You are on page 1of 1

Average Propensity to Consume

Macroeconomics Research
Survey Questionnaire

Surname : _____________________________________ Sex : Male Female


Age : 20 to 25 26 to 30 31 to 40 41 to 50 50 and up
Type of Household:
Single Family Extended Family Two or More Non-related Families/Persons
No. of family members in the household:
1 to 5 6 to 10 11 to 15 16 to 20 more than 20
No. of employed family members:
1 to 2 3 to 4 5 to 6 7 to 8 more than 8

During the past month, how much did the household consume on:
*estimate only

Food Items and Beverages


0 - 7,500 7,501 - 15,000 15,001 - 22,500 22,501 - 30,000 more than 30,000
Fuel, Light, Water, and Household Operation
0 - 7,500 7,501 - 15,000 15,001 - 22,500 22,501 - 30,000 more than 30,000
Transportation and Communication
0 - 7,500 7,501 - 15,000 15,001 - 22,500 22,501 - 30,000 more than 30,000
Personal Care, Clothing, Footwear and Other Wear
0 - 7,500 7,501 - 15,000 15,001 - 22,500 22,501 - 30,000 more than 30,000
Education, Recreation and Medical Care
0 - 7,500 7,501 - 15,000 15,001 - 22,500 22,501 - 30,000 more than 30,000
Taxes
0 - 7,500 7,501 - 15,000 15,001 - 22,500 22,501 - 30,000 more than 30,000
Housing (Rent)
0 - 7,500 7,501 - 15,000 15,001 - 22,500 22,501 - 30,000 more than 30,000
Miscellaneous Expenditures
0 - 7,500 7,501 - 15,000 15,001 - 22,500 22,501 - 30,000 more than 30,000

How much is the total monthly income of the household based on:
*estimate only

Salaries and Wages from Regular Employment


0 - 7,500 7,501 - 15,000 15,001 - 22,500 22,501 - 30,000 more than 30,000
Cash Receipts, Support, Assistance and Relief
0 - 7,500 7,501 - 15,000 15,001 - 22,500 22,501 - 30,000 more than 30,000
Entrepreneurial Activities
0 - 7,500 7,501 - 15,000 15,001 - 22,500 22,501 - 30,000 more than 30,000

You might also like