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Phieu so:

1998 - PHIEU IEU TRA THC TRANG NGI S DUNG XE GAN MAY <U1>

I. Phan quan ly ieu tra


1. Thi iem ieu tra: ngay.......thang .......nam 98
2. Tang qua cam n cho ngi s dung la oi tng ieu tra: ngay........thang ....... nam 98
3. Ho va ten ieu tra vien: ..........................................................
4. a iem ieu tra: quan . . . . . . . . . . . . . . . . . . . . . .
5. Thi iem thu hoi phieu ieu tra: ngay.......thang ........ nam 98
6. Ho ten ngi quan ly ieu tra: Nguyen Tien Dung
7. Thai o hp tac cua ngi tra li:

rat nhiet tnh A

E khong nhiet tnh

Nhng iem ieu tra vien can chu y khi tien hanh ieu tra
Phai giai thch cho oi tng Muc ch cua cua cuoc ieu tra nay la xem xet thc trang ngi tieu
dung xe gan may e co ke hoach phan phoi toan dien xe gan may cho moi ngi.
Phai giai thch trc cho oi tng Ket qua cuoc hoi ap nay chung toi se s dung vao muc ch
thong ke va khong cong bo ten tuoi hay noi dung tra li cua quy v.
Phai noi Sau khi hoi xong chung toi xin bieu quy v mot mon qua nho e cam n quy v.
Phieu ieu tra gom 5 t (c anh so th t t 1 en 5) cho mot bo
ieu tra vien (TV) am nhiem khu vc ieu tra cua mnh
TV ch tien hanh ieu tra nhng ngi c tru trong khu vc c ch nh ieu tra
Mot bo phieu ieu tra (gom 5 t) ch s dung cho mot ho hoac mot ngi.
TV se tien hanh ieu tra bang cach hoi va nghe oi vi oi tng la ngi s dung.
Trong khi ieu tra, phai va cho oi tng xem phieu va tien hanh ieu tra.
Phai chu s kiem soat chat che cua ngi quan ly ieu tra, v vay xin lu y xem khi ket thuc mot
cuoc ieu tra co con muc nao thieu trong Phieu ieu tra khong ?
TV phai co trach nhiem trong viec tien hanh ieu tra cho ti khi hoan thanh so lng cuoc ieu tra
trong khu vc ieu tra cua mnh.
Cac d lieu ghi trong Phieu ieu tra nay se c x ly thong ke va nhap lieu vao may vi tnh, v vay
xin ghi ro rang sach ep.

BANG HNG DAN PHAN LOAI XE GAN MAY


Xe cup

Xe the thao

Xe tay ga scooter

1998 - PHIEU IEU TRA THC TRANG NGI S DUNG XE GAN MAY <U2>

II/ ieu tra c ban ve ngi s dung


Q1. So lieu c ban
1. Gia nh ban co xe gan may khong?

(1) Co
(2) Khong

 tiep cau 2
 cham dt, tm ngi khac

2. Ban co i xe gan may khong?

(1) Co
(2) Khong

 tiep cau 3
 cham dt, tm ngi khac

3. Ho va ten:

4. a ch:

5. ien thoai:

6. Gii tnh: nam ___

N___

7. Tuoi

8. Nghe nghiep (ghi cu the):


9. Thu nhap trung bnh 1 thang cua ban than
USD/thang
11. Thu nhap trung bnh 1 thang cua ho gia nh
12. Ca gia nh co may chiec xe

10. So ngi trong ho:


USD/thang
__________ chiec/ gia nh

Q2. S hu xe cua gia nh


Xin cho biet mot so thong tin ve so xe ma gia nh ang s hu
Hng dan cach ghi:
Muc

* gia nh s dung: ghi dau

* ban than s dung: ghi dau X


Chiec
Chiec
Chiec
th 1
th 2
th 3

Chiec
th 4

Chiec
th 5

Chiec
th 6

1. Ten nha san xuat (1) HONDA


(nhan hieu)
(2) YAMAHA
(3) SUZUKI
(4) KAWASAKI
(5) VESPA
(6) VMEP
(7) Cac xe khac
2. Kieu xe

(1) Xe cup
(2) Xe the thao
(3) Xe tay ga
(4) Khong ro

3. Loai may

(1) hai th
(2) bon th
(3) khong ro

4. Tnh trang
luc mua

(1) xe mi
(2) xe cu
(3) khong ro

5. Nam mua xe
6. Gia xe luc mua

(USD)

7. Dung tch xylanh (1) 50cc


(phan khoi)
(2) 50 90cc
(3) 91125cc
(4) 126150cc
(5) 151cc
(6) khong ro

1998 - PHIEU IEU TRA THC TRANG NGI S DUNG XE GAN MAY <U3>

III/ An tng ve cac nha san xuat


anh dau O vao cho thch hp trong bang di ay ve nhan hieu xe ma ban biet, ac iem cua xe, thai
o cua ban ve nha san xuat, va an tng cua ban ve cac nha san xuat (khong han che so ac iem cho
biet y kien)
Muc
Q1. Nha san xuat ma ban biet
Q2. ac iem
1. gia re
cua xe
2. chay toc o nhanh
3. tang toc nhanh
4. kieu dang ep
5. mau sn ep
6. t hao xang
7. ben
8. de chay
9. de bao tr, de sa
10. t giam gia tr khi dung
11. khong ro
Q3. ac iem
1. co ky thuat
cua nha
2. noi tieng
san xuat
3. tin tng c
4. kieu dang mi la
5. luon cai tien
6. khong ro
Q4. An tng ve 1. ti sang
cac nha
2. nhe nhang
san xuat
3. tham my
(hieu xe)
4. ve tr thc
5. sang trong
6. chng dien
7. mi la
8. nghiem trang
9. ve an ong
10. gian d
11. tao nha
12. chuyen nghiep
13. ve ngi ln
14. hp vi thanh pho
15. de thng
16. t nhien
17. hao hoa
18. khiem nhng
19. bnh thng
20. dang the thao
21. khong ro

