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Republic of the Philippines

CAVITE STATE UNIVERSITY


(CvSU)
DON SEVERINO DE LAS ALAS CAMPUS
Indang Cavite
(046) 415-0013/ (046) 415-0012
Email: cvsu@asia.com
DEMAND FOR AGRICULTURAL RAW MATERIALS OF SMALL-SCALE
HOME-BASED FOOD INDUSTRIES IN CAVITE.
Dear Madame/Sir:
Good day! We, the 4th year Bachelor of Science in Economics Major in Agricultural
Economics, students of Cavite State University is presently conducting a study entitled
DEMAND FOR AGRICULTURAL RAW MATERIALS OF SMALL-SCALE HOMEBASED FOOD INDUSTRIES IN CAVITE. In connection with this, we would like request
some of your time to answer our survey questionnaire that will help us gain the required
information for our research study.
Furthermore, we would also like to ask for a copy of your financial statement that will
cover a one year transaction. It will be a big help in answering the objectives of our research
study.
Rest assured that the information gathered will be treated with confidentiality.
Thank you very much!

Researchers:
Ma. Cauleen Romera
Rachel Janine Ubugen

Survey Questionnaire no.: _________


Date of Survey: _________________
Place of Survey: _________________

Personal Information
Name: __________________________________
Address: _________________________________
Contact No.: ______________
A. Socio Economic Characteristics
1. Sex ( ) Male ( ) Female
2. Age: ______
3. Civil Status: ( ) Single ( ) Married ( ) Widowed ( ) Legally Separated ( )
Cohabitating
4. Occupation: ___________________
5. Number of Dependents: __________
6. Gross Monthly Income: __________
7. Educational Attainment:
( ) Elementary Graduate
( ) Elementary Level
( ) High School Graduate
( ) High School Level
( ) Vocational Graduate
( ) College Graduate
( ) College Level
( ) No Formal Education

II

Business Information
Name of the Business: _________________________ Email: ____________________
Contact Person: ________________________________ Contact No: ________________
Address: __________________________________________
8. Place of Registration: ________________________________
9. Registered on: ( ) Municipality
Tax: Php ___________
( ) DTI
Php ___________
( ) BIR
Php ___________
10. Reasons for/not being registered:
( ) Municipality ___________________________________________________
( ) DTI _________________________________________________________
( ) BIR __________________________________________________________
11. Years in Operation: _____________
12. Number of Employees: __________
13. Capital of Business:
working capital ________________
investment capital ______________
14. Source of Capital:
( ) personal/family savings
( ) informal money lenders
( ) friends and relatives
( ) formal lending institutions
( ) business income
( ) others (specify) _________________________________________________

15. Nature of Business:


( ) tablea
( ) tuba making
( ) home-made candies
( ) peanut butter
( ) lambanog making
( ) native delicacies
( ) vinegar making
( ) pie (specify :_________) ( ) atchara making
( ) home-made jam (specify: ________)
others: (specify:_______________)
16. Do you make your financial/income statement, why or why not? _____________
_________________________________________________________________
17. In what way will you know that you have your profit? ______________________
__________________________________________________________________
18. Are you willing to expand into a larger scale of business? Why or why not? _____
__________________________________________________________________
A. Production
Products Produced

December 2014
1
2
3

January 2015

February 2015

1
2
3

1
2
3

1
2
3

1
2
3

1
2
3

1
2
3

1
2
3

1
2
3

1
2
3

1
2
3

1
2
3

1
2
3

1
2
3

1
2
3

1
2
3
Price per Order 1
2
3

1
2
3
1
2
3

1
2
3
1
2
3

Volume of Production per DAY

Volume of Production per WEEK

Volume of Production per MONTH

Price per Package

Orders

Products Produced March 2015

April 2015

May 2015

Volume of Production per DAY

Volume of Production per WEEK

Volume of Production per MONTH

Price per Package

Orders

Price per Order

Products Produced

June 2015

July 2015

August 2015

Volume of Production per DAY

Volume of Production per WEEK

Volume of Production per MONTH

Price per Package

Orders

Price per Order

Products Produced

September 2015

October 2015

November 2015

Volume of Production per DAY

Volume of Production per WEEK

Volume of Production per MONTH

Price per Package

Orders

Price per Order

Raw Materials

Unit Used

Price per Unit

Inside Source

Outside Source

Remarks

Dec 2014

Jan 2015

Feb 2015

Mar 2015

Apr 2015

May 2015

Jun-15

July
2015

Aug 2015

Sept 2015

1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5

Oct 2015

Nov 2015

1
2
3
4
5
1
2
3
4
5

B. Marketing
19. Where do you market your products produced?
( ) directly to the consumer/direct selling
( ) retailers
( ) hotels
( ) supermarket
( ) public market
( ) government agencies
( ) others (specify: ____________________)
20. How large are the inventory products (not consumed within a month)? _________
21. How do you manage the inventory products? ____________________________
22. Annual Income
Sales of Products
Amount
Total

Total Sales:

Less: Cost of Goods Sold


Total:

Less Expenses:
Rent
Electricity and Water
Maintenance
Transportation
Salary and Wages
Raw Materials
Interest
Others:

Total Amount:
Depreciation:
Machines and Equipments
Vehicles
Others:

Total Amount:

Operating Profit
Less: Taxes
Net Profit:

23. Problems encountered:


What are the common problems encountered by the business?
( ) limited market
( ) lack of supply of agricultural raw materials
( ) delayed supply of agricultural raw materials
( ) small number of customers
( ) delayed payment of customers
( ) insufficient space for production
( ) none/lack of employees
( ) lack of support from the government
( ) others: specify _________________________________

__________________
Signature

Thank you very much and God bless!