Survey Questionnaire on Feasibility Study on having a FLENJ Water Refilling

Station at Purok Lemonsito 3, Barangay New Visayas Panabo City, Davao del
Norte
The purpose for these questionnaires is to collect crucial information and data of the
residents of Barangay New Visayas, Panabo city, Davao del Norte. Specifically in the
area of Purok Lemonsito, since it was deemed a potential target market. The
respondents of the questionnaires shall be secured knowing that the survey is strictly for
educational purposes alone and all the collected data and information shall remain
confidential and will only serve as a guide for the business moving forward.
Instruction: Please put a check on the space provided for your answer.
Personal Details (Optional)
Name: ________________________________________
Address: ______________________________________
Age: _______

1. What is the main source of drinking water for member of your household?
( ) Tap Water ( ) Water Refilling Station ( ) Others Specify
2. How long does it take for you to get the water?
( ) 5-30 mins ( ) 1-2 hrs.
3. How frequent do you use the water refiling stations within a week?
( ) Always ( ) Sometimes
4. If we will be putting up a water refilling station near you, would it be convenient
for you?
( ) YES ( ) NO
5. Do you think our delivery service is necessary?
( ) YES ( ) NO
6. Do you prefer to refill your containers at the station or have it delivered?
( ) At the Station ( ) Delivered
7. Is the free delivery service for a minimum of 2 containers considered fair?
( ) YES ( ) NO
Survey Questionnaire on Feasibility Study on having a FLENJ Water Refilling
Station at Purok Lemonsito 3, Barangay New Visayas Panabo City, Davao del
Norte
The purpose for these questionnaires is to collect crucial information and data of the
residents of Barangay New Visayas, Panabo city, Davao del Norte. Specifically in the
area of Purok Lemonsito, since it was deemed a potential target market. The
respondents of the questionnaires shall be secured knowing that the survey is strictly for
educational purposes alone and all the collected data and information shall remain
confidential and will only serve as a guide for the business moving forward.
Instruction: Please put a check on the space provided for your answer.
Personal Details (Optional)
Name: Jo Radaza
Address: ______________________________________
Age: _______

1. What is the main source of drinking water for member of your household?
( ) Tap Water ( ) Water Refilling Station ( ) Others Specify
2. How long does it take for you to get the water?
( ) 5-30 mins ( ) 1-2 hrs.
3. How frequent do you use the water refiling stations within a week?
( ) Always ( ) Sometimes
4. If we will be putting up a water refilling station near you, would it be convenient
for you?
( ) YES ( ) NO
5. Do you think our delivery service is necessary?
( ) YES ( ) NO
6. Do you prefer to refill your containers at the station or have it delivered?
( ) At the Station ( ) Delivered
7. Is the free delivery service for a minimum of 2 containers considered fair?
( ) YES ( ) NO
Survey Questionnaire on Feasibility Study on having a FLENJ Water Refilling
Station at Purok Lemonsito 3, Barangay New Visayas Panabo City, Davao del
Norte
The purpose for these questionnaires is to collect crucial information and data of the
residents of Barangay New Visayas, Panabo city, Davao del Norte. Specifically in the
area of Purok Lemonsito, since it was deemed a potential target market. The
respondents of the questionnaires shall be secured knowing that the survey is strictly for
educational purposes alone and all the collected data and information shall remain
confidential and will only serve as a guide for the business moving forward.
Instruction: Please put a check on the space provided for your answer.
Personal Details (Optional)
Name: ________________________________________
Address: ______________________________________
Age: _______

1. What is the main source of drinking water for member of your household?
() Tap Water ( ) Water Refilling Station ( ) Others Specify
2. How long does it take for you to get the water?
( ) 5-30 mins ( ) 1-2 hrs.
3. How frequent do you use the water refiling stations within a week?
( ) Always ( ) Sometimes
4. If we will be putting up a water refilling station near you, would it be convenient
for you?
( ) YES ( ) NO
5. Do you think our delivery service is necessary?
( ) YES ( ) NO
6. Do you prefer to refill your containers at the station or have it delivered?
( ) At the Station ( ) Delivered
7. Is the free delivery service for a minimum of 2 containers considered fair?
( ) YES ( ) NO
Survey Questionnaire on Feasibility Study on having a FLENJ Water Refilling
Station at Purok Lemonsito 3, Barangay New Visayas Panabo City, Davao del
Norte
The purpose for these questionnaires is to collect crucial information and data of the
residents of Barangay New Visayas, Panabo city, Davao del Norte. Specifically in the
area of Purok Lemonsito, since it was deemed a potential target market. The
respondents of the questionnaires shall be secured knowing that the survey is strictly for
educational purposes alone and all the collected data and information shall remain
confidential and will only serve as a guide for the business moving forward.
Instruction: Please put a check on the space provided for your answer.
Personal Details (Optional)
Name: Princess Cendoza
Address: ______________________________________
Age: _______

1. What is the main source of drinking water for member of your household?
( ) Tap Water ( ) Water Refilling Station ( ) Others Specify
2. How long does it take for you to get the water?
( ) 5-30 mins ( ) 1-2 hrs.
3. How frequent do you use the water refiling stations within a week?
( ) Always ( ) Sometimes
4. If we will be putting up a water refilling station near you, would it be convenient
for you?
( ) YES ( ) NO
5. Do you think our delivery service is necessary?
( ) YES ( ) NO
6. Do you prefer to refill your containers at the station or have it delivered?
( ) At the Station ( ) Delivered
7. Is the free delivery service for a minimum of 2 containers considered fair?
( ) YES ( ) NO
Survey Questionnaire on Feasibility Study on having a FLENJ Water Refilling
Station at Purok Lemonsito 3, Barangay New Visayas Panabo City, Davao del
Norte
The purpose for these questionnaires is to collect crucial information and data of the
residents of Barangay New Visayas, Panabo city, Davao del Norte. Specifically in the
area of Purok Lemonsito, since it was deemed a potential target market. The
respondents of the questionnaires shall be secured knowing that the survey is strictly for
educational purposes alone and all the collected data and information shall remain
confidential and will only serve as a guide for the business moving forward.
Instruction: Please put a check on the space provided for your answer.
Personal Details (Optional)
Name: Chavo Guerero
Address: ______________________________________
Age: _______

1. What is the main source of drinking water for member of your household?
( ) Tap Water ( ) Water Refilling Station ( ) Others Specify
2. How long does it take for you to get the water?
( ) 5-30 mins ( ) 1-2 hrs.
3. How frequent do you use the water refiling stations within a week?
( ) Always ( ) Sometimes
4. If we will be putting up a water refilling station near you, would it be convenient
for you?
( ) YES ( ) NO
5. Do you think our delivery service is necessary?
( ) YES ( ) NO
6. Do you prefer to refill your containers at the station or have it delivered?
( ) At the Station ( ) Delivered
7. Is the free delivery service for a minimum of 2 containers considered fair?
( ) YES ( ) NO
Survey Questionnaire on Feasibility Study on having a FLENJ Water Refilling
Station at Purok Lemonsito 3, Barangay New Visayas Panabo City, Davao del
Norte
The purpose for these questionnaires is to collect crucial information and data of the
residents of Barangay New Visayas, Panabo city, Davao del Norte. Specifically in the
area of Purok Lemonsito, since it was deemed a potential target market. The
respondents of the questionnaires shall be secured knowing that the survey is strictly for
educational purposes alone and all the collected data and information shall remain
confidential and will only serve as a guide for the business moving forward.
Instruction: Please put a check on the space provided for your answer.
Personal Details (Optional)
Name: Angelica Palban
Address: ______________________________________
Age: _______

1. What is the main source of drinking water for member of your household?
( ) Tap Water ( ) Water Refilling Station ( ) Others Specify
2. How long does it take for you to get the water?
( ) 5-30 mins ( ) 1-2 hrs.
3. How frequent do you use the water refiling stations within a week?
( ) Always ( ) Sometimes
4. If we will be putting up a water refilling station near you, would it be convenient
for you?
( ) YES ( ) NO
5. Do you think our delivery service is necessary?
( ) YES ( ) NO
6. Do you prefer to refill your containers at the station or have it delivered?
( ) At the Station ( ) Delivered
7. Is the free delivery service for a minimum of 2 containers considered fair?
( ) YES ( ) NO
Survey Questionnaire on Feasibility Study on having a FLENJ Water Refilling Station at
Purok Lemonsito 3, Barangay New Visayas Panabo City, Davao del Norte
The purpose for these questionnaires is to collect crucial information and data of the
residents of Barangay New Visayas, Panabo city, Davao del Norte. Specifically in the
area of Purok Lemonsito, since it was deemed a potential target market. The
respondents of the questionnaires shall be secured knowing that the survey is strictly for
educational purposes alone and all the collected data and information shall remain
confidential and will only serve as a guide for the business moving forward.
Instruction: Please put a check on the space provided for your answer.
Personal Details (Optional)
Name: Louis Ortega
Address: ______________________________________
Age: _______

