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Name
   
 
 
 
Gender
 
Male
 
Female
 
 
 
Age:
 
18-24
 
25-34
 
35-44
 
45-54
 
55-64
 
65+
 
 
 
Educational Qualification
 
Under Graduate
 
Post Graduate
 
Professional
 
Doctorate
 
Others(Kindly mention)
 
 
 
Profession
 
 
Employed
 
Self-employed
 
Part-time
 
Homemaker
 
Student
 
Retired
 
 
 
How often do you use internet?
 
Daily
 
Weekly
 
Monthly
 
Rarely
 
 
 
How do you describe your level of expertise with internet?
 
Excellent
 
Good
 
Fair
 
Poor
 
V.Poor
 
 
 
Family Annual Income
 
 
Rs.2,00,000-Rs.5,00,000
 
Rs.5,00,000-Rs.10,00,000
 
Rs.10,00,000-Rs.15,00,000
 
Rs.15,00,000 and above
 
 
 
Do you use  online shopping?
 
Yes
 
No
 
 
 
If you don't use online shopping,kindly specify the reason
   
 
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