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CSS Data Gathering Instrument for Trainee Edited 2

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0% found this document useful (0 votes)
4 views

CSS Data Gathering Instrument for Trainee Edited 2

Uploaded by

sarcidadarren6
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Data Gathering Instrument for Trainee’s

Characteristics
Instruction: Please answer the following instrument according to the
characteristics described below. Encircle the letter of your choice that
best describe you as a learner. Blank spaces are provided for some data
that need your response.
Language, Literacy and Numeracy
Please rate yourself in terms of : (100 is the highest and 75 is
the lowest)
Reading: _________ Computer Literacy Mathematical Ability:
Writing: _________ __________ _________

Cultural and Language Background


Language Spoken: Ethnic group (if any):

Education and General Knowledge


Highest Educational Attainment:
a. High School Graduate e. College Graduate
b. Vocational Level f. with units in Master Degree
c. Vocational Graduate g. Masteral Graduate
d. College Level h. with units in Doctoral Level
i. Doctoral Graduate
Sex: Age:
a. Male b. Female ___________

Physical Ability
1. Disability (if any)
____________________________ d. Anemia
2. Existing Health Conditions e. Hypertension
(Existing illness if any) f. Diabetes
a. None g. Others (please specify)
b. Asthma __________________________
c. Heart disease
Previous Experience with the Topic
Previous course in Tech-Voc School(if any)
__________________________________
Previous course in College (if any)
__________________________________________
Previous/Current employment related to
____________________________(if any)
Name of company: _______________________________ No. of years:
________
Position: ________________________________________
Business Related to ________________________________ (if any)
Name of Business: ________________________________ No. of years:
________
Type of Business: ____________________________________________
Previous Learning Experience__________________________
List down trainings related to
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________

Training Level
National Certificates acquired and NC Level completed
Competency
Certificate No.
_________________________________________________________________________
_________________________________________________________________________

Special Courses
Other courses related to Computer Systems Servicing NCII
________________________________________________________________________

Learning Style (Please encircle the letter that best describe


your learning style)

A. VISUAL
The visual learner takes mental pictures of information given so
for this kind of learner to retain information, oral or written, pre-
sentations of new information must contain diagrams and draw-
ings, 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 fin-
gers on the desks. They are often referred to as hyperactive stu-
dents 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 text is pointless and will not be retained by the auditory
learner unless it is read aloud.

Other Needs
A. Financially Challenged D. Others(please specify)
B. Working Student ____________________________
C. Solo Parent

Signature over Printed Name: Date:

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