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Contact Information
First Name : 
Last Name : 
Email Address : 
 
 
 
Age: -
 
15-20
 
21-25
 
26-30
 
31-35
 
 
 
Annual income: -
 
No income
 
Less than 20000
 
20000-30000
 
More than 30000
 
 
 
Are you aware of Bata company?
 
Yes
 
No
 
 
 
Did you ever purchased Bata product?
 
Yes
 
No
 
 
 
If yes, than how often you purchased Bata product? (If no than please refer question from )
 
Once
 
Twice
 
More than twice
 
 
 
Are you aware of online store of Bata?
 
Yes
 
No
 
 
 
From which source you purchased Bata Product?
 
Online
 
Offline