1. What is the main source of drinking water for member of your household?
( ) Tap Water () Water Refilling Station ( ) Others Specify
2. How long does it take for you to get the water?
( ) 5-30 mins ( ) 1-2 hrs.
3. How frequent do you use the water refiling stations within a week?
( ) Always ( ) Sometimes
4. If we will be putting up a water refilling station near you, would it be convenient
for you?
( ) YES ( ) NO
5. Do you think our delivery service is necessary?
( ) YES ( ) NO
6. Do you prefer to refill your containers at the station or have it delivered?
( ) At the Station ( ) Delivered
7. Is the free delivery service for a minimum of 2 containers considered fair?
( ) YES ( ) NO
Survey Questionnaire on Feasibility Study on having a FLENJ Water Refilling Station at
Purok Lemonsito 3, Barangay New Visayas Panabo City, Davao del Norte
The purpose for these questionnaires is to collect crucial information and data of the
residents of Barangay New Visayas, Panabo city, Davao del Norte. Specifically in the
area of Purok Lemonsito, since it was deemed a potential target market. The
respondents of the questionnaires shall be secured knowing that the survey is strictly for
educational purposes alone and all the collected data and information shall remain
confidential and will only serve as a guide for the business moving forward.
Instruction: Please put a check on the space provided for your answer.
Personal Details (Optional)
Name: Marcos Pineda
Address: ______________________________________
Age: _______

1. What is the main source of drinking water for member of your household?
( ) Tap Water () Water Refilling Station ( ) Others Specify
2. How long does it take for you to get the water?
( ) 5-30 mins ( ) 1-2 hrs.
3. How frequent do you use the water refiling stations within a week?
( ) Always ( ) Sometimes
4. If we will be putting up a water refilling station near you, would it be convenient
for you?
( ) YES ( ) NO
5. Do you think our delivery service is necessary?
( ) YES ( ) NO
6. Do you prefer to refill your containers at the station or have it delivered?
( ) At the Station ( ) Delivered
7. Is the free delivery service for a minimum of 2 containers considered fair?
( ) YES ( ) NO
Survey Questionnaire on Feasibility Study on having a FLENJ Water Refilling Station at
Purok Lemonsito 3, Barangay New Visayas Panabo City, Davao del Norte
The purpose for these questionnaires is to collect crucial information and data of the
residents of Barangay New Visayas, Panabo city, Davao del Norte. Specifically in the
area of Purok Lemonsito, since it was deemed a potential target market. The
respondents of the questionnaires shall be secured knowing that the survey is strictly for
educational purposes alone and all the collected data and information shall remain
confidential and will only serve as a guide for the business moving forward.
Instruction: Please put a check on the space provided for your answer.
Personal Details (Optional)
Name: Earl dela Suilto
Address: ______________________________________
Age: _______

1. What is the main source of drinking water for member of your household?
( ) Tap Water () Water Refilling Station ( ) Others Specify
2. How long does it take for you to get the water?
( ) 5-30 mins ( ) 1-2 hrs.
3. How frequent do you use the water refiling stations within a week?
( ) Always ( ) Sometimes
4. If we will be putting up a water refilling station near you, would it be convenient
for you?
( ) YES ( ) NO
5. Do you think our delivery service is necessary?
( ) YES ( ) NO
6. Do you prefer to refill your containers at the station or have it delivered?
( ) At the Station ( ) Delivered
7. Is the free delivery service for a minimum of 2 containers considered fair?
( ) YES ( ) NO
Survey Questionnaire on Feasibility Study on having a FLENJ Water Refilling Station at
Purok Lemonsito 3, Barangay New Visayas Panabo City, Davao del Norte
The purpose for these questionnaires is to collect crucial information and data of the
residents of Barangay New Visayas, Panabo city, Davao del Norte. Specifically in the
area of Purok Lemonsito, since it was deemed a potential target market. The
respondents of the questionnaires shall be secured knowing that the survey is strictly for
educational purposes alone and all the collected data and information shall remain
confidential and will only serve as a guide for the business moving forward.
Instruction: Please put a check on the space provided for your answer.
Personal Details (Optional)
Name: Gil Tabigue
Address: ______________________________________
Age: _______

1. What is the main source of drinking water for member of your household?
( ) Tap Water ( ) Water Refilling Station ( ) Others Specify
2. How long does it take for you to get the water?
( ) 5-30 mins ( ) 1-2 hrs.
3. How frequent do you use the water refiling stations within a week?
( ) Always ( ) Sometimes
4. If we will be putting up a water refilling station near you, would it be convenient
for you?
( ) YES ( ) NO
5. Do you think our delivery service is necessary?
( ) YES ( ) NO
6. Do you prefer to refill your containers at the station or have it delivered?
( ) At the Station ( ) Delivered
7. Is the free delivery service for a minimum of 2 containers considered fair?
( ) YES ( ) NO
Survey Questionnaire on Feasibility Study on having a FLENJ Water Refilling Station at
Purok Lemonsito 3, Barangay New Visayas Panabo City, Davao del Norte
The purpose for these questionnaires is to collect crucial information and data of the
residents of Barangay New Visayas, Panabo city, Davao del Norte. Specifically in the
area of Purok Lemonsito, since it was deemed a potential target market. The
respondents of the questionnaires shall be secured knowing that the survey is strictly for
educational purposes alone and all the collected data and information shall remain
confidential and will only serve as a guide for the business moving forward.
Instruction: Please put a check on the space provided for your answer.
Personal Details (Optional)
Name: Dexter Dublas
Address: ______________________________________
Age: _______

1. What is the main source of drinking water for member of your household?
( ) Tap Water ( ) Water Refilling Station ( ) Others Specify
2. How long does it take for you to get the water?
( ) 5-30 mins ( ) 1-2 hrs.
3. How frequent do you use the water refiling stations within a week?
( ) Always ( ) Sometimes
4. If we will be putting up a water refilling station near you, would it be convenient
for you?
( ) YES ( ) NO
5. Do you think our delivery service is necessary?
( ) YES ( ) NO
6. Do you prefer to refill your containers at the station or have it delivered?
( ) At the Station ( ) Delivered
7. Is the free delivery service for a minimum of 2 containers considered fair?
( ) YES ( ) NO
Survey Questionnaire on Feasibility Study on having a FLENJ Water Refilling Station at
Purok Lemonsito 3, Barangay New Visayas Panabo City, Davao del Norte
The purpose for these questionnaires is to collect crucial information and data of the
residents of Barangay New Visayas, Panabo city, Davao del Norte. Specifically in the
area of Purok Lemonsito, since it was deemed a potential target market. The
respondents of the questionnaires shall be secured knowing that the survey is strictly for
educational purposes alone and all the collected data and information shall remain
confidential and will only serve as a guide for the business moving forward.
Instruction: Please put a check on the space provided for your answer.
Personal Details (Optional)
Name: Carlo Albasin
Address: ______________________________________
Age: _______

1. What is the main source of drinking water for member of your household?
( ) Tap Water ( ) Water Refilling Station ( ) Others Specify
2. How long does it take for you to get the water?
( ) 5-30 mins ( ) 1-2 hrs.
3. How frequent do you use the water refiling stations within a week?
( ) Always ( ) Sometimes
4. If we will be putting up a water refilling station near you, would it be convenient
for you?
( ) YES ( ) NO
5. Do you think our delivery service is necessary?
( ) YES ( ) NO
6. Do you prefer to refill your containers at the station or have it delivered?
( ) At the Station ( ) Delivered
7. Is the free delivery service for a minimum of 2 containers considered fair?
( ) YES ( ) NO
Survey Questionnaire on Feasibility Study on having a FLENJ Water Refilling Station at
Purok Lemonsito 3, Barangay New Visayas Panabo City, Davao del Norte
The purpose for these questionnaires is to collect crucial information and data of the
residents of Barangay New Visayas, Panabo city, Davao del Norte. Specifically in the
area of Purok Lemonsito, since it was deemed a potential target market. The
respondents of the questionnaires shall be secured knowing that the survey is strictly for
educational purposes alone and all the collected data and information shall remain
confidential and will only serve as a guide for the business moving forward.
Instruction: Please put a check on the space provided for your answer.
Personal Details (Optional)
Name: Machi Arangcon
Address: ______________________________________
Age: _______

1. What is the main source of drinking water for member of your household?
( ) Tap Water ( ) Water Refilling Station ( ) Others Specify
2. How long does it take for you to get the water?
( ) 5-30 mins ( ) 1-2 hrs.
3. How frequent do you use the water refiling stations within a week?
( ) Always ( ) Sometimes
4. If we will be putting up a water refilling station near you, would it be convenient
for you?
( ) YES ( ) NO
5. Do you think our delivery service is necessary?
( ) YES ( ) NO
6. Do you prefer to refill your containers at the station or have it delivered?
( ) At the Station ( ) Delivered
7. Is the free delivery service for a minimum of 2 containers considered fair?
( ) YES ( ) NO
Survey Questionnaire on Feasibility Study on having a FLENJ Water Refilling Station at
Purok Lemonsito 3, Barangay New Visayas Panabo City, Davao del Norte
The purpose for these questionnaires is to collect crucial information and data of the
residents of Barangay New Visayas, Panabo city, Davao del Norte. Specifically in the
area of Purok Lemonsito, since it was deemed a potential target market. The
respondents of the questionnaires shall be secured knowing that the survey is strictly for
educational purposes alone and all the collected data and information shall remain
confidential and will only serve as a guide for the business moving forward.

