Data Gathering Instrument for Trainee’s Characteristics

HOUSEKEEPING NC II
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 Are you a Average grade in:

literacy in: computer Math
and literate
English
numeracy a. 95 and above
a.) Yes
(LL&N) a. 95 and
b.) No b. 90 to 94
above
c. 85 to 89
b. 90 to 94
d. 80 to 84
c. 85 to 89
e. 75 to 79
d. 80 to 84
e. 75 to 79

Cultural and language Ethnicity/culture

background a. Talaandig
b. Higaonon
c. Native
d. Lumad
e. Others (please specify) _______

Education & general Highest Educational Attainment:

knowledge a. Elementary Graduate
b. High School Graduate
c. College Level
d. College of Education Graduate
e. College graduate with units in
Master’s degree
f. Masters Graduate
g. Masters graduate with units in
Doctoral Level
h. Medicine Graduate

Gender a. Male
b. Female
Age Age: ______________
Date of Birth: ________________
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 training with the Topics

topic related to A. _______________________
housekeeping.
B. _______________________
C. _______________________

Previous experience List down related experience

A. ________________________
B. ________________________
C. ________________________
D. ________________________

Training Level NC acquired and NC level other related

completed spacial cows.
cows. A. ______________________
B. ______________________
C. ______________________
D. ______________________
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 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)___________________________