survey template for students 2014

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DIVISION OF ZAMBOANGA OF ZAMBOANGA CITY SURVEY ON PREFERENCES OF SENIOR HIGH SCHOOL LEARNERS Instructions: Please read and answer each question carefully by indicating check () on the box provided. I. STUDENT’S PROFILE NAME:_________________________________________ SCHOOL :____________________________________ GRADE & SECTION: _____________________________ BIRTHDATE:______________AGE :______________ HOME ADDRESS:________________________________ GENDER :_________________ PARENTS ESTIMATED MONTHLY INCOME: Ph30,000 and above Ph 20,000-24,999 Ph 10,000-14,999 below Ph 4,999 Ph 25,000 – 29,999 Ph 15,000-19,999 Ph 5,000 - 9,999 II. FIELD OF INTEREST & PREFERENCES 1. Will you pursue Senior High School? yes no 2. If yes, where do you intend to study? public private if private, which school?____________________________ 3. If ever you will pursue Senior High School, who will decide for the course you will take up? myself parents/guardian other answer (please specify)______________________________________ 4. What would you consider most in choosing your course/career? my interest/ability employment opportunities financial constraint other answer (Please specify)___________ 5. How do you see yourself 10 years from now? entrepreneur employee other answer (Please specify)__________________ III. PREFERRED TRACKS & STRANDS Choose among the 4 tracks below according to your talents, skills and interest by putting a check mark () on the box provided. Discuss this thoroughly with your parents. ACADEMIC TRACK SPORTS TRACK ARTS & DESIGN TRACK TECHNICAL-VOCATIONAL-LIVELIHOOD If you have chosen ACADEMIC TRACK, please check one (1) strand that you prefer most: STEM (Science, Technology, Engineering, Mathematics) HUMSS (Humanities and Social Science) ABM (Accountancy, Business and Management) GA (General Academic) If you have chosen TECHNICAL-VOCATIONAL-LIVELIHOOD TRACK, please check one (1) strand that you prefer most: HOME ECONOMICS AGRI-FISHERY ARTS Beauty and Nail Care (NC II) Crop Production (NC I) Wellness Massage (NC II) Landscape installation & maintenance (NC II) Hairdressing (NC II) Organic Agriculture Production (NC II) Caregiving (NC II) Pest Management (NC II) Dressmaking (NC II) Rice Machinery Operation (NC II) Tailoring (NC II) Animal Production(NC II) Front Office Services (NC II) Artificial Insemination – Large Ruminants (NC II) Travel Services (NC II) Artificial Insemination – Swine (NC II) Tour Guiding Services (NC II) Slaughtering Operation (NC II) Tourism Production(NC II) Horticulture (NC II) Cookery (NC II) Aquaculture (NC II) Bread & pastry production (NC II) Fish Nursery Operation (NC II) Food & Beverages Production (NC II) Fish/Shrimp Grow Out Operation (Non-NC) Household Services (NC II) Fishport/Wharf Operation (NC I) Housekeeping (NC II) Fish Processing (NC II) Attractions & Theme Parks Tourism (NC II) Handicraft: INDUSTRIAL ARTS If your answer in question No. 5 is ARTS and DESIGN TRACK, please check one (1) strand that you prefer most: Music Dance Theater Visual Arts Media Arts Literary Arts If you have chosen SPORTS TRACK, please check one (1) strand that you prefer most: Athletics Sepak Takraw Foothball (FIFA Standard) Arnis Baseball (IBaF Standard) Taekwondo (PTA Standard) Softball (IBaF Standard) Gymnastics Basketball (FIBA Standard) Chess (FIDE Standard) Volleyball (FIVB Standard) Tennis (ITF Standard) Badminton (IBF Standard) Swimming (FINA Standard) Table Tennis (ITTF Standard) Archery (FITA Standard) Dear parent and student: This survey aims to identify the track that the student prefers to enrol for the Senior High School Program. It is desired that both the parent and the student shall thoroughly discuss the choices to be made and agree on a mutual decision. The information that you will provide in this survey shall be used in planning for the program implementation coming SY 2016-17. Thank you very much for your cooperation! DepEd – Zamboanga City Division

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Page 1: Survey Template for Students 2014

DIVISION OF ZAMBOANGA OF ZAMBOANGA CITYSURVEY ON PREFERENCES OF SENIOR HIGH SCHOOL LEARNERS

Instructions: Please read and answer each question carefully by indicating check () on the box provided.