Instruction: Please put a check on the space provided for your answer.
Personal Details (Optional)
Name: Abegail Cama
Address: ______________________________________
Age: _______

1. What is the main source of drinking water for member of your household?
( ) Tap Water ( ) Water Refilling Station ( ) Others Specify
2. How long does it take for you to get the water?
( ) 5-30 mins ( ) 1-2 hrs.
3. How frequent do you use the water refiling stations within a week?
( ) Always ( ) Sometimes
4. If we will be putting up a water refilling station near you, would it be convenient
for you?
( ) YES ( ) NO
5. Do you think our delivery service is necessary?
( ) YES ( ) NO
6. Do you prefer to refill your containers at the station or have it delivered?
( ) At the Station ( ) Delivered
7. Is the free delivery service for a minimum of 2 containers considered fair?
( ) YES ( ) NO
Survey Questionnaire on Feasibility Study on having a FLENJ Water Refilling Station at
Purok Lemonsito 3, Barangay New Visayas Panabo City, Davao del Norte
The purpose for these questionnaires is to collect crucial information and data of the
residents of Barangay New Visayas, Panabo city, Davao del Norte. Specifically in the
area of Purok Lemonsito, since it was deemed a potential target market. The
respondents of the questionnaires shall be secured knowing that the survey is strictly for
educational purposes alone and all the collected data and information shall remain
confidential and will only serve as a guide for the business moving forward.
Instruction: Please put a check on the space provided for your answer.
Personal Details (Optional)
Name: Aprilyn Villegas
Address: ______________________________________
Age: _______

1. What is the main source of drinking water for member of your household?
( ) Tap Water ( ) Water Refilling Station ( ) Others Specify
2. How long does it take for you to get the water?
( ) 5-30 mins ( ) 1-2 hrs.
3. How frequent do you use the water refiling stations within a week?
( ) Always ( ) Sometimes
4. If we will be putting up a water refilling station near you, would it be convenient
for you?
( ) YES ( ) NO
5. Do you think our delivery service is necessary?
( ) YES ( ) NO
6. Do you prefer to refill your containers at the station or have it delivered?
( ) At the Station ( ) Delivered
7. Is the free delivery service for a minimum of 2 containers considered fair?
( ) YES ( ) NO
Survey Questionnaire on Feasibility Study on having a FLENJ Water Refilling Station at
Purok Lemonsito 3, Barangay New Visayas Panabo City, Davao del Norte
The purpose for these questionnaires is to collect crucial information and data of the
residents of Barangay New Visayas, Panabo city, Davao del Norte. Specifically in the
area of Purok Lemonsito, since it was deemed a potential target market. The
respondents of the questionnaires shall be secured knowing that the survey is strictly for
educational purposes alone and all the collected data and information shall remain
confidential and will only serve as a guide for the business moving forward.

Instruction: Please put a check on the space provided for your answer.
Personal Details (Optional)
Name: Micho Basillio
Address: ______________________________________
Age: _______

1. What is the main source of drinking water for member of your household?
( ) Tap Water ( ) Water Refilling Station ( ) Others Specify
2. How long does it take for you to get the water?
( ) 5-30 mins ( ) 1-2 hrs.
3. How frequent do you use the water refiling stations within a week?
( ) Always ( ) Sometimes
4. If we will be putting up a water refilling station near you, would it be convenient
for you?
( ) YES ( ) NO
5. Do you think our delivery service is necessary?
( ) YES ( ) NO
6. Do you prefer to refill your containers at the station or have it delivered?
( ) At the Station ( ) Delivered
7. Is the free delivery service for a minimum of 2 containers considered fair?
( ) YES ( ) NO
Survey Questionnaire on Feasibility Study on having a FLENJ Water Refilling Station at
Purok Lemonsito 3, Barangay New Visayas Panabo City, Davao del Norte
The purpose for these questionnaires is to collect crucial information and data of the
residents of Barangay New Visayas, Panabo city, Davao del Norte. Specifically in the
area of Purok Lemonsito, since it was deemed a potential target market. The
respondents of the questionnaires shall be secured knowing that the survey is strictly for
educational purposes alone and all the collected data and information shall remain
confidential and will only serve as a guide for the business moving forward.

Instruction: Please put a check on the space provided for your answer.
Personal Details (Optional)
Name: Albren James Torillo
Address: ______________________________________
Age: _______

1. What is the main source of drinking water for member of your household?
( ) Tap Water ( ) Water Refilling Station ( ) Others Specify
2. How long does it take for you to get the water?
( ) 5-30 mins ( ) 1-2 hrs.
3. How frequent do you use the water refiling stations within a week?
( ) Always ( ) Sometimes
4. If we will be putting up a water refilling station near you, would it be convenient
for you?
( ) YES ( ) NO
5. Do you think our delivery service is necessary?
( ) YES ( ) NO
6. Do you prefer to refill your containers at the station or have it delivered?
( ) At the Station ( ) Delivered
7. Is the free delivery service for a minimum of 2 containers considered fair?
( ) YES ( ) NO
Survey Questionnaire on Feasibility Study on having a FLENJ Water Refilling Station at
Purok Lemonsito 3, Barangay New Visayas Panabo City, Davao del Norte
The purpose for these questionnaires is to collect crucial information and data of the
residents of Barangay New Visayas, Panabo city, Davao del Norte. Specifically in the
area of Purok Lemonsito, since it was deemed a potential target market. The
respondents of the questionnaires shall be secured knowing that the survey is strictly for
educational purposes alone and all the collected data and information shall remain
confidential and will only serve as a guide for the business moving forward.

Instruction: Please put a check on the space provided for your answer.
Personal Details (Optional)
Name: Hanaflor Salcedo
Address: ______________________________________
Age: _______

1. What is the main source of drinking water for member of your household?
( ) Tap Water ( ) Water Refilling Station ( ) Others Specify
2. How long does it take for you to get the water?
( ) 5-30 mins ( ) 1-2 hrs.
3. How frequent do you use the water refiling stations within a week?
( ) Always ( ) Sometimes
4. If we will be putting up a water refilling station near you, would it be convenient
for you?
( ) YES ( ) NO
5. Do you think our delivery service is necessary?
( ) YES ( ) NO
6. Do you prefer to refill your containers at the station or have it delivered?
( ) At the Station ( ) Delivered
7. Is the free delivery service for a minimum of 2 containers considered fair?
( ) YES ( ) NO
Survey Questionnaire on Feasibility Study on having a FLENJ Water Refilling Station at
Purok Lemonsito 3, Barangay New Visayas Panabo City, Davao del Norte
The purpose for these questionnaires is to collect crucial information and data of the
residents of Barangay New Visayas, Panabo city, Davao del Norte. Specifically in the
area of Purok Lemonsito, since it was deemed a potential target market. The
respondents of the questionnaires shall be secured knowing that the survey is strictly for
educational purposes alone and all the collected data and information shall remain
confidential and will only serve as a guide for the business moving forward.

Instruction: Please put a check on the space provided for your answer.
Personal Details (Optional)
Name: Rozil Luben
Address: ______________________________________
Age: _______

1. What is the main source of drinking water for member of your household?
( ) Tap Water ( ) Water Refilling Station ( ) Others Specify
2. How long does it take for you to get the water?
( ) 5-30 mins ( ) 1-2 hrs.
3. How frequent do you use the water refiling stations within a week?
( ) Always ( ) Sometimes
4. If we will be putting up a water refilling station near you, would it be convenient
for you?
( ) YES ( ) NO
5. Do you think our delivery service is necessary?
( ) YES ( ) NO
6. Do you prefer to refill your containers at the station or have it delivered?
( ) At the Station ( ) Delivered
7. Is the free delivery service for a minimum of 2 containers considered fair?
( ) YES ( ) NO
Survey Questionnaire on Feasibility Study on having a FLENJ Water Refilling Station at
Purok Lemonsito 3, Barangay New Visayas Panabo City, Davao del Norte
The purpose for these questionnaires is to collect crucial information and data of the
residents of Barangay New Visayas, Panabo city, Davao del Norte. Specifically in the
area of Purok Lemonsito, since it was deemed a potential target market. The
respondents of the questionnaires shall be secured knowing that the survey is strictly for
educational purposes alone and all the collected data and information shall remain
confidential and will only serve as a guide for the business moving forward.

