Section 1 of 8
SH-APPLICANTS PERSONAL HISTORY LASO SURVEY FORM
Directions: Please read the items very carefully and answer with all honesty the items applicable to you.
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Section 2 of 8
Part I: Personal Information
Date
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Age
Age
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Sex
Sex
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Female
Male
Option 5
Option 4
Prefer not to say
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Religion
Religion
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Course/Program applying
Course/Program applying
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Nationality
Nationality
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Location
Location
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Rank in the Family
Rank in the Family
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Eldest
Middle
youngest
Only son/daughter
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Father's Occupation
Father's Occupation
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Undergraduate
Undergraduate
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Undergraduate
College Graduate
Master’s Degree Holder
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If college graduate, please specify his course/degree and school: B.S Nursing
If college graduate, please specify his course/degree and school: B.S Nursing
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College Graduate
College Graduate
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Undergraduate
College Graduate
Master’s Degree Holder
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Option 5
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Bachelor of Science in Medical Technology
Bachelor of Science in Medical Technology
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Section 3 of 8
UG-APPLICANTS PERSONAL HISTORY LASO SURVEY FORM
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Question
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Question
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Section 4 of 8
Part I: Personal Information
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Option 1
Option 2
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18 years old
18 years old
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Female
Female
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Male
Female
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Catholic
Catholic
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Special Health Sciences Senior High School
Special Health Sciences Senior High School
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1.
BS Radiologic Technology (BSRT)
2.
BS Physical Therapy (BSPT)
3.
BS Occupational Therapy (BSOT)
4.
BS Speech and Language Pathology (BSSLP)
5.
BS Biochemistry
6.
BS Biotechnology
7.
BS Pharmacy
8.
BS Nursing
9.
BS Nuclear Medicine
10.
BS Molecular Diagnostic
11.
Doctor of Dental Medicine
12.
BS Medical Laboratory Science (BSMLS)
13.
Special Health Sciences Senior High School
14.
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N/A
N/A
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Filipino
Filipino
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Cavite
Cavite
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1.
Cavite
2.
Laguna
3.
Batangas
4.
Rizal
5.
Quezon
6.
NCR
7.
Other parts of Luzon
8.
Visayas
9.
Mindanao
10.
Outside Philippines
11.
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Eldest
Eldest
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Eldest
Middle
Youngest
Only son/daughter
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Question
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1.
20,000 below
2.
20,001 – 40,000
3.
40,001 – 60,000
4.
60,001 – above
5.
Not Applicable
6.
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College Graduate
College Graduate
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Undergraduate
College Graduate
Master’s Degree Holder
Doctorate Degree Holder
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Question
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Option 1
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Government Employee
Government Employee
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60,001 - above
60,001 - above
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1.
20,000 below
2.
20,001 – 40,000
3.
40,001 – 60,000
4.
60,001 – above
5.
Not Applicable
6.
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College Graduate
College Graduate
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Undergraduate
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Section 5 of 8
Part II Applicant’s Feedback
(5 is the highest, 1 is the lowest)
4
4
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None
None
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None
None
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5
5
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1
2
3
4
5
a. Creative
b. Informative
Rows
1.
a. Creative
2.
b. Informative
3.
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1
2
3
4
5
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None
None
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5
5
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1
2
3
4
5
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None
None
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Section 6 of 8
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Question
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NA
NA
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NA
NA
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NA
NA
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Applicable to my chosen career path
Applicable to my chosen career path
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applicable to my chosen career path
affordable in nature
high paying job opportunities
influenced by friends/peers/classmates
influenced by parents
in demand abroad
Other…
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DLSMHSI, UST, UPD
DLSMHSI, UST, UPD
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Internet, family and friends
Internet, family and friends
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Bachelor of Science in Medical Laboratory Science, Bachelor of Science in Nursing, Bachelor of Science in Pharmacy
Bachelor of Science in Medical Laboratory Science, Bachelor of Science in Nursing, Bachelor of Science in Pharmacy
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Mother
Mother
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Father
Mother
Siblings
Yourself
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My mother influenced me by telling all the benefits and advantages that I will get when taking this course plus it is also my choice to choose this course because I think this will help me in reaching my goal in the medical field
My mother influenced me by telling all the benefits and advantages that I will get when taking this course plus it is also my choice to choose this course because I think this will help me in reaching my goal in the medical field
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School Visits and Institution Websites
School Visits and Institution Websites
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Advertisement
Institution Websites
Search Engines (google, yahoo, etc.)
