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Dear Respondents,
I am Shahab Aziz, a candidate pursuing Phd degree at International Business School, Universiti
Teknologi Malaysia, Kuala Lumpur, Malaysia. I have to investigate “the factors that lead to the
intention to purchase family takaful” in order to complete my study. Family takaful is shariah
compliant alternative to the conventional life insurance that tries the Muslims free from sins of
riba/interest. This study also will assist takaful companies in providing better services. Hence, I
would be truly grateful on your cooperation in completing the questionnaire. Your answer to the
questionnaire is confidential
Shahab Aziz
PhD. Candidate
International Business School
Universiti Teknologi Malaysia, Kuala Lumpur, Malaysia
Please indicate the degree of your agreement by choosing the appropriate answer. Choose only one
answer that best reflect yourself for each statement.
SECTION A:
1
Given the chance, I predict I will purchase
family takaful scheme in the future.
2
I have the ability necessary to purchase family
takaful scheme.
3
Family takaful schemes will be useful in handling
my financial needs.
5
I am engaged in these social-related behaviors?
E.g. standing for election, challenging a rule.
1 Gender
Male 1 7. Monthly household income
Female 2 Less than PKR 20,000 1
PKR 20,000 – PKR 39,999 2
2 Age PKR 40,000 – PKR 59,999 3
25 to 29 years old 1 PKR 60,000 – PKR 79,999 4
30 to 34 years old 2 PKR 80,000 – PKR 100,000 5
35 to 39 years old 3 More than 10,0000 6
40 to 44 years old 4
45 to 50 years old 5 8. Monthly savings
No saving 1
5 Less than PKR 5,000 2
PKR 5,000 – PKR 9,999 3
3 Occupation PKR 10,000- PKR 14,999 4
Clerk 1 PKR 15,000- PKR 19,999 5
Officer 2 PKR 20,000- PKR 25,000 6
Executive 3 More than PKR 25,000 7
Director 4
Others: Please state:______ 5
4 Occupation Status
Public sector 1
Private sector 2
Self employed 3
Others: Please state:_______ 4
5 Marital status
Single 1
Married 2
Divorced 3
6
Master’s degree 4
MS/ Mphill/Doctorate 5