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Hello:
You are invited to participate in our survey [Project Description Here]. In this survey, approximately [Approximate Respondents] people will be asked to complete a survey that asks questions about [General Survey Process]. It will take approximately [Approximate Time] 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. If you have questions at any time about the survey or the procedures, you may contact [Name of Survey Researcher] at [Phone Number] or by email at the email address specified below.

Thank you very much for your time and support. Please start with the survey now by clicking on the Continue button below.

 
 
 
* Name
   
 
 
 
* Age
   
 
 
 
* Gender
   
 
 
 
* Educational Qualification
   
 
 
 
* What is your Occupation?
 
Student
 
Housewife
 
Working professional
 
Self Employed
 
Retired
 
 
 
* What is your Monthly Income?
 
Below 15000
 
15000-30000
 
30000-45000
 
45000 and above
 
 
 
* How important is oral health care to you?
 
Extremely Important
 
Very Important
 
Moderately Important
 
Slightly Important
 
Not at all
 
 
 
* Which Oral Care Product would you prefer to buy?
 
Herbal
 
Non Herbal
 
Any of the two as long as it is effective
 
 
Please tick across the Oral Health care products you use and its frequency (Multiple ticks Allowed)
Always Often Sometimes Rarely Never
* Toothpaste
* Tooth Brush
* Tooth Powder
* Mouthwash
* Flossing Threads
* Tongue Cleaner
* Teeth Cleaning Twigs (Meswak, Neem, etc)