Questionnaire
1) What gender are you?

   □Male                                       □ Female

2) What colour are you?

   □Black                             □Brown

3) Are you satisfied with your skin tine?

   □Yes                               □No

4) Are you racist?

   □Yes                               □No

5) How do you feel when you bleach? ___________________________________________

   ________________________________________________________________________

6) What form of bleaching do you do?

   □Injections               □Pills            □Bleaching Cream    □Mixture

7) What do you think of skin bleaching? _________________________________________

   ________________________________________________________________________

   ________________________________________________________________________

   ________________________________________________________________________

8) Who in your household bleaches?

   □Mother       □ Brother       □Sister    □Aunt         □Other

9) Why do you bleach? _______________________________________________________

   ________________________________________________________________________

   ________________________________________________________________________

   ________________________________________________________________________
10) Do you bleach because of the environment that you are located in?

   □Yes                                          □No

11) Does bleaching affect you?

   □Yes                                          □No

12) If yes, why? ____________________________________________________________

   ________________________________________________________________________

   ________________________________________________________________________

   ________________________________________________________________________

13) Do you find it more of a beauty factor?

   □Yes                                         □No

14) Do you think if you had a lighter complexion you would be treated better?

   □Yes                                        □No

15) Is it possible for you to recognize that someone is bleaching without a doubt?

   □Yes                                        □No

16) Can you differentiate between skin bleaching and toning?

   □Yes                                        □No

17) Which groups of individuals do you think bleach more?

   □15-20     □20-30                  □30-40                    □50 and over

18) Do you think if the government puts up mechanism to prohibit the selling of these

   products the whole trend would decrease?

   □Yes                                         □No

Questionnaire for skin bleaching

  • 1.
    Questionnaire 1) What genderare you? □Male □ Female 2) What colour are you? □Black □Brown 3) Are you satisfied with your skin tine? □Yes □No 4) Are you racist? □Yes □No 5) How do you feel when you bleach? ___________________________________________ ________________________________________________________________________ 6) What form of bleaching do you do? □Injections □Pills □Bleaching Cream □Mixture 7) What do you think of skin bleaching? _________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ 8) Who in your household bleaches? □Mother □ Brother □Sister □Aunt □Other 9) Why do you bleach? _______________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________
  • 2.
    10) Do youbleach because of the environment that you are located in? □Yes □No 11) Does bleaching affect you? □Yes □No 12) If yes, why? ____________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ 13) Do you find it more of a beauty factor? □Yes □No 14) Do you think if you had a lighter complexion you would be treated better? □Yes □No 15) Is it possible for you to recognize that someone is bleaching without a doubt? □Yes □No 16) Can you differentiate between skin bleaching and toning? □Yes □No 17) Which groups of individuals do you think bleach more? □15-20 □20-30 □30-40 □50 and over 18) Do you think if the government puts up mechanism to prohibit the selling of these products the whole trend would decrease? □Yes □No