Professional Documents
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Questionnaire
Questionnaire
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below.
Your cooperation will be a significant help for the realization of this study. Rest
assured that your response will be treated with utmost confidentiality and will be
The Researchers
Name:_______________________ (Optional)
putting a check mark ( / ) on the appropriate boxes that corresponds to your answer.
Rest assured that any information that you supply will be treated with greatest
1.1 Age:
( ) Below 18 ( ) 35 – 44 ( ) 65 above
( ) 18 – 24 ( ) 45 – 54
( ) 25 – 34 ( ) 55 – 64
1.2 Sex:
( ) Male ( ) Female
( ) Single ( ) Widow/Widower
( ) Married ( ) Separated
( ) Lower
Directions: Here are some statements which describe the extent of implementation
numbers that corresponds to your choice provided the four rating scale given below.
3 – Great Extent
2 – Less Extent
1 – No Extent
Extent
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