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2016
April
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Hello:
You are invited to participate in our consumer preference survey. In this survey, approximately 350 people will be asked to complete a survey that asks questions about their preferences and perceptions about retail products and processes. It will take approximately 20 minutes to complete the questionnaire.
Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions.
Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will remain confidential.
Thank you very much for your time and support.
I Agree
Name (Optional)
*
Age
*
Email Address (Just for validation purposes, data will not be shared)
*
What is your profession?
-- Select --
Student
Technical Professional
Managerial Professional
Businessman
Other (Please Specify)
*
Gender
Male
Female
*
Please take a look at the list and tell which of these items do you have at home? (It could be owned by you or your family, or provided by the employer or it could be available in the house you live in; but it should be for the use of just you and your family).
Electricity connection
Ceiling fan
LPG stove
Two wheeler
Color TV
Refrigerator
Washing Machine
Air Conditioner
Car / Jeep / Van
Personal Laptop / Computer
*
Does your family own any agricultural land which is currently under cultivation or plantation?
Yes
No
*
Who is the biggest contributor to running the household?
Self
Parents
Siblings
Children
Others (Please specify)
*
Could you tell me about the educational background of the person who makes the biggest contribution to running the household?
Graduate / Post Graduate Professional
Graduate / Post Graduate General
Some college (including a diploma but NOT graduate)
HSC/SSC
School (5-9 Years)
School (1-4 Years)
Illiterate
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