AMA COMPUTER COLLEGE CALAMBA CAMPUS

SENIOR HIGH SCHOOL DEPARTMENT

Survey About the Smoking Ban's Effects in the Local Economy as Perceived by the
Selected Business Owners of Brgy. Kay-Anlog, Southville-VI, Calamba City, Laguna

Directions: Kindly answer the given questions based on your own opinions. Give
honest and true answer for an accurate result. Your answers will be kept private and
confidential as you desire.

Name (optional): _______________________________ Occupation:

________________
Age: _________
Gender: Female
Male

Before proceeding to the table, kindly answer the question below first.
 Do you sell cigarettes?
Yes No

LEGEND:
4- Strongly Agree
3- Agree
2- Disagree
1- Strongly Disagree
I. Respondent's Level of Awareness About Smoking Ban
1.1.KNOWLEDGE - The respondent is aware that:

Indicators 4 3 2 1

1. Smoking ban is a law that regulates the

packaging, use, sale distribution and
advertisements of Tobacco products.

2. Under smoking ban, smoking is prohibited in

public and private establishments like churches,
schools and restaurants.

3. Under the RA 9211, it is unlawful for a minor to

smoke.

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 AMA COMPUTER COLLEGE CALAMBA CAMPUS
SENIOR HIGH SCHOOL DEPARTMENT

4. RA 9211 states that buses, jeepneys and other

public transportations are included in the list of
places where smoking is prohibited?

5. RA 9211 is the reason behind the banning of

tobacco advertisements.

1.2. INFORMATION DISTRIBUTION

Indicators 4 3 2 1

1. I am aware of the advertisement campaign

against smoking.

2. I have learned the possible diseases that can be

obtained from smoking through the warning labels
in cigarette packaging.

3. I encounter anti-smoking campaigns in social

media.

4. I have learned about smoking ban in the news.

II. Level of Effectivity of Smoking Ban in terms of:

2.1. PURCHASES OR SALES

Indicators 4 3 2 1

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 AMA COMPUTER COLLEGE CALAMBA CAMPUS
SENIOR HIGH SCHOOL DEPARTMENT

1. Because of smoking ban, my costumers who buy

cigarette decreased in number.

2. There is a lesser number of teenagers who buy

cigarette from my store since the implementation of
smoking ban.

3. Cigarette buyers became inactive in buying

cigarette from my store.

2.2. INCOME

Indicators 4 3 2 1

1. Smoking ban affected my sales and income from

cigarettes.

2. I have lesser costumers who buy cigarettes that's

why I lessen the additional cost in my cigarettes.

3. Smoking ban also affected the price of cigarette.

The increase in cigarette price made my customers
decreased.

Signature: ____________________

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