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Questions marked with a * are required Exit Survey
 
 
* Your Completed Age
   
 
 
 
* GENDER
 
Male
 
Female
 
 
 
What is your employment status?
 
Student
 
Employed Part time
 
Employed Full time
 
Business
 
Looking for Job
 
Looking for Business
 
 
 
How extensively do you Intrested in Blood Donation and Organ Donation?
 
Extremely
 
Moderately
 
Slightly
 
Not at all
 
 
 
Do you wish to Start your own business at your place?
 
Yes
 
No
 
Not Sure
 
 
 
* Do you prefer to purchase online?
 
Yes
 
No
 
Rarely
 
 
 
What type of products do you wish to purchase often in Online shopping?
 
Accessories
 
Mobile Accessories
 
Arts and crafts
 
Books
 
Clothing
 
Cosmetics
 
Electronics
 
Footwear
 
Home appliances
 
Monthly Provisions
 
Other
 

 
 
 
Do you think that Counselling is Required for people on various aspect at Present Situations?
 
Yes
 
No
 
Not Sure
 
 
 
* Are you Interested in Astrology / Numerology / Gemology.. Do u wish to get Predictions & solution for your problems?
 
Yes
 
No
 
Unsure
 
 
Contact Information
* First Name : 
* Last Name : 
* Phone : 
* Email Address :