Colegio de Santa Catalina de Alejandria

Bishop Epifanio B. Surban St., Dumaguete City

Philippines
Senior High School Department

1st Semester S.Y 2021-2022

Quick Count

By Strand

Gender
Grade Level/Section Male Female Total

Father/Mather/Guardian Highest Educational Attainment. (only one)

Grade HEA 1 HEA 2 HEA 3 HEA 4 HEA 5 HEA 6 HEA7 Total
11
12

Legend

HEA1 No Formal Schooling HEA5 High School Level

HEA2 No Formal Schooling but HEA6 High School Level Graduate

able to read and write

HEA3 Elementary Level HEA7 After High School Education or Vocational

(Tech/Voc/College/Post Grad)

shscosca@gmail.com Contact #:09263242708

 Colegio de Santa Catalina de Alejandria
Bishop Epifanio B. Surban St., Dumaguete City
Philippines
Senior High School Department

HEA4 Elementary Graduate

Conditional Cash Transfer (4Ps) Beneficiary

Grade level Yes No Total
Grade 11
Grade 12

No. of Learner/s in a household (including the enrollee) studying in School Year 2021-2022.
Grade 1 2 3 4 5 6 7+ Total
Level
11
12

Household members that can provide instructional support to the child’s distance learning.
Grade HM HM HM HM HM HM HM HM HM HM HM HM HM HM
1 2 3 4 5 6 7 8 9 10 11 12 13 14 HM15 HM16 Total
Level
11
12

Legend:

HM1 Parent/Guardian Only HM9 Grand Parent Only

shscosca@gmail.com Contact #:09263242708

 Colegio de Santa Catalina de Alejandria
Bishop Epifanio B. Surban St., Dumaguete City
Philippines
Senior High School Department

HM2 Parent/Guardian and Siblings HM10 Grand Parent & Other

members of family

HM3 Parent/Guardian, Siblings & Grand Parent HM11 Grand Parent, Other
members of family & Others

HM4 Parent/Guardian, Siblings, Grand Parent & HM12 Other members of family
Other members of family only

HM5 Parent/Guardian, Siblings, Grand Parent, HM13 Other members of family and
Other members of family & Others Other (tutor/helper)

HM6 Siblings Only HM14 Other (tutor/helper) only

HM7 Siblings & Grand Parent HM15 Learner able to do

independent learning

HM8 Siblings, Grand Parent, Other members of HM16 None

family & Others

shscosca@gmail.com Contact #:09263242708

 Colegio de Santa Catalina de Alejandria
Bishop Epifanio B. Surban St., Dumaguete City
Philippines
Senior High School Department

Devices available at home that the learner can use for learning.
Grade DA DA DA DA DA DA DA DA DA
1 2 3 4 5 6 7 8 9 DA10 DA11 DA12 DA13 Total
Level
11
12
Legend
DA1 Television Only DA8 Radio Only

DA2 Television and Cellphone DA9 Radio & Desktop/laptop

DA3 Television, Cellphone & Radio DA10 Desktop/laptop only

DA4 Television, Cellphone, Radio & Desktop/laptop DA11 Cellphone & Desktop/laptop

DA5 Cellphone Only DA12 Tablet

DA6 Cellphone & Radio DA13 None

DA7 Cellphone, Radio & Desktop/laptop

shscosca@gmail.com Contact #:09263242708

 Colegio de Santa Catalina de Alejandria
Bishop Epifanio B. Surban St., Dumaguete City
Philippines
Senior High School Department

Way to connect to internet.

Grade IC 1 IC 2 IC3 IC4 IC5 IC6 IC7 IC8 IC9 IC10 Total
Level

Legend:
IC1 Mobile data only IC6 Broadband, computer shop &
other places

IC2 Mobile data & broadband IC7 Computer shop only

IC3 Mobile data, broadband & computer shop IC8 Computer shop and other places

IC4 Mobile data, broadband, computer shop & IC9 Other places only
other places

IC5 Broadband only IC10 No internet available in the area

Type of distance learning modality/ies prefer for the learner

Grad DLM DLM DLM DLM DLM DLM DLM
1 2 3 4 5 6 7 DLM8 DLM9 DLM10 DLM11 DLM12 Total
e
Level

Legend:

shscosca@gmail.com Contact #:09263242708

 Colegio de Santa Catalina de Alejandria
Bishop Epifanio B. Surban St., Dumaguete City
Philippines
Senior High School Department

DLM1 Online learning only DLM7 Television, radio & modular

learning

DLM2 Online learning & television DLM8 Radio only

DLM3 Online learning, television & radio DLM9 Radio & Modular Learning

DLM4 Online learning, television, radio & DLM10 Modular Learning (Printed)
modular learning

DLM5 Television Only DLM11 Modular Learning (Digital)

DLM6 Television & radio DLM12 Blended

Challenges that may affect your child’s learning process through distance education
Gr C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C C T
ad H H H H H H H H H H H H H H H H H H H H H H H H H H H H H H H H H ot
e 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 al
Le
ve
l
11

shscosca@gmail.com Contact #:09263242708

 Colegio de Santa Catalina de Alejandria
Bishop Epifanio B. Surban St., Dumaguete City
Philippines
Senior High School Department

