ONLINE AND DRIVE-THRU GROCERY SHOPPING SURVEY
Answers marked with a * are required.
Personal Details
Instruction: Please tick the box for each of the questions.
1.
Gender
*
Male
Female
2.
Marital Status
*
Single
Married
Divorced
3.
Age Group
*
18 - 25
26 - 30
31 - 40
41 - 60
4.
Location
*
Gadong
Kiulap
Berakas (A&B)
Serasa
Mentiri
Kota Batu
Sengkurong
Lumapas
Pangkalan Batu
Kianggeh
Other (Please Specify)
5.
Occupation
*
Student
Government Sector
Private Sector
Self Employed
Other (Please Specify)
6.
Monthly Income
*
Below $500
$501 - $1,000
$1,001 - $2,000
$2,001 - $3,000
Above $3,000
7.
Including yourself, how many people are in your household?
*
8.
Number of Dependants (Children/s)
*
0
1
2
3
More than 3
9.
Do you own a car?
*
Yes
No
Created with eSurveysPro.com
Survey Software
.