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

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

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

Date Developed: Document No. NTTA-TM1-01

Trainers Methodology July 2010 Issued by:
Date Revised:
Level I Page 1 of 250
February 2012
Developed by: NTTA
Templates Redilyn C. Agub
Revision # 01
Characteristics of learners

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) ___________________

Previous experience with TM Certificates

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
___________________________

___________________________

___________________________

Training Level completed National Certificates acquired and NC level

___________________________

___________________________

Special courses Other courses related to TM

a. Units in education

b. Master’s degree units in education

c. Others(please specify) _________________________

Date Developed: Document No. NTTA-TM1-01

Trainers Methodology July 2010 Issued by:
Date Revised:
Level I Page 2 of 250
February 2012
Developed by: NTTA
Templates Redilyn C. Agub
Revision # 01
Characteristics of learners

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 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) ___________________________

Date Developed: Document No. NTTA-TM1-01

Trainers Methodology July 2010 Issued by:
Date Revised:
Level I Page 3 of 250
February 2012
Developed by: NTTA
Templates Redilyn C. Agub
Revision # 01
FORM 1.1 SELF-ASSESSMENT CHECK

INSTRUCTIONS: This Self-Check Instrument will give the trainer necessary data or information which is
essential in planning training sessions. Please check the appropriate box of your answer to the
questions below.

CORE COMPETENCIES

CAN I…? YES NO

1. Carry Out Minor Vehicle Maintenance and Servicing

Clean Vehicle

2.

3.

4.

5.

Date Developed: Document No. NTTA-TM1-01

Trainers Methodology July 2010 Issued by:
Date Revised:
Level I Page 4 of 250
February 2012
Developed by: NTTA
Templates Redilyn C. Agub
Revision # 01
CORE COMPETENCIES

CAN I…? YES NO

Note: In making the Self-Check for your Qualification, all required competencies should
be specified. It is therefore required of a Trainer to be well- versed of the CBC or
TR of the program qualification he is teaching.

Date Developed: Document No. NTTA-TM1-01

Trainers Methodology July 2010 Issued by:
Date Revised:
Level I Page 5 of 250
February 2012
Developed by: NTTA
Templates Redilyn C. Agub
Revision # 01
Evidences/Proof of Current Competencies (Sample)

Form 1.2: Evidence of Current Competencies acquired related to Job/Occupation

Current competencies Proof/Evidence Means of validating

1.

Date Developed: Document No. NTTA-TM1-01

Trainers Methodology July 2010 Issued by:
Date Revised:
Level I Page 6 of 250
February 2012
Developed by: NTTA
Templates Redilyn C. Agub
Revision # 01
Identifying Training Gaps

From the accomplished Self-Assessment Check (Form 1.1) and the evidences of current competencies
(Form 1.2), the Trainer will be able to identify what the training needs of the prospective trainee are.

Form 1.3 Summaries of Current Competencies versus Required Competencies (Sample)

Required Units of Current Competencies Training

Competency/Learning Outcomes Gaps/Requirements
based on CBC

1.

2.

3.

4.

Date Developed: Document No. NTTA-TM1-01

Trainers Methodology July 2010 Issued by:
Date Revised:
Level I Page 7 of 250
February 2012
Developed by: NTTA
Templates Redilyn C. Agub
Revision # 01
Using Form No.1.4, convert the Training Gaps into a Training Needs/ Requirements. Refer to the CBC in
identifying the Module Title or Unit of Competency of the training needs identified.

Form No. 1.4: Training Needs (Sample)

Training Needs Module Title/Module of Instruction

(Learning Outcomes)

2.

Date Developed: Document No. NTTA-TM1-01

Trainers Methodology July 2010 Issued by:
Date Revised:
Level I Page 8 of 250
February 2012
Developed by: NTTA
Templates Redilyn C. Agub
Revision # 01