12

Legend:
CH 1 lack of available gadgets/ equipment only CH 18 unstable mobile/ internet connection, existing health condition/s,
difficulty in independent learning & conflict with other activities
(i.e., house chores)

CH 2 lack of available gadgets/ equipment & insufficient CH 19 unstable mobile/ internet connection, existing health condition/s,
load/ data allowance difficulty in independent learning, conflict with other activities (i.e.,
house chores), high electrical consumption & distractions (i.e.,
social media, noise from community/neighbor)

CH 3 lack of available gadgets/ equipment , insufficient CH 20 existing health condition/s only

load/ data allowance & unstable mobile/ internet
connection

CH 4 lack of available gadgets/ equipment , insufficient CH 21 existing health condition/s, difficulty in independent learning &
load/ data allowance, unstable mobile/ internet conflict with other activities (i.e., house chores)
connection & existing health condition/s

shscosca@gmail.com Contact #:09263242708

 Colegio de Santa Catalina de Alejandria
Bishop Epifanio B. Surban St., Dumaguete City
Philippines
Senior High School Department

CH
5 lack of available gadgets/ equipment , insufficient
load/ data allowance, unstable mobile/ internet
connection, existing health condition/s & difficulty in
independent learning
CH 22 existing health condition/s, difficulty in independent learning,
conflict with other activities (i.e., house chores) & high electrical
consumption

CH
6 lack of available gadgets/ equipment , insufficient
load/ data allowance, unstable mobile/ internet
connection, existing health condition/s, difficulty in
independent learning & conflict with other activities
(i.e., house chores)
CH 23 existing health condition/s, difficulty in independent learning,
conflict with other activities (i.e., house chores), high electrical
consumption & distractions (i.e., social media, noise from
community/neighbor)

CH
7 lack of available gadgets/ equipment , insufficient CH 24 difficulty in independent learning only
load/ data allowance, unstable mobile/ internet
connection, existing health condition/s, difficulty in
independent learning, conflict with other activities
(i.e., house chores) & high electrical consumption

CH
8 lack of available gadgets/ equipment , insufficient CH 25 difficulty in independent learning & conflict with other activities
load/ data allowance, unstable mobile/ internet (i.e., house chores)
connection, existing health condition/s, difficulty in
independent learning, conflict with other activities
(i.e., house chores), high electrical consumption &
distractions (i.e., social media, noise from
community/neighbor)

CH
9 insufficient load/ data allowance only CH 26 difficulty in independent learning, conflict with other activities (i.e.,

shscosca@gmail.com Contact #:09263242708

 Colegio de Santa Catalina de Alejandria
Bishop Epifanio B. Surban St., Dumaguete City
Philippines
Senior High School Department

house chores) & high electrical consumption

CH
10 insufficient load/ data allowance & unstable mobile/ CH 27 difficulty in independent learning, conflict with other activities (i.e.,
internet connection house chores), high electrical consumption & distractions (i.e.,
social media, noise from community/neighbor)

CH
11 insufficient load/ data allowance, unstable mobile/ CH 28 conflict with other activities (i.e., house chores) only
internet connection & existing health condition/s

CH
12 insufficient load/ data allowance, unstable mobile/ CH 29 conflict with other activities (i.e., house chores), & high electrical
internet connection, existing health condition/s & consumption
difficulty in independent learning

CH
13 insufficient load/ data allowance, unstable mobile/
internet connection, existing health condition/s,
difficulty in independent learning & conflict with
other activities (i.e., house chores)
CH 30 conflict with other activities (i.e., house chores), high electrical
consumption & distractions (i.e., social media, noise from
community/neighbor)

CH
14 insufficient load/ data allowance, unstable mobile/ CH 31 high electrical consumption only
internet connection, existing health condition/s,
difficulty in independent learning, conflict with other
activities (i.e., house chores), high electrical
consumption & distractions (i.e., social media, noise
from community/neighbor)

shscosca@gmail.com Contact #:09263242708

 Colegio de Santa Catalina de Alejandria
Bishop Epifanio B. Surban St., Dumaguete City
Philippines
Senior High School Department

CH 15 unstable mobile/ internet connection only CH 32 high electrical consumption & distractions (i.e., social media, noise
from community/neighbor)

CH 16 unstable mobile/ internet connection & existing health CH 33 only distractions (i.e., social media, noise from
condition/s community/neighbor) only

CH17 unstable mobile/ internet connection, existing health

condition/s & difficulty in independent learning

Are you willing to allow your child to participate in limited face to face classes? If not, please select the major consideration
Grade Level YES Total
11 MC1 MC2 MC3 MC4 MC5 MC6 MC7
12

Legend:

MC1 Fear of Getting Infected of Corona Virus MC5 Helping in family business
or working

shscosca@gmail.com Contact #:09263242708

 Colegio de Santa Catalina de Alejandria
Bishop Epifanio B. Surban St., Dumaguete City
Philippines
Senior High School Department

MC2 Limited or no available transportation from home to MC6 Presence of Arm Conflict in
school and vice versa the area

MC3 Existing Illness or health related concens MC7 Other Reason, if any

MC4 Helping in household chores

shscosca@gmail.com Contact #:09263242708