Please indicate:

1. Gender Male………….. Female…………..

2. Age………. Years
3. Marital status

Single Married Divorced Widowed

4. How many people, including yourself, live in your household?

--------------- People.

5. What is your highest level of education?

Primary education
Secondary education (high school)
College
University
Others---------------

6. Are you employed at this moment?

Yes
No
I don’t know
No I’m retired

7. What is the monthly income of your household?

Less than 4000
Less than 8000
Less than 12000
Less than 16000
Others -------------

8. Are you familiar with VAT taxation?

Yes
No

9. Do you think VAT and GST are same?

Yes
No
No idea

10. Do you think VAT is preferable over GST?

Yes
No
No idea
11. Do you think VAT should be imposed?
Yes
No
Don’t know

12. Would VAT be helpful in controlling tax evasion?

Yes
No

13. Do you think VAT would be cause of inflation?

Yes
No

14. How much impact did the taxes have on your life?
Very large
Large
Moderate
Small
Very small

15. To what extent is your increase in income proportionate to your tax payment?
To a very small extent
To small extent
To moderate extent
To large extent
To a very large extent

16. To what extent increase in taxes affect fulfillment of your needs?

To a very small extent
To small extent
To moderate extent
To large extent
To a very large extent

17. Do you think that VAT imposition would lower your standings of living?
Strongly disagree
Neutral
Agree
Strongly agree

18. Compare to last year do you plan to spend more or less?

I plan to spend more
I plane to spend the same
I plane to spend less
19. What goods consumption can be reduced?
Meat
Fish
Vegetables
Eggs
Dairy
Sugar
Fruits
Other foods (e.g. soft drinks)

20. What goods consumption can be exempted?

1-----------------
2-----------------
3-----------------
4-----------------
5-----------------

21. What goods consumption cannot be exempted?

1-----------------
2-----------------
3-----------------
4-----------------
5-----------------

22. What impact VAT would have on your investment and national welfare?
Increase
Decrease
No idea

23. Will there be implications on sale of used goods and scraped goods due to VAT?
Yes
No

24. In your opinions, what else government should do if VAT imposed on extra value
added tax?
Increase the pays
Give subsidies over consumer goods
Decrease oil prices

25. Would VAT be helpful in improving economic conditions of the country?

Increase
Decrease
No effect on economy
26. Do you believe the collection would smooth in our non tax paying culture?
Yes
No
No idea

27. Please indicate how satisfied you are with the VAT taxation?
Very unsatisfied
Unsatisfied
Neutral
Satisfied
Very satisfied

28. Are three any additional views that you would like to share? (Optional)