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__________________________________________
(Title of Qualification)
Name of Trainee: ______________________ 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, Average grade in: Average grade in:
literacy and English Math numeracy (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. Ifugao background b. Igorot c. Ibanag d. Gaddang e. Muslim f. Ibaloy g. Others ( please specify)
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 f. Masteral Graduate Characteristics of learners g. With units in Doctoral Level h. Doctoral Graduate 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 Job/ Work related experience
experience _____________________________________ with the topic _____________________________________ _____________________________________
Previous List down trainings related/ seminars related to
learning ______ experience NC II ____________________________________ ____________________________________
National Certificates acquired and NC level (if any)
Training ____________________________________ Level completed ____________________________________
Special Other courses related to
courses NC II ____________________________________ ____________________________________
Learning a. Visual - The visual learner takes mental
styles pictures of information given, so in order for this kind of learner to retain information, oral or Characteristics of learners
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 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) ___________________________