Questionnaire

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TRINIDAD MEDICAL AID QUESTIONNAIRE EXPERIMENT TO TEST ‘VALUE PROPOSITION’
Name: Date: Results: Tester:

Instructions
Read each question carefully and print the letter corresponding to each answer in the blank space provided. 1) a. b. c. d. How often do you need to get medication? Once per week Once every two weeks Once a month Other :

2) a. b. c. d.

By what means do you collect your medication? Walk Motor vehicle Public transport Other :

3) a. b. c. d.

What difficulties do you encounter? None at all Some inconvenience Major headaches Other :

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4) a. b. c. d. e.

How do you choose where you collect your medications etc? Proximity Price Quality Service Other :

5) a. b. c. d.

Do you always get all of your medication at one place? Yes, always Majority of times Have to search / call around Other :

6) a. b. c. d.

How long does it generally take to get all of your medications? All at once A few minutes A few hours Other :

7) a. b. c.

What is your overall opinion on the actual process of acquiring medication at present? Too stressful. Minor inconvenience. No problem.

8) a. b. c. d.

Would you prefer to have your medications delivered to your door? Yes, please Probably No, thank you Depends :

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9) a. b. c. d.

How much would you be happy to pay for this delivery service? $5.00 - $10.00 $10.00 - $20.00 $20.00 - $40.00 Other :

10) a. b. c. d.

How often would you require this service? Rarely 2 – 3 times a year. 4 – 6 times a month. Always

11) a. b. c.

Would you like your purchases to be collected from your usual stores? Yes No Does not matter

12) a. b. c. d.

What would be your preferred delivery time? Morning Afternoon Night Other :

13) a. b. c.

What payment method would you prefer? Cash Credit / Debit card Other :

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14) a. b. c.

How many people do you know experience issues with sourcing medication? None A few Everyone complains

15) a. b. c. d.

Would you recommend this service to other persons? Definitely Probably Never Other :

16) a. b. c. d.

How interested are you in this service? Really interested Interested Somewhat interested Not interested

17) a. b.

Are you aware of any other companies / persons offering this type of service? No Yes :

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