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Questionnaire

This document is a survey questionnaire about a low cost automatic alcohol/hand sanitizer dispenser developed in response to COVID-19. It asks respondents about their use of automatic dispensers, their satisfaction with the performance and quality of the product, including its innovativeness, durability, and whether the price is acceptable. The questionnaire is signed by the researcher, Dave Matthew B. Libiran, and notes that the research teacher is Ms. Beverly D. Cabeso.

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Dave Matthew Libiran
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172 views2 pages

Questionnaire

This document is a survey questionnaire about a low cost automatic alcohol/hand sanitizer dispenser developed in response to COVID-19. It asks respondents about their use of automatic dispensers, their satisfaction with the performance and quality of the product, including its innovativeness, durability, and whether the price is acceptable. The questionnaire is signed by the researcher, Dave Matthew B. Libiran, and notes that the research teacher is Ms. Beverly D. Cabeso.

Uploaded by

Dave Matthew Libiran
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Low Cost Automatic Alcohol/Hand Sanitizer Dispenser: Developed against COVID 19

(Libiran, 2022)

Name: ____________________________ (Optional)


Age: ___
Sex: ___
Direction: Answer the following question by putting checkmark ( / ) in the blank
I.
1. How frequently do you use Automatic Alcohol/Hand Sanitizer Dispenser?
___ Every time
___ Almost Every time
___ Sometimes
___ Never
II.
A. Performance B. Quality
1. Is the Automatic Alcohol/Hand Sanitizer 1. On a scale of 1 to 5, how innovative would you say this
Dispenser works responsively? product is, compared to other available Automatic Alcohol
___ Very responsive Dispenser products in the market?
___ Moderately responsive ___ 5 – It is extremely innovative
___ Neutral ___ 4 – It is very innovative
___ Slightly responsive ___ 3 – It is moderately innovative
___ Not at all responsive ___ 2 – It is slightly innovative
2. How you are satisfied to the performance ___ 1 – It is not innovative at all
of the product? 2. How durable the Automatic Alcohol dispenser is?
___ Extremely satisfied ___ Extremely durable
___ Very satisfied ___ Very durable
___ Moderately satisfied ___ Slightly durable
___ Slightly satisfied ___ Not at all durable
___ Not at all satisfied C. Affordability
1. For the price of ____, is it acceptable in the market
___ Acceptable ___ Slightly unacceptable
___ Slightly Acceptable ___ Unacceptable
___ Neutral
Republic of the Philippines
Department of Education
Schools Division of Tarlac Province
BILAD HIGH SCHOOL
Camiling, Tarlac

April 29, 2022


Dear Fellow Respondents,

I, the researcher are asking your cooperation to answer this survey questionnaire in the study
entitled “Low Cost Automatic Alcohol/Hand Sanitizer Dispenser: Developed against COVID-19”.
Thank you for your participation. It will highly appreciated to attain the success of the study.

Very truly yours,


Dave Matthew B. Libiran
Researcher
Noted:
Ms. Beverly D. Cabeso
Research Teacher

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