2. 您的年龄段:/Age Group: A.18岁以下 / Under 18 B.18–30岁 / 18–30 C.31–45岁 / 31–45 D.46–60岁 / 46–60 E.60岁以上 / Over 60
3. 您的性别:/Gender: A.男 / Male B.女 / Female C.不便透露 / Prefer not to say
4. 您本次来粤旅行的同行人员:/Who are you traveling with? A.独自一人 / Alone B.配偶 / Spouse/Partner C.家人（含子女） / Family (with children) D.朋友 / Friends E.旅行团 / Tour group F.其他 / Other
5. 5.您本次在广东计划停留的天数： ______ 天 / days 其中在罗浮山停留： ______ 天 / days
第二部分：决策与信息渠道 / Part 2: Decision-Making & Information Channels 6. 您本次来罗浮山的主要目的是什么?What is the main purpose of your visit to Luofu Mountain?(Select all that apply) A.观光游览 / Sightseeing B.中医药康养体验（如药膳、推拿、八段锦等）/ TCM wellness experience (e.g., herbal cuisine, massage, Baduanjin, etc.) C.健康疗养 / Health and healing retreat D.参加学术会议/文化活动 / Attending academic conferences/cultural events E.商务考察 / Business inspection F.其他 / Other
7. 您选择罗浮山作为旅游目的地的原因是什么?What made you choose Luofu Mountain as your destination?(Select all that apply) A.中医药文化历史悠久 / Long history of TCM culture B.自然风光优美 / Beautiful natural scenery C.健康养生资源丰富 / Abundant wellness resources D.价格合理 / Reasonable price E.亲友推荐 / Recommendation from family/friends F.旅行社推荐 / Travel agency recommendation G.社交媒体/网络宣传 / Social media/online promotion H.医疗/健康机构推荐 / Recommendation from medical/health institutions I.其他 / Other
8. 您是通过什么渠道知道罗浮山的?How did you learn about Luofu Mountain?(Select all that apply) A.官方网站 / Official website B.在线旅游平台（如携程、TripAdvisor、Klook等）/ Online travel platforms (e.g., Ctrip, TripAdvisor, Klook) C.旅行社 / Travel agency D.社交媒体（如微信、小红书、Facebook、Instagram等）/ Social media (e.g., WeChat, Xiaohongshu, Facebook, Instagram) E.朋友/家人推荐 / Recommendation from friends/family F.医疗机构推荐 / Recommendation from medical institutions G.电视/报纸/杂志 / TV/Newspaper/Magazines H.其他 / Other
第三部分：消费结构与支付 / Part 3: Spending & Payment 9.您在罗浮山期间的主要消费项目有哪些?What are your main spending items during your stay at Luofu Mountain?(Select all that apply) A.门票 / Admission tickets B.住宿 / Accommodation C.餐饮（含药膳）/ Food & beverage (including TCM herbal cuisine) D.中医药体验项目（推拿、针灸、艾灸、体质辨识等）/ TCM experience programs (massage, acupuncture, moxibustion, constitution diagnosis, etc.) E.购买中医药产品（药材、成药、保健品等）/ Purchasing TCM products (herbs, patent medicines, health supplements, etc.) F.交通 / Transportation G.导游服务 / Tour guide services H.其他 / Other
10. 您在罗浮山的人均消费预算大约为:What is your estimated per-person spending budget at Luofu Mountain? A.500元以下 / Below 500 RMB B.501–1,000元 / 501–1,000 RMB C.1,001–2,000元 / 1,001–2,000 RMB D.2,001–5,000元 / 2,001–5,000 RMB E.5,000元以上 / Above 5,000 RMB
11. 您主要使用什么支付方式?What is your primary payment method?(Select all that apply) A.国际信用卡（Visa/Mastercard）/ International credit card (Visa/Mastercard) B.支付宝（Alipay）/ Alipay C.微信支付（WeChat Pay）/ WeChat Pay D.现金 / Cash E.Apple Pay / Google Pay F.其他 / Other
12. 您在支付过程中是否遇到过困难?Have you encountered any difficulties during payment? A.没有困难 / No difficulties B.有困难（请说明:）/ Yes (Please specify: )
