Step No.

REFRIGERATION AND AIRCONDITIONING SERVICING

(DOMESTIC RAC) NC II

Name: __________________________________ Date: _____________________

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

Average grade Average grade in:

in: English Math
a. 95 and a. 95 and above
Language,
above b. 90 to 94
literacy and
b. 90 to 94 c. 85 to 89
numeracy
(LL&N) c. 85 to 89 d. 80 to 84
d. 80 to 84 e. 75 to 79
e. 75 to 79

Ethnicity/culture:
a. Ifugao
Cultural b. Igorot
and c. Ibanag
language d. Gaddang
background e. Muslim
f. Ibaloy
g. Others( please specify)

Page 1/4. Signature of Trainee: _________________________

TECHNICAL EDUCATION AND SKILLS DEVELOPMENT AUTHORITY

Regional Training Center Tacloban
rppiandong@tesda.gov.ph
 Highest Educational Attainment:
a. High School Level
b. High School Graduate
Education &
c. College Level
general
d. College Graduate
knowledge
e. with units in Master’s degree
f. Masteral Graduate
g. With units in Doctoral Level
h. Doctoral Graduate

a. Male
Sex b. Female

Age Your age:

1. Disabilities(if any)
2. Existing Health Conditions (Existing illness if
any)
a. None
b. Asthma
c. Heart disease
Physical ability
d. Anemia
e. Hypertension
f. Diabetes
g. Others(please specify)

Any training or study related to DOMRAC course:

Previous a) None
experience b) Certificate of training in Refrigeration
c) Certificate of training in Airconditioning
with the d) Community training in RAC Servicing
e) If Engineering Student, please specify type of
topic engineering and the year: _______________________

________________________________________________
f) Graduate any course major in RAC Servicing

______________________________________

Page 2/4. Signature of Trainee: _________________________

TECHNICAL EDUCATION AND SKILLS DEVELOPMENT AUTHORITY

Regional Training Center Tacloban
rppiandong@tesda.gov.ph
Previous Do you have any work experienced in DOMRAC
servicing? Suggested option is ready for you to select.
learning a. None
experience b. I cleaned our own Airconditioning unit at home and our
neighbour
c. I did repair our own Refrigeration unit at home and our
neighbour
d. I worked at the Refrigeration and Air-conditioning Service
Shop
e. I worked as Salesman in Ref and Aircon unit
f. Please specify if not in the suggested option:

______________________________________

No. of years’ experience: _______________

Do you have any national certificates level acquired before

Training enrolling this course? Suggested option is ready for you to select.
Level a. None
b. EIM or BWI certificates NC II
completed c. Plumbing NC I or NC II
d. SMAW NCI or NC II
e. Pipefitting NC II
f. Electronics PAS or CES NC II
g. Please specify if not in the suggested option:

____________________________________________

Special Are you an Engineering Graduate?

a. No
courses b. If yes, please specify: ________________________

Other Needs Present a certificate that you are

For : Working Trainee or Single Parent.
 working trainee
 single parent Are you available the regular time
schedule? If you are NOT, what is your
ONLY preferred time scheduled?

____________________________________

Page 3/4. Signature of Trainee: _________________________________

TECHNICAL EDUCATION AND SKILLS DEVELOPMENT AUTHORITY

Regional Training Center Tacloban
rppiandong@tesda.gov.ph
 What Is Your Learning Styles?
Take a few minutes to complete the following questionnaire to assess your preferred learning style.
Begin by reading the statements in all the three columns. Of the three statements, put a tick ‘X’ in the
circle beside the statement that best characterises you, answering as honestly as possible. Count the
number ‘ X’ and write your total at the bottom of each column.

1 I enjoy art galleries and I love to listen to the music I feel complicated to dance
window-shopping when the music is good

2 I am good at spelling I prefer an oral written test I tend to answer using ‘ gut’
feel

3 My confidence is boosted I’m told I have a good speaking I enjoy being touched
when I look good voice

4 I enjoy photography I find myself humming or singing I like to make things with my
to the radio hands

5 I enjoy watching people People tell me I’m easy to talk to I tend to touch people when I talk
to them

6 I evaluate others based on I can determine sincerity in a The way a person shakes hands
their appearance person from the voice with me means a lot to me

7 I find myself evaluating I am a good listener I feel positive or negative

others based on towards people
appearance

8 I make a list of things I need I like to imitate the way people I’m usually well co-ordinated
to do each day talk

9 I am good at finding my way I can resolve problems when I I exercise because of the way I
using a map talk out loud feel afterward

10 My house must be clean and I like a house with rooms that I like a house that feels
tidy allow quiet moments comfortable

Total Visual: Auditory: Kinaesthetic:

The column with the highest total represents your primary learning style. The column with the second-most
choices is your secondary leaning style.

Your primary learning style: _____________________________

Your secondary leaning style: ___________________________

Page 4/4. Signature of Trainee: _____________________

TECHNICAL EDUCATION AND SKILLS DEVELOPMENT AUTHORITY

Regional Training Center Tacloban
rppiandong@tesda.gov.ph