Instruction: Please put a check on the space provided for your answer.
Personal Details (Optional)
Name: Rejen Estanique
Address: ______________________________________
Age: _______

1. What is the main source of drinking water for member of your household?
( ) Tap Water ( ) Water Refilling Station ( ) Others Specify
2. How long does it take for you to get the water?
( ) 5-30 mins ( ) 1-2 hrs.
3. How frequent do you use the water refiling stations within a week?
( ) Always ( ) Sometimes
4. If we will be putting up a water refilling station near you, would it be convenient
for you?
( ) YES ( ) NO
5. Do you think our delivery service is necessary?
( ) YES ( ) NO
6. Do you prefer to refill your containers at the station or have it delivered?
( ) At the Station ( ) Delivered
7. Is the free delivery service for a minimum of 2 containers considered fair?
( ) YES ( ) NO
Survey Questionnaire on Feasibility Study on having a FLENJ Water Refilling Station at
Purok Lemonsito 3, Barangay New Visayas Panabo City, Davao del Norte
The purpose for these questionnaires is to collect crucial information and data of the
residents of Barangay New Visayas, Panabo city, Davao del Norte. Specifically in the
area of Purok Lemonsito, since it was deemed a potential target market. The
respondents of the questionnaires shall be secured knowing that the survey is strictly for
educational purposes alone and all the collected data and information shall remain
confidential and will only serve as a guide for the business moving forward.
Instruction: Please put a check on the space provided for your answer.
Personal Details (Optional)
Name: Miryl Rose Tillo
Address: ______________________________________
Age: _______

1. What is the main source of drinking water for member of your household?
( ) Tap Water ( ) Water Refilling Station ( ) Others Specify
2. How long does it take for you to get the water?
( ) 5-30 mins ( ) 1-2 hrs.
3. How frequent do you use the water refiling stations within a week?
( ) Always ( ) Sometimes
4. If we will be putting up a water refilling station near you, would it be convenient
for you?
( ) YES ( ) NO
5. Do you think our delivery service is necessary?
( ) YES ( ) NO
6. Do you prefer to refill your containers at the station or have it delivered?
( ) At the Station ( ) Delivered
7. Is the free delivery service for a minimum of 2 containers considered fair?
( ) YES ( ) NO
Survey Questionnaire on Feasibility Study on having a FLENJ Water Refilling Station at
Purok Lemonsito 3, Barangay New Visayas Panabo City, Davao del Norte
The purpose for these questionnaires is to collect crucial information and data of the
residents of Barangay New Visayas, Panabo city, Davao del Norte. Specifically in the
area of Purok Lemonsito, since it was deemed a potential target market. The
respondents of the questionnaires shall be secured knowing that the survey is strictly for
educational purposes alone and all the collected data and information shall remain
confidential and will only serve as a guide for the business moving forward.

Instruction: Please put a check on the space provided for your answer.
Personal Details (Optional)
Name: Christine Joy Balnaja
Address: ______________________________________
Age: _______

1. What is the main source of drinking water for member of your household?
( ) Tap Water ( ) Water Refilling Station ( ) Others Specify
2. How long does it take for you to get the water?
( ) 5-30 mins ( ) 1-2 hrs.
3. How frequent do you use the water refiling stations within a week?
( ) Always ( ) Sometimes
4. If we will be putting up a water refilling station near you, would it be convenient
for you?
( ) YES ( ) NO
5. Do you think our delivery service is necessary?
( ) YES ( ) NO
6. Do you prefer to refill your containers at the station or have it delivered?
( ) At the Station ( ) Delivered
7. Is the free delivery service for a minimum of 2 containers considered fair?
( ) YES ( ) NO
Survey Questionnaire on Feasibility Study on having a FLENJ Water Refilling Station at
Purok Lemonsito 3, Barangay New Visayas Panabo City, Davao del Norte
The purpose for these questionnaires is to collect crucial information and data of the
residents of Barangay New Visayas, Panabo city, Davao del Norte. Specifically in the
area of Purok Lemonsito, since it was deemed a potential target market. The
respondents of the questionnaires shall be secured knowing that the survey is strictly for
educational purposes alone and all the collected data and information shall remain
confidential and will only serve as a guide for the business moving forward.

Instruction: Please put a check on the space provided for your answer.
Personal Details (Optional)
Name: ________________________________________
Address: ______________________________________
Age: _______

2. What is the main source of drinking water for member of your household?
( ) Tap Water ( ) Water Refilling Station ( ) Others Specify
8. How long does it take for you to get the water?
( ) 5-30 mins ( ) 1-2 hrs.
9. How frequent do you use the water refiling stations within a week?
( ) Always ( ) Sometimes
10. If we will be putting up a water refilling station near you, would it be convenient
for you?
( ) YES ( ) NO
11. Do you think our delivery service is necessary?
( ) YES ( ) NO
12. Do you prefer to refill your containers at the station or have it delivered?
( ) At the Station ( ) Delivered
13. Is the free delivery service for a minimum of 2 containers considered fair?
( ) YES ( ) NO
Survey Questionnaire on Feasibility Study on having a FLENJ Water Refilling Station at
Purok Lemonsito 3, Barangay New Visayas Panabo City, Davao del Norte
The purpose for these questionnaires is to collect crucial information and data of the
residents of Barangay New Visayas, Panabo city, Davao del Norte. Specifically in the
area of Purok Lemonsito, since it was deemed a potential target market. The
respondents of the questionnaires shall be secured knowing that the survey is strictly for
educational purposes alone and all the collected data and information shall remain
confidential and will only serve as a guide for the business moving forward.

Instruction: Please put a check on the space provided for your answer.
Personal Details (Optional)
Name: ________________________________________
Address: ______________________________________
Age: _______

1. What is the main source of drinking water for member of your household?
( ) Tap Water ( ) Water Refilling Station ( ) Others Specify
2. How long does it take for you to get the water?
( ) 5-30 mins ( ) 1-2 hrs.
3. How frequent do you use the water refiling stations within a week?
( ) Always ( ) Sometimes
4. If we will be putting up a water refilling station near you, would it be convenient
for you?
( ) YES ( ) NO
5. Do you think our delivery service is necessary?
( ) YES ( ) NO
6. Do you prefer to refill your containers at the station or have it delivered?
( ) At the Station ( ) Delivered
7. Is the free delivery service for a minimum of 2 containers considered fair?
( ) YES ( ) NO
Survey Questionnaire on Feasibility Study on having a FLENJ Water Refilling Station at
Purok Lemonsito 3, Barangay New Visayas Panabo City, Davao del Norte
The purpose for these questionnaires is to collect crucial information and data of the
residents of Barangay New Visayas, Panabo city, Davao del Norte. Specifically in the
area of Purok Lemonsito, since it was deemed a potential target market. The
respondents of the questionnaires shall be secured knowing that the survey is strictly for
educational purposes alone and all the collected data and information shall remain
confidential and will only serve as a guide for the business moving forward.

Instruction: Please put a check on the space provided for your answer.
Personal Details (Optional)
Name: ________________________________________
Address: ______________________________________
Age: _______

8. What is the main source of drinking water for member of your household?
( ) Tap Water ( ) Water Refilling Station ( ) Others Specify
9. How long does it take for you to get the water?
( ) 5-30 mins ( ) 1-2 hrs.
10. How frequent do you use the water refiling stations within a week?
( ) Always ( ) Sometimes
11. If we will be putting up a water refilling station near you, would it be convenient
for you?
( ) YES ( ) NO
12. Do you think our delivery service is necessary?
( ) YES ( ) NO
13. Do you prefer to refill your containers at the station or have it delivered?
( ) At the Station ( ) Delivered
14. Is the free delivery service for a minimum of 2 containers considered fair?
( ) YES ( ) NO
Survey Questionnaire on Feasibility Study on having a FLENJ Water Refilling Station at
Purok Lemonsito 3, Barangay New Visayas Panabo City, Davao del Norte
The purpose for these questionnaires is to collect crucial information and data of the
residents of Barangay New Visayas, Panabo city, Davao del Norte. Specifically in the
area of Purok Lemonsito, since it was deemed a potential target market. The
respondents of the questionnaires shall be secured knowing that the survey is strictly for
educational purposes alone and all the collected data and information shall remain
confidential and will only serve as a guide for the business moving forward.

