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Hello:
You are invited to participate in our survey ONLINE SHOPPING . In this survey, approximately 100 people will be asked to complete a survey that asks questions about Triggers and Barriers. 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 be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact [Name of Survey Researcher] at [Phone Number] or by email at the email address specified below.

Thank you very much for your time and support. Please start with the survey now by clicking on the Continue button below.

 
 
 
Contact Information
First Name : 
Last Name : 
Phone : 
Email Address : 
 
 
 
* Interview Date
MonthDayYear
  
 
 
 
* Could you please look at screen and tell me if you or any of your family members work for any of the listed organizations?
 
Advertising Agency
 
Market Research Agency
 
Television/Newspaper or Magazine
 
E-commerce Portals/ websites (any online transaction involved)
 
Banks
 
None of these
 
 
 
* Could you tell me your age in completed years?
   
 
 
 
* Record Gender without asking.
 
Male
 
Female
 
 
 
* What is the highest level of education you have received?
 
Illiterate
 
School up to 4 Years
 
School 5-9 years
 
SSC/HSC
 
Some college but not graduate
 
Graduate/ Post-Graduate-General
 
Graduate /Post-Graduate-Professional
 
 
 
* Which of the following describes your current occupation?
 
Unskilled workers
 
Skilled workers
 
Petty Traders
 
Shop owners
 
Businessmen / Industrialist with no. of employees:None
 
Businessmen / Industrialist with no. of employees:1-9
 
Businessmen / Industrialist with no. of employees:Above 10
 
Self-employed professionals
 
Clerical / Salesmen
 
Supervisory level
 
Officers / Executives - Junior
 
Officer/ Executives - Middle/Senior
 
 
 
* What all devices from following do you or your family members own?
 
Smart Phone
 
Tablet
 
Personal Computer
 
Lap Top
 
Other
 

 
 
 
Do you access internet on any of the devices mentioned.
 
Yes
 
No