SAMPLE QUESTIONNAIRE

The purpose of this study is to ............... We invite you to fill in the following questionnaire.
Your participation in this survey is completely voluntary and all of your responses are
anonymous. None of the responses will be connected to identifying information.
The completion of the questionnaire necessitates approximately 12 minutes of your time.
We want to thank you in advance for taking the time to fill in this questionnaire.
Q1. Have you ever used organic products?
1. Yes SKIP TO Q3
2. No ------------------ SKIP TO PERSONAL DATA
Q2. Why didn’t you use organic products?
______________________________________ SKIP TO PERSONAL DATA
Q3. What organic products are you using now? PLEASE SELECT ALL THAT APPLY
1. food
2. clothing
3. personal care (shampoo, shower gel, facial cleanser, soap)
4. other, specify……….
Q4. ASK THIS QUESTION IF IN Q3 ANSWER 3 WAS SELECTED OTHERWISE SKIP TO
PERSONAL DATA
How informed do you consider yourself about organic products?
1. not at all informed
2. slightly informed
3. somewhat informed
4. very informed
5. extremely informed
Q5. Please indicate how much you agree with the following statements about organic personal
care products on the scale 1-5, where 1 indicates that you disagree strongly, and 5 that you agree
strongly. You can use numbers 2, 3 and 4 to refine your answer.
Compared to the normal personal care products organic products are more

EXAMPLES Disagree 2 3 4 Agree

strongly strongly
1. healthy
2. affordable
3. eco-friendly
4. high quality
5. trendy
6. plant based
7. natural
8. innovative
9. not animal tested
10. packaged in recyclable
material
Q6. How important are the following features for you when buying an organic personal care
product?

EXAMPLES Not at all Not very Important Very Extremely

important important important important
1. positive effects after usage
2. healthy
3. affordable
4. eco-friendly
5. high quality
6. trendy
7. plant based
8. natural
9. innovative
10. not animal tested
11. hand made
12. availability

Q7. Which of these organic products, if any, have you bought in the last 6 months?
PLEASE SELECT ALL THAT APPLY
1. shampoo
2. shower gel
3. facial cleanser
4. face cream
5. other, specify………….
PERSONAL DATA
1. Age: __________ (years)
2. Gender
a. Female
b. Male
3. Education level
a. primary
b. secondary
c. university

CLOSING Thank you for your feedback. We really appreciate your time.