HONDA

YAMAHA

SUZUKI

KAWASAKI

VESPA

VMEP

Q5. Ban hay chon ra ba nc san xuat xe gan may ma ban thch. Ghi theo th t t 1 en 3 tuy theo
mc o ma ban thch (thch nhat: ghi so 1, thch th nh : ghi so 2, thch th ba: ghi so 3)
1. Nhat ban
2. ai loan
3. Viet Nam 4. Thai lan
7. Trung quoc 8. Nga
9. My
10. c
13. Nc khac . . . . . . . . . . . . 14. Khong thch nc nao

5. Indonesia 6. Malaysia
11. Phap
12. Y

Q6. Ban hay cho biet ly do tai sao ban thch nc o


Nc ban thch nhat ...................................................................................................
Nc ban thch th nh ...............................................................................................
Nc ban thch th ba ................................................................................................

1998 - PHIEU IEU TRA THC TRANG NGI S DUNG XE GAN MAY <U4>

IV/ Hieu biet ve xe tay ga scooter


Q1. Ban co chap nhan toc o cua loai xe nay khong? (ch chon mot tra li)
1. chap nhan 2. khong
3. khong biet 4. y kien khac ...................................
Q2. Ban co y kien g ve mc o tieu thu xang cua xe tay ga scooter? (ch chon mot tra li)
1. khong hao 2. hao xang
3. khong biet 4. y kien khac ..................................
Q3. Ban co y kien g ve kieu dang xe loai nay? (ch chon mot tra li)
1. ep
2. xau
3. khong biet 4. y kien khac ..................................
Q4. Khi chay xe loai nay (hay cho du ban cha bao gi ngoi tren xe loai nay) ban cam thay xe loai nay
nh the nao? (ch chon mot tra li)
1. tien li
2. bat tien
3. khong biet 4. y kien khac .................................
Q5. So xe cup th xai loai xe nay ban thay co yen tam khong? (ch chon mot tra li)
1. yen tam
2. khong yen tam
3. khong biet 4. y kien khac ....................
Q6. Ban co y kien g ve s chac chan cua loai xe nay? (ch chon mot tra li)
1. chac chan 2. yeu
3. khong ro
4. y kien khac .................................
Q7. Ban co y kien g ve mc o h hong cua loai xe nay? (ch chon mot tra li)
1. h nhieu
2. t h
3. khong ro
4. y kien khac ..................................
Q8. Ban co ngh rang loai xe tay ga nay sau nay rat c a chuong khong? (ch chon mot tra li)
1. co ngh vay 2. khong
3.khong biet 4. y kien khac .................................
Q9. Neu tra li co hoac khong trong cau trc, xin cho biet ly do tai sao?
.......................................................................................................................................
Q10. Ban co muon chay th mot chiec xe tay ga khong? (ch chon mot tra li)
1. co
2. khong
3. khong biet 4. y kien khac ..................................
Q11. Neu tra li co hoac khong trong cau trc, xin cho biet ly do tai sao?
.......................................................................................................................................
(Cau Q12 en cau Q17 danh cho nhng ngi tra li 1. co cau Q10)
Q12. Neu ban nh mua mot chiec xe tay ga mi th ban se mua loai bao nhieu phan khoi?
1. 50cc
2. 51-90cc
3. 91-125cc
4. 126-150cc
5. 151cc tr len
6. khong biet

1998 - PHIEU IEU TRA THC TRANG NGI S DUNG XE GAN MAY <U5>
Q13. Neu ban nh mua mot chiec xe tay ga mi th ban se chon loai xe may th? (ch chon mot tra li)
1. hai th
2. bon th
3. may th cung c
4. khong the tra li c v khong hieu c s khac nhau gia hai th va bon th
Q14. Neu ban nh mua mot chiec xe tay ga mi th ban se mua xe tr gia khoang bao nhieu tien (ch
chon mot tra li)
1. di 500 USD
2. 501-1000 USD
3. 1001- 1500 USD
4. 1501- 2000 USD
5. 2001- 2500 USD
6. 2501 USD tr len
7. khong biet
Q15. Neu mua mot chiec xe tay ga th theo ban, mot gia nh phai co thu nhap trung bnh hang thang
mot ngi vao khoang bao nhieu mi mua c?
1. .......................................USD/ 1 thang / 1 ngi trong gia nh
2. khong biet
Q16. Ban hay chon ra ba nc san xuat xe tay ga ma ban thch nhat, nh, ba. Ghi theo th t t 1 en 3
tuy theo mc o ma ban thch (thch nhat: ghi so 1, thch th nh : ghi so 2, thch th ba: ghi so 3)
1. Nhat ban
2. ai loan
3. Viet Nam 4. Thai lan
5. Indonesia 6. Malaysia
7. Trung quoc 8. Nga
9. My
10. c
11. Phap
12. Y
13. Nc khac . . . . . . . . . . . . 14. Khong thch nc nao
Q17. Neu loai xe tay ga mi phu hp vi ban theo nh mo ta tren co bay ban tren th trng th co bao
nhieu kha nang ban se mua loai xe tay ga nay?
.................... %

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