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SURVEY QUESTIONNAIRE
Good day! We are grade 12 students taking STEM strand at STI College – Sta.
Cruz. We are conducting a study entitled “Acceptability of Oregamint Balm in Terms of
Price, Scent and Texture as Perceived by the Faculty and Students of Cavinti Integrated
National High School S.Y 2019 - 2020”. We want to request for your permission to
answer honestly the set of questions below and the answers will be kept with
confidentiality. The duration of answering the questions will last in 5 minutes. Thank you.
Sincerely,
Lipit, Daeca Jane A.
Manangkil, Henriel Vincent O.
Toriano, Ma. Bianca A.
I. Personal Information
Name (optional): _____________________ Age: _____ Gender: ____________
Health Condition
Please check (√) any of the following conditions that you have
experienced/experiencing:
o None o Asthma
o Stomachache o Anemia
o Headache o Migraine
o Chest pain o Others (please specify):
o Allergy ___________
Directions: Put a check (√) in accordance to your desired rank. (5- Strongly
Agree, 4-
PRICE 5 4 3 2 1
1. The Oregamint balm has the cost according to its grams; 5g (Php
20).
2. The quality of the product matches the price.
SCENT 5 4 3 2 1
2. The scent of the oil or wax does not overpower the minty scent of the
Oregamint balm.
3. The combination of oregano and the peppermint scent is fine.
TEXTURE 5 4 3 2 1