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Study ID
   
 
 
 
Date of interview(dd/mm/yyyy)
   
 
 
 
Gender
 
(1) Male
 
(2) Female
 
 
 
What is your ethnicity?
 
(1) Chinese
 
(2) Malay
 
(3) Indian
 
(888) Don't Know
 
(999) Refused
 
(4) Other
 
 
 
 
How often do you conduct surveys?
 
Weekly
 
Monthly
 
Quarterly
 
Annually
 
 
 
How often do you conduct surveys?
 
Weekly
 
Monthly
 
Quarterly
 
Annually
 
 
 
How often do you conduct surveys?
 
Weekly
 
Monthly
 
Quarterly
 
Annually
 
 
 
How often do you conduct surveys?
 
Weekly
 
Monthly
 
Quarterly
 
Annually
 
 
 
How often do you conduct surveys?
 
Weekly
 
Monthly
 
Quarterly
 
Annually
 
 
 
How often do you conduct surveys?
 
Weekly
 
Monthly
 
Quarterly
 
Annually
 
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