Professional Documents
Culture Documents
Socio-Demographic Profile
Name (optional) : ______________________________________ Age : _________ Name (optional) : ______________________________________ Age : _________
Gender ___ Male Gender ___ Male
___ Female Income per month ___ Female Income per month
10,000-12,000 ___ 10,000-12,000 ___
11,000-14,000 ___ 11,000-14,000 ___
15,000-18,000 ___ 15,000-18,000 ___
19,000 & up ___ 19,000 & up ___
Status ____Single ___ Married Status ____Single ___ Married
___Widowed ___Separated ___Widowed ___Separated
Questionnaire: Questionnaire:
Direction: Indicate your level of agreement or disagreement on the items given by checking Direction: Indicate your level of agreement or disagreement on the items given by checking
the corresponding numbers below. the corresponding numbers below.
4= Strongly Agree
4= Strongly Agree
3= Agree
3= Agree
2= Disagree 2= Disagree
1= Strongly Disagree 1= Strongly Disagree
4 3 2 1 Reliability 4 3 2 1
Reliability
Strongly Agree Disagree Strongly INDICATORS Strongly Agree Disagree Strongly
INDICATORS Agree Disagree Agree Disagree
1. I am satisfied with the security of the facility 1. I am satisfied with the security of the facility
2. I am satisfied with the cleanliness and sanitary 2. I am satisfied with the cleanliness and sanitary
of the facilities of the facilities
3. I am pleased with the appearance of the physical 3. I am pleased with the appearance of the physical
facilities of azure. facilities of azure.
4. I am satisfied When customer has a problem, 4. I am satisfied When customer has a problem,
they should show sincere interest in solving the they should show sincere interest in solving the
problem. problem.
5. I am impressed with their excellent services at 5. I am impressed with their excellent services at
the time they promise to do so. the time they promise to do so.
Assurance 4 3 2 1 Assurance 4 3 2 1