Instruction: Please put a check on the space provided for your answer.
Personal Details (Optional)
Name: ________________________________________
Address: ______________________________________
Age: _______

1. What is the main source of drinking water for member of your household?
( ) Tap Water ( ) Water Refilling Station ( ) Others Specify
2. How long does it take for you to get the water?
( ) 5-30 mins ( ) 1-2 hrs.
3. How frequent do you use the water refiling stations within a week?
( ) Always ( ) Sometimes
4. If we will be putting up a water refilling station near you, would it be convenient
for you?
( ) YES ( ) NO
5. Do you think our delivery service is necessary?
( ) YES ( ) NO
6. Do you prefer to refill your containers at the station or have it delivered?
( ) At the Station ( ) Delivered
7. Is the free delivery service for a minimum of 2 containers considered fair?
( ) YES ( ) NO
Survey Questionnaire on Feasibility Study on having a FLENJ Water Refilling Station at
Purok Lemonsito 3, Barangay New Visayas Panabo City, Davao del Norte
The purpose for these questionnaires is to collect crucial information and data of the
residents of Barangay New Visayas, Panabo city, Davao del Norte. Specifically in the
area of Purok Lemonsito, since it was deemed a potential target market. The
respondents of the questionnaires shall be secured knowing that the survey is strictly for
educational purposes alone and all the collected data and information shall remain
confidential and will only serve as a guide for the business moving forward.

Instruction: Please put a check on the space provided for your answer.
Personal Details (Optional)
Name: ________________________________________
Address: ______________________________________
Age: _______

15. What is the main source of drinking water for member of your household?
( ) Tap Water ( ) Water Refilling Station ( ) Others Specify
16. How long does it take for you to get the water?
( ) 5-30 mins ( ) 1-2 hrs.
17. How frequent do you use the water refiling stations within a week?
( ) Always ( ) Sometimes
18. If we will be putting up a water refilling station near you, would it be convenient
for you?
( ) YES ( ) NO
19. Do you think our delivery service is necessary?
( ) YES ( ) NO
20. Do you prefer to refill your containers at the station or have it delivered?
( ) At the Station ( ) Delivered
21. Is the free delivery service for a minimum of 2 containers considered fair?
( ) YES ( ) NO
Survey Questionnaire on Feasibility Study on having a FLENJ Water Refilling Station at
Purok Lemonsito 3, Barangay New Visayas Panabo City, Davao del Norte
The purpose for these questionnaires is to collect crucial information and data of the
residents of Barangay New Visayas, Panabo city, Davao del Norte. Specifically in the
area of Purok Lemonsito, since it was deemed a potential target market. The
respondents of the questionnaires shall be secured knowing that the survey is strictly for
educational purposes alone and all the collected data and information shall remain
confidential and will only serve as a guide for the business moving forward.

Instruction: Please put a check on the space provided for your answer.
Personal Details (Optional)
Name: ________________________________________
Address: ______________________________________
Age: _______

22. What is the main source of drinking water for member of your household?
( ) Tap Water ( ) Water Refilling Station ( ) Others Specify
23. How long does it take for you to get the water?
( ) 5-30 mins ( ) 1-2 hrs.
24. How frequent do you use the water refiling stations within a week?
( ) Always ( ) Sometimes
25. If we will be putting up a water refilling station near you, would it be convenient
for you?
( ) YES ( ) NO
26. Do you think our delivery service is necessary?
( ) YES ( ) NO
27. Do you prefer to refill your containers at the station or have it delivered?
( ) At the Station ( ) Delivered
28. Is the free delivery service for a minimum of 2 containers considered fair?
( ) YES ( ) NO
Survey Questionnaire on Feasibility Study on having a FLENJ Water Refilling Station at
Purok Lemonsito 3, Barangay New Visayas Panabo City, Davao del Norte
The purpose for these questionnaires is to collect crucial information and data of the
residents of Barangay New Visayas, Panabo city, Davao del Norte. Specifically in the
area of Purok Lemonsito, since it was deemed a potential target market. The
respondents of the questionnaires shall be secured knowing that the survey is strictly for
educational purposes alone and all the collected data and information shall remain
confidential and will only serve as a guide for the business moving forward.

Instruction: Please put a check on the space provided for your answer.
Personal Details (Optional)
Name: ________________________________________
Address: ______________________________________
Age: _______

8. What is the main source of drinking water for member of your household?
( ) Tap Water ( ) Water Refilling Station ( ) Others Specify
9. How long does it take for you to get the water?
( ) 5-30 mins ( ) 1-2 hrs.
10. How frequent do you use the water refiling stations within a week?
( ) Always ( ) Sometimes
11. If we will be putting up a water refilling station near you, would it be convenient
for you?
( ) YES ( ) NO
12. Do you think our delivery service is necessary?
( ) YES ( ) NO
13. Do you prefer to refill your containers at the station or have it delivered?
( ) At the Station ( ) Delivered
14. Is the free delivery service for a minimum of 2 containers considered fair?
( ) YES ( ) NO
Survey Questionnaire on Feasibility Study on having a FLENJ Water Refilling Station at
Purok Lemonsito 3, Barangay New Visayas Panabo City, Davao del Norte
The purpose for these questionnaires is to collect crucial information and data of the
residents of Barangay New Visayas, Panabo city, Davao del Norte. Specifically in the
area of Purok Lemonsito, since it was deemed a potential target market. The
respondents of the questionnaires shall be secured knowing that the survey is strictly for
educational purposes alone and all the collected data and information shall remain
confidential and will only serve as a guide for the business moving forward.
Instruction: Please put a check on the space provided for your answer.
Personal Details (Optional)
Name: ________________________________________
Address: ______________________________________
Age: _______

1. What is the main source of drinking water for member of your household?
( ) Tap Water ( ) Water Refilling Station ( ) Others Specify
2. How long does it take for you to get the water?
( ) 5-30 mins ( ) 1-2 hrs.
3. How frequent do you use the water refiling stations within a week?
( ) Always ( ) Sometimes
4. If we will be putting up a water refilling station near you, would it be convenient
for you?
( ) YES ( ) NO
5. Do you think our delivery service is necessary?
( ) YES ( ) NO
6. Do you prefer to refill your containers at the station or have it delivered?
( ) At the Station ( ) Delivered
7. Is the free delivery service for a minimum of 2 containers considered fair?
( ) YES ( ) NO
Survey Questionnaire on Feasibility Study on having a FLENJ Water Refilling Station at
Purok Lemonsito 3, Barangay New Visayas Panabo City, Davao del Norte
The purpose for these questionnaires is to collect crucial information and data of the
residents of Barangay New Visayas, Panabo city, Davao del Norte. Specifically in the
area of Purok Lemonsito, since it was deemed a potential target market. The
respondents of the questionnaires shall be secured knowing that the survey is strictly for
educational purposes alone and all the collected data and information shall remain
confidential and will only serve as a guide for the business moving forward.

Instruction: Please put a check on the space provided for your answer.
Personal Details (Optional)
Name: ________________________________________
Address: ______________________________________
Age: _______

1. What is the main source of drinking water for member of your household?
( ) Tap Water ( ) Water Refilling Station ( ) Others Specify
2. How long does it take for you to get the water?
( ) 5-30 mins ( ) 1-2 hrs.
3. How frequent do you use the water refiling stations within a week?
( ) Always ( ) Sometimes
4. If we will be putting up a water refilling station near you, would it be convenient
for you?
( ) YES ( ) NO
5. Do you think our delivery service is necessary?
( ) YES ( ) NO
6. Do you prefer to refill your containers at the station or have it delivered?
( ) At the Station ( ) Delivered
7. Is the free delivery service for a minimum of 2 containers considered fair?
( ) YES ( ) NO
Survey Questionnaire on Feasibility Study on having a FLENJ Water Refilling Station at
Purok Lemonsito 3, Barangay New Visayas Panabo City, Davao del Norte
The purpose for these questionnaires is to collect crucial information and data of the
residents of Barangay New Visayas, Panabo city, Davao del Norte. Specifically in the
area of Purok Lemonsito, since it was deemed a potential target market. The
respondents of the questionnaires shall be secured knowing that the survey is strictly for
educational purposes alone and all the collected data and information shall remain
confidential and will only serve as a guide for the business moving forward.

