Download as docx, pdf, or txt
Download as docx, pdf, or txt
You are on page 1of 4

Please

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: __________

2. Please tick ( / ) YES or NO only


2a. Do you prefer sensor product?

Yes

No

2b. Do you use any sensor product?

Yes

No

2c. If you had Automatic Curtain installed at your home, do you think it will benefit you?

Yes

No

Customer Satisfaction Survey [Date]

3. You may tick ( / ) once


3a. I often stay at home.

Strongly Agree

Agree

Disagree

Strongly Disagree

3b. My home is exposed to sunlight.

Strongly Agree

Agree

Disagree

Strongly Disagree

3c. Eco-products are better than conventional products.

Strongly Agree

Agree

Disagree

Strongly Disagree

4. You may tick ( / ) more than one


4a. If you were to have an Automatic Curtain System, where will you prefer to install it?

Living Room Toilet

Bedroom Store Room

Kitchen Attic

Balcony

4b. Where do you normally get information about green life style?

Newspaper Flyers

Magazine Internet Others: ________

Friends

4c. Which eco-friendly product do you use?

Light Emitted Diode Others: ________________

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

Customer Satisfaction Survey [Date]

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

6. Which place do you normally stay?


Suburban Near the beach Rural/Village Others: ___________ City

7. What type of house do you live in?


Terraced Apartment Semi-detached Condominium Bungalow Flat

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

Customer Satisfaction Survey [Date]

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!

Customer Satisfaction Survey [Date]

You might also like