4.1 LEARNERS DATA GATHERING TOOLS (1)
4.1 LEARNERS DATA GATHERING TOOLS (1)
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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.
CHARACTERISTIC OF LEARNERS
LANGUAGE, LITERACY AND Average grade in: Average grade in:
NUMERACY (LL&N)
English Math
b. 90 to 94 b. 90 to 94
c. 85 to 89 c. 85 to 89
d. 80 to 84 d. 80 to 84
e. 75 to 79 e. 75 to 79
b. Igorot
c. Ibanag
d. Gaddang
e. Muslim
f. Ibaloy
g. Others( please specify)_____________
c. College Level
d. College Graduate
f. Masteral Graduate
g. With units in Doctoral Level
h. Doctoral Graduate
SEX a. Male
b. Female
a. None
b. Asthma
c. Heart disease
d. Anemia
e. Hypertension
f. Diabetes
g. Others(please specify) ___________________
b. TM graduate
c. TM trainer
d. TM lead trainer
Number of years as a competency trainer __ N/A ____
PREVIOUS LEARNING List down trainings related to TM
EXPERIENCE
___________________ N/A ________
___________________________
___________________________
TRAINING LEVEL National Certificates acquired and NC level
COMPLETED
N/A
SPECIAL COURSES Other courses related to TM
a. Units in education
b. Working student
c. Solo parent