Instruction: Please put a check on the space provided for your answer.
Personal Details (Optional)
Name: ________________________________________
Address: ______________________________________
Age: _______

3. What is the main source of drinking water for member of your household?
( ) Tap Water ( ) Water Refilling Station ( ) Others Specify
14. How long does it take for you to get the water?
( ) 5-30 mins ( ) 1-2 hrs.
15. How frequent do you use the water refiling stations within a week?
( ) Always ( ) Sometimes
16. If we will be putting up a water refilling station near you, would it be convenient
for you?
( ) YES ( ) NO
17. Do you think our delivery service is necessary?
( ) YES ( ) NO
18. Do you prefer to refill your containers at the station or have it delivered?
( ) At the Station ( ) Delivered
19. Is the free delivery service for a minimum of 2 containers considered fair?
( ) YES ( ) NO
Survey Questionnaire on Feasibility Study on having a FLENJ Water Refilling Station at
Purok Lemonsito 3, Barangay New Visayas Panabo City, Davao del Norte
The purpose for these questionnaires is to collect crucial information and data of the
residents of Barangay New Visayas, Panabo city, Davao del Norte. Specifically in the
area of Purok Lemonsito, since it was deemed a potential target market. The
respondents of the questionnaires shall be secured knowing that the survey is strictly for
educational purposes alone and all the collected data and information shall remain
confidential and will only serve as a guide for the business moving forward.

Instruction: Please put a check on the space provided for your answer.
Personal Details (Optional)
Name: ________________________________________
Address: ______________________________________
Age: _______

8. What is the main source of drinking water for member of your household?
( ) Tap Water ( ) Water Refilling Station ( ) Others Specify
9. How long does it take for you to get the water?
( ) 5-30 mins ( ) 1-2 hrs.
10. How frequent do you use the water refiling stations within a week?
( ) Always ( ) Sometimes
11. If we will be putting up a water refilling station near you, would it be convenient
for you?
( ) YES ( ) NO
12. Do you think our delivery service is necessary?
( ) YES ( ) NO
13. Do you prefer to refill your containers at the station or have it delivered?
( ) At the Station ( ) Delivered
14. Is the free delivery service for a minimum of 2 containers considered fair?
( ) YES ( ) NO
Survey Questionnaire on Feasibility Study on having a FLENJ Water Refilling Station at
Purok Lemonsito 3, Barangay New Visayas Panabo City, Davao del Norte
The purpose for these questionnaires is to collect crucial information and data of the
residents of Barangay New Visayas, Panabo city, Davao del Norte. Specifically in the
area of Purok Lemonsito, since it was deemed a potential target market. The
respondents of the questionnaires shall be secured knowing that the survey is strictly for
educational purposes alone and all the collected data and information shall remain
confidential and will only serve as a guide for the business moving forward.

Instruction: Please put a check on the space provided for your answer.
Personal Details (Optional)
Name: ________________________________________
Address: ______________________________________
Age: _______

1. What is the main source of drinking water for member of your household?
( ) Tap Water ( ) Water Refilling Station ( ) Others Specify
2. How long does it take for you to get the water?
( ) 5-30 mins ( ) 1-2 hrs.
3. How frequent do you use the water refiling stations within a week?
( ) Always ( ) Sometimes
4. If we will be putting up a water refilling station near you, would it be convenient
for you?
( ) YES ( ) NO
5. Do you think our delivery service is necessary?
( ) YES ( ) NO
6. Do you prefer to refill your containers at the station or have it delivered?
( ) At the Station ( ) Delivered
7. Is the free delivery service for a minimum of 2 containers considered fair?
( ) YES ( ) NO
Survey Questionnaire on Feasibility Study on having a FLENJ Water Refilling Station at
Purok Lemonsito 3, Barangay New Visayas Panabo City, Davao del Norte
The purpose for these questionnaires is to collect crucial information and data of the
residents of Barangay New Visayas, Panabo city, Davao del Norte. Specifically in the
area of Purok Lemonsito, since it was deemed a potential target market. The
respondents of the questionnaires shall be secured knowing that the survey is strictly for
educational purposes alone and all the collected data and information shall remain
confidential and will only serve as a guide for the business moving forward.

Instruction: Please put a check on the space provided for your answer.
Personal Details (Optional)
Name: ________________________________________
Address: ______________________________________
Age: _______

1. What is the main source of drinking water for member of your household?
( ) Tap Water ( ) Water Refilling Station ( ) Others Specify
2. How long does it take for you to get the water?
( ) 5-30 mins ( ) 1-2 hrs.
3. How frequent do you use the water refiling stations within a week?
( ) Always ( ) Sometimes
4. If we will be putting up a water refilling station near you, would it be convenient
for you?
( ) YES ( ) NO
5. Do you think our delivery service is necessary?
( ) YES ( ) NO
6. Do you prefer to refill your containers at the station or have it delivered?
( ) At the Station ( ) Delivered
7. Is the free delivery service for a minimum of 2 containers considered fair?
( ) YES ( ) NO
Survey Questionnaire on Feasibility Study on having a FLENJ Water Refilling Station at
Purok Lemonsito 3, Barangay New Visayas Panabo City, Davao del Norte
The purpose for these questionnaires is to collect crucial information and data of the
residents of Barangay New Visayas, Panabo city, Davao del Norte. Specifically in the
area of Purok Lemonsito, since it was deemed a potential target market. The
respondents of the questionnaires shall be secured knowing that the survey is strictly for
educational purposes alone and all the collected data and information shall remain
confidential and will only serve as a guide for the business moving forward.

Instruction: Please put a check on the space provided for your answer.
Personal Details (Optional)
Name: ________________________________________
Address: ______________________________________
Age: _______

1. What is the main source of drinking water for member of your household?
( ) Tap Water ( ) Water Refilling Station ( ) Others Specify
2. How long does it take for you to get the water?
( ) 5-30 mins ( ) 1-2 hrs.
3. How frequent do you use the water refiling stations within a week?
( ) Always ( ) Sometimes
4. If we will be putting up a water refilling station near you, would it be convenient
for you?
( ) YES ( ) NO
5. Do you think our delivery service is necessary?
( ) YES ( ) NO
6. Do you prefer to refill your containers at the station or have it delivered?
( ) At the Station ( ) Delivered
7. Is the free delivery service for a minimum of 2 containers considered fair?
( ) YES ( ) NO
Survey Questionnaire on Feasibility Study on having a FLENJ Water Refilling Station at
Purok Lemonsito 3, Barangay New Visayas Panabo City, Davao del Norte
The purpose for these questionnaires is to collect crucial information and data of the
residents of Barangay New Visayas, Panabo city, Davao del Norte. Specifically in the
area of Purok Lemonsito, since it was deemed a potential target market. The
respondents of the questionnaires shall be secured knowing that the survey is strictly for
educational purposes alone and all the collected data and information shall remain
confidential and will only serve as a guide for the business moving forward.

Instruction: Please put a check on the space provided for your answer.
Personal Details (Optional)
Name: ________________________________________
Address: ______________________________________
Age: _______

1. What is the main source of drinking water for member of your household?
( ) Tap Water ( ) Water Refilling Station ( ) Others Specify
2. How long does it take for you to get the water?
( ) 5-30 mins ( ) 1-2 hrs.
3. How frequent do you use the water refiling stations within a week?
( ) Always ( ) Sometimes
4. If we will be putting up a water refilling station near you, would it be convenient
for you?
( ) YES ( ) NO
5. Do you think our delivery service is necessary?
( ) YES ( ) NO
6. Do you prefer to refill your containers at the station or have it delivered?
( ) At the Station ( ) Delivered
7. Is the free delivery service for a minimum of 2 containers considered fair?
( ) YES ( ) NO
Survey Questionnaire on Feasibility Study on having a FLENJ Water Refilling Station at
Purok Lemonsito 3, Barangay New Visayas Panabo City, Davao del Norte
The purpose for these questionnaires is to collect crucial information and data of the
residents of Barangay New Visayas, Panabo city, Davao del Norte. Specifically in the
area of Purok Lemonsito, since it was deemed a potential target market. The
respondents of the questionnaires shall be secured knowing that the survey is strictly for
educational purposes alone and all the collected data and information shall remain
confidential and will only serve as a guide for the business moving forward.

Instruction: Please put a check on the space provided for your answer.
Personal Details (Optional)
Name: ________________________________________
Address: ______________________________________
Age: _______

1. What is the main source of drinking water for member of your household?
( ) Tap Water ( ) Water Refilling Station ( ) Others Specify
2. How long does it take for you to get the water?
( ) 5-30 mins ( ) 1-2 hrs.
3. How frequent do you use the water refiling stations within a week?
( ) Always ( ) Sometimes
4. If we will be putting up a water refilling station near you, would it be convenient
for you?
( ) YES ( ) NO
5. Do you think our delivery service is necessary?
( ) YES ( ) NO
6. Do you prefer to refill your containers at the station or have it delivered?
( ) At the Station ( ) Delivered
7. Is the free delivery service for a minimum of 2 containers considered fair?
( ) YES ( ) NO
Survey Questionnaire on Feasibility Study on having a FLENJ Water Refilling Station at
Purok Lemonsito 3, Barangay New Visayas Panabo City, Davao del Norte
The purpose for these questionnaires is to collect crucial information and data of the
residents of Barangay New Visayas, Panabo city, Davao del Norte. Specifically in the
area of Purok Lemonsito, since it was deemed a potential target market. The
respondents of the questionnaires shall be secured knowing that the survey is strictly for
educational purposes alone and all the collected data and information shall remain
confidential and will only serve as a guide for the business moving forward.

