Surname (optional):________________Age:______ Surname (optional):________________Age:______

Gender: ____ Male ____Female Gender: ____ Male ____Female

School: ___________________________________ School: ___________________________________

Occupation: _______________________________ Occupation: _______________________________

Address: __________________________________ Address: __________________________________

1. Are you aware of Virtual Reality box (VR Box)? 1.Are you aware of Virtual Reality box (VR Box)?

____ Yes _____No ____ Yes _____No

2. Do you get stress? 2.Do you get stress?

____ Yes _____No ____ Yes _____No

3.How many times you get stress? 3.How many times you get stress?

___ Daily ___Once a week ___ Daily ___Once a week

___Once a month ___Once a year ___Once a month ___Once a year

4. Are you aware of stress treatment? 4.Are you aware of stress treatment?

____ Yes _____No ____ Yes _____No

5. Are you willing to take stress treatment? 5.Are you willing to take stress treatment?

____ Yes _____No ____ Yes _____No

6. If yes, how many times? 6.If yes, how many times?

___ Daily ___Once a week ___ Daily ___Once a week

___Once a month ___Once a year ___Once a month ___Once a year

7. What do you prefer in taking your treatment? 7.What do you prefer in taking your treatment?

_____Individual _____ Per Group _____Individual _____ Per Group

8. What time do you prepare your treatment? 8.What time do you prepare your treatment?

_____ 9:00 a.m. - 12:00 p.m. _____ 9:00 a.m. - 12:00 p.m.

_____ 12:00 p.m. - 4:00 p.m. _____ 12:00 p.m. - 4:00 p.m.

_____ 4:00 p.m. - 7:00 p.m. _____ 4:00 p.m. - 7:00 p.m.

_____ 7:00 p.m. - 10:00 p.m. _____ 7:00 p.m. - 10:00 p.m.

9. How much are you willing to spend? 9.How much are you willing to spend?

___ 150 ___200 ___250 ___300 ___ 150 ___200 ___250 ___300

10. Which mode of payment do you normally prefer?
____ Per session _____ Monthly
11. Are you willing to go to Tagaytay for your treatment?
____ Yes _____No
12. Rank the following attributes according to your priority,
(1 is the highest- 2 is the lowest)
_____ Affordable
_____ Accessible
_____ Customer Friendly Service
10. Which mode of payment do you normally prefer?
____ Per session _____ Monthly
11.Are you willing to go to Tagaytay for your treatment?
____ Yes _____No
11. Rank the following attributes according to your
priority, (1 is the highest- 2 is the lowest)
_____ Affordable
_____ Accessible
_____ Customer Friendly Service