Sample Feasibility Questionnaire for Coffee Shop

PART I. PROFILE
Directions: Please check or write your answer on the space provided. A. PERSONAL DATA
1. Age:

From Up to [ ] 20 25 [ ] 26 30 [ ] 31 35 [ ] 36 40 From Up to
[ ] 41 45 [ ] 46 50 [ ] 51 and above 2. Gender
[ ] Male [ ] Female

3. Civil Status
[ ] Single [ ] Married [ ] Separated [ ] Widow [ ] Widower [ ] Divorced B. EDUCATIONAL DATA 1. HIGHEST EDUCATIONAL ATTAINMENT [ ] Elementary Graduate [ ] High School Graduate [ ] Bachelor Degree [ ] Master’s Unit [ ] Master’s Degree [ ] Others, please specify ___________________________

PART II. 1. How often do you drink coffee?
[ ] Daily
[ ] Weekly
[ ] Monthly
[ ] Occasionally
[ ] Never 2. When do you drink coffee? (You could choose more than one)
[ ] Morning
[ ] Noon
[ ] Afternoon
[ ] Evening
[ ] Midnight 3. Where do you drink coffee most often?
[ ] Home
[ ] Café
[ ] Coffee Shop
[ ] Other (Please specify) ________________ 4. For what reason would you drink coffee? (You could choose more than one)
[ ] Release stress
[ ] Refreshing
[ ] Social Occasions
[ ] Drinking Habit
[ ] Other (Please specify) _______________ 5. When you think about buying a cup of coffee at coffee shop, which brands come to mind? (Please list them in order of recall)
1st. _______________________________
2nd. _______________________________
3rd. _______________________________ 6. Do you prefer large, national chain coffee shops or small, privately owned coffee shops?
[ ] National Chain
[ ] Private, Non-chain

7. On a scale of 1 - 5 (5 being the highest) how important are the following qualities to you when choosing a coffee shop?

| 5 | 4 | 3 | 2 | 1 | Atmosphere | | | | | | Noise Level | | | | | | Price