Email Address:
Name:
Age
Below 15
15 – 20
21 – 30
31 – 40
41 – 50
51 – 60
60 and Above
Sex
Civil Status
Occupation
Birthplace (city/province)
Place of Residence (city/province/country, if outside Philippines)
Workplace or School (for students) (city/province/country, if outside Philippines)
Monthly Income / Allowance
Below 1,000
1,001 – 2,000
2,001 – 5,000
5,001 – 10,000
10,001 – 25,000
25,001 – 50,000
50,001 – 75,000
75,001 – 100,000
100,000 and Above
Are you a Kapampangan? (Do you have relatives in the province with Kapampangan blood or roots?)
Did you grow up in Pampanga?
I can understand Kapampangan language
I can speak Kapampangan language
I can read Kapampangan language
I can write in Kapampangan
Check all that you associate with Pampanga
If others, please specify
Are you interested about the Kapampangan Culture?
If you're not interested, why?
What field of the culture are you most interested?
If others, please specify
What field of the culture are you least interested?
If others, please specify
I want to try eating Kapampangan food
I like to listen to Kapampangan songs
I want to learn how to speak the Kapampangan language
I want to know more about their history
I want to experience their practices
What do you already know about the Kapampangan Culture? Check all that applies.
If others, please specify
Do you attend the festivals of Pampanga?
How frequent do you attend the festivals of Pampanga?
Check all the festivals of Pampanga that you know
If others, please specify
Check all the fellow Kapampangans that you are proud of
If others, please specify
Are you aware of any existing organization that promotes Kapampangan culture?
If yes, what is this existing organization?
Are you aware of the Center for Kapampangan Studies?
If you answered yes, how did you learn about the center? Check all that applies.
If others, please specify
Are you interested in visiting cultural institutions?
Why are you interested in visiting cultural institutions? Check all that applies.
If others, please spcify
Why are you not interested in visiting cultural institutions? Check all that applies.
If others, please specify
The Center for Kapampangan Studies is established by Holy Angel University in Pampanga. It houses Kapampangan related materials and is composed of a library, a museum, an archive, a gallery, a theater and a research center. Will you be interested to visit the center?
Given that the location of the center is in Pampanga, are you willing to spend your time in traveling to be able to visit the center?
Would you be interested to join the organization (The Center for Kapampangan Studies)?
To what extent would you like to help the center? Check all that applies.
How do you like to receive information and/or announcement from the center? Check all that applies.
If others, please specify
What mode of transportation do you take in your daily routine? Check all that applies.
If others, please specify
What do you do during your leisure time? Check all that applies.
If others, please specify
