Valenzuela City Technological College

Kamagong St., Fortune VI, Parada, Valenzuela City

Form 1: Data Gathering Instrument for Learner's Characteristics

Name:Jonas Maybituin Date:April 19,2024

Qualification:Carpentry Age: 20
Instruction:
Please answer the following tool according to the characteristics that best describe
you as a learner. Encircle the letter of your choice or use provided blank spaces to write
your response.

Language, literacy, and numeracy (LL&N)

Reading Writing Skills Solving Math Computer Literacy
Comprehension Problems
a. 95 and above a. 95 and above a. 95 and above a. 95 and above
b. 90 to 94 b. 90 to 94 b. 90 to 94 b. 90 to 94
c. 85 to 89 c. 85 to 89 c. 85 to 89 c. 85 to 89
d. 80 to 84 d. 80 to 84 d. 80 to 84 d. 80 to 84
e. 75 to 79 e. 75 to 79 e. 75 to 79 e. 75 to 79

Cultural and language Ethnic group: Language Spoken:

background
Education & general Highest Educational Attainment:
knowledge
Sex
Physical ability
Previous experience
with the program
a. Tagalog Please specify:
b. Cebuano Tagalog
c. Ilocano
d. Hiligaynon
e. Bicolano
f. Waray Tribal group: if any
g. Moro __________________
h. Others: please specify
________________
a. High School Level
b. High School Graduate
c. College Level
d. College Graduate
e. with units in Master's degree
f. Masters Graduate
g. With units in Doctor's degree
h. Doctoral Graduate
a. Male b. Female
I. Disabilities(if any)_____________________
II. Existing Health Conditions (Existing illness if any)
a. None
b. Asthma
c. Heart disease
d. Anemia
e. Hypertension
f. Diabetes
g. Others(please specify) __________________
Training Related Experiences to your Qualification
a. Preparing Contruction Tools and Materials

Number of years in the job related to your

 Valenzuela City Technological College
Kamagong St., Fortune VI, Parada, Valenzuela City

Qualification__N/A
Previous learning List down trainings related to your Qualification
experience a. Preparing Contruction Tools and Equipment

National Certificates National Certificates acquired and NC level

a. ______________N/A_________
b. ____________________________________
c. ____________________________________
Special courses Other courses related to your Qualification
a. _________________N/A___________________
b. ____________________________________
c. ____________________________________
Learning style 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.
Other needs a. Financially challenged
b. Working student
c. Solo parent
d. Others(please specify)
_________________________