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
a. 75 to 79 e. 75 to 79
Cultural and Ethnicity/culture:
language a. Cebuano
background
b. Tagalog
c. Ilongo
d. Maranao
e. Tausog
f. Maguindanao
g. Others( please specify)_____________
Education & Highest Educational Attainment:
general h. High School Level
knowledge
i. High School Graduate
j. College Level
k. College Graduate
Sex a. Male
b. Female
Age
Characteristics of learners
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) ___________________
Certificates
Previous
experience with a. SMAW NC I
the topic b. TVL Commendable Recognition related to
Welding
c. LGU awards related to welding
d. Certificate of Attendance on Seminars or
Forum related to welding
Number of years as a competency trainer ______
List down trainings related to Welding
Previous learning
experience
__________________________
___________________________
___________________________
National Certificates acquired and NC level
Training Level
completed ___________________________
___________________________
Other courses related to Welding
Special courses
a. Units in education
b. Master’s degree units in education
c. Others(please specify)
_________________________
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
Characteristics of learners
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.
a. Financially challenged
Other needs
b. Working student
c. Solo parent
d. Others(please specify)
___________________________