A Research Survey ---please answer! :D (URGENT!)
Name*:
Age:
Address(City will do):
Occupation:

*In case the respondent (you) would not trust the interviewer with
 personal information, you may put on a nick name or just your first
 name
 will do. Or please just put 'Personal information not able to be
 shared'.
This questionnaire is for Research purposes in a fulfillment of a
 course requirement by the researcher, therefore the information you
 are
 about to give will not be shared to anyone except the Professor of the
 interviewer.
The following are questions that are related and will be used in
 helping the research of the study.
Please delete the underscore (_) before your best answer. Just choose
 one for each question.

1. Are you currently insured?
_Yes
_No
2. For you, how important is insurance?
_Unimportant
_Sort of important
_Important
_Quite important
_Very important
3. Which for you is the best to be insured?
_Automobiles
_Houses
_Valuables
_Body parts
_Land
4. In case you will apply or already have, which one of the following
 would you feel?
_Safer
_Less safe
_Nothing
5. Would you trust your money with the insurance company that will
 cover for your insurance?
_Yes
_No
6. Do you think that insurance is only for the rich?
_Yes
_No
7. What areas in your city are prone to risks?
_Squatters' area
_Supermarket
_Town houses
_Shopping Mall
_Banks
8. Have you been robbed before in your area?
_Yes, just recently
_Yes, a couple of times already
_Yes, but it was a long time ago
_Always
_Never
9. How often do you see vehicular accidents on streets or roads near
 your residence?
_Never
_Rarely
_Sometimes
_Form time to time
_Always
10. In the Philippines, do you think insurance companies would insure
 the life of individuals?
_Yes
_No
11. If you have an automobile, have you ever been included in an
 accident?
_Yes
_No
12. What was the cause of the vehicular accident? (Answer in case you
 answered yes to the previous question)
_I was drunk
_I fell asleep
_I was distracted
_Malfunction in my automobile
_It was the other person's fault
_I was driving too fast
_Others(Please specify in a few words)___________
13. When do you have the most accidents?
_When riding/driving to school/work
_When walking
_In my house
_In untidy ares
_In crowded areas
14. Do you think that insurance companies use insurance as a means of
 personal gain and profit?
_Yes
_No
15. Do you think you need insurance?
_Yes
_No
16. What kind of people do you think needs insurance?
_Rich
_Poor
_Those who can afford it
_Those who have alot to lose when an accident occurs
17. Do you belive that those who can afford insurance must apply for an
 insurance?
_Yes
_No
18. Do you believe that insurance is a matter of need of protection?
_Yes
_No
19. Which of the following would you prefer as your insurer?
_A company
_An individual
20. Are you familiar with any insurance company in the Philippines?
_Yes
_No
Please state them in case you are familiar with at least one.
__________
__________
__________
__________
__________