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2012
August
H
Health & Hygiene
Health & Hygiene
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Hello:
You are invited to participate in our survey Health & Hygiene Product. In this survey, approximately 100 people will be asked to complete a survey that asks questions about Health and hygiene of you family. It will take approximately 3-4 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.
Name
Age
Gender
Male
Female
Profession
Engineer
Doctor
Businesswoman
Housewife
Other
How many adult members are there in your family?
How many children are there in your family?
What is your monthly family Income
INR 5000 - INR 10,000
INR 10,000 - INR 20,000
INR 20,000 - INR 30,000
More than INR 30,000
You visit supermarkets -
Once in a month
Twice a month
Thrice a month
More than thrice a month
I purchase my daily toiletries from:
Kirana Store
Departmental store
Super Market
Malls
Other
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