1. 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

2. 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

3. Do you have a way to connect to the internet?
Yes No

4. How do you connect to the internet? Choose all that applies.
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

5. 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

6. What are the challenges that may affect your child’s learning process through distance education? Choose all that applies.
lack of available gadgets/ equipment
insufficient load/ data allowance
unstable mobile/ internet connection
existing health condition/s
difficulty in independent learning
conflict with other activities (i.e., house chores)
No or lack of available space for studying
distractions (i.e., social media, noise from
others