School Visits (Career Orientation)
College Board
Facebook / Twitter / other social medias
Newspaper
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Family members and relatives
Family members and relatives
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family members and relatives
your School (through the principal, guidance counselors, teachers)
other people talking about it
marketing campaign of DLSMHSI
peer groups
alumni of the school
have not heard about De La Salle Health Sciences Institute
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Quality education, High end Facilities, well-known throughout the country and board
Quality education, High end Facilities, well-known throughout the country and board
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quality education
high end facilities
safe and very conducive for learning
high kick out rate
globally competitive teaching workforce
high employment rate of graduates
well-known throughout the country and abroad
no impressions about De La Salle Medical and Health Sciences Institute
good performance rating in board exams
very expensive school/school for the rich only
difficult to be admitted
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Successful Alumni, Licensure Examination Performance, Course offerings
Successful Alumni, Licensure Examination Performance, Course offerings
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Course Offerings
Image of School
Licensure Examination Performance
Successful Alumni
Complete and Up-to-Date Facilities
Ease in Applying
Top Caliber Faculty Line-up
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1. DLSMHSI (Yes)
1. DLSMHSI (Yes)
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School visit / Campus Tour / Open House
School visit / Campus Tour / Open House
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School visit / Campus Tour / Open House
Career Talk and Outreach Program
Advertisement thru Print & Media
Competitions & other Activities
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DLSU-D
DLSU-D
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UP
DLSU-Manila
DLSU-D
ATENEO
UST
MAPUA
FEU
DLSMHSI
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Yes
Yes
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Yes
No
Not Applicable
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The Courses that offer and the high-end facilities and of course the environment and the ambiance of the campus
The Courses that offer and the high-end facilities and of course the environment and the ambiance of the campus
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None
None
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I would like to study in DLSMHSI because based on my research and observations of the campus and the school itself, they offer the best quality education when taking upon medical courses. Furthermore, upon my school visit I noticed that the facilities are high-end meaning it will be great for us medical students to grow and be comfortable with ourselves when taking upon equipment involved. Lastly, the environment is great because I am surrounded with students having similarities of our courses with can be a good influenced with me.
I would like to study in DLSMHSI because based on my research and observations of the campus and the school itself, they offer the best quality education when taking upon medical courses. Furthermore, upon my school visit I noticed that the facilities are high-end meaning it will be great for us medical students to grow and be comfortable with ourselves when taking upon equipment involved. Lastly, the environment is great because I am surrounded with students having similarities of our courses with can be a good influenced with me.
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Esteemed
Esteemed
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Section 7 of 8
Part II Applicant’s Feedback
(5 is the highest, 1 is the lowest)
1. Lasallian Admission and Scholarship Opportunities
1. Lasallian Admission and Scholarship Opportunities
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1
2
3
4
5
Convenience
Transaction
Process/Procedures
Rows
1.
Convenience
2.
Transaction
3.
Process/Procedures
4.
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e. Suggestion:
e. Suggestion:
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2. Admissions Staff (Name of Staff - optional)
2. Admissions Staff (Name of Staff - optional)
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1.
PJ Campania
2.
Ken Gabiana
3.
Arlene Ola
4.
Mary Jane Saballegue
5.
Marian Wendy Acol
6.
Cholo Ilagan
7.
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2. Admissions Staff
2. Admissions Staff
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1
2
3
4
5
a. Friendly
b. Helpful
c. Knowledgeable of my needs
d. Courteous
e. Dealt with my inquiry professionally
f. Patient
g. Enthusiastic
h. Listened carefully
i. Responsive
Rows
1.
a. Friendly
2.
b. Helpful
3.
c. Knowledgeable of my needs
4.
d. Courteous
5.
e. Dealt with my inquiry professionally
6.
f. Patient
7.
g. Enthusiastic
8.
h. Listened carefully
9.
i. Responsive
10.
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j. Suggestion
j. Suggestion
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3. Marketing Materials / Forms used
3. Marketing Materials / Forms used
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5
a. Creative
b. Informative
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1.
a. Creative
2.
b. Informative
3.
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c. Suggestion
c. Suggestion
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4. How do you rate our service overall
4. How do you rate our service overall
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5. Do you have any comments / suggestions for improvements of the DLSMHSI LASO?
