Data Gathering Instruments

Plan
Training
Session
Sample Data Gathering Instrument for Trainee’s Characteristics
Name: ______________________________ Date: _____________
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
(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
a. 75 to 79 e. 75 to 79
Cultural and Ethnicity/culture:
language a. Ifugao
background
b. Igorot
c. Ibanag
d. Gaddang
e. Muslim
f. Ibaloy
g. Others( please specify)_____________
Education & Highest Educational Attainment:
general 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
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 TM Certificates

with 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 National Certificates acquired and NC level
completed ___________________________
___________________________
Special courses Other courses related to TM
a. Units in education
b. Master’s degree units in education
c. Others (please specify)
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)
___________________________
FORM 1.1 SELF-ASSESSMENT CHECK
Name: ___________________________________ Date: ___________________
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.
2.
3.
4.
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.
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
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 Summary of Current Competencies Versus Required Competencies

(Sample)
Required Units of Current Training

Competency/Learning Competencies Gaps/Requirements
Outcomes based on CBC
1.
Required Units of Current Training

Competency/Learning Competencies Gaps/Requirements
Outcomes based on CBC
2.
3.
4.
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 Duration
(Learning Outcomes) Instruction
1.
2.
3.
In template form, the session plan will look like this.
SESSION PLAN
Sector :
Qualification Title:
Unit of Competency :
Module Title :
Learning Outcomes:
A. INTRODUCTION
B. LEARNING ACTIVITIES
LO 1:
Learning Content Methods Presentation Practice Feedback Resources Time
LO 2:
C. ASSESSMENT PLAN
• Written Test
• Performance Test
D. TEACHER’S SELF-REFLECTION OF THE SESSION

Data Gathering Instruments

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Plan

Name: __________________ Date: _

Please answer the following instrument according to the characteristics described

Previous experience TM Certificates

Other needs a. Financially challenged

Name: _________________ Date: _

Evidences/Proof of Current Competencies(Sample)

Form 1.3 Summary of Current Competencies Versus Required Competencies

Required Units of Current Training

Required Units of Current Training

Form No. 1.4: Training Needs (Sample)

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