第四部分：服务体验 / Part 4: Service Experience 13.您在罗浮山的语言沟通是否顺畅?Was language communication smooth during your visit? A.非常顺畅 / Very smooth B.比较顺畅 / Fairly smooth C.一般 / Average D.不太顺畅 / Not very smooth E.非常困难 / Very difficult
14.如果需要，您希望景区提供哪些语种的服务?If needed, what languages would you like the scenic area to provide?(Select all that apply) A.英语 / English B.日语 / Japanese C.韩语 / Korean D.法语 / French E.西班牙语 / Spanish F.阿拉伯语 / Arabic G.其他 / Other
14. 您对以下方面的满意度如何？How satisfied are you with the following aspects? (1=Very dissatisfied, 5=Very satisfied)（1=非常不满意，5=非常满意）
景区环境与卫生 / Environment & cleanliness
中医药体验项目的专业性 / Professionalism of TCM programs
工作人员的服务态度 / Staff service attitude
餐饮质量（含药膳）/ Food quality (incl. herbal cuisine)
住宿条件 / Accommodation quality
交通便利性 / Transportation convenience
多语种标识与信息服务 / Multilingual signage & information services
支付便利性 / Payment convenience
15. 您是否愿意再次来罗浮山进行深度康养旅游?Would you be willing to visit Luofu Mountain again for an in-depth wellness trip? A.非常愿意 / Very willing B.比较愿意 / Fairly willing C.一般 / Not sure D.不太愿意 / Not very willing E.不愿意 / Not willing at all
第五部分：最大痛点与开放建议 / Part 5: Biggest Difficulties & Suggestions 16.您在罗浮山旅游过程中遇到的最大困难是什么?What is the biggest difficulty you encountered during your visit?(Select up to 3)（可多选，） A.语言沟通障碍 / Language barrier B.支付不便（无法使用常用信用卡或移动支付）/ Inconvenient payment (cannot use preferred credit cards or mobile payment) C.签证办理复杂 / Complicated visa application D.交通接驳不便 / Inconvenient transportation connections E.住宿条件不理想 / Unsatisfactory accommodation F.信息获取困难（找不到景区介绍、服务指南等）/ Difficulty accessing information (scenic area introductions, service guides, etc.) G.中医药体验项目不够丰富 / Limited TCM experience programs H.价格过高 / High prices I.其他 / Other
18. 17. 您认为罗浮山最需要改进的三个方面是什么？What three aspects do you think Luofu Mountain needs to improve most? (1) __________________________________________
(2)__________________________________________
(3)__________________________________________
18. 您是否愿意将罗浮山推荐给您的亲友?Would you recommend Luofu Mountain to your family and friends? A.一定会 / Definitely yes B.可能会 / Probably yes C.不确定 / Not sure D.可能不会 / Probably not E.一定不会 / Definitely not
19. 总体而言，您对本次罗浮山之行的满意度评分为（1-10分）Overall, please rate your satisfaction with this visit to Luofu Mountain (1-10):
20. 您对广东省发展中医药国际医疗旅游有什么建议?Do you have any suggestions for Guangdong Province in developing international TCM medical tourism?(Optional)
问卷到此结束，非常感谢您的参与！祝您旅途愉快！
This is the end of the questionnaire. Thank you very much for your participation! Wishing you a pleasant journey!
22. 调查员签字/ Interviewer Signature ：________
日期/ Date ：________
发放地点/ Location ：________
问卷编号/ Questionnaire ID ：________
使用建议 1. 发放时机 ：建议在景区出口、中医体验项目结束后、或游客休息区发放，确保游客已完成主要体验。
2. 发放方式 ：可同时采用纸质问卷（现场发放）和电子问卷（扫描二维码在线填写），电子问卷可使用“问卷星”或“Google Forms”制作，便于数据自动汇总。
3. 多语种补充 ：如客源国集中在日本、韩国或东南亚国家，建议在上述中英双语基础上增加日语、韩语或泰语版本，以提高回收率和数据质量。
4. 样本量目标 ：建议回收有效问卷不少于50份，深度访谈5-10例，以确保定量与定性数据的相互印证。