Instruction: Please put a check on the space provided for your answer.
Personal Details (Optional)
Name: ________________________________________
Address: ______________________________________
Age: _______

8. What is the main source of drinking water for member of your household?
( ) Tap Water ( ) Water Refilling Station ( ) Others Specify
9. How long does it take for you to get the water?
( ) 5-30 mins ( ) 1-2 hrs.
10. How frequent do you use the water refiling stations within a week?
( ) Always ( ) Sometimes
11. If we will be putting up a water refilling station near you, would it be convenient
for you?
( ) YES ( ) NO
12. Do you think our delivery service is necessary?
( ) YES ( ) NO
13. Do you prefer to refill your containers at the station or have it delivered?
( ) At the Station ( ) Delivered
14. Is the free delivery service for a minimum of 2 containers considered fair?
( ) YES ( ) NO
Survey Questionnaire on Feasibility Study on having a FLENJ Water Refilling Station at
Purok Lemonsito 3, Barangay New Visayas Panabo City, Davao del Norte
The purpose for these questionnaires is to collect crucial information and data of the
residents of Barangay New Visayas, Panabo city, Davao del Norte. Specifically in the
area of Purok Lemonsito, since it was deemed a potential target market. The
respondents of the questionnaires shall be secured knowing that the survey is strictly for
educational purposes alone and all the collected data and information shall remain
confidential and will only serve as a guide for the business moving forward.

Instruction: Please put a check on the space provided for your answer.
Personal Details (Optional)
Name: ________________________________________
Address: ______________________________________
Age: _______

1. What is the main source of drinking water for member of your household?
( ) Tap Water ( ) Water Refilling Station ( ) Others Specify
2. How long does it take for you to get the water?
( ) 5-30 mins ( ) 1-2 hrs.
3. How frequent do you use the water refiling stations within a week?
( ) Always ( ) Sometimes
4. If we will be putting up a water refilling station near you, would it be convenient
for you?
( ) YES ( ) NO
5. Do you think our delivery service is necessary?
( ) YES ( ) NO
6. Do you prefer to refill your containers at the station or have it delivered?
( ) At the Station ( ) Delivered
7. Is the free delivery service for a minimum of 2 containers considered fair?
( ) YES ( ) NO
Survey Questionnaire on Feasibility Study on having a FLENJ Water Refilling Station at
Purok Lemonsito 3, Barangay New Visayas Panabo City, Davao del Norte
The purpose for these questionnaires is to collect crucial information and data of the
residents of Barangay New Visayas, Panabo city, Davao del Norte. Specifically in the
area of Purok Lemonsito, since it was deemed a potential target market. The
respondents of the questionnaires shall be secured knowing that the survey is strictly for
educational purposes alone and all the collected data and information shall remain
confidential and will only serve as a guide for the business moving forward.

Instruction: Please put a check on the space provided for your answer.
Personal Details (Optional)
Name: ________________________________________
Address: ______________________________________
Age: _______

4. What is the main source of drinking water for member of your household?
( ) Tap Water ( ) Water Refilling Station ( ) Others Specify
20. How long does it take for you to get the water?
( ) 5-30 mins ( ) 1-2 hrs.
21. How frequent do you use the water refiling stations within a week?
( ) Always ( ) Sometimes
22. If we will be putting up a water refilling station near you, would it be convenient
for you?
( ) YES ( ) NO
23. Do you think our delivery service is necessary?
( ) YES ( ) NO
24. Do you prefer to refill your containers at the station or have it delivered?
( ) At the Station ( ) Delivered
25. Is the free delivery service for a minimum of 2 containers considered fair?
( ) YES ( ) NO
Survey Questionnaire on Feasibility Study on having a FLENJ Water Refilling Station at
Purok Lemonsito 3, Barangay New Visayas Panabo City, Davao del Norte
The purpose for these questionnaires is to collect crucial information and data of the
residents of Barangay New Visayas, Panabo city, Davao del Norte. Specifically in the
area of Purok Lemonsito, since it was deemed a potential target market. The
respondents of the questionnaires shall be secured knowing that the survey is strictly for
educational purposes alone and all the collected data and information shall remain
confidential and will only serve as a guide for the business moving forward.

Instruction: Please put a check on the space provided for your answer.
Personal Details (Optional)
Name: ________________________________________
Address: ______________________________________
Age: _______

1. What is the main source of drinking water for member of your household?
( ) Tap Water ( ) Water Refilling Station ( ) Others Specify
2. How long does it take for you to get the water?
( ) 5-30 mins ( ) 1-2 hrs.
3. How frequent do you use the water refiling stations within a week?
( ) Always ( ) Sometimes
4. If we will be putting up a water refilling station near you, would it be convenient
for you?
( ) YES ( ) NO
5. Do you think our delivery service is necessary?
( ) YES ( ) NO
6. Do you prefer to refill your containers at the station or have it delivered?
( ) At the Station ( ) Delivered
7. Is the free delivery service for a minimum of 2 containers considered fair?
( ) YES ( ) NO
Survey Questionnaire on Feasibility Study on having a FLENJ Water Refilling Station at
Purok Lemonsito 3, Barangay New Visayas Panabo City, Davao del Norte
The purpose for these questionnaires is to collect crucial information and data of the
residents of Barangay New Visayas, Panabo city, Davao del Norte. Specifically in the
area of Purok Lemonsito, since it was deemed a potential target market. The
respondents of the questionnaires shall be secured knowing that the survey is strictly for
educational purposes alone and all the collected data and information shall remain
confidential and will only serve as a guide for the business moving forward.

Instruction: Please put a check on the space provided for your answer.
Personal Details (Optional)
Name: ________________________________________
Address: ______________________________________
Age: _______

1. What is the main source of drinking water for member of your household?
( ) Tap Water ( ) Water Refilling Station ( ) Others Specify
2. How long does it take for you to get the water?
( ) 5-30 mins ( ) 1-2 hrs.
3. How frequent do you use the water refiling stations within a week?
( ) Always ( ) Sometimes
4. If we will be putting up a water refilling station near you, would it be convenient
for you?
( ) YES ( ) NO
5. Do you think our delivery service is necessary?
( ) YES ( ) NO
6. Do you prefer to refill your containers at the station or have it delivered?
( ) At the Station ( ) Delivered
7. Is the free delivery service for a minimum of 2 containers considered fair?
( ) YES ( ) NO
Survey Questionnaire on Feasibility Study on having a FLENJ Water Refilling Station at
Purok Lemonsito 3, Barangay New Visayas Panabo City, Davao del Norte
The purpose for these questionnaires is to collect crucial information and data of the
residents of Barangay New Visayas, Panabo city, Davao del Norte. Specifically in the
area of Purok Lemonsito, since it was deemed a potential target market. The
respondents of the questionnaires shall be secured knowing that the survey is strictly for
educational purposes alone and all the collected data and information shall remain
confidential and will only serve as a guide for the business moving forward.

Instruction: Please put a check on the space provided for your answer.
Personal Details (Optional)
Name: ________________________________________
Address: ______________________________________
Age: _______

1. What is the main source of drinking water for member of your household?
( ) Tap Water ( ) Water Refilling Station ( ) Others Specify
2. How long does it take for you to get the water?
( ) 5-30 mins ( ) 1-2 hrs.
3. How frequent do you use the water refiling stations within a week?
( ) Always ( ) Sometimes
4. If we will be putting up a water refilling station near you, would it be convenient
for you?
( ) YES ( ) NO
5. Do you think our delivery service is necessary?
( ) YES ( ) NO
6. Do you prefer to refill your containers at the station or have it delivered?
( ) At the Station ( ) Delivered
7. Is the free delivery service for a minimum of 2 containers considered fair?
( ) YES ( ) NO
Survey Questionnaire on Feasibility Study on having a FLENJ Water Refilling Station at
Purok Lemonsito 3, Barangay New Visayas Panabo City, Davao del Norte
The purpose for these questionnaires is to collect crucial information and data of the
residents of Barangay New Visayas, Panabo city, Davao del Norte. Specifically in the
area of Purok Lemonsito, since it was deemed a potential target market. The
respondents of the questionnaires shall be secured knowing that the survey is strictly for
educational purposes alone and all the collected data and information shall remain
confidential and will only serve as a guide for the business moving forward.