I. STUDENT’S PROFILENAME:_________________________________________ SCHOOL :____________________________________GRADE & SECTION: _____________________________ BIRTHDATE:______________AGE :______________HOME ADDRESS:________________________________ GENDER :_________________PARENTS ESTIMATED MONTHLY INCOME:Ph30,000 and above Ph 20,000-24,999 Ph 10,000-14,999 below Ph 4,999Ph 25,000 – 29,999 Ph 15,000-19,999 Ph 5,000 - 9,999

II. FIELD OF INTEREST & PREFERENCES1. Will you pursue Senior High School? yes no2. If yes, where do you intend to study? public private if private, which school?____________________________3. If ever you will pursue Senior High School, who will decide for the course you will take up? myself parents/guardian other answer (please specify)______________________________________4. What would you consider most in choosing your course/career? my interest/ability employment opportunities financial constraint other answer (Please specify)___________5. How do you see yourself 10 years from now? entrepreneur employee other answer (Please specify)__________________

III. PREFERRED TRACKS & STRANDSChoose among the 4 tracks below according to your talents, skills and interest by putting a check mark () on the box provided. Discuss this thoroughly with your parents. ACADEMIC TRACK SPORTS TRACK ARTS & DESIGN TRACK TECHNICAL-VOCATIONAL-LIVELIHOOD

If you have chosen ACADEMIC TRACK, please check one (1) strand that you prefer most: STEM (Science, Technology, Engineering, Mathematics) HUMSS (Humanities and Social Science) ABM (Accountancy, Business and Management) GA (General Academic)

If you have chosen TECHNICAL-VOCATIONAL-LIVELIHOOD TRACK, please check one (1) strand that you prefer most:

HOME ECONOMICS AGRI-FISHERY ARTS Beauty and Nail Care (NC II) Crop Production (NC I) Wellness Massage (NC II) Landscape installation & maintenance (NC II) Hairdressing (NC II) Organic Agriculture Production (NC II) Caregiving (NC II) Pest Management (NC II) Dressmaking (NC II) Rice Machinery Operation (NC II) Tailoring (NC II) Animal Production(NC II) Front Office Services (NC II) Artificial Insemination – Large Ruminants (NC II)

Travel Services (NC II) Artificial Insemination – Swine (NC II) Tour Guiding Services (NC II) Slaughtering Operation (NC II) Tourism Production(NC II) Horticulture (NC II) Cookery (NC II) Aquaculture (NC II) Bread & pastry production (NC II) Fish Nursery Operation (NC II) Food & Beverages Production (NC II) Fish/Shrimp Grow Out Operation (Non-NC) Household Services (NC II) Fishport/Wharf Operation (NC I) Housekeeping (NC II) Fish Processing (NC II) Attractions & Theme Parks Tourism (NC II) Handicraft: INDUSTRIAL ARTS Needlecraft Automative Servicing (NC II) Fashion Accessories & Paper Craft Carpentry (NC II) Basketry Macrame Consumer Electronics Servicing (NCII) Woodcraft Leather craft Electrical Installation & Maintenance (NC II)

Plumbing (NC I)ICT Plumbing (NC II) Computer Hardware Servicing (NC II) Refrigeration & Air Conditioning (NC II) Illustration (NC II) Shielded Metal Arc Welding (NC I) Technical Drafting (NC II) Shielded Metal Arc Welding (NC II) Contact Center Services Masonry (NCII) Animation (NC II) Tile Setting (NC II) Medical Transcription (NC II) Computer Programming

If your answer in question No. 5 is ARTS and DESIGN TRACK, please check one (1) strand that you prefer most: Music Dance Theater Visual Arts Media Arts Literary Arts

If you have chosen SPORTS TRACK, please check one (1) strand that you prefer most: Athletics Sepak Takraw Foothball (FIFA Standard) Arnis Baseball (IBaF Standard) Taekwondo (PTA Standard) Softball (IBaF Standard) Gymnastics Basketball (FIBA Standard) Chess (FIDE Standard) Volleyball (FIVB Standard) Tennis (ITF Standard) Badminton (IBF Standard) Swimming (FINA Standard) Table Tennis (ITTF Standard) Archery (FITA Standard)

Dear parent and student:

This survey aims to identify the track that the student prefers to enrol for the Senior High School Program. It is desired that both the parent and the student shall thoroughly discuss the choices to be made and agree on a mutual decision. The information that you will provide in this survey shall be used in planning for the program implementation coming SY 2016-17.

Thank you very much for your cooperation! DepEd – Zamboanga City Division

_______________________________

Name & Signature of

Parent/Guardian