Certificates acquired and NC level
a. Computer Systems Servicing NC II
b. Electronics Product Assembly and Services NC II
c. Others (Please specify) _____________________
Special courses Other courses related to Computer Systems Servicing NC II
a. BS Computer Science
b. BS Information Technology
c. BS Computer Engineering
d. Others (Please specify) _____________________
Learning styles 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 quite study
environment.
b. Kinesthetic - described as the students in the
classroom, 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
e. Reflector - learns most from activities where they can
watch, listen and then review what has happened.
f. Theorist - learns most ideas are linked to existing
theories and concepts.
g. Pragmatist- learns most from learning activities that
are directly relevant to their situation.
Other needs a. Financially challenged
b. Working student
c. Solo parent
d. Others (Please specify) ___________________

Date Developed: Document No.

COMPUTER April 25 2022 Validated
SYSTEM by:
SERVICES NCII Developed by: Page 2 of 3

Set Up Computer MARIE CARMELIE P. DAYAG

Network
 Date Developed: Document No.
COMPUTER April 25 2022 Validated
SYSTEM by:
SERVICES NCII Developed by: Page 3 of 3

Set Up Computer MARIE CARMELIE P. DAYAG

Network