Image

Questionnaire to Analyze the Cost of Living Abroad

1. Personal Information



2. Monthly Expenses (please use the USD currency)


A) Residence (Average monthly)

$
$

B) Utilities (Average monthly)

C) Food (Average monthly grocery cost)

Electricity ($)
Heating ($)
Cooling ($)
Water ($)
Gas ($)
Mobile Phone Monthly Plan with Calls and Internet ($)
Others:
Milk (regular) (1 liter) ($)
Loaf of Fresh White Bread (500g) ($)
Rice (white), (1kg) ($)
Eggs (regular) (12) ($)
Local Cheese (1kg) ($)
Chicken Fillets (1kg) ($)
Beef Round (1kg) (or Equivalent Back Leg Red Meat) ($)
Apples (1kg) Banana (1kg) ($)
Oranges (1kg) ($)
Tomato (1kg) ($)
Potato (1kg) ($)
Onion (1kg) ($)
Lettuce (1 head) ($)
Water (1.5 liter bottle) ($)

D) Food (Average monthly dining cost)

E) Transportation (Average monthly)

Meal, Inexpensive Restaurant ($)
Others:
Public transport cost (one way ticket)
Monthly Pass (Regular Price)
Taxi Start (Normal Tariff)
Others:

F) Health (Average monthly)

G) Education (Average monthly)

Health insurance ($)
Medications ($)
Hospital Treatment ($):
University fees ($)
Others:
Teaching material (paper, pencil, books, etc)

H) Others (Average monthly)

Leisure and Entertainment ($)
Clothing And Shoes ($)
Basic hygiene care ($):
$

3. Other Information


a) Residence (Average monthly)


b) Residence (Average monthly)