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Full Name
   
 
 
 
Email Address
   
 
 
 
Gender
 
Male
 
Female
 
 
 
Age Group
 
12 - 18 years
 
18-25 years
 
26-35 years
 
36-45 years
 
46-60 years
 
Above 60 year
 
 
 
How often do you conduct surveys?
 
Weekly
 
Monthly
 
Quarterly
 
Annually
 
 
 
How often do you conduct surveys?
 
Weekly
 
Monthly
 
Quarterly
 
Annually
 
 
 
Marital Status
 
Married
 
Unmarried
 
Other
 
 
 
 
Educational Qualification
 
School (upto 10th Std.)
 
Under graduate
 
Graduate
 
Post- Graduate
 
 
 
Profession
 
o School Student
 
College student
 
Working Professional
 
Business
 
Retired
 
Senior Citizen