Survey Questionnaire

Questionnaire
Part I. Demographic profile of the respondents
Instruction: Kindly fill in the blank with applicable information about yourself.
Name (optional): ____________________________________________
Address: ___________________________________________________
Gender: ___________ Age: __________
Part II. The efficacy of the lemongrass extract as an alternative massage oil.
This part of the questionnaire seeks to find out the perception of the respondents on the efficacy
of the lemongrass extract as an alternative massage oil. All the data gathered from the
respondents will be kept in the highest level of confidentiality and will be used for academic
purposes only.

Viscosity Description

3 Fluid-like - the lemongrass massage oil flows fast and feels watery.

2 Semi-fluid - the lemongrass massage oil flows slowly in a moderate way.

1 Sticky - the lemongrass massage oil flows very slow and feels greasy.

Soothing effect Description

3 Gentle - the lemongrass massage oil makes you feel calm and relieve.

2 Warm - the lemongrass massage oil has a mild effect in your skin.

1 Irritating - the lemongrass massage oil cause inflammation and discomfort.

Aroma Description

3 Fragrant - the lemongrass massage oil smells good and pleasant.

2 Fragrance-free - the lemongrass massage oil does not have smell.

1 Decayed - the lemongrass massage oil smells awful and rotten.

Instruction: The following items describes about the viscosity, soothing effect, and aroma of the
lemongrass massage oil and commercial massage oil. Indicate your answers by putting a check
mark on the column of your choice that corresponds to the questions.
LEMONGRASS MASSAGE OIL
Viscosity (resistance of a fluid to flow) .
1. How would you describe the viscosity of the Lemongrass massage oil upon pouring it to
your palm?

☐ Fluid-like ☐ Semi-fluid ☐ Sticky

2. Upon applying the Lemongrass massage oil in your skin, how does it feels-like?

☐ Fluid-like ☐ Semi-fluid ☐ Sticky

3. After 30 seconds of applying Lemongrass massage oil, what is its viscosity?

☐ Fluid-like ☐ Semi-fluid ☐ Sticky

Soothing Effect (having a calming, assuaging, or relieving effect)

1. What does it feels-like when Lemongrass massage oil is applied into your skin?

☐ Gentle ☐ Warm ☐ Irritating

2. After 30 seconds of applying Lemongrass massage oil, how does it feel?

☐ Gentle ☐ Warm ☐ Irritating

3. After 5 minutes of applying Lemongrass massage oil in your skin, how does it feel?

☐ Gentle ☐ Warm ☐ Irritating

Aroma (a fragrant scent that pleases the nose with a pleasant smell)

1. After opening its container, how does the Lemongrass massage oil smells-like?

☐ Fragrant ☐ Fragrance-free ☐ Decayed

2. How does it smells-like after applying Lemongrass massage oil into your skin?

☐ Fragrant ☐ Fragrance-free ☐ Decayed

3. After 30 seconds of applying into your skin, how does Lemongrass massage oil smells-
like?

☐ Fragrant ☐ Fragrance-free ☐ Decayed

Viscosity (resistance of a fluid to flow).

☐ Fluid-like ☐ Semi-fluid ☐ Sticky

2. Upon applying the Commercial massage oil in your skin, how does it feels-like?

☐ Fluid-like ☐ Semi-fluid ☐ Sticky

3. After 30 seconds of applying Commercial massage oil, what is its viscosity?

☐ Fluid-like ☐ Semi-fluid ☐ Sticky

Soothing Effect (having a calming, assuaging, or relieving effect)

1. What does it feels-like when Commercial massage oil is applied into your skin?

☐ Gentle ☐ Warm ☐ Irritating

2. After 30 seconds of applying Commercial massage oil, how does it feel?

☐ Gentle ☐ Warm ☐ Irritating

3. After 5 minutes of applying Commercial massage oil in your skin, how does it feel?

☐ Gentle ☐ Warm ☐ Irritating

Aroma (a fragrant scent that pleases the nose with a pleasant smell)

1. After opening its container, how does the Commercial massage oil smells-like?

☐ Fragrant ☐ Fragrance-free ☐ Decayed

2. How does it smells-like after applying Commercial massage oil into your skin?

☐ Fragrant ☐ Fragrance-free ☐ Decayed

3. After 30 seconds of applying into your skin, how does Commercial massage oil smells-
like?

☐ Fragrant ☐ Fragrance-free ☐ Decayed