Data Gathering Instrument for Trainee’s Characteristics

Trainee: Jhon Paul E. Magbanua Date: October 25, 2021

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 Average grade in: Average grade in:

and numeracy English Math
(LL&N)
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
a. 75 to 79 e. 75 to 79

Cultural and Ethnicity/culture:

language a. Tagalog
background
b. Bisaya
c. English
d. Gaddang
e. Muslim
f. Ibaloy
g. Others (please specify: NA

Education & Highest Educational Attainment:

general a. High School Level
knowledge
b. High School Graduate
c. College Level
d. College Graduate
e. with units in Master’s degree

Date Developed: Document No. NTTA-TM1-01

October 2021 Issued by:
Trainers
Date Revised:
Methodology Level I Page 1 of 250
Developed by:
NTTA
Templates Sr. Thelma Titus
R. Bulagao Revision # 01
 f. Masteral Graduate
g. With units in Doctoral Level
h. Doctoral Graduate
Sex a. Male
b. Female
Age: Your age: 22
Physical ability 1. Disabilities (if any) NA
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) NA

Previous TM Certificates
experience with
None
the topic
Number of years as a competency trainer NA

Previous List down trainings related to Qualification

learning
None
experience

National Certificates acquired and NC level

Training Level
completed None

Special courses Other courses related to Qualification

None
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

Date Developed: Document No. NTTA-TM1-01

October 2021 Issued by:
Trainers
Date Revised:
Methodology Level I Page 2 of 250
Developed by:
NTTA
Templates Sr. Thelma Titus
R. Bulagao Revision # 01
 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
e. Reflector - Learns most from activities where
they can watch, listen and then review what
has happened.
f. Theorist - Learns most when 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. NTTA-TM1-01

October 2021 Issued by:
Trainers
Date Revised:
Methodology Level I Page 3 of 250
Developed by:
NTTA
Templates Sr. Thelma Titus
R. Bulagao Revision # 01
 Date Developed: Document No. NTTA-TM1-01
October 2021 Issued by:
Trainers
Date Revised:
Methodology Level I Page 4 of 250
Developed by:
NTTA
Templates Sr. Thelma Titus
R. Bulagao Revision # 01