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Sample Survey Questionnaire
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Westmead International School School of Economics Business and Accountancy
Westmead International SchoolSurvey Questionnaire for Respondents
“Personal Grocery Shopper”
We are conducting a study about the marketability of our project “Personal Grocery Shopper” .In view of this; we would like to request your participation by answering this questionnaire. We assure you that all information derived from the questionnaire will be used for academic purpose only.
The Researchers:
Bryan Blair A. Fallarme _____________Cristele M. Castronuevo _____________Veecarl O. Alvarez _____________
Name of the Respondent (Optional):__________________________Address: Put a check on the space provided.
[ ] Alangilan [ ] Libjo [ ] Balagtas [ ] Mahabang Parang
[ ] Balete [ ] Mahacot (East, West)[ ] Banaba (West, Center, [ ] Malitam
South, East) [ ] Pallocan (East, West)[ ] Barangay (1-24) [ ] Sampaga[ ] Bolbok [ ] San Isidro[ ] Calicanto [ ] Sorosoro (Karsada, Ilaya, Ibaba)[ ] Concepcion [ ] Sta. Clara[ ] Cuta [ ] Sta.Rita (Karsada, Aplaya)
[ ] Dalig [ ] Tabangao (Ambulong, Aplaya, Dao)[ ] Gulod (Labac, Itaas) [ ] Tinga (Itaas, Labac)[ ] Kumintang (Ibaba, Ilaya) [ ] Wawa
I. Respondent’s ProfileGender: [ ] Male [ ] Female
Age: [ ] 20-24 [ ] 25-29 [ ] 30-34
[ ] 35-39 [ ] 40-44 [ ] 45 and above
Occupational Status:
[ ] Employed [ ] Self –Employed [ ] Unemployed
Family Income:
[ ] Php30, 000 to Php35, 000
[ ] Php35, 001 to Php40, 000
[ ] Php40, 001 to Php45, 000
[ ] Php45, 001 and above
II. Buying Behaviour and Related Services
1. Do you shop your own grocery? ( if No, please proceed to no.5)
[ ] Yes [ ] No
2. On average, how often do you shop grocery?
[ ] Weekly
[ ] Twice a month
[ ] Monthly
[ ] Others, please specify ___________________
Personal Grocery Shopper
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Westmead International School School of Economics Business and Accountancy
3. Where do you usually buy groceries?
[ ] Public Market
[ ] Supermarket (SM Supermarket, Citimart, BudgetLane,
Hypermarket, PureGold)
[ ] Others, please specify ___________________
4. How many hours do you spend on grocery shopping? (Including travel time)
[ ] One [ ] Three
[ ] Two [ ] Others, please specify _____________
III. Service Introduction
5. Do you know the concept of Personal Grocery Shopper?
[ ] Yes [ ] No
Personal Grocery Shopper is a service that provides personal shopper
that buys the needs and wants of the customers, and delivers it straight right to
their doorstep.
6. Have you seen a service like this?
[ ] Yes [ ] No
7. If Yes, where did you see it?
[ ] Online [ ] Magazine
[ ] Flyers and posters [ ] Tarpaulin
[ ] Others, please specify ___________________
8. If this service will be available in your area, are you willing to avail it?
[ ] Yes [ ] No
9. What factors will you consider in availing this service?
[ ] Service Fee
[ ] Quality
[ ] Reliability
[ ] Name of the company
[ ] Others, please specify ___________________
10. How much are you willing to pay to avail this service? (based on total gross receipts
with a minimum grocery purchases of P1000)
[ ] 12% [ ] 13%
[ ] 14% [ ] 15%
[ ] Others, please specify ___________________
11. Aside from groceries, on what products will you still need the help/assistance of a
personal shopper?
_______________________________________________________________
Comments and Suggestions:
______________________________________________________________________________________________________________________________
____________________
Respondent’s Signature
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