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Surveys
2012
November
A
Antiseptic
Antiseptic
0%
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Hello:
You are invited to participate in our survey about antiseptic product. In this survey, approximately 100 people will be asked to complete a survey that asks questions about their purchase habit on antiseptics. It will take approximately 5 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.
Thank you very much for your time and support. You can start doing the survey now.
Sex:
Female
Male
Marital status:
Single
Married
Age Range:
Under 25
25 to 33
34 to 50
50 above
Raising Children?
no
1
2
3 or more
What types of credit cards do you have (Select all that apply)?
Bandage
Antiseptics ○ Dressing
Adhesive tape
cotton swab
Saline
I have no aid kits in my house
Others_____
Who usually buys the antiseptic products in your family?
Me
Mother
Father
Children
Whoever needs it
Others _______
Where do you usually keep your antiseptics?
Home
Car
Workplace
Bag
Others_____
How often are antiseptic products purchased in your household?
Weekly
Monthly
Quarterly
Annually
It depends
What sized product do you usually purchase?
Single
Family Size
To go/ Easy- go Package
Others____
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