This free survey is powered by
Create a Survey
Surveys
2015
March
B
Bloom Quarterly Survey v1
Bloom Quarterly Survey v1
0%
Questions marked with an
*
are required
Exit Survey
*
Date of interview
Month
Day
Year
--
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
--
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
--
1900
1901
1902
1903
1904
1905
1906
1907
1908
1909
1910
1911
1912
1913
1914
1915
1916
1917
1918
1919
1920
1921
1922
1923
1924
1925
1926
1927
1928
1929
1930
1931
1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
2046
2047
2048
2049
*
Start time of interview
Hrs.
Mins.
AM/PM
--
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
--
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
--
2024
--
01
02
03
04
05
06
07
08
09
10
11
12
--
00
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
AM
PM
*
Entrepreneur code
Name /
Pangalan
How many of each of the following items does the household own & store in the housing unit? /
Ilan sa mga sumusunod na kagamitan ang mayroon o pagmamayari ng mag-anak sa loob ng tahanan? (Bilugan kung may pag-aari at isaad kung gaano karami)
Quantity
Sala set
Car
Jeep, tricycle, pedicab
Business identification: Are you a…?
Stockpoint / wholesaler
Uplifter
Retailer
How has your earnings changed over the last 3 months? /
Nagkaroon po ba ng pagbabago sa inyong kita sa loob ng nakaraang labindalawang buwan?
Increased /
Tumaas
Decreased /
Bumaba
No change /
Walang pagbabago
If your earning has increased, why? /
Kung tumaas ang inyong kita, ano po ang dahilan? (Piliin ang lahat ng naaangkop)
Increased volume of sales
Increase in prices of goods / products
Increase in number of customers
Increase in number of customers
Decrease in cost of goods
Other
If your earning has decreased, why? /
Kung bumaba ang inyong kita, ano po ang dahilan? (Piliin ang lahat ng naaangkop)
Decreased volume of sales
Decrease in prices of goods / products
Decrease in number of customers
Increase in number of sellers
Increase in cost of goods
Other
All things considered, kindly indicate your overall level of satisfaction in the following:
Pakisabi po kung kayo po ay (1) talagang kuntento, (2) kuntento, (3) hindi kuntento o (4) talagang hindi kuntento sa mga sumusunod:
Totally Satisfied /
Talagang Kuntento
Satisfied /
Kuntento
Unsatisfied /
Hindi Kuntento
Totally Unsatisfied /
Talagang Hindi Kuntento
Amount of income earnings /
Laki ng kinikita
Personal savings from business earnings /
Personal na ipon galing sa kita sa paghahanapbuhay o negosyo
Extent to which I meet my expenditure demands and household daily needs /
Kakayahan ng hanapbuhay o negosyo na matustusan ang mga pangangailangan o pang-araw araw na gastos
Healthcare (personal and dependents) /
Suportang pang-kalusugan (sarili at pamilya)
Housing, education and other expenditures /
Suporta sa gastusin sa pamamahay (upa o bayad sa lupa), sa edukasyon, at iba pa
Loading...
close
Loading...
Close
staticapp1.questionpro.net
Loading...
