Professional Documents
Culture Documents
English Assignment Master
English Assignment Master
complete the following Survey Form as accurately as possible. You may tick ( / ) only
once.
1. Gender
Survey Form
Male
1a. Age
Female
17 and below
1b. Marital Status
18 - 24
25 - 34
34 and above
Single
Married
Divorced
Widowed
1c. Race
Malay
Indian
Chinese
Others: __________
Yes
No
Yes
No
2c. If you had Automatic Curtain installed at your home, do you think it will benefit you?
Yes
No
Strongly Agree
Agree
Disagree
Strongly Disagree
Strongly Agree
Agree
Disagree
Strongly Disagree
Strongly Agree
Agree
Disagree
Strongly Disagree
Kitchen Attic
Balcony
4b. Where do you normally get information about green life style?
Newspaper Flyers
Friends
Fan
Car
Cellphone
4d. Which of the following you prefer to be as a main source of electricity at your house?
Biomass Hydroelectricity
Wind Tidal
Solar
Geothermal
5. How frequently does it rain at your place? (You may tick ( / ) once )
Less than 2 times a week 3-5 times a week 6 7 times a week
8. Please rank the following criteria you look for before buying any products
(1 most preferred to 5 least preferred) : ___ Price ___ Durability ___ Size ___ Brand Name ___ Efficiency
9. If an Automatic Curtain is installed at your home, how it will benefit your daily lifestyle?
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
10. What is your opinion about our questionnaires form? Please tell us how to improve the quality of our questionnaires form.
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
Thank you very much for taking the time to complete this survey. Your feedback is valued and very much appreciated!