Dear Respondents,
Thank you for agreeing to participate in this survey! We are a group of researchers conducting a study on
consumer preferences on healthy drinks in Pacific Mall, Legazpi City. Your responses will remain
completely anonymous. This survey should take less than 10 minutes to complete. Thank you for your
time.
The Researchers
Direction: The variables from A-F are needed to determine the consumer profile.
Please put a check mark (  )on your preferred answer in the box provided. Thank
you.
I. CONSUMER PROFILE
A. Age
Below 18 years old
18 - 22 years old
B. Sex
Male
Female
23 - 27 years old
28 - 32 years old
33 - 37 years old
38 - 42 years old
C. Civil Status
Single
Married
43 - 47 years old
48 - 52 years old
53 - 57 years old
58 - 62 years old
63 - 67 years old
Above 67 years old
D. Highest Educational Attainment
Post
Graduate
College
Graduate
College Level
High School
Graduate
High School
Level
E. Occupation
a. Executive Manager
b. Professional
(Doctor,Lawyer,etc)
c. Academic / Education
d. Computer / Technical
Engineering
e. Other Technical / Engineering
f. Service / Customer Support
h. Tradesman / Craftsman
i. Self employed
j. Unemployed / looking for a
job
k. Retired
l. Others, specify:
g. Clerical / Administrative
F. Average Monthly Income
Php 26,000.00 - Php
30,000.00
Php 31,000.00 - Php
Php 5,000.00 - Php 10,000.00
35,000.00
Php 16,000.00 - Php 20, 000.00
Above Php 35,000.00
Direction: The questions from number 1 to 11 are needed to determine the
perception of consumer on healthy drinks. Please put a check mark (  )on your
preferred answer in the box provided.
Thank you.
Below Php 5,000.00
II. CONSUMER PERCEPTION ON HEALTHY DRINKS
1. Would a Shop that offers a variety of healthy drink (organic juices,shakes, tea,
coolers) appeal to you?
Yes
No
2. If a healthy drinks shop were to open at Pacific Mall, Legazpi City, would you avail
on its services ?
Yes
No
3. If VIP Card is offered, would you be a member and avail its services (e.g. discounts
in purchasing the product, free-bis, priority order, etc.)?
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
3. Are you a health conscious person?
4. Do you always try to choose drinks that are healthy for your self?
5. Are you aware that some diseases in the body are acquired in the type of food that
we eat?
6. Do you think detoxifying is important?
5. How frequently would you say you drink healthy beverages? (times per week)
None
1-2
3-4
5+
6. What is your preferred healthy drink?
Hot
Cold
7. What healthy drink type do you prefer?
Juice
Shake
Iced
Not Iced
8. What flavor type of healthy drink do you prefer?
A. Fruit drink
a. Apple
b. Orange
B. Vegetable
a. Tomato
b. Carrots
c. Mango
d. Water Melon
c. Cucumber
d. Letuce
e. Pineapple
f. Avocado
g. Lemon
H. Strawberry
e. Moringa
f. Celery
Others, Specify:
Others, Specify:
9. Where would you mostly consume your healthy drink?
a. Restaurant
b. Food court
c. Cinema
d. Gym
e. Office
f. School
10. What is your preferred bottle for your healthy drink?
a. Plastic tumbler
b. Glass bottle
11. What is your preferred partner for your healthy drink?
a. Pasta
b. Sandwiches
c. Cookies
d. Pastries
e. Pizza
Others, Specify:
g. Home
Others, Specify: