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 Average grade in: Average grade in:

and numeracy
English Math
(LL&N)
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
e. 75 to 79
a. 75 to 79

Cultural and Ethnicity/culture:

language
a. Tagalog
background
b. Bisaya
c. Ilongo
d. Waray
e. Muslim
f. Chabakano
g. Others( please specify)_____________

Education & Highest Educational Attainment:

general
a. High School Level
knowledge
b. High School Graduate
c. College Level
Date Developed: Document No. ELC724334
October 2023 Issued by:
Date Revised:
COMPUTER SYSTEM
October 2023
SERVICING NC II PTC - TESDA
Developed by:
Emelianito G. Minglanilla
Arador Revision # 01
 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: 24
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 CSS Certificates

experience with a. CSS certified
the topic b. CSS graduate
c. CSS trainer
d. CSS lead trainer
Number of years as a Technician _____

Previous List down training's related to CSS

learning CSS Training
experience
National Certificates acquired and NC level
Training Level
completed COMPUTER SYSTEM SERVICING NC II

Special courses Other courses related to CSS

Date Developed: Document No. ELC724334

October 2023 Issued by:
Date Revised:
COMPUTER SYSTEM
October 2023
SERVICING NC II PTC - TESDA
Developed by:
Emelianito G. Minglanilla
Arador Revision # 01
 a. Units in education
b. Master’s degree units in education
c. Others (please specify) ____________
a. Visual - The visual learner takes mental
Learning styles
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.

Date Developed: Document No. ELC724334

October 2023 Issued by:
Date Revised:
COMPUTER SYSTEM
October 2023
SERVICING NC II PTC - TESDA
Developed by:
Emelianito G. Minglanilla
Arador Revision # 01
Other needs a. Financially challenged
b. Working student
c. Solo parent
d. Others (please specify) ______________

Date Developed: Document No. ELC724334

October 2023 Issued by:
Date Revised:
COMPUTER SYSTEM
October 2023
SERVICING NC II PTC - TESDA
Developed by:
Emelianito G. Minglanilla
Arador Revision # 01