Demographic Information Questionnaire DORM
Demographic Information Questionnaire (Please note, your information will not be sold or given to outside entities. It is for internal use only. Thank you.)
1. Name: ________________________________
Please check on the circle provided.
2. Type:
Teacher
Student
Employee
Others: __________________________
3. Age Group:
17-19
20-25
26-30
31-35
36-40
41 and up
4. How much are you willing to pay for a dorm?
2,000php – 4,000php
4000php – 6,000php
6,000php – 8,000php
8,000php – 10,000php
10,000 – 12,000php
12,000 – 15,000php
15,000php and up
5. Why do you prefer living in a dorm?
Saves money
Saves time
I want to live independently
I’m from province
My home is far
I don’t like living in my home
Others: ____________________________________
6. Do you think safety and security measures are provided for residents in a dorm?
YES
NO
7. Are you willing to cooperate with the rules and regulations?
YES
NO
8. Does living in a dorm allow you to save more money from gas, bus passes, commuting?
YES
NO
9. Does living in a dorm save you more money?
YES
NO
10. Can you do anything you want while living in a dorm?
YES
NO
11. Are you willing to pay extra money for other things like cabled TV and other facilities in a dorm?
YES
NO
12. Are you willing to work or study at night?
YES
NO
13. Can you concentrate more with your studies while living in a dorm?
YES
NO
14. Does living in a dorm make you homesick?
YES
NO
15. Do you prefer having a roommate?
YES
NO If you checked YES, how many?
1
2
3
4
1. Name: ________________________________
Please check on the circle provided.
2. Type:
Teacher
Student
Employee
Others: __________________________
3. Age Group:
17-19
20-25
26-30
31-35
36-40
41 and up
4. How much are you willing to pay for a dorm?
2,000php – 4,000php
4000php – 6,000php
6,000php – 8,000php
8,000php – 10,000php
10,000 – 12,000php
12,000 – 15,000php
15,000php and up
5. Why do you prefer living in a dorm?
Saves money
Saves time
I want to live independently
I’m from province
My home is far
I don’t like living in my home
Others: ____________________________________
6. Do you think safety and security measures are provided for residents in a dorm?
YES
NO
7. Are you willing to cooperate with the rules and regulations?
YES
NO
8. Does living in a dorm allow you to save more money from gas, bus passes, commuting?
YES
NO
9. Does living in a dorm save you more money?
YES
NO
10. Can you do anything you want while living in a dorm?
YES
NO
11. Are you willing to pay extra money for other things like cabled TV and other facilities in a dorm?
YES
NO
12. Are you willing to work or study at night?
YES
NO
13. Can you concentrate more with your studies while living in a dorm?
YES
NO
14. Does living in a dorm make you homesick?
YES
NO
15. Do you prefer having a roommate?
YES
NO If you checked YES, how many?
1
2
3
4