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How often do you shop on the internet?
 
Never
 
Rarely
 
Occasionally
 
Frequently
 
Very Often
 
 
 
Top 3 online stores you visit the most
   
 
 
 
The reason(s) for you to shop online, please select all that apply
 
Convenience
 
Save time
 
Cheaper price
 
More selections
 
Other
 

 
 
 
I am currently...
 
A student
 
Part-time employee
 
Full-time employee
 
Self Employed
 
Looking for job
 
Considering to start a business
 
Considering go back to school

 
 
 
Your gender
 
M
 
F
 
 
 
Your age
   
 
 
 
Will you be interested in saving more money on internet purchases?
 
Yes
 
No
 
 
 
Your Name
   
 
 
 
Email Address/ Phone Number *Optional
   
 
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