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SURVEY FORM

1. What is your gender?


a. Male
b. Female

2. What is your age?


a.
b.
c.
d.
e.

18 and below
19
20
21
22 and above

3. Place you stay.


a.
b.
c.
d.
e.
f.

Ixora
BBP
EP
UG
Taman Dahlia
Other.-___________________________________________

4. How did you first hear about Cocorica?


a.
b.
c.
d.

Facebook
Instagram
Recommended by friends
Other.-____________________________________________

5. Have you tried Cocorica?


a. Yes
b. No

6. What flavour you prefer the most?

a.
b.
c.
d.
e.
f.
g.
h.
i.
j.

Green Tea
Cocorica
Cappuccino
Dark Chocolate
Caramel Macchiato
Blue Hawaii
Mango Milk
Mango Yogurt
Peach Yogurt
Honeydew Yogurt

7. How frequent will you visit Cocorica in a week?


a.
b.
c.
d.
e.

0-1 time
2-3 times
4-5 times
6-7 times
More than 7 times

8. Will you visit Cocorica again?


a. Yes
b. No
c. Maybe
9. Do you like to try?
Strongly
disagree
1

Disagree

Neutral

Agree

Strongly agree

Disagree

Neutral

Agree

Strongly agree

Neutral

Agree

Strongly agree

10. Is the price reasonable?


Strongly
disagree
1

11. Is our service satisfied?


Strongly

Disagree

disagree
1

Disagree

Neutral

Agree

Strongly agree

12. Is our facilities good enough?


Strongly
disagree
1

13. What do you think we can do to improve our product?


_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________

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