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2013
May
R
Research Questionnaire
Research Questionnaire
0%
Exit Survey
01.What is your age (in years)?
11 – 20
21 – 30
31 – 40
41 – 50
Above 50
02.Do you use a mobile phone?
Yes
No
03.What is the brand and model of your mobile phone? (ex: Nokia 1100)
04.What are the features in the mobile you use frequently? Please rank (5 stars – most using feature, 1 star– least , 0 – not using)
Call
SMS
MMS
Games
Internet
05.Have you ever thought about committing suicide?
Yes
No(Please go to No. 13)
06.How long have you had that thought?
07.Did you get rid of that thought?
Yes
No(Please go to No. 10)
08.How did you get rid of that thought?
09.How did you felt about that thought, after get rid of that?
10.Did you communicate those thoughts to anyone?
Yes
No(Please go to No. 13)
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