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APPENDIX A. Survey Questionnaire

Kabankalan Catholic College

Guanzon Street, Kabankalan City, Negros Occidental 6111
Telephone Number (034)4712-479 loc. 119

Feasibility Study on the Proposed “KCC H20: Purified Water Refilling Station”
SURVEY QUESTIONNAIRE
We, the BSBA-4 student proponents are enrolled in the subjects Feasibility Study this 1 st
semester A.Y 2017-2018. In line with this, we are humbly asking for your cooperation as we
conduct a study entitled “KCC H20 Purified Water Refilling Station”
Kindly answer each question objectively, as your response will be treated with
confidentiality by the proponents.
Thank you very much for being part of our success. God bless.

Proponents: Edmund M. Morales Janica A. Tabucon

John Michael A. Cuenca Imee G. Genise
Name: (Optional) ______________________________ Age: _________
Address: _____________________________________ Gender: _______

Please mark a check (√) in the box which represents your answer.

1. What is the source of your family’s drinking water?

Water District Deep well

Water Refilling Station Others (Specify) __________

2. For those consuming purified drinking water, what refilling station is currently supplying
your water?

Please Specify ________________

3. How aware are you regarding the quality of drinking water and its relatedness to person’s
health?
 75

Very much aware Aware

Much aware Not aware

4. How often do you buy bottled purified water?

Daily Once a week Others (Specify) ______

Twice a week Trice a week

5. In your household, how many container of drinking water do you consume in a week?

2gal 3gal Others (Specify) ______

5
4 gal 5gal

6. How much is the cost of water per gallon that you are buying?

Php 20/ Container Php 30/ Container

5Php 25/ Container 5Others (Specify) ________
5 5
7. How long does it take your order to be delivered by your current supplier?

1hour 2hours Others (Specify) ________

5 5 5
3hours 4hours
5 5
8. How do you place your order?

Online Telephone/mobile Personal

5 M m