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Name
   
 
 
 
Gender
 
Male
 
Female
 
Other
 
 
 
Date of Birth
 
 
 
Martial Status
 
Single
 
Married
 
 
 
Income Money
 
Less than 500 shekel
 
500 – 1000 shekel
 
1000 – 2000 shekel
 
More than 2000 shekels
 
 
 
How long have you been using internet?
 
1 year
 
2 years
 
3 years
 
More than 3 years
 
 
 
How many hours per day you use internet approximately?
 
1 hour
 
2 hours
 
3 hours
 
More than 3 hours
 
 
 
Which one of the following places you use to access internet more?
 
Home
 
University
 
Work
 
Cafe
 
No specific place
 
 
 
Have you ever used internet to purchase a product or service?
 
Yes
 
No
 
 
 
Have you ever used internet to search about information to purchase a product or service?
 
Yes
 
No
 
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