SURVEY QUESTIONNAIRES!!!!!!!7@$^&%#&
Part I: Demographic Profile
Name (Optional):
Age
Sex
Part II: Personal View on Ointment for Cough and Colds
1. Do you apply ointment when you have cough and colds?
o Yes
o No
2. Are you using different ointment for cough and colds?
o Yes
o No
3. How long does cough and cold last after you apply ointment
o7-10 days
o11-14 days
oMore than 14 days
4. Is there any skin reaction when you apply the ointment?
o Yes
o No
5. How quickly the ointment takes effect?
oSlow
oModerate
oFast
6. Is the effect of the ointment strong enough?
o Yes
o No
7. Do you prefer researcher’s product or commercial one?
o Yes
o No
8. How long the effectiveness of the product lasts?
oSlow
oModerate
oFast
9. How would you rate the researcher's product on a scale of 1 to 5? The highest is 5, while
the 1 is the lowest.
10. Would you recommend the researcher’s product to others?
oYes
