Valenzuela City Technological College
Kamagong St., Fortune VI, Parada, Valenzuela City
Form 1: Data Gathering Instrument for Learner's Characteristics
Name: Eros Mateo Gadil Date: May 19, 2025
Qualification:Food And Beverage Services Age: 22
Instruction:
Please answer the following tool according to the characteristics that best
describe you as a learner. Encircle the letter of your choice or use provided blank spaces
to write your response.
Language, literacy, and numeracy (LL&N)
Reading Writing Skills Solving Math Computer Literacy
Comprehension Problems
a. 95 and above a. 95 and above a. 95 and above a. 95 and above
b. 90 to 94 b. 90 to 94 b. 90 to 94 b. 90 to 94
c. 85 to 89 c. 85 to 89 c. 85 to 89 c. 85 to 89
d. 80 to 84 d. 80 to 84 d. 80 to 84 d. 80 to 84
e. 75 to 79 e. 75 to 79 e. 75 to 79 e. 75 to 79
Cultural and language Ethnic group: Language Spoken:
background a. Tagalog Please specify:
b. Cebuano
c. Ilocano Waray
d. Hiligaynon
e. Bicolano
f. Waray Tribal group: if any
g. Moro
h. Others: please specify N/A
________________
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. Masters Graduate
g. With units in Doctor's degree
h. Doctoral Graduate
Sex a. Male b. Female
Physical ability I. Disabilities(if any)_____________________
II. Existing Health Conditions (Existing illness if any)
a. None
b. Asthma
c. Heart disease
d. Anemia
e. Hypertension
f. Diabetes
g. Others(please specify) __________________
Valenzuela City Technological College
Kamagong St., Fortune VI, Parada, Valenzuela City
Previous experience Training Related Experiences to your Qualification
with the program
A. College – On the Job Training
Number of years in the job related to your
Qualification: N/A
Previous learning List down trainings related to your Qualification
experience A. N/A
National Certificates National Certificates acquired and NC level
A. Assessment and NC II
Special courses Other courses related to your Qualification
N/A
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 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.
Other needs a. Financially challenged
b. Working student
c. Solo parent
d. Others(please specify)