Traditional Chinese medicine status survey - 问卷调查调研模板

Q1:What is your gender?

Male

female

Q2:Could you please tell me your age?

10-20

20-30

30-40

40-50

More than 50

Q3:What’syourprofession?

Company employee

Student

Freelancer

Retiree

Other

Q4:Are you satisfied with yourphysicalcondition?

Yes

No

Not to bad

Q5:Do you know about healthing body through Traditional Chinese Medicine?

Yes

No

Just so so

Q6:Can you accept this way to keep healthy?

Yes

NO

Just so so

Q7:Have you ever used products aboutTraditional Chinese Medicine?

Always

Often

Occasionally

Seldom

Never

Q8:Whichwaydo youknowthese products or some TCM knowledges?

Media

Book

Friend

Professional

Other

Q9:Do you think it issignificative forofficial orfolk to promote some TCM cultureactivities?

Yes

No

Do not care

Q10:It is possible for you to spend time to attend these activities or lectures?

Yes

No

Depending on situation

Q11:Which way do you want to choose toorganizeactivities ?

Lecture and interview

Game

Product experience

Other

Q12:Which is your first choice when you need to go to see a doctor,traditional Chinese medicine or western medicine?

Traditional Chinese medicine

Western

Q13:Do you think what areadvantages oftraditional Chinese medicine?

Have a long history

Low price

Little side effect

Nothing is good

Q14:Do you think what are disadvantages of traditional Chinese medicine?

Lacking the scientific theory

A Less Convenient

Too awful

Slow effect

Other

Q15:What applications are you interested in?

Just treat an illness

Life cultivation and health preservation

Beautify the features

Chronic and difficult miscellaneous diseases

Other