Instruction: Please put a check on the space provided for your answer.
Personal Details (Optional)
Name: ________________________________________
Address: ______________________________________
Age: _______

1. What is the main source of drinking water for member of your household?
( ) Tap Water ( ) Water Refilling Station ( ) Others Specify
2. How long does it take for you to get the water?
( ) 5-30 mins ( ) 1-2 hrs.
3. How frequent do you use the water refiling stations within a week?
( ) Always ( ) Sometimes
4. If we will be putting up a water refilling station near you, would it be convenient
for you?
( ) YES ( ) NO
5. Do you think our delivery service is necessary?
( ) YES ( ) NO
6. Do you prefer to refill your containers at the station or have it delivered?
( ) At the Station ( ) Delivered
7. Is the free delivery service for a minimum of 2 containers considered fair?
( ) YES ( ) NO
Survey Questionnaire on Feasibility Study on having a FLENJ Water Refilling Station at
Purok Lemonsito 3, Barangay New Visayas Panabo City, Davao del Norte
The purpose for these questionnaires is to collect crucial information and data of the
residents of Barangay New Visayas, Panabo city, Davao del Norte. Specifically in the
area of Purok Lemonsito, since it was deemed a potential target market. The
respondents of the questionnaires shall be secured knowing that the survey is strictly for
educational purposes alone and all the collected data and information shall remain
confidential and will only serve as a guide for the business moving forward.

Instruction: Please put a check on the space provided for your answer.
Personal Details (Optional)
Name: ________________________________________
Address: ______________________________________
Age: _______

1. What is the main source of drinking water for member of your household?
( ) Tap Water ( ) Water Refilling Station ( ) Others Specify
2. How long does it take for you to get the water?
( ) 5-30 mins ( ) 1-2 hrs.
3. How frequent do you use the water refiling stations within a week?
( ) Always ( ) Sometimes
4. If we will be putting up a water refilling station near you, would it be convenient
for you?
( ) YES ( ) NO
5. Do you think our delivery service is necessary?
( ) YES ( ) NO
6. Do you prefer to refill your containers at the station or have it delivered?
( ) At the Station ( ) Delivered
7. Is the free delivery service for a minimum of 2 containers considered fair?
( ) YES ( ) NO
Survey Questionnaire on Feasibility Study on having a FLENJ Water Refilling Station at
Purok Lemonsito 3, Barangay New Visayas Panabo City, Davao del Norte
The purpose for these questionnaires is to collect crucial information and data of the
residents of Barangay New Visayas, Panabo city, Davao del Norte. Specifically in the
area of Purok Lemonsito, since it was deemed a potential target market. The
respondents of the questionnaires shall be secured knowing that the survey is strictly for
educational purposes alone and all the collected data and information shall remain
confidential and will only serve as a guide for the business moving forward.

Instruction: Please put a check on the space provided for your answer.
Personal Details (Optional)
Name: ________________________________________
Address: ______________________________________
Age: _______

1. What is the main source of drinking water for member of your household?
( ) Tap Water ( ) Water Refilling Station ( ) Others Specify
2. How long does it take for you to get the water?
( ) 5-30 mins ( ) 1-2 hrs.
3. How frequent do you use the water refiling stations within a week?
( ) Always ( ) Sometimes
4. If we will be putting up a water refilling station near you, would it be convenient
for you?
( ) YES ( ) NO
5. Do you think our delivery service is necessary?
( ) YES ( ) NO
6. Do you prefer to refill your containers at the station or have it delivered?
( ) At the Station ( ) Delivered
7. Is the free delivery service for a minimum of 2 containers considered fair?
( ) YES ( ) NO
Survey Questionnaire on Feasibility Study on having a FLENJ Water Refilling Station at
Purok Lemonsito 3, Barangay New Visayas Panabo City, Davao del Norte
The purpose for these questionnaires is to collect crucial information and data of the
residents of Barangay New Visayas, Panabo city, Davao del Norte. Specifically in the
area of Purok Lemonsito, since it was deemed a potential target market. The
respondents of the questionnaires shall be secured knowing that the survey is strictly for
educational purposes alone and all the collected data and information shall remain
confidential and will only serve as a guide for the business moving forward.

Instruction: Please put a check on the space provided for your answer.
Personal Details (Optional)
Name: ________________________________________
Address: ______________________________________
Age: _______

1. What is the main source of drinking water for member of your household?
( ) Tap Water ( ) Water Refilling Station ( ) Others Specify
2. How long does it take for you to get the water?
( ) 5-30 mins ( ) 1-2 hrs.
3. How frequent do you use the water refiling stations within a week?
( ) Always ( ) Sometimes
4. If we will be putting up a water refilling station near you, would it be convenient
for you?
( ) YES ( ) NO
5. Do you think our delivery service is necessary?
( ) YES ( ) NO
6. Do you prefer to refill your containers at the station or have it delivered?
( ) At the Station ( ) Delivered
7. Is the free delivery service for a minimum of 2 containers considered fair?
( ) YES ( ) NO
Survey Questionnaire on Feasibility Study on having a FLENJ Water Refilling Station at
Purok Lemonsito 3, Barangay New Visayas Panabo City, Davao del Norte
The purpose for these questionnaires is to collect crucial information and data of the
residents of Barangay New Visayas, Panabo city, Davao del Norte. Specifically in the
area of Purok Lemonsito, since it was deemed a potential target market. The
respondents of the questionnaires shall be secured knowing that the survey is strictly for
educational purposes alone and all the collected data and information shall remain
confidential and will only serve as a guide for the business moving forward.

Instruction: Please put a check on the space provided for your answer.
Personal Details (Optional)
Name: ________________________________________
Address: ______________________________________
Age: _______

1. What is the main source of drinking water for member of your household?
( ) Tap Water ( ) Water Refilling Station ( ) Others Specify
2. How long does it take for you to get the water?
( ) 5-30 mins ( ) 1-2 hrs.
3. How frequent do you use the water refiling stations within a week?
( ) Always ( ) Sometimes
4. If we will be putting up a water refilling station near you, would it be convenient
for you?
( ) YES ( ) NO
5. Do you think our delivery service is necessary?
( ) YES ( ) NO
6. Do you prefer to refill your containers at the station or have it delivered?
( ) At the Station ( ) Delivered
7. Is the free delivery service for a minimum of 2 containers considered fair?
( ) YES ( ) NO
Survey Questionnaire on Feasibility Study on having a FLENJ Water Refilling Station at
Purok Lemonsito 3, Barangay New Visayas Panabo City, Davao del Norte
The purpose for these questionnaires is to collect crucial information and data of the
residents of Barangay New Visayas, Panabo city, Davao del Norte. Specifically in the
area of Purok Lemonsito, since it was deemed a potential target market. The
respondents of the questionnaires shall be secured knowing that the survey is strictly for
educational purposes alone and all the collected data and information shall remain
confidential and will only serve as a guide for the business moving forward.
Instruction: Please put a check on the space provided for your answer.
Personal Details (Optional)
Name: ________________________________________
Address: ______________________________________
Age: _______

1. What is the main source of drinking water for member of your household?
( ) Tap Water ( ) Water Refilling Station ( ) Others Specify
2. How long does it take for you to get the water?
( ) 5-30 mins ( ) 1-2 hrs.
3. How frequent do you use the water refiling stations within a week?
( ) Always ( ) Sometimes
4. If we will be putting up a water refilling station near you, would it be convenient
for you?
( ) YES ( ) NO
5. Do you think our delivery service is necessary?
( ) YES ( ) NO
6. Do you prefer to refill your containers at the station or have it delivered?
( ) At the Station ( ) Delivered
7. Is the free delivery service for a minimum of 2 containers considered fair?
( ) YES ( ) NO
Survey Questionnaire on Feasibility Study on having a FLENJ Water Refilling Station at
Purok Lemonsito 3, Barangay New Visayas Panabo City, Davao del Norte
The purpose for these questionnaires is to collect crucial information and data of the
residents of Barangay New Visayas, Panabo city, Davao del Norte. Specifically in the
area of Purok Lemonsito, since it was deemed a potential target market. The
respondents of the questionnaires shall be secured knowing that the survey is strictly for
educational purposes alone and all the collected data and information shall remain
confidential and will only serve as a guide for the business moving forward.
Instruction: Please put a check on the space provided for your answer.
Personal Details (Optional)
Name: ________________________________________
Address: ______________________________________
Age: _______

5. What is the main source of drinking water for member of your household?
( ) Tap Water ( ) Water Refilling Station ( ) Others Specify
26. How long does it take for you to get the water?
( ) 5-30 mins ( ) 1-2 hrs.
27. How frequent do you use the water refiling stations within a week?
( ) Always ( ) Sometimes
28. If we will be putting up a water refilling station near you, would it be convenient
for you?
( ) YES ( ) NO
29. Do you think our delivery service is necessary?
( ) YES ( ) NO
30. Do you prefer to refill your containers at the station or have it delivered?
( ) At the Station ( ) Delivered
31. Is the free delivery service for a minimum of 2 containers considered fair?
( ) YES ( ) NO