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Name (Optional): _____________

CYS: ____________

Aqua Coins Your One Peso Solution to pure Refreshment

1. Are you always buying pet bottles Minerals water?

Yes ( ) No ( ) Sometimes ( )

2. Do you find the water vending machine easy to use?

Yes ( ) No ( ) Sometimes ( )

3. Would you recommend the water vending machine to others

Yes ( ) No ( )

4.How important is the availability of a water vending machine in your daily routine?

Very important ( ) Sometimes important ( ) No Important ( )

5. What factors influence your Decision to use the water vending machine

Choice at least three:

Convenience: ( ) Water Quality: ( ) Price: ( ) Appearance: ( ) Location: ( )

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

Name (Optional): _____________

CYS: ____________

Implementing Aqua Coins Your One Peso Solution to Pure Refreshment

1. Are you always buying pet bottles Minerals water?

Yes ( ) No ( ) Sometimes ( )

2. Do you find the water vending machine easy to use?

Yes ( ) No ( ) Sometimes ( )

3. Would you recommend the water vending machine to others

Yes ( ) No ( )

4.How important is the availability of a water vending machine in your daily routine?

Very important ( ) Sometimes important ( ) No Important ( )

5. What factors influence your Decision to use the water vending machine

Choice at least three:

Convenience: ( ) Water Quality: ( ) Price: ( ) Appearance: ( ) Location: ( )

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