Survey – Liceo de San Jacinto Foundation, Inc. (LSJFI)

1. Survey Form on the Possibility of Virtual/Online Learning in LSJFI

What gadget/s do you use? *
Smartphone
Laptop
IPad
Tablet
IPhone
Desktop Computer

Is there an internet signal in your area? *
Yes
No

If there is an internet signal in your place, which network is stronger? *
Smart
Globe

Do you have an internet setup at your home? *
Yes
No

What strategy of instruction do you prefer? *
Virtual learning or online learning (use of gadgets)
Hybrid or combination of online and face-to-face instruction
Normal/traditional strategy of instruction

2. LEARNER ENROLLMENT AND SURVEY FORM

Instructions:

This enrollment survey shall be answered by the parent/guardian of the learner.
Please read the questions carefully and fill in all applicable spaces and write your answers legibly in CAPITAL letters. For items not applicable, write N/A.
For questions/ clarifications, please ask for the assistance of the teacher/person-in-charge.

Does the learner have special education needs? (i.e. physical, mental, developmental disability, medical condition, giftedness, among others)
Yes
No
If Yes, please specify

Do you have any assistive technology devices available at home? (i.e. screen reader, Braille, DAISY)
Yes
No
If Yes, please specify

Father’s Highest Educational Attainment
Elementary graduate
High School graduate
College graduate
Vocational
Master’s/Doctorate degree
Did not attend school
Others:

Father’s Employment Status
Full time
Part time
Self-employed (i.e. family business)
Unemployed due to community quarantine
Not working

Is your father working from home due to quarantine? *
Yes
No

Mother’s Highest Educational Attainment
Elementary graduate
High School graduate
College graduate
Vocational
Master’s/Doctorate degree
Did not attend school
Others

Mother’s Employment Status
Full time
Part time
Self-employed (i.e. family business)
Unemployed due to community quarantine
Not working

Is your mother working from home due to community quarantine?
Yes
No

Guardian’s Highest Educational Attainment
Elementary graduate
High School graduate
College graduate
Vocational
Master’s/Doctorate degree
Did not attend school
Others

Guardian’s Employment Status
Full time
Part time
Self-employed (i.e. family business)
Unemployed due to community quarantine
Not working

Is your guardian working from home due to community quarantine?
Yes
No

Is your family a beneficiary of 4P’s?
Yes
No

How does your child go to school? Choose all that applies.
Walking
Public commute (land/water)
Family-owned vehicle
School Service

Who among the household members can provide instructional support to the child’s distance learning? Choose all that applies.
Parents/guardians
Elder siblings
Grandparents
Extended members of the family
Others (tutor, house helper)
None
Able to do independent learning

What devices are available at home that the learner can use for learning? Check all that applies.
Cable TV
Non-cable TV
Basic Cellphone
Smartphone
Tablet
Radio
Desktop computer
Laptop
None
Others

Do you have a way to connect to the internet?
Yes
No
If NO, please proceed to the next questions

How do you connect to the internet? Choose all that applies. own mobile data
Own mobile data
Own broadband internet (DSL, wireless fiber, satellite)
Computer shop
Other places outside the home with internet connection (library, barangay/ municipal hall, neighbor, relatives
None

What distance learning modality/ies do you prefer for your child? Choose all that applies.
Online learning
Television
Radio
Modular learning
Combination of face to face with other modalities
Others