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Questions marked with an * are required Exit Survey
 
 
* Where do you live
 
Eastern Cape
 
Free State
 
Gauteng
 
KZN
 
Limpopo
 
Mpumalanga
 
Northern Cape
 
North West
 
Western Cape
 
Other
 
 
 
How many children in each category are you mother, aunt or grandmother to:
Number
0 - 3 month old
3 - 6 month old
6 - 12 month old
12 - 24 month old
24 - 36 month old
3 - 5 years old
 
 
How would you rate your interest levels in the following:
Very Interested Interested Neutral Not Interested
* Energy & Water Saving Activities
* Organic and Health Products
* Recycling and Up-Cycling
 
 
Which purchase method would you be comfortable with for the below?

Large Retailers Specialty Stores Family, friends & colleagues sales agents Secure Online I don't purchase these products
* Specialty & Health Foods
* Maternity Products
* Baby Products
 
 
 
* How interested would you be in purchasing baby products made from 100% organic material:
 
Very Interested
 
Interested
 
Neutral
 
Not really interested
 
Not interested at all
 
 
 
Do you have family or friends that stay outside of South Africa but on the African continent that you believe may be interested in organic baby products
 
Yes
 
No
 
 
 
* Which payment methods do you prefer (Select all that apply)?
 
Cash
 
Debit Card
 
Credit Card
 
Payment Plan

 
 
 
Email Address :