Republic of the Philippines

Laguna State Polytechnic University

Province of Laguna

SURVEY QUESTIONNAIRE

This questionnaire will be used by the researchers to their thesis entitled “PERCEIVED

IMPACT OF THE NEW RATE OF EXCISE TAX ON TOBACCO PRODUCTS TO THE

END USERS”

Part I. PROFILE OF THE RESPONDENTS

Instructions: Put a check (✔) mark on the box that corresponds in your answer.

Age: __________ Monthly Income:

10,000 – 15,000

15,001 – 20,000

20,001 and above

Civil Status: No. of dependents:_______

Single

Married
Part II. Directions: Kindly use the rating scale below in answering the following items:

Strongly Agree – 4 Agree – 3 Disagree – 2 Strongly Disagree – 1

The 4 percent increase of excise tax on tobacco 4 3 2 1

products every year will affect my consumption of
tobacco products in terms of:
1. The quantity of tobacco products bought.

2. The brand of tobacco products bought.

3. How often will buy any tobacco products.

4. The expenses that will incur in any tobacco products.

5. The stores I often buy any tobacco products.

Part III.Directions: Kindly use the rating scale below in answering the following items:

Strongly Agree – 4 Agree – 3 Disagree – 2 Strongly Disagree – 1

SAVINGS

The new rate of excise tax on tobacco products will 4 3 2 1

affect my savings in terms of:

1 Carefulness not to overspend on tobacco products.

2. Seeking on a much cheaper product.

3. Buying tobacco products on credit in selected stores.

4. Buying any tobacco products on impulse.

5. Minimizing expenses base on your budget.

 SPENDING

The new rate of excise tax on tobacco products will 4 3 2 1

affect my spending in terms of:

1. Spend more on what are really preferred or needed.

2. Quantity of the tobacco products bought.

3. Selection of potential tobacco products that will buy.

4. Consideration of stores on selling much cheaper

tobacco products.

5. Compulsive buying of tobacco products.

BUDGETING

The new rate of excise tax on tobacco products will 4 3 2 1

affect my budgeting in terms of:

1. Controlling your savings and spending on buying

tobacco products.
2. Calculation of the future expenses on buying
cigarettes.
3. Compiling daily budget on cigarettes.

4. Planning of purchases in advance.

5. Balancing the salaries and future expenses.