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Dear Mr./Ms.

Entrepreneur,
Our students in NSTP 1 subject (National Service Training Program) are currently
conducting a survey questionnaire for a village level enterprise. One of the learning
objectives of the subject is for the students to get first-hand information from actual
entrepreneurs hence this survey. We hope that you will help our students learn from your
experience and expertise.
Thank you very much.
Sincerely yours,

JOVEN R. RAMOS
Signature over printed name of the
NSTP Facilitator

SURVEY QUESTIONNAIRE FOR VILLAGE LEVEL ENTERPRISE

Demographic Profile of the Entrepreneur


Name of the owner: __________________________________________
Address: ______________________________________________________
______________________________________________________
Gender: Male Female Age: _______________
Civil Status: Single Married
Educational Attainment:
Elementary undergraduate Elementary graduate
High school undergraduate High school graduate
College undergraduate College graduate
Vocational/Technical course: ____________________________
Graduate Studies: _____________________________________
Name of the Business: ______________________________________________
Number of years in the Business: _____________________________________
Nature of Business:
Food business: ____________________________________________
RTW (ready to wear) apparel and body accessories sale
Foot wear sale Cosmetology/Barbershop
Automobile E-Load station (Hair styling and salon)
Flower shop General merchandising
Computer/Internet shop Photocopy center
Veterinary supplies Rental business
Pawnshop (chairs, tables, gowns, vehicle, etc.)
Poultry/Piggery/Livestock Photo studio
Funeral services Auto mechanics
Electronics repair shop Tailoring
Water refilling station Construction supplies
Others (please specify): ____________________________________
Type of Ownership:
Sole ownership Partnership
Inherited from parents/relatives
Others (please specify): ____________________________________

Economic Profile

Initial Capital:
Below P5, 000.oo P 5,001.00 – P 10,000.00
P 10,001.00 – P 15,000.00 P 15,001.00 – P 20,000.00
P 20,001.000 – P 25,000.00 P 25,001.00 – P 30,000.00
P 30,001.00 – P 35,000.00 P 35,001.00 – P 40,000.00
P 40,001.00 – P 45,000.00 P 45,001.00 – P 50,000.00
Above P 50,000.00 (please specify): __________________________

Sources of Capital:
Personal
Loan
Borrowed money from relatives/friends
Inherited from parents/relatives
Others (please specify): ____________________________________

Daily average income:


Below P5,000.00 P 5,001.00 – P 10,000.00
P 10,001.00 – P 15,000.00 P 15,001.00 – P 20,000.00
P 20,001.000 – P 25,000.00 P 25,001.00 – P 30,000.00
P 30,001.00 – P 35,000.00 P 35,001.00 – P 40,000.00
P 40,001.00 – P 45,000.00 P 45,001.00 – P 50,000.00
Above P 50,000.00 (please specify): __________________________

Daily average operating expenses


Overhead expenses (e.g. salaries and wages of your employee/s)
Specify: _____________________________________________

_____________________________________________
_____________________________________________
Water bill: ___________________________________
Electric bill: __________________________________
Rental/lease of space: _______________________________
Revenues: _______________________________________________
Promotion and marketing expenses: ___________________________
Others (please specify): ____________________________________
____________________________________
____________________________________
Problems encountered:
Major Problems encountered Solutions made

Minor Problems encountered Solutions made

Conforme:

_______________________________________
Signature over printed name of the entrepreneur

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