NAME (PANGALAN): NAME (PANGALAN):

ADDRESS (TIRAHAN): ADDRESS (TIRAHAN):

OCCUPATION (TRABAHO): OCCUPATION (TRABAHO):

AGE (EDAD): AGE (EDAD):

1. Are you using android cellphone? 1. Are you using android cellphone?

YES NO YES NO

*If your answer in number 1 is NO then proceed to *If your answer in number 1 is no (Hindi) then proceed
number 6 to number 6

2. How long are you using an android cellphone in one 2. How long are you using an android cellphone in one
day? day?

3. Why are you using your android cellphone? 3. Why are you using your android cellphone?

4. What applications are you using? 4. What applications are you using?

5. As a cellphone user, what can you suggest to improve 5. As a cellphone user, what can you suggest to improve
dialing or contacting emergency hotlines in times of dialing or contacting emergency hotlines in times of
need? need?

6. If there is an application that will be created that will 6. If there is an application that will be created that will
help you dial emergency response team in one click: help you dial emergency response team in one click:

For those who answered number 1 as NO: Will you be For those who answered number 1 as NO: Will you be
using cellphone and the application as well? using cellphone and the application as well?

YES No YES No

For those who answered number 1 as YES: Will you For those who answered number 1 as YES: Will you
install and use this app? install and use this app?

YES No YES No

SIGNATURE SIGNATURE