Sample 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, literacy and Average grade in: Average grade in:
numeracy (LL&N)
English Math
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 language Ethnicity/culture:
background a. Ifugao
b. Igorot
c. Ibanag
d. Gaddang
e. Muslim
f. Ibaloy
Characteristics of learners
g. Others( please specify)_____________
Education & general Highest Educational Attainment:
knowledge a. High School Level
b. High School Graduate
c. College Level
d. College Graduate
e. with units in Master’s degree
f. Masteral Graduate
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) ___________________
Characteristics of learners
Previous experience TM Certificates
with the topic a. TQ certified
b. TM graduate
c. TM trainer
d. TM lead trainer
Number of years as a competency trainer ______
Previous learning List down trainings related to TM
experience ___________________________
___________________________
___________________________
National Certificates acquired and NC level
Training Level
___________________________
completed
___________________________
Special courses Other courses related to TM
a. Units in education
b. Master’s degree units in education
c. Others(please specify) _________________________
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
Characteristics of learners
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) ___________________________
Name of trainees
1. Ancheta,
Kristian Deb
90
Language, literacy and numeracy (LL&N)
n
Cultural and language background
te
Education & general knowledge
Pangasina College
Gradua
Sex
M 24
Age
Physical ability
None
te
TM
Previous experience with the topic
Gradua
Previous learning experience
Sessions
Learning
Facilitate
NCII
Maintainin Body
Training Level completed
CHARACTERISTICS OF LEARNERS
g Training Repairing
Automotive
Automotive
Special courses
Educatio t
Learning styles
Units in Pragmatis
d
ly
Other needs
Financial
challenge
Facilities NCII
Utilize Automotive
Electronic Body
Media Painting
Plan NCII
Training
Sessions
Supervise
Work-
Based
Learning
Conduct
Competen
cy
Assessmen
t
2. Bartolome, Pangasina College M
Rudolf n Gradua
te
3. Bermundo, Pangasina College F None Auditory Financial
Rianne Mae n Gradua ly
te challenge
d
4. Bernandino,Ku Pangasina College M None Financial
rt John n Gradua ly
te challenge
d
5. Caasi,Vanessa Pangasina College F None Kinestheti
Joy n Gradua c
te
6. Cabungan, Pangasina College F None
Daisy Mae n Gradua
te
7. Cagampan, Pangasina College F
Karen Joy n Gradua
te
8. Del Pangasina College F None
Rosario,Laarni n Gradua
te
9. Dela Pangasina College F None
Cruz,Jhamica n Gradua
te
10. Donato, Pangasina College F None
Mylene n Gradua
te
11. Doria, Cristine Pangasina College F Theorist
n Gradua
te
12. Fernandez,Dai Pangasina College F None
sy n Gradua
te
13. Ferrer, Florida Pangasina College F None
n Gradua
te
14. Flores, Neil Pangasina College M None
Harold n Gradua
te
15. Frando, Van Pangasina College F None Visual Working
Melle n Gradua Student
te
16. Galosmo,Joana Pangasina College F None
Rose n Gradua
te
17. Garcia,Brando Pangasina College M None
n n Gradua
te
18. Gelacio,Giorda Pangasina College M None
n n Gradua
te
19. Gumpeng, Pangasina College M None Visual
John Lloyd n Gradua
te
20. Lambino, Pangasina College F
Grace Ann n Gradua
te
21. Lomibao,Rico Pangasina College M
Jay n Gradua
te
22. Magsalay, Pangasina College M None Reflector
Sthib Keir n Gradua
te
23. Mallari, Roger Pangasina College M Financial
n Gradua ly
te challenge
d
24. Mamaril, Pangasina College F
Daniella Jirah n Gradua
te
25. Manaoat, Lea Pangasina College F
Gane n Gradua
te
26. Munoz, Pangasina College F
Romarie n Gradua
te
27. Nipas, Melvin Pangasina College M None
n Gradua
te
28. Ortega, Pangasina College F
Jennifer n Gradua
te
29. Ocsillos, Pangasina College M
Nhemuel n Gradua
te
30. Pangilinan, Pangasina College F None
Leslie Ann n Gradua
te
31. Paras, John Pangasina College M
Carlo n Gradua
te
32. Ramirez, Kitz Pangasina College M
Cedric n Gradua
te
33. Rioligio, Pangasina College F None
Mebelyn n Gradua
te
34. Rostata,Christ Pangasina College M
opher n Gradua
te
35. Tuazon, Gina Pangasina College F
n Gradua
te
36. Valdez,Jhon Pangasina College M None
Lenox n Gradua
te
37. Velasco, John Pangasina College M None
Mark n Gradua
te
38. Villanueva, Pangasina College F
Ma. Cristina n Gradua
te
garments II-btvted
foods
electricity I-btvted
drafting
