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* NAME:
   
 
 
Phone No:
   
 
 
Address:
   
 
 
 
* Gender:
 
Male
 
Female
 
 
 
To which age group do you belong?(FOR EXECUTIVES)
 
21 - 28
 
28 – 35
 
 
What sector do you work in ?(FOR EXECUTIVES)
 
Private Sector
 
Govt. Sector
 
Businessman/Entrepreneurs
 
 
What is your income per month? (FOR EXECUTIVES)
Rs. 5000 – Rs. 15000
More than Rs. 15000
 
Rs. 5000 – Rs. 15000
 
More than Rs. 15000
 
 
 
To which age group do you belong?(FOR STUDENTS)
 
18-24 yrs
 
16-18 yrs
 
 
 
How many k/ms you ride in your two wheeler in an average day?
 
0-20km
 
21-40 km
 
41-60 km
 
61-80 km
 
81km or more
 
How frequently you use your two-wheeler as compared to other means of transport?
Rarely 1 2 3 4 5 6 7 Very Often
 
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