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What is your name ?
   
 
 
 
What is your age ?
   
 
 
 
How often do you use telephone, mail,internet?
 
Weekly
 
Monthly
 
Quarterly
 
Annually
 
 
 
How often do you need to call customer serves?
 
Weekly
 
Monthly
 
Quarterly
 
Annually
 
 
Please rate the following:
personal
telephone
internet
 
 
 
What types of credit cards do you have (Select all that apply)?
 
Visa
 
Mastercard
 
American Express
 
Discover
 
Diners Club

 
 
 
Please rank (1-3) the following in order of interest:
personal
telephone
internet
 
 
 
How often do you do surveys?
 
Weekly
 
Monthly
 
Quarterly
 
Annually
 
 
 
How much money you spend weekly?
   
 
 
 
how do you like this survey?
Very Unsatisfied
Unsatisfied
Neutral
Satisfied
Very Satisfied
 
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