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  2. 2016
  3. August
  4. S
  5. Survey for E-wallet
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Questions marked with a * are required Exit Survey
 
 
Respondent's Basic Details:
 
 
 
* Name
   
 
 
 
Respondent's Gender:
 
Male
 
Female
 
 
 
Respondent's Age:
 
Under 18
 
18-30
 
31-45
 
46-60
 
Above 60
 
 
 
Respondent's Caste:
 
General
 
OBC
 
SC
 
ST
 
Other
 
 
 
 
Family details of respondent:
 
 
 
Total Adult Male Members
   
 
 
 
Total Adult Female Members:
   
 
 
 
Total Minor Male (less than 18):
   
 
 
 
Total Minor Female: