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  2. 2013
  3. June
  4. I
  5. Indian female survey No. 1373
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Hello:
You are invited to participate in survey being conducted as part of our course. It will take approximately 3 minutes minutes to complete the questionnaire.

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What is your age group?
 
18-25
 
25-35
 
35-45
 
above 45
 
 
 
Marital status
 
Unmarried
 
Married
 
Divorced / Seperated
 
Widow
 
 
 
At what age your period started?
 
8-10
 
11-12
 
12-15
 
15-18
 
 
 
If married, At what age you got married?
 
Below 18
 
18-21
 
21-25
 
25-30
 
30-35
 
above 35
 
Not applicable (for unmarried)
 
 
 
Numer of Children?
 
0
 
1
 
2
 
3
 
above 3
 
 
 
How did you find your Husband?
 
Arranged Marriage
 
Love Marriage
 
Others
 
 
 
Were you virgin when you got married?
 
Yes
 
No
 
Not Applicable
 
 
 
Do you feel that extra marital relation is ok ?
 
Yes
 
No
 
Depends
 
 
 
Number of partners with whom you got physical?
 
0
 
1
 
2
 
more than 2
 
 
 
Do you drink Alcohol?
 
Yes
 
No
 
This is confidential Survey. Please don't mention your name, phone, address.