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age group:-
1)20-25 yrs ( )
2)25-30 yrs ( )
3)30-35 yrs ( )
4)35-40 yrs ( )
5)40-45 yrs ( ) |
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occupation:-
1)student ( )
2)profession ( )
3)service ( )
4) housewife ( )
5)other specified ___________________
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qualification:-
1) s.c.c. ( )
2)graduate ( )
3)post-graduate ( )
4)other specified ________________ |
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monthly income:-
1)5000-10000 ( )
2)10000-15000 ( )
3)15000-20000 ( )
4)20000 & above ( ) |
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contact no:-
______________ |
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gender:-
male ( )
female ( ) |
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marital status:-
married ( )
unmarried ( ) |
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you are from which state?
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