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Name:
   
* Email Id:
   
* Mobile Number:
   
* City:
   
Gender:
   
Age:
   
 
 
 
Which of the following categories best describes your Annual House Hold income?
 
Under 5,00,000
 
Rs.5,00,001 - Rs.10,00,000
 
Rs.10,00,001 - Rs.15,00,000
 
Rs.15,00,001 - Rs.20,00,000
 
Rs.20,00,001 - Rs.25,00,000
 
Rs.25,00,001 or more
 
 
 
What is your current employment status?
 
Employed full-time
 
Employed part-time (less than 32 hours)
 
Retired/unable to work/disabled
 
Student/ at school
 
Not working/looking for work
 
Housewife/househusband
 
 
 
Are you a
 
 
 
What is the highest level of education you have received?
 
Literate but no formal education
 
School - upto 4 years
 
School - 5-9 years
 
School - SSC/HSC
 
Some College but not a graduate
 
Graduate/Post graduate – General
 
Graduate/Post graduate – Professional
 
 
 
Would you like to share your friend's mail id with us So we can invite them in our upcoming surveys?
 
 
Ref. Mail id1:
   
Ref. Mail id2:
   
Ref. Mail id3:
   
Ref. Mail id4:
   
 
Thank you for your time.
Best Regards,
Communityview Team