Here is the survey grid with 5 people's opinions on having fines for smoking in public areas: Name Occupation Home address Opinion Reason Ahmad Teacher Jl. Cikini Raya 12 Agree Smoking affects others' health Dewi Nurse Jl. Cikampek 43 Agree It's an unhealthy habit Budi Student Jl. Kramat Raya 8 Disagree Smokers have rights too Siti Office worker Jl. Cikini Utara 27 Agree Smoke bothers non-smokers Roni Driver Jl. Cikini Selatan 3

1. May I have your number?
Here’s your registration number, Mr. Hayes.
Could I have your name, please?
I live on Jl. Letjen S. Parman, in the Park View Apartments, Tower 2 No.
1703
Good afternoon. How can I help you?
Sure, it’s 081-552-517-35
And your address?
I’d like to register for the New Architectural Trends Conference
My name’s Daniel Hayes.
Thank you.
May I have your number?
Here’s your registration number, Mr. Hayes.
Could I have your name, please?
I live on Jl. Letjen S. Parman, in the Park View Apartments, Tower 2 No.
1703
Good afternoon. How can I help you?
Sure, it’s 081-552-517-35
And your address?
I’d like to register for the New Architectural Trends Conference
My name’s Daniel Hayes.
Thank you.

2. 1.Good afternoon. How can I help
you?
2.I’d like to register for the New
Architectural Trends Conference
3.Could I have your name, please?
4.My name’s Daniel Hayes.
5.And your address?
6.I live on Jl. Letjen S. Parman, in
the Park View Apartments, Tower
2 No. 1703
7.May I have your number?
8.Sure, it’s 081-552-517-35
9.Here’s your registration number,
Mr. Hayes.
10.Thank you.

3. Excuse me, I’d like to register for
Sure. Here’s your registration
New Computer Technology
form.
Conference
Could you tell me your name,
please? My name’s ...... (give your full
name and spell them)
What’s your nationality?
I’m Indonesian
Could you please tell me your date
of birth? ......... (give your date of birth)
What company are you with? PT. CompMania Surabaya
Jl. Suka-suka raya no. 1,
What is your office address? Surabaya, Indonesia
And your office’s phone number? 031-531-8642
Do you know the zip code of your
office? Sorry, I don’t know
Yes. .......... (give your e-mail
Do you have an e-mail address? address and spell them)

4. May I know your mother’s maiden
name? It’s Nurjanah. Siti Nurjanah.
Sure. It’s Bellagio Nusantara
Could I have your home address,
Tower Apartment, 10th floor, no.
please?
5, Surabaya, Indonesia
And your home phone number? 031-246-1357
Can you tell me your home zip
code? Wait a moment. It’s 13520
Can I know your cellphone
number? 081-975-123-64

5. A: Excuse me, I’d like to open a saving account.
B: Sure, but we need to fill out this form. May I have your name, Ma’am?
A: My name’s Erin J. Howard. E-R-I-N J. H-O-W-A-R-D.
B: What’s your nationality?
A: I’m Australian
B: And your address?
A: Jl. Tebet Barat II no. 25. I think it’s South Jakarta.
B: Do you know the zip code?
A: Wait a minute. It’s 12510
B: And your phone number?
A: My number is 8313258
B: What is your office address?
A: Jl. Rasuna Said Kav. 15
B: And the phone number?
A: It’s 525-335
B: What is your date of birth?
A: May 18, 1965
B: Can I have your mother’s maiden name?
A: It’s Ramsey. Annie Ramsay
B: Do you have an e-mail address?
A: Yes. It’s ejhoward@yahoo.com
B: OK, wait a moment, please, I’ll process your application.
A: Thank you.

6. UNION BANK
OPENING ACCOUNT APPLICATION FORM
First Middle Initial Last
Name:
Nationality:
RESIDENCE
Address:
City: Zip Code: State:
Phone:
OFFICE
Address:
City: Zip Code: State:
Phone:
Month Day Year
Date of birth
Mother’s
maiden name
E-mail address:
Date of
application
Signature:

7. Registration Officer : Good afternoon, sir. How can I help you?
Mark Timmerman : I’d like to enroll the postgraduate program.
Registration Officer : What major are you interested in?
Mark Timmerman : Business Administration.
Registration Officer : OK. But we need to fill out the application first. Could
you please tell me your name, please?
Mark Timmerman : Mark Timmerman.
Registration Officer : Can you spell your name, sir?
Mark Timmerman : M-A-R-K T-I-M- M-E-R-M-A-N
Registration Officer : Can I have your address?
Mark Timmerman : Sure. It’s 130 Mammoth Road, Apartment no 6.
Manchester, New Hampshire, USA.
Registration Officer : What is your home phone number?
Mark Timmerman : It’s 603-656-9982
Registration Officer : Are you currently employed?
Mark Timmerman : No. I’ve just finished my undergraduate study.
Registration Officer : OK. I’ll process your application. We’re going to call
you to step up for the english placement test.
Mark Timmerman : Thank you.

8. Registration Officer : ....... afternoon, ...... .......... can I help you?
Mark Timmerman : ... ........ ......... to enroll the postgraduate program.
Registration Officer : ........ major ...... you interested in?
Mark Timmerman : Business Administration.
Registration Officer : OK. But ...... ....... to fill out the application
first. ......... ........ .......... ......... your name, please?
Mark Timmerman : ............. .................................
Registration Officer : ............ .......... spell your name, sir?
Mark Timmerman : M-A-R-K T-I-double M-E-R-M-A-N
Registration Officer : ......... ........ ............ your address?
Mark Timmerman : .......... It’s 130 Mammoth Road, Apartment no 6.
Manchester, New Hampshire, USA.
Registration Officer : .......... ....... your home phone number?
Mark Timmerman : ...... 603-656-9982
Registration Officer : .......... .......... currently employed?
Mark Timmerman : No. ..... ........ .......... finished my undergraduate study.
Registration Officer : ....... ..... ........ ..................... your application. We’re
going to call you to step up for the english placement
test.

9. Receptionist : Good morning. Can I help you?
Dewi : Yes, I’d like to see Mr. Raymond Witoelar. I have an
appointment with him at ten.
Receptionist : Could I have your name, ma’am?
Dewi : My name is Dewi Permana Putri.
Receptionist : Which company are you with?
Dewi : I’m with TELSTRAC
Receptionist : Can I have your phone number?
Dewi : Sure. It’s 081-047-386-49
Receptionist : Ms. Dewi. You are required to leave your ID card here.
Dewi : Oh okay.
Receptionist : Please sign in this column and write the time when you enter
this building.
Dewi : I’m sorry. I don’t bring my watch.
Receptionist : Now it’s 9:47. And here’s your visitor card. Mr. Witoelar is on
21th floor. You need to take the second elevator on the right to
go his floor.
Dewi : Thank you.

10. Receptionist : ....... morning. ...... .... help you?
Dewi : Yes. .... ........... ........... to see Mr. Raymond
Witoelar. ...... ........ an appointment ...... ...... at ten.
Receptionist : ....... ...... ......... your name, ma’am?
Dewi : ........ ............. is Dewi Permana Putri.
Receptionist : Which company ....... ..... ...........?
Dewi : ... ...... with TELSTRAC
Receptionist : ........ ..... ....... your phone number?
Dewi : ....... ........... 081-047-386-49
Receptionist : Ms. Dewi. ......... ........ required to leave ....... ID card here.
Dewi : ..... okay.
Receptionist : .............. sign in this column and ............. the time when you
enter this building.
Dewi : ............ sorry. ..... don’t bring ...... watch.
Receptionist : ..... ....... 9:47. And ............ your visitor card. Mr. Witoelar is
on 21th floor. You need to take the second elevator on the right
to go his floor.
Dewi : Thank you.

11. Situation : You are a TV5 reporter. TV5 assigns you to conduct random survey
to find out if people agree or disagree on having the fine for smoking in a public
area. Interview 5 people at a bus station and write their opinion and social
background in the survey grid.
Name Occupation Home address Opinion Reason