5. Do you have any comments / suggestions for improvements of the DLSMHSI LASO?
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Section 8 of 8
Part III Marketing
High School Attended
High School Attended
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Address of School
Address of School
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Guidance Counselor of School
Guidance Counselor of School
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Contact Number of School
Contact Number of School
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Email address of the School :
Email address of the School :
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1. What were the possible reasons for choosing the course/s? (Choose one only.)
1. What were the possible reasons for choosing the course/s? (Choose one only.)
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applicable to my chosen career path
affordable in nature
high paying job opportunities
influenced by friends/peers/classmates
influenced by parents
in demand abroad
Other…
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2. In health sciences courses, what were your top three (3) school choices? Please rank them according to your priorities.
2. In health sciences courses, what were your top three (3) school choices? Please rank them according to your priorities.
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Please state where you looked for or got information about your school of choice
Please state where you looked for or got information about your school of choice
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3. In health sciences program, what were your top three (3) course of choice? Please rank them according to your priorities.
3. In health sciences program, what were your top three (3) course of choice? Please rank them according to your priorities.
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4. Who had the final decision as to your course and school of choice?
4. Who had the final decision as to your course and school of choice?
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Father
Mother
Siblings
Yourself
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Please state how was he/she or were they involved in this?
Please state how was he/she or were they involved in this?
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5. How did you get the information about DLSMHSI? (Choose three.)
5. How did you get the information about DLSMHSI? (Choose three.)
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Advertisement
Institution Websites
Search Engines (google, yahoo, etc.)
School Visits (Career Orientation)
College Board
Facebook / Twitter / other social medias
Newspaper
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6. From whom did you learn about De La Salle Medical and Health Sciences Institute? (Choose one only.)
6. From whom did you learn about De La Salle Medical and Health Sciences Institute? (Choose one only.)
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family members and relatives
your School (through the principal, guidance counselors, teachers)
other people talking about it
marketing campaign of DLSMHSI
peer groups
alumni of the school
have not heard about De La Salle Health Sciences Institute
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7. What do people say about DLSMHSI? (choose three)
7. What do people say about DLSMHSI? (choose three)
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quality education
high end facilities
safe and very conducive for learning
high kick out rate
globally competitive teaching workforce
high employment rate of graduates
well-known throughout the country and abroad
no impressions about De La Salle Medical and Health Sciences Institute
good performance rating in board exams
very expensive school/school for the rich only
difficult to be admitted
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8. What are the features/aspects you look for in an institution? (choose three)
8. What are the features/aspects you look for in an institution? (choose three)
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Course Offerings
Image of School
Licensure Examination Performance
Successful Alumni
Complete and Up-to-Date Facilities
Ease in Applying
Top Caliber Faculty Line-up
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9. Including our college, please list your top three choices among all colleges to which you applied. Write (YES) for each college from which you have received formal notification of admission.
9. Including our college, please list your top three choices among all colleges to which you applied. Write (YES) for each college from which you have received formal notification of admission.
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10. What do you think is the most effective medium of introducing one school which would help you in your decision to enroll? (Choose only one.)
10. What do you think is the most effective medium of introducing one school which would help you in your decision to enroll? (Choose only one.)
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School visit / Campus Tour / Open House
Career Talk and Outreach Program
Advertisement thru Print & Media
Competitions & other Activities
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11. Which of the following schools had given presentations/career talks in your school?
11. Which of the following schools had given presentations/career talks in your school?
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UP
DLSU-Manila
DLSU-D
ATENEO
UST
MAPUA
FEU
DLSMHSI
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12. Did the DLSMHSI presentation motivate/encourage you to take up health sciences courses?
12. Did the DLSMHSI presentation motivate/encourage you to take up health sciences courses?
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Yes
No
Not Applicable
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If yes, what did you like about it?
If yes, what did you like about it?
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If no, what suggestions or other comments can you give for our improvement?
If no, what suggestions or other comments can you give for our improvement?
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13. Did you really want to study in De La Salle Medical and Health Sciences Institute?
13. Did you really want to study in De La Salle Medical and Health Sciences Institute?
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Yes
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Please state your reason/s
Please state your reason/s
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14. Kindly give one (1) word that best describes DLSMHSI?
14. Kindly give one (1) word that best describes DLSMHSI?
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