Baliuag University

Gil Carlos Street, Baliwag, Bulacan

QUESTIONNAIRE

Please provide the following information:

Name:
Age:
Address:
Civil Status:
School:
Please check or answer below each question:
1. Where do you prefer to stay?
_____ Dormitory
_____ Boarding house

_____ Apartment

2. Have you ever live in a dormitory?

_____ Yes
_____ No
If yes, pls. specify the name of Dorm _______________________________________
3. Please briefly describe the settings in your room.
_____________________________________________________________________
4. How many roommates do you have? ___

5. What do you think is the appropriate number of people living together in a room? ___

6. Do different genders live in the same building, floor, or room? Which do you prefer? girls only,
boys only or mixed? _______________

7. Is there a public bathroom and showering room? __________________________

8. How much do you pay for living in the dorm per semester? Is that amount appropriate?
_____________________________________________________________________

9. How much time do you spend in the dorm? ______________________________________

_________________________________________________________________________

10. Is there anything you think the dorm needs to improve? ________________________
_____________________________________________________________________

11. If you have the power to change one thing in the dorm what will that be? ___________
______________________________________________________________________

12. Please describe for your ideal dorm. _________________________________________

______________________________________________________________________

13. How much are you willing to pay for it every month?
___ 2,500 - 3,000
___ 3,000 - 3,500
___ 4,000 4,500
___ 5,000 8,000

14. What other facilities you want a dorm to have? ___________________________________

_________________________________________________________________________

15. If our dorm will offer you the service you want to have are you willing to transfer? ______
_________________________________________________________________________